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Full FSO Custody Policy Manual as of 06-30-25_Redacted Fresno County Sheriff's Office Custody Policy Manual Table of Contents Mission. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Philosophy and Goals. . . . . . . . . . . . . . . . . . . . . . 2 Chapter 1 - Role and Authority. . . . . . . . . . . . . . . . . . . . 7 102 - Periodic Review and Performance-Based Goals and Objectives. . . . . . . 8 103 - Custody Manual. . . . . . . . . . . . . . . . . . . . . . 12 110 - Post Orders. . . . . . . . . . . . . . . . . . . . . . . 15 Chapter 2 - Organization and Administration. . . . . . . . . . . . . . 16 202 - Supervision of Incarcerated Persons. . . . . . . . . . . . . . . 17 203 - Prohibition on Incarcerated Person Control. . . . . . . . . . . . . 18 204 - Equipment Inventory and Supplies. . . . . . . . . . . . . . . . 19 205 - Tool and Equipment Control. . . . . . . . . . . . . . . . . . 20 206 - Disposition of Evidence. . . . . . . . . . . . . . . . . . . 22 207 - Records and Data Practices. . . . . . . . . . . . . . . . . . 24 209 - Incarcerated Person Records. . . . . . . . . . . . . . . . . . 25 211 - Key and Electronic Access Device Control. . . . . . . . . . . . . 27 215 - Administrative and Supervisory Inspections. . . . . . . . . . . . . 31 219 - Community Relations and Public Information. . . . . . . . . . . . . 34 233 - Equipment Issue. . . . . . . . . . . . . . . . . . . . . . 36 Chapter 3 - Recruitment, Selection, and Planning. . . . . . . . . . . . . 40 301 - Employee Orientation. . . . . . . . . . . . . . . . . . . . 41 302 - Continuing Education and Professional Development. . . . . . . . . . 42 304 - Jail Training Officer. . . . . . . . . . . . . . . . . . . . . 43 310 - Prison Rape Elimination Act Training. . . . . . . . . . . . . . . 45 311 - Health Care Staff Orientation. . . . . . . . . . . . . . . . . . 47 312 - Volunteer Program. . . . . . . . . . . . . . . . . . . . . 49 Chapter 4 - Emergency Planning. . . . . . . . . . . . . . . . . . 54 401 - Emergency Staffing. . . . . . . . . . . . . . . . . . . . . 55 402 - Fire Safety. . . . . . . . . . . . . . . . . . . . . . . . 57 403 - Emergency Power and Communications. . . . . . . . . . . . . . 61 405 - Security Emergency Response and Tactics (SERT) Team. . . . . . . . 63 406 - Recording Planned Emergency Responses. . . . . . . . . . . . . 66 Chapter 5 - Incarcerated Person Management. . . . . . . . . . . . . . 68 504 - Safety Checks. . . . . . . . . . . . . . . . . . . . . . 69 506 - Civil Detainees. . . . . . . . . . . . . . . . . . . . . . 71 508 - Classification. 72 510 - Control of Incarcerated Person Movement. . . . . . . . . . . . . 91 512 - Use of Restraints. . . . . . . . . . . . . . . . . . . . . 93 515 - Canines. . . . . . . . . . . . . . . . . . . . . . . . 99 Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Table of Contents-3 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual 516 - Reporting In-Custody Deaths. . . . . . . . . . . . . . . . . 108 518 - Transportation of Incarcerated Persons Outside the Secure Facility. . . . . 113 519 - Safety and Sobering Cells. . . . . . . . . . . . . . . . . . 115 520 - Biological Samples. . . . . . . . . . . . . . . . . . . . . 118 522 - Delayed and Inadvertent Releases. . . . . . . . . . . . . . . 121 524 - Federal Court Release. . . . . . . . . . . . . . . . . . . 123 525 - Ex-Parte Court Orders. . . . . . . . . . . . . . . . . . . 129 527 - Metal Detector Clearance. . . . . . . . . . . . . . . . . . 131 528 - Body Scanner. . . . . . . . . . . . . . . . . . . . . . 135 529 - Lineups. . . . . . . . . . . . . . . . . . . . . . . . 148 531 - Mental Health Observation Cell. . . . . . . . . . . . . . . . . 151 532 - Guarding Incarcerated People Off-Site. . . . . . . . . . . . . . 162 533 - Custodial Body-Worn Cameras. . . . . . . . . . . . . . . . . 174 534 - Warrant Abstract. . . . . . . . . . . . . . . . . . . . . 182 535 - Federal Incarcerated People. . . . . . . . . . . . . . . . . 186 537 - Holds and Detainers. . . . . . . . . . . . . . . . . . . . 192 538 - Immigration Status. . . . . . . . . . . . . . . . . . . . . 204 539 - Citations. . . . . . . . . . . . . . . . . . . . . . . . 211 542 - Money Bags. . . . . . . . . . . . . . . . . . . . . . . 214 543 - Contraband Watch. . . . . . . . . . . . . . . . . . . . . 216 Chapter 6 - Due Process of Incarcerated Persons. . . . . . . . . . . . 219 606 - Prison Rape Elimination Act. . . . . . . . . . . . . . . . . . 220 607 - Grooming. . . . . . . . . . . . . . . . . . . . . . . . 234 608 - Nondiscrimination. . . . . . . . . . . . . . . . . . . . . 236 609 - Grievances. . . . . . . . . . . . . . . . . . . . . . . 238 610 - Voting. . . . . . . . . . . . . . . . . . . . . . . . . 244 613 - Incarcerated Persons with Disabilities. . . . . . . . . . . . . . . 245 Chapter 7 - Medical-Mental Health. . . . . . . . . . . . . . . . . . 256 700 - Medical Policies. . . . . . . . . . . . . . . . . . . . . 257 Chapter 8 - Environmental Health. . . . . . . . . . . . . . . . . . 258 800 - Sanitation Inspections. . . . . . . . . . . . . . . . . . . . 259 802 - Housekeeping and Maintenance. . . . . . . . . . . . . . . . 262 805 - Vermin and Pest Control. . . . . . . . . . . . . . . . . . . 264 807 - Incarcerated Person Hygiene. . . . . . . . . . . . . . . . . 266 Chapter 9 - Food Services. . . . . . . . . . . . . . . . . . . . 271 900 - Food Services. . . . . . . . . . . . . . . . . . . . . . 272 Chapter 10 - Programs for Incarcerated Persons. . . . . . . . . . . . . 276 1000 - Programs and Services. . . . . . . . . . . . . . . . . . . 277 1001 - Incarcerated Persons Welfare Fund. . . . . . . . . . . . . . . 279 1003 - Counseling Services. . . . . . . . . . . . . . . . . . . . 283 1005 - Exercise and Out-of-Cell Time. . . . . . . . . . . . . . . . 284 1006 - Education, Vocation, and Rehabilitation. . . . . . . . . . . . . . 287 Copyright Lexilpol, LLC 2025/06/30,All Rights Reserved. Table of Contents-4 Published with permission by Fresno County Sheriffs Office Fresno County Sheriff's Office Custody Policy Manual 1008 - Library Services. . . . . . . . . . . . . . . . . . . . . 291 1011 - Visitation. . . . . 294 1012 - Resources for Released Persons. . . . . . . . . . . . . . . . 311 1017 - Religious Programs. . . . . . . . . . . . . . . . . . . . 312 1018 - In-Custody Marriages. . . . . . . . . . . . . . . . . . . 321 1020 - Legal Research Access. . . . . . . . . . . . . . . . . . . 323 1022 - Electronic Tablet and Kiosk Program. . . . . . . . . . . . . . 328 Chapter 11 - Facility Design. . . . . . . . . . . . . . . . . . . . 331 1101 - Smoking, Tobacco, and Nicotine Use. . . . . . . . . . . . . . 332 1102 - Control Center. . . . . . . . . . . . . . . . . . . . . . 334 Attachments. . . . . . . . . . . . . . . . . . . . . . . . . 335 AQI Chart (1).pdf. . . . . 336 Classification Addendum B - Severity of Offense Scale.pdf. . . . . . . . . . 337 Canines - Equipment Issue - Addendum A.pdf. . . . . . . . . . . . . . 338 Visitation Policy - Passes - Addendum G - Limited.pdf. . . . . . . . . . . 339 Visitation Policy - Passes - Addendum C - Yellow.pdf. . . . . . . . . . . 340 Classification Addendum G- Reassessment-Review Chart.pdf. . . . . . . . . 341 Classification Addendum J - Definitions.pdf. . . . . . . . . . . . . . . 342 Classification Addendum Y - Housing Assignments.pdf. . . . . . . . . . . 343 PREA Addendum D2 - Contractor.pdf. . . . . . . . . . . . . . . . 344 PREA Addendum B - Flowchart.pdf. . . . . . . . . . . . . . . . . 345 PREA Addendum A - Sexual Assault Victim Assistance Checklist.pdf. . . . . . 346 Visitation Policy - Addendum H - Dress Code.pdf. . . . . . . . . . . . . 347 Visitation Policy - Passes - Addendum F - Red.pdf. . . . . . . . . . . . 348 Visitation Policy - Passes - Addendum A - Own ID.pdf. . . . . . . . . . . 349 UOF REVIEW FLOW CHART.pdf. . . . . . . . . . . . . . . . . . 350 Visitation Policy - Addendum H - Dress Code.pdf. . . . . . . . . . . . . 351 Pregnancy Services Pamphlet - Addendum A.pdf. . . . . . . . . . . . . 352 Lactation Program Addendum B.pdf. . . . . . . . . . . . . . . . . 353 Visitation Policy - Passes - Addendum E - Gray.pdf. . . . . . . . . . . . 354 Visitation Policy - Passes - Addendum B - Green.pdf. . . . . . . . . . . 355 INCARCERATED PERSON GRIEVANCE FLOWCHART.pdf. . . . . . . . . 356 Visitation Policy - Passes - Addendum D - Pink.pdf. . . . . . . . . . . . 357 Visitation Policy - Passes - Addendum C - Blue.pdf. . . . . . . . . . . . 358 528 Body Scanner Policy - Addendum A.pdf. . . . . . . . . . . . . . 359 PREA Addendum D3 - Employee.pdf. . . . . . . . . . . . . . . . . 360 PREA Addendum D1 - Volunteer.pdf. . . . . . . . . . . . . . . . . 361 PREA Addendum C3 - Sexual Assault Poster - Hmong 2015.pdf. . . . . . . . 362 E-490C -Acknowledgment of Receipt of Breast Milk and Handling Instructions.pdf. 363 G-105A - Medication Pass Logistics.pdf. . . . . . . . . . . . . . . . 364 E-490B - Inmate Lactation Program - Pumping Instructions and Designation of Reci pient.pdf. . . . . . . . . . . . . . . . . . . . . . . . . 365 G-120A Intake Flowchart.pdf. . . . . . . . . . . . . . . . . . . 366 Classification Addendum H - Custody Reassessment Scale.pdf. . . . . . . . 367 Classification Addendum E2 - ADA Housing Units.pdf. . . . . . . . . . . 368 Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Table of Contents-5 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification Addendum D -Administrative Separation Placement-Transfer Notice.pdf. 369 402 - Fire Safety Policy Addendum - Fire Alarm Pulls.pdf. . . . . . . . . . 370 402 - Fire Safety Policy Addendum - Fire Extinguishers.pdf. . . . . . . . . 371 402 - Fire Safety Policy Addendum - Fire Hoses and Dry Standpipes.pdf. . . . . 372 G-130A Intake Flowchart.pdf. . . . . . . . . . . . . . . . . . . 373 E-490A - Pregnancy Services Pamphlet.pdf. . . . . . . . . . . . . . 374 Medical Policies Combined.pdf. . . . . . . . . . . . . . . . . . . 375 Grievance Addendum- Cans and Cannots.pdf. . . . . . . . . . . . . . 376 PREA Addendum E - Vulnerability Assessment form.pdf. . . . . . . . . . 377 PREA Addendum C1 - Sexual Assault Poster - English 2025.pdf. . . . . . . . 378 PREA Addendum C2 - Sexual Assault Poster - Espanol 2015.pdf. . . . . . . . 379 Classification Addendum I - Notification of Classification Review.pdf. . . . . . . 380 Classification Addendum A - Initial Custody Assessment Scale.pdf. . . . . . . 381 Classification Addendum E1 - ADA Accessible Location Chart.pdf. . . . . . . 382 Classification Addendum X - Question naire.pdf. . . . . . . . . . . . . 383 Classification Addendum C - Severity of Institutional Behavior- RV Initial Assessment and Reassessment.pdf. . . . . . . . . . . . . . . . . . . . . . . 384 Classification Addendum F - Reclassification Form.pdf. . . . . . . . . . . 385 Lactation Program Addendum C.pdf. . . . . . . . . . . . . . . . . 386 Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Table of Contents-6 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 1 - Role and Authority Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Role and Authority-7 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 102 Custody Policy Manual Periodic Review and Performance-Based Goals and Objectives 102.1 PURPOSE AND SCOPE The Fresno County Sheriff's Office is dedicated to the concept of continuous improvement in the services provided on behalf of the public and in accordance with applicable laws, regulations, and best practices in the operation of this facility. This policy establishes minimum review criteria to measure and evaluate the success of achieving established goals and objectives. 102.2 POLICY The Fresno County Sheriff's Office shall strive to continually improve the operation of its facilities to ensure they are safe, humane, and protect the constitutional and statutory rights of incarcerated people. To this end, the Office shall conduct periodic reviews to evaluate its progress in meeting stated goals and objectives. Jail health care staff shall meet with Sheriff's Office staff during monthly administrative meetings that shall include an agenda and minutest. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), I.A.3. 102.3 ANNUAL REVIEW The Jail Administrator (Assistant Sheriff)should ensure that the custody management team conducts an annual management review of, at a minimum: (a) Statutory, regulatory, and other requirements applicable to the operation of the facility. (b) Custody Division policies, procedures, directives, and post orders that guide the operation of the facility. (c) Compliance with internal/external inspections of the facility. (d) Condition of the physical plant, infrastructure, and maintenance efforts. 102.4 MONTHLY QUALITY ASSURANCE REVIEWt In addition to the annual review, a monthly "Jail Command Staff Quality Assurance Review" shall be conducted by Jail Command Staff to review all documented significant incidents,which include, but are not limited to: (a) Incarcerated person suicides and suicide attempts (b) Incidents of incarcerated person-on-incarcerated person violence (c) Use of force by staff (d) Sexual assaults (e) Fires (f) Escapes (g) Deaths (h) Assaults on staff Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Periodic Review and Performance-Based Published with permission by Fresno County Sheriff's Office Goals and Objectives-8 Fresno County Sheriff's Office Custody Policy Manual Periodic Review and Performance-Based Goals and Objectives Information developed during those reviews shall be incorporated into improving policies, procedures, and practices to remedy any deficiencies identifiedt. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.C.5. 102.4.1 USE OF FORCE REVIEWt The Jail Command Staff(Captains and Lieutenants)shall evaluate the appropriateness of all uses of force as a part of their scheduled agenda during their monthly meetings.A Jail Sergeant shall be assigned the collateral duty as Use of Force Review Coordinator and be responsible to produce the reports, data and necessary videos for review at these meetings. The findings of this group shall be forwarded up the chain of command to the Sheriff, with any use of force suspected to be outside of law and/or policy directed to Internal Affairs for additional investigation, as necessary. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.C.8. The Office shall gather statistical and comparative data on the uses of force, de-escalation, and pre-planned uses of force involving incarcerated people with serious mental illnesst. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.E.1. Use of Force Review Flowchart 102.4.2 QUALITY ASSURANCE CRITERIAt Quality Assurance criteria, policies and procedures shall be developed to guide the protocols of the Jail Command staff's monthly meetings and review, which include, but are not limited to: (a) Incarcerated person suicides and suicide attempts (b) Incidents of incarcerated person-on-incarcerated person violence (c) Use of force by staff (d) Sexual assaults (e) Fires (f) Escapes (g) Deaths (h) Assaults on staff t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.C.6. 102.4.3 SAFETY AND SECURITY REVIEWt The Lieutenant assigned to supervise the Services Unit shall be responsible to provide status updates on the following critical areas, as well as any unsafe conditions or adverse issues impacting incarcerated people, staff, or public safety and facility security: (a) Physical plant safety concerns Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Periodic Review and Performance-Based Published with permission by Fresno County Sheriff's Office Goals and Objectives-9 Fresno County Sheriff's Office Custody Policy Manual Periodic Review and Performance-Based Goals and Objectives (b) Control of flammables/caustics (c) Emergency preparedness and key testing (d) Facility sanitation compliance and contract oversight (e) Contract oversight as it relates to jail services (e.g., food, commissary, money) t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.C.6 The designated FLSO officer shall be responsible to provide status updates on emergency preparedness training (fire suppression, evacuation, mock fire drills, etc.) 102.4.4 MISCELLANEOUS REVIEWt Jail Command Staff shall also examine the following and take any necessary corrective action needed to remedy identified deficiencies: (a) Systems of control (b) Jail policy & procedure (c) Incident trends This group shall make appropriate recommendations for corrective action to the Jail Administrator based upon the quality assurance review. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.C.6. 102.5 CRITERIA TO MEASURE PERFORMANCE The following items will be used to measure and evaluate the level of success in achieving the Custody Division's stated goals: (a) Incarcerated person grievances (b) Documentation that Office investigators have completed the required specialized training in conducting sexual abuse investigations (28 CFR 115.34) 102.6 MEETINGS AND FINDINGS The results of these reviews should be used in the ongoing process of continuous improvement. They should be used to direct changes in the operation of this facility or to identify successful operations that might be replicated in other areas of the facility. All Jail Command Staff meetings shall have an official record of the proceedings prepared. A permanent record of all meeting minutes shall be retained on the Sheriff's SharePoint. Quality Assurance Review Monthly Meeting Protocols minutes shall include a synopsis of any data reports presented, and the following: • Agenda. • Date/Time. • Titles. • Minutes. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Periodic Review and Performance-Based Published with permission by Fresno County Sheriff's Office Goals and Objectives-10 Fresno County Sheriff's Office Custody Policy Manual Periodic Review and Performance-Based Goals and Objectives • Decision Making. • Designated Representative. • Absenteeism. • Recommendations and Corrective Actions. Information developed during the quality assurance reviews shall be incorporated into creating corrective action plans and implementing or improving policies, procedures, and practices to remedy any deficiencies identified. Findings, actions, and recommendations for corrective action are to be reported to the Jail Administrator. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Periodic Review and Performance-Based Published with permission by Fresno County Sheriff's Office Goals and Objectives-11 Policy Fresno County Sheriff's Office 103 Custody Policy Manual Custody Manual 103.1 PURPOSE AND SCOPE The Custody Manual is a statement of the current policies, rules, and guidelines of this the Fresno County Sheriffs Office Custody Division. All prior and existing manuals, orders, and regulations that are in conflict with this manual are revoked, except to the extent that portions of existing manuals, orders, and other regulations that have not been included herein shall remain in effect where they do not conflict with the provisions of this manual. Except where otherwise expressly stated, the provisions of this manual shall be considered guidelines. It is recognized, however, that work in the custody environment is not always predictable, and circumstances may arise that warrant departure from these guidelines. It is the intent of this manual to be viewed from an objective standard, taking into consideration the sound discretion entrusted to members of this Office under the circumstances reasonably known to them at the time of any incident. 103.2 POLICY The manual of the Fresno County Sheriff's Office Jail is hereby established and shall be referred to as the Custody Manual (15 CCR 1029). All members are to conform to the provisions of this manual. The Office's policies and procedures shall be revised, as necessary, to reflect all of the health care remedial measures described in the Remedial Plan, and the Office shall deliver healthcare pursuant to these revised policies and procedurest. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), I.D.16. It is the policy of the Fresno County Sheriffs Office Custody Division to develop, implement, and update policies, procedures, and post orders as necessary to comply with the Remedial Plan and Consent Decree. The Sheriff's Office shall address deficiencies identified through quality assurance reviews and implement corrective actions as needed. t. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.I.1.,3. 103.2.1 DISCLAIMER The provisions contained in the Custody Manual are not intended to create an employment contract nor any employment rights or entitlements. The policies contained within this manual are for the internal use of the Fresno County Sheriff's Office and shall not be construed to create a higher standard or duty of care for civil or criminal liability against the county, its officials, or members. Violations of any provision of any policy contained within this manual shall only form the basis for Office administrative action, training, or discipline.The Fresno County Sheriffs Office reserves the right to revise any policy content, in whole or in part. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custody Manual- 12 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custody Manual 103.3 RESPONSIBILITIES The Sheriff shall be considered the ultimate authority for the provisions of this manual and shall continue to issue Standing Orders, which shall modify the provisions to which they pertain. Standing Orders shall remain in effect until such time as they may be permanently incorporated into the manual. The Assistant Sheriff, through the Jail Operations Captain, shall ensure that the Custody Manual is comprehensively reviewed at least every two years, updated as needed, and the staff trained accordingly to ensure that the policies in the manual are current and reflect the mission of the Fresno County Sheriff's Office (15 CCR 1029). 103.3.1 INTERNAL AND EXTERNAL SECURITY MEASURE REVIEW The Jail Operations Bureau Commander shall ensure that Custody Manual review, evaluation, and procedures include internal and external security measures of the facility, including security measures specific to prevention of sexual abuse and sexual harassment (15 CCR 1029). 103.3.2 COMMAND STAFF The command staff should consist of the following: • Sheriff • Undersheriff • Assistant Sheriff • Custody Division Bureau Commanders • Custody Division Lieutenants 103.3.3 OTHER PERSONNEL Line and supervisory staff have a unique view of how policies and procedures influence the operation of the facility and therefore are expected to bring to the attention of their supervisors issues that might be addressed in a new or revised policy. All members suggesting revision of the contents of the Custody Manual should forward their suggestions in writing, through the chain of command, to the Custody Division Bureau Commanders, who will consider the recommendation. 103.4 DEFINITIONS The following words and terms shall have these assigned meanings, unless it is apparent from the content that they have a different meaning: Office - The Fresno County Sheriff's Office. Custody Manual - The Fresno County Sheriff's Office Custody Manual. Employee -Any person employed by the Office. Incarcerated Person -Any person held in the custody of the jail. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custody Manual- 13 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custody Manual May - Indicates a permissive, discretionary, or conditional action. Member -Any person employed or appointed by the Fresno County Sheriff's Office, including: • Full- and part-time employees. • Sworn correctional officers • Civilian employees. • Volunteers. Correctional officer-All persons, regardless of rank, who are employees and who are selected and trained in accordance with state law as correctional officers of the Fresno County Sheriffs Office. On-duty employee - Status during the period when the employee is actually engaged in the performance of assigned duties. Order -A written or verbal instruction issued by a superior. Rank - The job classification title held by a correctional officer. Shall or will - Indicates a mandatory action. Should - Indicates a generally required or expected action absent a rational basis for failing to conform. 103.5 DISTRIBUTION OF MANUAL Copies of the Custody Manual shall be made available to all members. An electronic version of the Custody Manual will be made available to all members on the Office network (15 CCR 1029). No changes shall be made to the electronic version without authorization from the Assistant Sheriff. 103.6 MANUAL ACCEPTANCE As a condition of employment, all members are required to read and obtain necessary clarification of this Office's policies. All members are required to sign a statement of receipt acknowledging that they have received a copy or have been provided access to the Custody Manual. 103.7 REVISIONS TO POLICIES All members are responsible for keeping abreast of all Custody Manual revisions. The Assistant Sheriff or authorized designee will forward revisions to the Custody Manual as needed to all personnel via electronic mail. Each member shall acknowledge receipt by reviewing the revisions, seeking clarification as needed, and acknowledging the policy online. Each supervisor will ensure that members under the supervisor's command are familiar with and understand all revisions. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custody Manual- 14 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 110 Custody Policy Manual Post Orders 110.1 PURPOSE AND SCOPE The purpose of this policy is to establish guidelines for the development of post orders and the training of members assigned to each post. 110.2 POLICY It is the policy of this Office to develop comprehensive post orders for specific positions. Copies of the orders shall be available electronically. Members shall be familiar with the post orders before working a position. 110.3 DEVELOPMENT Clear procedures should be incorporated into post orders for all regular daily activities including, but not limited to, safety checks, head counts, meals, sick call, recreation, laundry exchange, mail distribution and response to emergencies, such as fires, natural disasters, and criminal acts. 110.4 REVIEW AND UPDATE Post orders shall be reviewed periodically and updated whenever necessary by the Policy and Procedure Unit or the authorized designee. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Post Orders- 15 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 2 - Organization and Administration Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Organization and Administration- 16 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 202 Custody Policy Manual Supervision of Incarcerated Persons 202.1 PURPOSE AND SCOPE The purpose of this policy is to ensure the safety and security of the facilities through the application of appropriate staffing levels. 202.2 POLICY It is the policy of this Office to provide for the safety and security of citizens, staff, and incarcerated persons through appropriate staffing levels that are sufficient to operate the facilities and perform functions related to the safety, security, custody, and supervision of incarcerated persons. It is the policy of this Office to maintain adequate staffing levels to ensure incarcerated person safety and comply with the Remedial Plant. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.A.1-2. 202.3 SUPERVISION OF INCARCERATED PERSONS There shall be, at all times, sufficient staff designated to remain in the facilities for the supervision and welfare of incarcerated persons, to ensure the implementation and operation of all programs and activities as required by Title 15 CCR Minimum Jail Standards, and to respond to emergencies when needed. Such staff must not leave the facilities while incarcerated persons are present and should not be assigned duties that could conflict with the supervision of incarcerated persons (15 CCR 1027). Staff members shall not be placed in positions of responsibility for the supervision and welfare of incarcerated persons of the opposite gender in circumstances that can be described as an invasion of privacy or that may be degrading or humiliating to the incarcerated persons. The Jail Operations Bureau Commander or the authorized designee shall be responsible for developing staffing plans to comply with this policy. Records of staff deployment should be maintained in accordance with established records retention schedules (Penal Code § 4021; 15 CCR 1027). 202.4 SEPARATION OF DUTIES Maintenance personnel are employed to perform preventive, routine, and emergency maintenance functions. Custody staff will not be given physical plant maintenance duties that distract from their primary responsibility of supervising incarcerated persons. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Supervision of Incarcerated Persons-17 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 203 Custody Policy Manual Prohibition on Incarcerated Person Control 203.1 PURPOSE AND SCOPE The purpose of this policy is to define the requirement that staff should at all times exercise control of the incarcerated person population under their supervision and should prevent incarcerated persons from controlling other incarcerated persons within the facilities. 203.2 POLICY All staff, including support staff, contractors, and volunteers should exercise control and supervision of all incarcerated persons under their control. It is the policy of this Office to prohibit any staff member to implicitly allow, or by dereliction of duty, allow any incarcerated person or group of incarcerated persons to exert authority over any other incarcerated person (Penal Code § 4019.5; 15 CCR 1083(b)). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Prohibition on Incarcerated Person Control- Published with permission by Fresno County Sheriff's Office 18 Policy Fresno County Sheriff's Office 204 Custody Policy Manual Equipment Inventory and Supplies 204.1 PURPOSE AND SCOPE The facilities must have the materials, supplies, and equipment that are necessary to maintain effective and efficient operations. This policy establishes responsibilities and requirements for purchasing, storing, and inventory of those items. 204.2 POLICY The Jail Medical and Services Bureau Commander shall ensure that all jail property and fixed assets are inventoried periodically. The jail will maintain a secure storage area for the purpose of storing supplies and equipment. The Jail Medical and Services Bureau Commander shall maintain oversight of the area. 204.3 PURCHASING The Jail Medical and Services Bureau Commander, along with the County Administrative Officer, is responsible for managing the purchasing process to ensure that amounts and types of purchases fall within budget parameters. 204.4 EQUIPMENT INVENTORY The Jail Medical and Services Bureau Commander or the authorized designee will conduct an audit on all supplies and equipment annually.All losses will be reported by the Sheriff to the County Administrative Officer. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Equipment Inventory and Supplies-19 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 205 Custody Policy Manual Tool and Equipment Control 205.1 PURPOSE AND SCOPE The purpose of this policy is to establish a tightly controlled process and standard for the use of tools and equipment in order to reduce the risk of such items becoming weapons for the incarcerated person population.While there are times that specific incarcerated workers may need to possess tools or equipment for legitimate daily operations, the possession and use of those tools must be carefully monitored and controlled by staff(15 CCR 1029(a)(6)). 205.2 POLICY It is the policy of these facilities to securely store, inventory, control, and monitor the use of tools and equipment to ensure accountability and the secure use of these items (15 CCR 1029(a)(6)). It is the policy of these facilities to maintain safety and security equipment(i.e., door locks, cameras, alarms, and other monitoring equipment).t t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.G. 205.3 CUSTODY TOOLS Tools include all implements that are maintained within the secure perimeter of the facilities to complete specific tasks. These tools include but are not limited to mops, brooms, dustpans, and floor polishers. All tools and medical equipment shall be locked in secure cabinets or storage rooms when not in use. Any time tools must be brought into a secure area where incarcerated persons are present, the Watch Commander in conjunction with the Services Lieutenant or Sergeant, shall determine the level of security necessary to perform the maintenance work. Staff supervising the area shall ensure that the number of tools brought into the secure area are the same number of tools is taken out. Any tool that is used within the secure perimeter must be closely monitored and controlled by the staff supervising the area so that it cannot be used as a weapon (15 CCR 1029(a)(6)). Incarcerated persons who are assigned tasks that require these tools shall be closely supervised. An inventory of all tools used and stored within the secure perimeter shall be developed and maintained by the County's Internal Services Department Facility Services Division. The loss of any tool will be immediately reported to the facility sergeant, who shall initiate immediate action to locate or account for the missing tool, including: (a) Detaining and searching any incarcerated person who had access to the tool. (b) Conducting a thorough search of the immediate area for the missing item. (c) Initiating a facility-wide search. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. TOOT and Equipment Control-20 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Tool and Equipment Control The staff member responsible for the supervision of the use of the missing tool will prepare and submit a report documenting the specific tool that is missing and the circumstances of the disappearance.The report will be forwarded to the Jail Medical and Services Bureau Commander. A report identifying all members involved in the search should be submitted to the on-duty supervisor documenting their findings. 205.4 MAINTENANCE OR CONSTRUCTION TOOLS Maintenance or construction tools are those tools and equipment that are brought into and out of the secure perimeter of the facilities by employees or contractors to facilitate repairs or construction of the physical plant. Only the tools and equipment needed specifically for the intended work will be permitted into the facilities. All tools and equipment will be inventoried and a list of the tools will be provided to the control booth prior to any tools or equipment being brought inside the secure perimeter. Prior to entering the secure perimeter of the facility, the contractor shall be instructed to maintain personal possession of the tools at all times. When it is necessary to complete a task in an area where incarcerated persons are present, the incarcerated persons shall be locked down by staff supervising the area. When the person has finished working in the area, a correctional officer will ensure that all tools are accounted for. In the event of a discrepancy, the facility sergeant shall be immediately notified and appropriate action taken to locate or account for the items. Once all tools have been accounted for, the incarcerated persons may be released from Iockdown. 205.5 EXTERIOR-USE TOOLS Exterior-use tools are those that are used by incarcerated workers outside of the secure perimeter. Only incarcerated workers who are classified to work outside the secure perimeter will be allowed to possess exterior-use tools. The correctional officer responsible for supervising incarcerated workers on outside work crews will inventory all tools assigned for this purpose at the beginning of the shift. Incarcerated workers shall not be permitted to pass tools between each other except under the direct supervision of a correctional officer. In the event that an exterior-use tool is missing, the correctional officer shall immediately notify a supervisor. A thorough search for the tool will be undertaken and an incident report shall be completed. Incarcerated workers may only be released from their work assignments when it has been determined that it is safe to do so, and upon the approval of the supervisor. The incident report with all relevant information shall be forwarded to the Jail Medical and Services Bureau Commander. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. TOOT and Equipment Control-21 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 206 Custody Policy Manual Disposition of Evidence 206.1 PURPOSE AND SCOPE The purpose of this policy is to provide direction regarding the proper handling and disposition of contraband and evidence to ensure that the chain of custody is maintained so that evidence is admissible in a court of law or disciplinary hearing. 206.2 POLICY It is the policy of the Fresno County Sheriffs Office to seize evidence and contraband in accordance with current constitutional and search-and-seizure law. Members of this Office shall properly handle all contraband and evidence in order to maintain its admissibility. All contraband and evidence shall be handled in a safe manner and in a way that will maintain the chain of custody. 206.3 INITIAL SEIZURE OF EVIDENCE/CONTRABAND Any staff member who first comes into possession of any evidence should retain such evidence in their possession until it is properly stored in an evidence locker. When handling potentially dangerous evidence and contraband, staff should observe the following safety precautions: (a) Unload any firearm located in the approved loading/unloading area. (b) Sheath any knife or other stabbing instrument in its holster (if any), or attach (tape) stiff cardboard to completely cover the blade. (c) Place needles, such as syringes, into a hard plastic container that cannot be punctured by the needle. 206.4 EVIDENCE/CONTRABAND PROCEDURE All evidence shall be logged in an incident report prior to the employee going off-duty unless otherwise approved by a supervisor. 206.4.1 NARCOTICS AND DANGEROUS DRUGS All narcotics and dangerous drugs shall be placed in an evidence locker to await collection by a deputy. A detailed incident report shall be written regarding the substance(s)found. 206.4.2 EVIDENCE CONTROL Every time evidence is released, an appropriate entry in an incident report shall be made. No evidence is to be released without first receiving authorization from a supervisor. 206.5 RELEASE OR DISPOSITION OF UNCLAIMED FUNDS AND PROPERTY A supervisor shall authorize the disposition or release of all unclaimed property in the custody of the Office. All reasonable attempts should be made to return unclaimed property,found property, or evidence not needed for an investigation. Release of property shall be made upon receipt of an authorized release form. The release authorization shall be signed by the approving staff member and must match the items listed on Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Disposition of Evidence-22 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Disposition of Evidence the property form or must specify the items to be released. A signature of the person receiving the property shall be recorded on the original property form. Upon release, the proper entry shall be documented. The sergeant overseeing booking/records shall ensure that all cash not needed as evidence or funds that are left unclaimed by an incarcerated person, are transferred as soon as practical to the County Administrative Office. A record of the transfer shall be kept in the appropriate incarcerated person file. The Property supervisor or the authorized designee shall submit a report of presumed abandoned property or funds once a year to the Sheriff and the County Administrative Office, or more frequently as directed. The Property supervisor may dispose of property in compliance with existing laws upon receipt of proper authorization from the Sheriff. 206.6 DISPOSITION OF PROPERTY All property not held for evidence in a pending criminal investigation or proceeding, and held for three months or longer because the owner has not been located or has failed to claim the property, may be disposed of in compliance with existing laws, upon receipt of proper authorization for disposal. 206.7 UNCLAIMED MONEY Except as otherwise provided by law, money, excluding restitution to victims, that is in the custody of this Office and is no longer needed as evidence, and that remains unclaimed after three years, will be transferred to the general fund after proper notice has been given. All unclaimed money in the Custody Division shall be transferred to the Business Office. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Disposition of Evidence-23 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 207 Custody Policy Manual Records and Data Practices 207.1 PURPOSE AND SCOPE This policy establishes guidelines for the control and access of confidential records by staff, contractors, and volunteers. 207.2 ACCESS TO CRIMINAL RECORDS Official files, documents, records, electronic data, video and audio recordings, and information held by the Fresno County Sheriff's Office or in the custody or control of Office employees, volunteers or contractors are regarded as non-public and/or confidential. Access to confidential paper or electronically generated records in this facility is restricted at various locations according to job function and the need to know. Employees working in assigned areas will only have access to the information that is necessary for the performance of their duties. Granting access to other employees or anyone outside of the work area must meet with supervisory approval. All requests for information received from outside the Office shall be forwarded to the Jail Operations Bureau Commander. Custody staff, volunteers and contractors shall not access, disclose or permit the disclosure or use of such files, documents, reports, records, video or audio recordings or other confidential information except as required in the performance of their official duties and in accordance with Office policies, statutes, ordinances and regulations related to data practices. Custody staff, volunteers and contractors who are uncertain of the confidentiality status of any document should consult with a supervisor or Jail Operations Bureau Commander to determine the status of the documents in question. 207.3 STAFF TRAINING Prior to being allowed to work inside these facilities, all custody staff, volunteers and contractors will receive training on Office records, policies and confidentiality requirements, including the potential criminal and civil penalties that may result from a breach of confidentiality in violation of this policy and all applicable statutes. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Records and Data Practices-24 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office • Custody Policy Manual Incarcerated Person Records 209.1 PURPOSE AND SCOPE This policy establishes the procedures required to create and maintain accurate records of all persons booked and confined in these facilities. 209.2 POLICY It is the policy of this Office that all records shall be complete and comprehensive, resulting in reliable data that provides information about each incarcerated person's period of confinement, as well as histories of previous confinement in these facilities. All incarcerated person records are official Office documents and should be used for official business only. Incarcerated person records are a vital component of the criminal justice system and should only be released to authorized persons. 209.3 RECORD MAINTENANCE It shall be the responsibility of the Records Unit to maintain records on all persons who have been committed or assigned to these facilities, including but not limited to the following (15 CCR 1041): • Intake information • Commitment papers • Court orders • Personal property receipts • Reports of disciplinary actions taken • Medical orders issued by the responsible physician and staff response • Non-medical information regarding disabilities and other limitations The Jail Operations Bureau Commander or the authorized designee shall establish a procedure for managing incarcerated person records. 209.3.1 COURT ORDERS OF NAME OR GENDER CHANGE When a court order is received that involves a name change of an incarcerated person, the Records Unit shall document the new name in the incarcerated person's records and list any prior names as an alias. When a court order is received involving a gender change, appropriate adjustments will be made to the incarcerated person's records (Code of Civil Procedure§ 1279.5). 209.4 INCARCERATED PERSONS RECORDS All documents received affecting incarcerated persons' status will be reviewed, prioritized, and initialed by the Records Supervisor assigned to Jail Records. All other documents dealing with incarcerated persons' status and not resulting in release which has been processed during each particular shift will be filed. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Person Records-25 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Person Records 209.5 RELEASE OF INCARCERATED PERSON RECORDS Incarcerated person records are confidential and shall be used for official business only. Any release of incarcerated person records shall be made only in compliance with a lawful court order or as authorized by state and federal law to persons having a legitimate criminal justice need, or with a consent form signed by the incarcerated person (15 CCR 1045). A copy of the release authorization document shall be maintained in the incarcerated person record file. 209.6 ELECTRONIC RECORD MAINTENANCE All incarcerated person records and data maintained in an electronic format shall be accessible only through a login/password-protected system capable of documenting by name, date, and time any person who has accessed the information. The Jail Administration and Programs Bureau Commander shall be responsible for working with the information technology personnel to ensure the security of the data and to develop and maintain a copy of the security plan. 209.7 RECORDS RETENTION Incarcerated person records shall be maintained maintained for a minimum of two (2)years. Upon an individual's release, all documents from their records shall be retained in accordance with the Records Maintenance and Release Policy in Chapter 8 of the Department Policy Manual. 209.8 INFORMATION SHARING REGARDING IMMIGRATION STATUS No member of this Office will prohibit, or in any way restrict, another member from doing any of the following regarding the citizenship or immigration status, lawful or unlawful, of any individual (8 USC § 1373; Government Code § 7284.6): (a) Sending information to, or requesting or receiving such information from federal immigration officials (b) Maintaining such information in Office records (c) Exchanging such information with any other federal, state or local government entity Nothing in this policy restricts sharing information permissible under the California Values Act. 209.9 REFERENCE See the following procedure for further guidance: INCARCERATED PERSON RECORDS Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Person Records-26 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 211 Custody Policy Manual Key and Electronic Access Device Control 211.1 PURPOSE AND SCOPE The control and accountability of facility keys and electronic access devices are vital factors in maintaining a safe and secure environment for incarcerated persons, staff, volunteers, contractors, and the public (15 CCR 1029(a)(6)). This policy outlines the methods that the Office will use in maintaining strict security of its keys and electronic access devices. For ease of reference, the term "key" as used in this policy includes all physical means of access to or exit from the secure areas of the facility. 211.1.1 DEFINITIONS Chit—A tag with a staff member's name on it. May be used to leave in exchange for a deckset, to indicate the name of the employee in possession of the deckset. Deckset - A group of keys that are necessary to facilitate opening locks in an assigned area, placed together on a key ring. Custody Division Keys -These include all keys that open locks in any portion of the jail facilities, including vehicle keys. Lockbox -A box that locks; used to contain and safely secure decksets when not in use. 211.2 POLICY It is the policy of this Office that all keys used to access secure areas of the facility or to exit the secure areas of the facility are strictly controlled. Employees and supervisors will be held accountable for the security and safety of the facility. All key control activities shall be accurately documented on a daily basis (15 CCR 1029(a)(6)). 211.3 KEY IDENTIFICATION All keys that open any doors within the facilities shall be marked with unique identification codes that will allow for quick inventory. Keys that are bundled together as a set shall be numbered or coded with a tag to identify that set and the number of keys on the ring. The identifying numbers or code on keys shall not correspond to numbers/codes on locks. 211.4 DECKSET CONTENTS Decksets issued to staff for use within the secure perimeter of the facility shall not contain any key that would permit access to areas outside the secure perimeter. The armory key shall not be permitted inside the secure perimeter. Exterior door keys shall not be permitted inside the facility except during an emergency requiring access to the exterior doors. 211.5 KEY CONTROL All emergency facility keys shall be maintained in a locked key box within the Central Control room of their respective facility. This room shall have controlled access for staff only. Each person assigned to a facility shall be issued a deckset bearing the deckset number. Decksets will be Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Key and Electronic Access Device Control-27 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Key and Electronic Access Device Control exchanged for chits via log to maintain a record of which employee has which set. At the end of a shift, employees shall exchange all keys for their chit or update the log. Staff assigned to any area with keys shall account for all keys assigned to that location at 0600, 1000, 1800, and 2200 hours. The assignment of the keys shall be documented via the Safety Check System. Any issuance of a deckset mid-shift shall be documented in the same manner. Only authorized personnel shall possess, utilize, remove, and/or return Custody Division keys to or from a lockbox. All staff shall sign out keys when they are removed from any lockbox (via chit and/or digital log). Staff shall only allow authorized staff to sign out keys used in their area of responsibility. Employees shall not possess any key for which they have not been authorized. All staff shall be personally responsible for keys and decksets signed out or issued to them. Staff members shall retain their assigned decksets in their possession at all times while on duty. Staff members shall not relinquish possession of their decksets except when they are relieved by a relief officer for a break, or relieved from duty and their keys are either returned to the designated lockbox or entrusted to another staff member. Employees shall not duplicate, mark, alter, or manufacture any key without written authorization from the Jail Medical and Services Bureau Commander or the authorized designee. Keys shall not be added or removed from any deckset or key ring without the permission of the Jail Medical and Services Bureau Commander. Central Control staff shall, at the beginning and end of their respective shifts, inventory the key box and its contents. All keys must be accounted for before the end of shift. Keys are not to be taken from the facilities without the specific permission of a Watch Commander or higher authority. Under no circumstances will security keys be made available to incarcerated persons regardless of their status. Uniformed staff members shall attach the end of the key chain to the key holder attached to their belt. Non-uniformed staff members authorized to possess keys shall securely attach the key set to their person. 211.6 LOCK POLICY All secure perimeter entrances, Central Control doors, and pod doors shall be kept locked, except when used for admission or exit of employees, incarcerated persons, or visitors, and in an emergency. Operators of sallyports shall ensure that only one of the doors of a sallyport is opened at any time for entry or exit purposes, except where the entry or exit of emergency personnel requires the operator to override the doors and allow for rapid entry or exit. 211.7 TESTING The Services Unit shall ensure locks to security doors or gates are tested for proper function at least bi-annually to ensure proper operation. This testing shall be documented. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Key and Electronic Access Device Control-28 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Key and Electronic Access Device Control 211.8 EXTERIOR DOOR AND ARMORY KEYS Keys for exterior doors to the facilities and the armory shall be kept in a locked cabinet in a secure location, outside of the respective facility's secure perimeter. 211.9 MASTER DECKSET At least one deckset containing the emergency keys for the facilities shall be kept separate from all other key sets in a secure location and made accessible only to the Jail Operations Bureau Commanders, the Watch Commander, supervisors, or the authorized designee in the event of an emergency. All emergency keys shall be appropriately marked and identified, consistently stored in a quickly accessible location, tested annually, and staff shall be adequately trained in the use of these keys.t Central Control will also maintain a deckset of security station keys for their respective facilities. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.H.3. 211.10 MISSING KEYS Any staff member who discovers that a key or deckset is missing shall immediately make a verbal report to a supervisor and shall prepare a written incident report as directed by the supervisor. The supervisor shall immediately initiate a search for the missing key(s). If a reasonable effort to locate the key(s)fails,the supervisor shall order a Iockdown of the affected facility.All incarcerated persons shall be locked in their cells/housing units and a headcount conducted. Incarcerated persons shall not be allowed to pass into or out of the facility without being thoroughly searched for the missing key(s). The supervisor shall, as soon as practicable, notify the Watch Commander and Jail Medical and Services Bureau Commander regarding the loss of the key(s), when it was discovered and the circumstances involved. A methodical and thorough search of the entire facility will be made by the on-duty staff. Additional staff may be called to assist with the search. If, after a thorough search, the key or deckset is not located,the Jail Medical and Services Bureau Commanderwill determine whether to re-key any locks that may have been compromised, and whether this should be done immediately. The Jail Medical and Services Bureau Commander shall initiate an investigation into the disappearance of the keys to reexamine the procedures for key control, and shall notify the Facility Manager of their findings. Based upon the findings of the investigation and any recommendations, the procedures governing this policy may be amended. 211.11 KEY CONTROL RECORDS A shift roster will be maintained for the accounting and security of all decksets. Each shift is responsible for reporting any key malfunctions or missing decksets. Key control measures shall be documented by the Safety Check System,and the records retained in accordance with established records retention schedules. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Key and Electronic Access Device Control-29 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Key and Electronic Access Device Control 211.12 ELECTRONIC ACCESS DEVICES Proximity cards, fobs, or other devices may be issued to staff to allow access to restricted or controlled areas of the facilities. In the event of a lost or stolen device, an employee shall notify their supervisor as soon as it is known the device is missing. The device shall be immediately deactivated to prevent unauthorized use. 211.13 DAMAGED KEYS OR LOCK Damaged keys or locks shall be promptly reported to a supervisor. Jail Services shall be notified via email with the facility sergeant included in the correspondence. No part of a broken key shall be left in the lock.All portions of the damaged key must be turned in to the supervisor,who will ensure duplicate keys are provided as needed. A facility incident report will be written specifying the circumstances and recovery of any parts of the damaged item. Damaged locks shall be replaced or repaired as soon as practicable. Appropriate security measures shall be taken until such time the lock is properly restored. No lock to a security door or gate shall be permitted to be inoperable or left in an unsuitable condition. No incarcerated person shall be secured in a pod, dayroom, or area that has inoperable locks. 211.14 REFERENCE See the following for further guidance: KEY CONTROL PROCEDURE Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Key and Electronic Access Device Control-30 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 215 Custody Policy Manual Administrative and Supervisory Inspections 215.1 PURPOSE AND SCOPE The purpose of this policy is to establish both regularly scheduled and unannounced inspections of each facility's living and activity areas. Inspections may be useful in identifying deficiencies, which can be corrected, as well as processes working properly, which may be replicated elsewhere in the facilities. 215.2 POLICY Tours and inspections shall be conducted by administrative and supervisory staff throughout the jail at least weekly to facilitate and encourage communication among administrators, managers, supervisors, staff employees, incarcerated persons, and the visiting public. 215.3 INSPECTIONS The Jail Operations Bureau Commander is responsible for ensuring that scheduled and unscheduled inspections, visits, and contacts are implemented to minimally include: (a) The general conditions and overall climate of the facility. (b) The living and working conditions of incarcerated persons. (c) Communication between administrators, managers, supervisors, staff, incarcerated persons, and the visiting public. (d) Compliance with policies. (e) Safety, security, and sanitation concerns. (f) Incarcerated person concerns. (g) Meal services. 215.3.1 SUPERVISOR RESPONSIBILITIES Each Facility Sergeant shall personally visit each housing floor under their supervision a minimum of three(3)times per 12-hour shift in order to ensure adequate supervision and evaluate employee performance. Documentation of the visits shall be logged on the Spartan device. Special effort should be given to informally inspect the following areas: (a) Incarcerated person housing areas (b) Booking and receiving areas, including holding cells (c) Exercise yard and recreation areas (d) Visiting and program areas (e) Medical and dental service areas (f) Vocational work areas, e.g., kitchen, janitorial closets (g) Sallyports and transportation staging areas Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Administrative and Supervisory Inspections- Published with permission by Fresno County Sheriff's Office 31 Fresno County Sheriff's Office Custody Policy Manual Administrative and Supervisory Inspections At least once each week, according to schedule, an official visual inspection shall be made of each housing floor by an assigned Sergeant. The Sergeant shall personally conduct a cleanliness and security inspection, walking through all housing units and other areas accessible to incarcerated people, including all areas susceptible to a breach of security. The Sergeant should also pay attention to any health or hygiene problems, maintenance issues, security issues, and overall housing conditions. Documentation of the inspections shall be logged on the Spartan device. 215.3.2 LIEUTENANT RESPONSIBILITIES • Each Watch Commander shall personally visit each housing floor and operational area a minimum of once each week during the course of their assigned shift to ensure adequate supervision at the administrative level. • At least once a month,each Watch Commander shall personally conduct an inspection of each facility. The inspection shall be conducted in the form of a safety check and includes surveying all dayroom areas and paying attention to the overall housing conditions. At least one housing unit on each floor shall be randomly selected for inspection. • At least once a month, each Watch Commander shall personally visit the hospital and other off-site behavioral health treatment facilities to assess security measures and the quality of supervision incarcerated people are receiving. The Watch Commander shall document the visit in the hospital log book. • At least once per quarter, the Services Lieutenant shall personally conduct an inspection of each facility, which includes walking through all housing units. The inspection shall be conducted in the form of a safety check paying attention to any maintenance issues, security issues, and overall housing conditions. • The documentation of these inspections shall be logged via the Spartan device. Any deficiencies identified should be reported to the Jail Medical and Services Bureau Commander and discussed during the monthly Jail Command Staff meetings. 215.3.3 BUREAU COMMANDER RESPONSIBILITIES • At least once each calendar year, the Jail Operations Bureau Commander shall personally conduct an inspection of each facility. The inspection shall be conducted in the form of a safety check and should be unannounced. Documentation of the inspection shall be logged via the Spartan device. • Regular operations reviews are conducted during the monthly Jail Command Staff Quality Assurance Review meetings. 215.4 INSPECTIONS OF SECURITY EQUIPMENT The Jail Operations Bureau Commander shall be responsible for designating a qualified person to conduct weekly inspections of all security devices, identifying those in need of repair or maintenance and providing a written report of the results of the inspection. The Jail Operations Bureau Commander shall document all action taken to correct identified deficiencies, including maintenance records, and shall retain those records in accordance with established records retention schedules. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Administrative and Supervisory Inspections- Published with permission by Fresno County Sheriff's Office 32 Fresno County Sheriff's Office Custody Policy Manual Administrative and Supervisory Inspections 215.5 DOCUMENTATION AND REPORTING Each staff member conducting the inspection or tour shall document the activity in the appropriate system. The entry should include any significant findings that indicate remedial action or training may be needed. Significant issues of security or safety shall be addressed promptly. Commendable or successful actions that should be replicated elsewhere in the facility should also be noted in the log. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Administrative and Supervisory Inspections- Published with permission by Fresno County Sheriff's Office 33 Policy Fresno County Sheriff's Office • Custody Policy Manual Community Relations and Public Information 219.1 PURPOSE AND SCOPE This policy provides guidelines to custody personnel when dealing with the general public or interested groups when requests are received to share information regarding the operations and policies of the Office (see the News Media Relations Policy for guidance on media releases) (15 CCR 1045). 219.2 POLICY It is the policy of the Fresno County Sheriffs Office to protect the privacy rights of individuals while releasing non-confidential information to interested groups when requests are received. Information that has the potential to affect the safety and security of the Jail or an investigation will not be released. 219.3 RESPONSIBILITIES The Jail Administration and Programs Bureau Commander is responsible for ensuring that the following information is public and available to all who inquire about it. (a) The Board of State and Community Corrections Minimum Standards for Local Detention Facilities as found in Title 15 of the California Code of Regulations. (b) Facility rules and procedures affecting incarcerated persons as specified in 15 CCR sections: 1. 1045, Public Information Plan 2. 1061, Education Plan 3. 1062, Visiting 4. 1063, Correspondence 5. 1064, Library Service 6. 1065, Exercise and Out of Cell Time 7. 1066, Books, Newspapers, Periodicals, and Writings 8. 1067, Access to Telephone 9. 1068, Access to Courts and Counsel 10. 1069, Orientation 11. 1070, Individual/Family Service Programs 12. 1071, Voting 13. 1072, Religious Observance 14. 1073, Grievance Procedure 15. 1080, Rules and Disciplinary Actions 16. 1081, Plan for Incarcerated Person Discipline Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Community Relations and Public Information- Published with permission by Fresno County Sheriff's Office 34 Fresno County Sheriff's Office Custody Policy Manual Community Relations and Public Information 17. 1082, Forms of Discipline 18. 1083, Limitations on Disciplinary Actions 19. 1200, Responsibility for Health Care Services This information is to be made available digitally on the Fresno Sheriff website. 219.4 PROHIBITED MATERIALS Policies, procedures, and other information and materials related to the safety and security of incarcerated persons, custody personnel, the facilities, or the maintenance of order should not be provided as a part of the public information material unless directed by the Sheriff. 219.5 TOURS OF THE CUSTODY FACILITY Tours of this facility may be arranged through the Jail Operations Bureau Commander.Authorized tours are subject to facility rules and restrictions: (a) Persons who tour these facilities must be of an appropriate age as determined by the Sheriff. (b) A short application form must be completed and a background check for warrants may be conducted before an applicant is approved to participate in a tour. A record of all facility tours should be maintained in accordance with applicable retention requirements. 219.6 REFERENCE See the following procedure for further guidance: COMMUNITY RELATIONS AND PUBLIC INFORMATION Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Community Relations and Public Information- Published with permission by Fresno County Sheriff's Office 35 Policy Fresno County Sheriff's Office 233 Custody Policy Manual Equipment Issue 233.1 PURPOSE AND SCOPE The purpose of this policy is to establish a consistent and uniform methodology for the issuance, wearing, carrying, and maintenance of equipment issued to and carried by correctional staff. 233.2 POLICY It is the policy of the Fresno County Sheriffs Office Custody Division that all officers shall be issued specific equipment which shall be considered a part of the uniform and shall be worn or carried at all times while in uniform and on duty. No other equipment other than that described in this policy is authorized. Exceptions shall require prior written approval of a Bureau Commander. It is the policy of the Fresno County Sheriff's Office Custody Division that all officers will be assigned a locker to securely maintain their issued equipment and personal items. It is the policy of the Fresno County Sheriffs Office Custody Division that members of SERT, Honor Guard, the Lobby/Records Team, and Transportation Detail, while acting in the capacity of these assignments, shall be exempted from these equipment requirements and shall carry and wear the equipment authorized by their designated Unit Commander or Watch Commander. 233.3 ISSUANCE AND RETURN OF ASSIGNED LEATHER GEAR AND SAFETY EQUIPMENT All officers will be issued the equipment noted in this policy at the time of orientation by the Sheriffs Office Training Unit. The Training Unit shall keep the appropriate leather gear issue records for each employee. At the time of separation from the Custody Division,the employee shall return all issued equipment to the Training Unit. 233.3.1 LEATHER GEAR AND EQUIPMENT ISSUE All correctional staff members will be issued one of each of the following: (a) Inner duty belt. (b) Outer duty belt. (c) Handcuffs and handcuff key. (d) Handcuff case with velcro closure. (A double handcuff case, purchased at the officer's own expense, may be substituted) (e) Flashlight with rechargeable battery. (f) Flashlight holder. (g) Key holder with flap. (h) Radio. (i) Radio holder. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Equipment Issue-36 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Equipment Issue Q) - key. (k) Baton and baton holder.* (1) OC spray and OC holder.* Each officer will be fitted and issued a stab protection vest for their personal protection and safety. * Safety equipment is only issued after completion of the required training. 233.3.2 SAFETY EQUIPMENT ISSUE After completing the Chemical Agents Course, each officer will be issued a canister of oleoresin capsicum (OC) pepper spray along with an OC holder in which to carry it. (a) The OC spray is not to be utilized for personal use. Unless needed for scheduled training, under no circumstances may an officer take a chemical agent out of the building when they go off-duty, without explicit permission from a Lieutenant or higher authority. (b) Officers may only carry department-issued OC spray while on-duty. After completing the expandable baton course, each officer will be issued an expandable baton along with a baton holder. The expandable batons are not to be utilized for personal use. Unless needed for scheduled training, under no circumstances may an officer take a baton out of the building when they go off-duty, without explicit permission from a Lieutenant or higher authority. 233.3.3 SUPPLEMENTAL EQUIPMENT Correctional Sergeants and officers assigned to the Escort/Transportation Team and Lobby/ Records Team may be assigned additional items as part of their equipment issue. These items shall be maintained and readily accessible for use while on-duty. (a) A gun holster (Sergeants only) or a gun clip (officers). (b) A triple magazine ammunition pouch. (c) A ballistic/spike combo vest. Correctional officers assigned to the Transportation Unit are required to wear the ballistic vest when leaving the facility with an incarcerated person or when assigned to guard an incarcerated person at the hospital. Rain gear shall be made available on a day-to-day basis for those officers assigned to outdoor posts (e.g., yard security, road crews, etc.). After completing the TASER course, a holster may be issued, if needed. 233.3.4 OPTIONAL EQUIPMENT Correctional staff is authorized to carry, but must purchase and maintain the following items at their own expense: (a) One (1) additional pair of handcuffs, provided they are of the same make, model, and style as the issued equipment. The cuffs may be carried in either of the following: 1. One (1) additional handcuff case (of the same make, model, and style as the issued equipment). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Equipment Issue-37 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Equipment Issue 2. One (1) black basket weave pattern leather double handcuff case with velcro closure (Aker model 500D, or other similar model). (b) One (1) additional key holder. It may be of the same make, model, and style as that issued, or a black"key safe" type holder. (c) One (1) black basket weave pattern leather surgical glove pouch with velcro closure. The case should measure 3"H x 4"W and may have either a single or double glove pouch (Aker model 557, or other similar model). (d) Staff may opt to carry an alternative black flashlight. The alternative flashlight must be approved by the Jail Operations Commander. NOTE: The large rechargeable flashlights provided in the security stations may be used while performing routine security checks and inspections. They shall not be used as impact weapons (unless needed to combat lethal force). Raincoats are available for check-out from the Training Unit or may be purchased at the officer's own expense. 233.4 MAINTENANCE OF LEATHER GEAR AND SAFETY EQUIPMENT ISSUE All correctional staff members shall be responsible for the proper maintenance and care of their issued leather gear and safety equipment. All issued leather gear shall be maintained in good repair, polished, and free from scuffs. If an officer's issued leather gear or safety equipment is in need of repair or replacement, the officer may exchange the item with a member of the Training Unit. If any equipment issued in conjunction with this policy is lost or stolen, the employee shall immediately: (a) Notify a Sergeant. (b) Write a memo to the Bureau Commander, via chain of command. Copies of the memo shall be forwarded and maintained in the employee's Training, Personnel, and Bureau files. (c) Contact the Training Unit to replace the item. 233.5 LOCKER ISSUE All officers will be assigned a locker to securely maintain their issued equipment and personal items. Each employee will be responsible to provide their own padlock to safekeep their belongings. The Services Unit will be responsible to allocate the locker assignments and maintain a list of issued and available lockers. (a) Locker assignments may not be exchanged without prior approval from the Services Sergeant. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Equipment Issue-38 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Equipment Issue (b) If an employee does not need a full-sized locker but would rather have a gun locker in which to store their OC spray and expandable baton, they may submit their request to the Services Sergeant. The lockers are County property, and as such, are not to be damaged or defaced. The exterior surface is to remain free of adornment. Personal photographs and mementos may be placed inside the lockers but shall not be affixed to the surface with any substance which may leave a residue or cause damage upon removal. The exterior of each locker and the locker rooms shall be inspected on the first day of each month. (a) The inspections shall be performed by a Platoon-B North Annex Sergeant. (b) Any locker damage or adornment shall be reported to the Services Unit for identification purposes, then referred to the officer's Watch Commander for appropriate action. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Equipment Issue-39 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 3 - Recruitment, Selection, and Planning Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Recruitment, Selection, and Planning-40 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 301 Custody Policy Manual Employee Orientation 301.1 PURPOSE AND SCOPE The purpose of this policy is to define the parameters for new employee orientation. 301.2 POLICY It is the policy of the Fresno County Sheriff's Office to provide new employees with basic information about the facilities and the environment in which they will be working. Orientation is not meant to supplant other basic training required by law, ordinance, or regulations. 301.3 NEW EMPLOYEE ORIENTATION Each new employee shall receive an orientation prior to assuming their duties. At a minimum, the orientation shall include the following: • Working conditions. • Code of ethics. • Personnel policy manual. • Employee rights and responsibilities. • Overview of the criminal justice system. • Tour of the facility. • Facility goals and objectives. • Facility organization. • Staff rules and regulations. • Program overview. 301.4 EMPLOYEE ACKNOWLEDGEMENTS Office personnel assigned to provide the new employee orientation will ensure that each new employee is provided with work rules and regulations, Office ethics, and any other Office documents, for which the employee will be held accountable. A staff memberwill collect a signature page from the employee, acknowledging receipt, review and understanding of the documents.A copy of the signature page shall be retained in the employee's personnel file in accordance with established records retention schedules. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Employee Orientation-41 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 302 Custody Policy Manual Continuing Education and Professional Development 302.1 PURPOSE AND SCOPE This policy is designed to support the ongoing professional education and professional development of Office personnel at all levels. 302.2 OBJECTIVES The objective for continuing education and professional development is for all members to enhance their knowledge and skills to their fullest potential. 302.3 POLICY It is the policy of the Fresno County Sheriff's Office to encourage members to participate in continuing education and professional development opportunities whenever practicable. The Office encourages all personnel to participate in formal education on a continuing basis. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Continuing Education and Professional Published with permission by Fresno County Sheriff's Office Development-42 Policy Fresno County Sheriff's Office 304 Custody Policy Manual Jail Training Officer 304.1 PURPOSE AND SCOPE The jail training officer program is intended to provide a standardized program to facilitate the correctional officer's training in an academic setting and the actual performance of general corrections duties. 304.2 POLICY It is the policy of this Office to assign all new correctional officers to a structured jail training officer program designed to prepare the new correctional officer to perform in a custody assignment, and to provide training on all skills needed to operate in a safe, productive, and professional manner. 304.3 JAIL TRAINING OFFICER The Jail Training Officer(JTO) is an experienced correctional officer trained in the art and science of supervising, training, and evaluating entry-level correctional officers in the application of their previously acquired knowledge and skills. 304.3.1 SELECTION PROCESS Jail Training Officers will be selected based on certain requirements, including: (a) A desire to perform the training mission. (b) A minimum of two years as a correctional officer. (c) A demonstrated ability to be a positive role model. (d) Review of both Personnel and Bureau Files. (e) Satisfactory evaluation by supervisors. 304.3.2 TRAINING All JTOs shall successfully complete a minimum 32-hour course of instruction prior to being assigned a trainee. 304.4 JAIL TRAINING OFFICER RESPONSIBILITIES The JTO's responsibilities include the following: (a) JTOs shall complete and submit a written evaluation on the performance of their assigned trainees to the JTO's immediate supervisor on a weekly basis. (b) JTOs shall review the trainee's performance with them. (c) JTOs shall be responsible for signing off all completed topics contained in the training manual, noting the methods of learning and evaluating the performance of the assigned trainee. (d) When the trainee is in remediation JTOs shall complete and submit a written evaluation of the performance of their assigned trainees to the JTO's immediate supervisor daily. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Jail Training Officer-43 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Jail Training Officer 304.5 EVALUATING SERGEANT RESPONSIBILITIES The evaluating sergeant will be responsible to supervise and observe the trainee in the facility to which they are assigned. The supervisor's responsibilities include the following: (a) Assign Trainees to JTOs on their platoon. (b) Conduct meetings for the JTOs on their platoon. (c) Ensure JTO/trainee performance evaluations are completed in a timely manner. (d) Monitor individual JTO performance. (e) Complete a detailed end-of-phase performance evaluation at the end of phase three. 304.6 JAIL TRAINING OFFICER PROGRAM SUPERVISOR The JTO program supervisor will be selected from the rank of sergeant or higher by the Jail Operations Bureau Commander or the authorized designee and shall possess supervisory credentials from the state's law enforcement certifying agency,where applicable. The supervisor's responsibilities include the following: (a) Assignment of trainees to a platoon and facility. (b) Maintain and ensure JTO/trainee performance evaluations are completed in a timely manner. (c) Administer the Phase written examinations. (d) Maintain, update, and issue the training manual to each trainee. (e) Monitor individual JTO performance. (f) Monitor the overall JTO program. (g) Conduct a yearly JTO meeting. (h) Develop ongoing training for JTOs. (i) Complete an end of JTO program training form. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Jail Training Officer-44 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 310 Custody Policy Manual Prison Rape Elimination Act Training 310.1 PURPOSE AND SCOPE This policy establishes an education and training process related to implementation of the Prison Rape Elimination Act of 2003 (PREA) and the implementing regulation (PREA Rule) (28 CFR 115.5 et seq.). 310.2 POLICY The Fresno County Sheriff's Office endeavors to comply with the training standards in the PREA Rule and to ensure that all staff, volunteers, and contractors, are aware of their responsibilities and that staff, volunteers, contractors, and incarcerated persons are aware of the policies and procedures of the facilities as they relate to PREA. 310.3 MEMBER TRAINING All staff,volunteers,and contractors who may have contact with incarcerated persons shall receive Office-approved training on the prevention and detection of sexual abuse and sexual harassment within this facility. The Training Unit, in coordination with the PREA Sergeant, shall ensure that the staff receives training and testing in prevention and intervention techniques, that they have sufficient knowledge to answer any questions the arrestees and incarcerated persons may have regarding sexual assault or abuse, and that they are familiar enough with the reporting process to take an initial report of a sexual assault or abuse. The PREA Sergeant shall be responsible for developing and administering this training, covering at minimum (28 CFR 115.31;28 CFR 115.32): (a) The zero-tolerance policy for sexual abuse and sexual harassment and how to report such incidents. (b) The dynamics of sexual abuse and sexual harassment in confinement. (c) The common reactions of sexual abuse and sexual harassment victims. (d) Prevention and intervention techniques to avoid sexual abuse and sexual harassment in the jail. (e) Procedures for the investigation of a report of sexual abuse and/or sexual harassment. (f) Individual responsibilities under sexual abuse and sexual harassment prevention, detection, reporting, and response policies and procedures. (g) An individual's right to be free from sexual abuse and sexual harassment. (h) The right of incarcerated persons to be free from retaliation for reporting sexual abuse and sexual harassment. (i) How to detect and respond to signs of threatened and actual sexual abuse. Q) How to communicate effectively and professionally with incarcerated persons, including lesbian, gay, bisexual, transgender, intersex, or gender nonconforming incarcerated persons. (k) How to comply with relevant laws related to mandatory reporting of sexual abuse and sexual harassment to outside authorities. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act Training-45 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act Training (1) How to avoid inappropriate relationships with incarcerated persons. Training shall be tailored according to the gender of the incarcerated persons at the facility. Staff should receive additional training on security measures and the separation of multiple gendered populations in the same facility if incarcerated persons have been reassigned from a facility that houses only a single gender incarcerated person population. Training should include written testing to validate knowledge and understanding of the material. The Training Unit shall document,through signature or electronic verification,that staff,volunteers, and contractors have received and understand the training.The Training Unit will maintain training records on all those receiving training in accordance with procedures developed by the Training Unit. The Training Unit, in coordination with the PREA Sergeant, shall ensure that members undergo refresher training every two years that covers the Office's sexual abuse and sexual harassment policies and related procedures (28 CFR 115.31) In years in which an employee does not receive refresher training,the Sheriff's Office shall provide refresher information on current sexual abuse and sexual harassment policies. 310.4 SPECIALIZED MEDICAL TRAINING All full- and part-time qualified health care and mental health professionals who work regularly in the facility shall receive all of the member training listed above, as well as training that includes (28 CFR 115.35): (a) Detecting and assessing signs of sexual abuse and sexual harassment. (b) Preserving physical evidence of sexual abuse. (c) Responding effectively and professionally to victims of sexual abuse and sexual harassment. (d) Reporting allegations or suspicions of sexual abuse and sexual harassment. If the qualified health care and mental health professionals employed by this facility conduct forensic examinations, they shall receive the appropriate training to conduct such examinations. The Training Unit shall maintain documentation that the facility's health care and mental health professionals have received the training referenced above, either from this Office or elsewhere. 310.5 SPECIALIZED INVESTIGATIVE TRAINING Specialized investigative training for investigators shall include the uniform evidence protocol to maximize potential for obtaining useable physical evidence; techniques for interviewing sexual abuse victims; proper use of Miranda and Garrity warnings; sexual abuse evidence collection in confinement settings; and the criteria and evidence required to substantiate a case for administrative action or referral for prosecution (28 CFR 115.21; 28 CFR 115.34). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act Training-46 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 311 Custody Policy Manual Health Care Staff Orientation 311.1 PURPOSE AND SCOPE The purpose of this policy is to establish an orientation period for all new health care staff working in the facilities, in cooperation with the health authority. The goal is to improve the competency of the health care staff and the effectiveness of the care delivered, as well as to maintain the safety and security of the custody environment and to comply with all applicable laws, regulations and national health care standards observed by the Office. 311.2 NEW HEALTH CARE STAFF ORIENTATION All new health care staff shall complete an orientation program before independently working in their assignments. At a minimum, the orientation program will cover the following: (a) The purpose, goals, policies, and procedures for the Fresno County Sheriff's Office (b) Security and contraband regulations (c) Access control to include use of keys (d) Appropriate conduct with incarcerated persons (e) Responsibilities and rights of facility employees and contractors (f) Universal and standard precautions (g) Occupational exposure (h) Personal protective equipment (PPE) (i) Biohazardous waste disposal Q) An overview of the correctional field as it relates to custody functions (k) Health care delivery protocols (1) Multi-facility tour 311.3 HEALTH CARE STAFF REFRESHER TRAINING All health care staff shall meet refresher-training requirements as established by the local public health entity or their minimum licensing requirements as established by the state licensing body. 311.4 FACILITY-SPECIFIC TRAINING Training should include these health care members in training and training exercises relative to facility safety and security including, but not limited to, the following: • Emergency medical triage in the facility • Emergency evacuation routes and procedures • Communication systems during facility emergencies • Security during facility emergencies • Qualified health care professional response during "officer down" incidents Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Health Care Staff Orientation-47 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Health Care Staff Orientation • Responding to critical facility emergencies • Facility hostage policy and medical response tactics • Medical emergency transportation procedures • Media relations 311.5 TESTING All training delivered to qualified health care professionals should include a testing component to document that the employees understand the subject material. 311.6 TRAINING RECORDS The Fire/Life Safety Officer(FLSO), in coordination with the Health Authority, shall be responsible for developing and maintaining training records in accordance with established records retention schedules. The Health Authority shall maintain a file of professional licensure and certifications for each member of jail medical. 311.7 REFERENCE See the following procedure for further guidance: HEALTH CARE STAFF TRAINING Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Health Care Staff Orientation-48 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 312 Custody Policy Manual Volunteer Program 312.1 PURPOSE AND SCOPE It is the policy of the Fresno County Sheriff's Office to use qualified volunteers to assist in the daily operation through their contribution of services to the incarcerated persons and their families, and to serve as a link between the facility and the community. Volunteers are intended to supplement and support, rather than supplant, correctional officers and other personnel. 312.1.1 DEFINITION OF VOLUNTEER A volunteer is an individual who performs a service for the Office without promise, expectation, or receipt of compensation for services rendered. 312.2 VOLUNTEER PROGRAM MANAGEMENT 312.2.1 VOLUNTEER SERVICES COORDINATOR The Volunteer Services Coordinator shall be appointed by the Administration and Programs Bureau Commander. The function of the Volunteer Services Coordinator is to provide a central coordinating point for effective program management within the Office, and to assist the Jail Programs Sergeant with planning, directing, and assisting staff and volunteer efforts to provide more productive services. The Volunteer Services Coordinator should work with other Office staff on an ongoing basis to assist in the development and implementation of volunteer positions. The Volunteer Services Coordinator or the authorized designee shall be responsible for: (a) Developing and maintaining a volunteer recruiting plan. (b) Developing and maintaining a handbook that minimally identifies expectations and the lines of authority, responsibility, and accountability for the various volunteer assignments. (c) Recruiting, selecting, and training qualified volunteers for various positions. (d) Facilitating the implementation of new volunteer activities and assignments. (e) Maintaining records for each volunteer. (f) Tracking and evaluating the contribution of volunteers. (g) Maintaining a record of volunteer schedules and work hours. (h) Completion and dissemination as appropriate of all necessary paperwork and information. (i) Planning periodic recognition events. Q) Administering discipline when warranted. (k) Maintaining liaison with other community programs that use volunteers and assisting in community efforts to recognize and promote volunteering. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Volunteer Program-49 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Volunteer Program 312.2.2 RECRUITMENT Volunteers should be recruited on a continuous and ongoing basis in accordance with Office policy on equal opportunity non-discriminatory employment. A primary qualification for participation should be an interest in, and an ability to assist the Office in serving the public. Requests for volunteers should be submitted in writing by interested staff to the Volunteer Services Coordinator through the requester's immediate supervisor. A complete position description, including when the volunteer would be needed, should be included in the request. The Volunteer Services Coordinator may withhold assignment of any volunteer until such time as the requesting unit is prepared to make effective use of volunteer resources. 312.2.3 SCREENING All prospective volunteers should complete the volunteer application form.The Volunteer Services Coordinator or the authorized designee should conduct a face-to-face interview with an applicant under consideration. Volunteers must be at least 18 years old. A documented background investigation shall be completed on each volunteer applicant and shall include, but not necessarily be limited to, the following: (a) Traffic and criminal background check; fingerprints shall be obtained from applicants and processed through the Criminal Information Index (CII). (b) Employment (c) References (d) Credit check 312.2.4 SELECTION AND PLACEMENT Service as a volunteer with the Office shall begin with an official notice of acceptance or appointment to a volunteer position. Notice may only be given by an authorized representative of the Office, normally the Volunteer Services Coordinator. No volunteer should begin any assignment until they have been officially accepted for the position. Each volunteer should complete all required enrollment paperwork and will receive a copy of their position description and agreement of service with the Office. Volunteers should be placed only in assignments or programs that are consistent with their knowledge, skills, abilities, and the needs of the facility. 312.2.5 TRAINING The Volunteer Services Coordinator or the authorized designee shall be responsible for developing and maintaining training curriculum and any related forms specific to volunteer assignments. The Volunteer Services Coordinator or the authorized designee shall be responsible for ensuring that volunteers are provided with an orientation program to acquaint them with the Office, Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Volunteer Program-50 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Volunteer Program personnel, and policies and procedures that have a direct impact on their work assignment. The training/orientation will include, but not be limited to, the following topics: (a) Office policies and procedures (b) Rules related to contraband in the facilities (c) Prohibition on carrying weapons in the facilities (d) Volunteer/offender relationship and general rules of conduct (e) Safety and emergency information (f) An overview and history of the Office The Volunteer Services Coordinator shall be responsible for creating and maintaining records of all training provided to each volunteer. Volunteers should receive position training by their immediate supervisor to ensure they have adequate knowledge and skills to complete tasks required by the position. They should receive periodic ongoing training as deemed appropriate by their supervisor or the Volunteer Services Coordinator. Training should reinforce to volunteers that they may not intentionally represent themselves as, or by omission infer,that they are sworn correctional officers or otherfull-time members or employees of the Office. They shall always represent themselves as volunteers. All volunteers shall comply with the rules of conduct and with all orders and directives, either oral or written, issued by the Office. 312.2.6 FITNESS FOR DUTY No volunteer shall report to work or be on-duty when their mental or physical condition has been impaired by alcohol, medication, or other substances, orwhen the volunteer is experiencing illness or injury. Volunteers shall report to their supervisor any changes in status that may affect their ability to fulfill their duties. This includes but is not limited to the following: (a) Any medical condition that might impair the volunteer's ability to perform the duties of the position (b) Arrests (c) Criminal investigations All volunteers shall adhere to the guidelines set forth by the Office regarding drug and alcohol use. 312.2.7 DRESS CODE As representatives of the Office,volunteers should present a professional image to the community. Volunteers shall dress appropriately for the conditions and performance of their duties. Volunteers shall conform to Office-approved dress in accordance with their duty assignment. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Volunteer Program-51 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Volunteer Program Volunteers shall be required to return any issued uniform or Office property at the termination of service. 312.3 SUPERVISION OF VOLUNTEERS Each volunteer who is accepted to a position with the Office and assigned to the Custody Division must have a clearly identified supervisor who is responsible for direct management of that volunteer. This supervisor will be responsible for day-to-day management and guidance of the work of the volunteer and should be available to the volunteer for consultation and assistance. A volunteer may be assigned and act as a supervisor of other volunteers, provided that the supervising volunteer is under the direct supervision of a paid staff member. Functional supervision of volunteers is the responsibility of the supervisor in charge of the unit where the volunteer is assigned. The following are some considerations to keep in mind while supervising volunteers: (a) Take the time to introduce volunteers to employees on all levels. (b) Ensure volunteers have work space and necessary office supplies. (c) Make sure the work is challenging. Do not hesitate to give them an assignment or task that will tap these valuable resources. 312.4 CONFIDENTIALITY Unless otherwise directed by a supervisor or Office policy, all information shall be considered confidential. Only that information specifically identified and approved by authorized personnel shall be released. Confidential information shall be given only to persons who have a need and a right to know, as determined by Office policy and supervisory personnel. Volunteers shall not address public gatherings, post on social media platforms, appear on radio or television, prepare any article for publication, act as correspondents to a newspaper or other periodical, release or divulge any information concerning the activities of the Office, or maintain that they represent the Office in such matters without permission from the proper Office personnel. 312.5 PROPERTY AND EQUIPMENT Volunteers will be issued an identification card that must be worn at all times while on-duty. Any fixed and portable equipment issued by the Office shall be for official and authorized use only. Any property or equipment issued to a volunteer shall remain the property of the Office and shall be returned at the termination of service. Volunteers are forbidden from bringing anything into the facility to give to incarcerated people without the specific prior approval of the Volunteer Services Coordinator or a Watch Commander. 312.6 DISCIPLINARY PROCEDURES/TERMINATION A volunteer may be removed from the volunteer program at the discretion of the Sheriff, Custody Division Commander, Jail Administration and Programs Bureau Commander, Jail Programs Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Volunteer Program-52 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Volunteer Program Sergeant, or the Volunteer Services Coordinator. Volunteers shall have no property interests in their continued appointment. Volunteers may resign from volunteer service with the Office at any time. It is requested that volunteers who intend to resign provide advance notice of their departure and a reason for their decision. 312.6.1 EXIT INTERVIEWS Exit interviews, when practicable, should be conducted with volunteers who are leaving their positions. The interview should attempt to ascertain the reason for leaving the position and solicit the volunteer's suggestions on improving the position. When appropriate, the interview should also include a discussion on the possibility of involvement in some other capacity with the Office. 312.7 VOLUNTEER REGISTRATION The Office shall maintain an identification record for each volunteer that includes a photograph, home address, current telephone numbers, background certification, training/ orientation certifications, and a list of special skills, languages spoken, or volunteer specialty. 312.8 REFERENCE See the following for further guidance: Chapter 10: Visitation Policy VOLUNTEER PROGRAM PROCEDURE Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Volunteer Program-53 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 4 - Emergency Planning Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Emergency Planning-54 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 4 Custody Policy Manual Emergency Staffing 401.1 PURPOSE AND SCOPE The facilities must operate at all times as a safe and secure environment, regardless of staffing levels. Contingency plans must be in place for any staffing emergency or planned job action, regardless of the duration of the staffing deficit. The purpose of this policy is to establish roles and responsibilities for: (a) Creating and implementing emergency staffing plans. (b) Training in emergency staffing for supervisory and management personnel. (c) Establishing a distribution list and an update schedule for the plan. 401.2 POLICY It is the policy of this Office to be prepared to operate safe and secure facilities in the event of a work staffing emergency. Staffing emergencies that could negatively affect the facilities may include but are not limited to: (a) An outbreak of infectious disease. (b) A work stoppage or strike by the staff. (c) A natural disaster. (d) Any other staffing disruption. The Sheriff, the Jail Operations Bureau Commander, or the authorized designee shall be responsible for ensuring that an appropriate emergency staffing plan exists. 401.2.1 EMERGENCY STAFFING Once the Jail Operations Bureau Commander is aware that a staffing emergency exists or may occur, employees who are on duty may be ordered to remain at their posts. The Jail Operations Bureau Commander will notify the Sheriff. Plans should include measures to achieve minimum staffing for the facility, as soon as practicable, following a staffing emergency and may include the following operational adjustments: • Facilities may be placed on lockdown. • Activities, including visiting, exercise, and other programs will be suspended only if necessary. • Meals, cleaning, medical services, court transportation, and attorney visits will continue. • Other activities will be assessed by the Jail Operations Bureau Commander on a case-by-case basis. • Supervisory and management personnel may have time-off canceled or rescheduled for the duration of the staffing emergency. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Emergency Staffing-55 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Emergency Staffing • Staff from other bureaus/divisions who have custody experience may be used to fill vacancies in the facility. • Assistance from allied agencies may be requested to help management and supervisors in safely staffing the facility. • Contracting with surrounding agencies may be necessary if adequate staffing cannot be obtained to safely operate the facility. • In the event of a health-related staffing emergency,the Office Exposure Control Officer (i.e., Human Resources Commander or designee) and medical staff shall be notified in accordance with the Communicable Diseases Policy. 401.2.2 LEGAL ASSISTANCE Once the Jail Operations Bureau Commander is aware that a work stoppage is planned or has occurred, legal counsel should be consulted for assistance in preparing the necessary legal action to prevent or end the work stoppage. Immediate contact with the employees' representatives may also be necessary to prevent or end the work stoppage. 401.2.3 TRAINING The Jail Operations Bureau Commander or the authorized designee should be responsible for: (a) Establishing a distribution list for the contingency plan. (b) Establishing a periodic review and update of the plan. (c) Ensuring that all supervisors are periodically trained on the plan. (d) Ensuring that all supervisors are provided a copy of or access to the plan. (e) Documenting all training. (f) Maintaining training records for each supervisor and manager. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Emergency Staffing-56 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 4 Custody Policy Manual Fire Safety 402.1 PURPOSE AND SCOPE The purpose of this policy is to clearly identify and conform to applicable federal, state, and local fire safety codes, and to establish a process of creating, distributing, and training all individuals in the facilities on the emergency fire safety and evacuation plans. 402.2 POLICY It is the policy of this Office that fire prevention strategies are a high priority. The Assistant Sheriff or designee shall ensure a fire alarm, detection, and suppression system, as required by law, are installed, maintained, and periodically tested. Any variance, exception, or equivalency issues must be approved by the fire jurisdiction authorities and must not constitute a serious life-safety threat to the occupants of the facilities (15 CCR 1029(a)(7)(A); 15 CCR 1032 et seq.). 402.2.1 FIRE CODES The Fresno County Sheriffs Office shall conform to all federal, state, and local fire safety codes. 402.2.2 FIRE PREVENTION RESPONSIBILITY All staff, volunteers, and contractors who work in the facilities are responsible for the prevention of fires. They will receive training on fire safety practices and equipment to reduce the risk of fire. 402.3 FIRE SUPPRESSION PRE-PLANNING Pursuant to Penal Code § 6031.1, the Assistant Sheriff or designee shall, in cooperation with the local fire department or other qualified entity, develop a plan for responding to a fire. The plan shall include but is not limited to (15 CCR 1032): (a) A fire suppression pre-plan by the local fire department, to be included as part of this policy. (b) Fire prevention, safety inspection plans, and record retention schedules developed by designated staff or as required by applicable law. (c) Fire prevention inspections as required by Health and Safety Code § 13146.1(a) and (b), which requires inspections at least once every two years. (d) Documentation of all fire prevention inspections, all orders to correct, and all proofs of correction should be maintained for a minimum of two years or as otherwise required by law. (e) An evacuation plan (see 404 Evacuation Policy). (f) A plan for the emergency housing of incarcerated people in case of fire. (g) A plan for the cross-training of responders and facility staff, including jail health care staff, via drills, which should occur at least annually.' ' Hall, et.al. v County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), I.A.6. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Fire Safety-57 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Fire Safety 402.4 FIRE PREVENTION EQUIPMENT All required fire alarms, sprinklers, and detection devices shall be in good working order at all times. If such a device becomes inoperable, the Jail Medical and Services Bureau Commander or the authorized designee shall ensure emergency repairs are made as soon as possible and staff is provided with an alternative emergency fire safety and evacuation plan. When a fire prevention system is inoperable and poses a serious life-safety risk, that portion of the facility shall not be occupied by incarcerated people or staff. Fire extinguishers shall be manually inspected when initially placed in service. Thereafter extinguishers shall be manually inspected at least monthly by the building owner, occupant, or his/her authorized agent or electronically monitored. Fire extinguishers shall be inspected at more frequent intervals when circumstances require as determined by the Assistant Sheriff or designee. Fire extinguishers shall be maintained and serviced per Title 19 § 575.1. 402.4.1 FIRE ALARM MANUAL PULLS LOCATIONS See attachment: 402 - Fire Safety Policy Addendum - Fire Alarm Pulls.pdf 402.5 FIREFIGHTING EQUIPMENT The Jail Medical and Services Bureau Commander or designee shall ensure the facilities are equipped with the necessary firefighting equipment (e.g., fire hoses, extinguishers) in amounts and locations as recommended by the local fire authority or other qualified entity. The locations of firefighting equipment will be shown on the facility fire plan. The Jail Operations Bureau Commander or the authorized designee will ensure staff is trained to initially respond to a fire with the purpose of facilitating the safety of the occupants, including evacuation, if necessary. 402.5.1 SMOKE/FIRE BREATHING APPARATUSES The facilities should maintain sufficient quantities of breathing apparatuses (i.e., Fire Escape Hood)for staff.The Jail Operations Bureau Commander or the authorized designee is responsible for developing and implementing a written respiratory protection program including fit testing and training. 402.5.2 FIRE HOSE AND DRY STANDPIPE LOCATIONS See attachment: 402 - Fire Safety Policy Addendum - Fire Hoses and Dry Standpipes.pdf 402.5.3 FIRE EXTINGUISHER LOCATIONS See attachment: 402 - Fire Safety Policy Addendum - Fire Extinguishers.pdf 402.6 FIRE TRAINING The Training Unit is responsible for ensuring all staff members receive training on the use of the breathing apparatuses within the first six months of assignment to the facilities sufficient to demonstrate proficiency. The staff should receive annual training in the use of the facility's Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Fire Safety-58 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Fire Safety firefighting equipment, sufficient to demonstrate proficiency. Mock fire drills shall also be conducted to make staff familiar with safety procedures and evacuation methodst. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.H.2. 402.7 INSPECTIONS The Fresno County Sheriff's Office shall be inspected by the appointed Fire/Life Safety Officer (FLSO) who is qualified to perform fire and safety inspections on a monthly basis to ensure that fire safety standards are maintained (15 CCR 1032). These inspections will be focused on, but not limited to: • Fire prevention. • Staff training and proficiency. • Firefighting equipment availability and functionality. • Alarms, fire detectors, and fire safety equipment. • Staff familiarity with: • Prevention and suppression techniques. • Suppression pre-planning. • Breathing apparatus (Fire Escape Hood) use. • Emergency response. • Fire safety equipment. • The evacuation plan. The Jail Medical and Services Bureau Commander or the authorized designee shall ensure that staff conduct monthly fire and safety inspections of the facilities and that fire safety equipment is tested periodically (15 CCR 1029(a)(7)(E)). A staff member shall be assigned to coordinate with local or state fire officials for the inspections once every two years, pursuant to Health and Safety Code § 13146.1(a); and Health and Safety Code § 13146.1(b). The results of all fire inspections and fire equipment testing shall be provided to the Jail Medical and Services Bureau Commander and the Sheriff, and the records maintained for at least two years (15 CCR 1032(b)). 402.7.1 FLAMMABLE, TOXIC, AND CAUSTIC MATERIALS The Jail Medical and Services Bureau Commander, with the local environmental health expert, will review the type of materials introduced into the facilities to ensure that flammable, toxic, and caustic materials are controlled and safely used. All such materials will be safely stored and only used by incarcerated persons under the direction of the staff. 402.8 EMERGENCY HOUSING OF INCARCERATED PERSONS The Jail Medical and Services Bureau Commander or the authorized designee shall develop a plan for the emergency housing of incarcerated persons in the event of a fire (15 CCR 1032(e)). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Fire Safety-59 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Fire Safety The plan should include procedures for continuing to house incarcerated people on-site or via Mutual Aid Agreements. This plan shall be reviewed annually and revised if necessary. 402.9 REFERENCE See the following for further guidance: Procedure 402.1 Fire Safety Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Fire Safety-60 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 4 Custody Policy Manual Emergency Power and Communications 403.1 PURPOSE AND SCOPE The Fresno County Sheriff's Office facilities must continue to operate as a safe and secure environment regardless of emergencies, including electrical outages. The purpose of this policy is to establish guidelines regarding: (a) Backup power and communication systems. (b) Inspection, preventive maintenance, and testing of the backup systems. 403.2 POLICY It is the policy of this Office to ensure that power to critical systems and communications continues to operate within the facilities in the event of a loss of power. 403.2.1 PREVENTIVE MAINTENANCE It is the responsibility of the Sheriff and the Jail Medical and Services Bureau Commander to ensure there is sufficient emergency power to operate the following essentials: (a) Lighting (b) Security equipment (c) Safety equipment (d) Communications systems. The emergency power system should have sufficient fuel to allow the facility to operate continuously for a three-day period, if necessary. The emergency power system should be inspected, tested, and maintained as necessary. If the system fails, the Jail Medical and Services Bureau Commander or the Watch Commander should immediately contact the Jail Services Unit to obtain necessary repairs. If the emergency power system cannot be repaired within eight hours, portable emergency generators should be secured as a temporary emergency power source. 403.2.2 SAFETY AND SECURITY All safety and security equipment will be repaired or replaced in an expedited manner by qualified personnel. If the equipment becomes inoperable and unsafe to operate a secure portion of a facility, that portion of the facility should be vacated, and incarcerated persons housed elsewhere. Alternatively, staffing could be sufficiently increased for the area to remain safe and secure until the repair is completed. 403.2.3 INSPECTION AND TESTING The Jail Medical and Services Bureau Commander or the authorized designee is responsible for scheduled testing of emergency power systems (15 CCR 1029). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Emergency Power and Communications-61 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Emergency Power and Communications (a) The emergency power system should be load-tested in accordance with the manufacturer's recommendations or at least periodically. (b) All emergency equipment and systems should be inspected and tested by a qualified individual. (c) Power generators should be inspected and tested every two weeks by a qualified individual. All testing and inspections shall be documented and the results included in a report to the Jail Medical and Services Bureau Commander. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Emergency Power and Communications-62 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 4 Custody Policy Manual Security Emergency Response and Tactics (SERT) Team 405.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain an emergency response unit known as the Security Emergency Response and Tactics (SERT) team. The primary function of the SERT team is the immediate response and de-escalation of incarcerated person disturbances in order to protect the safety and security of all persons within the Fresno County detention facilities. 405.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division to maintain a Security Emergency Response and Tactics (SERT) team comprised of specially trained, equipped, and selected correctional officers. The SERT team should be used when an incident rises to the level where conventional jail resources are unable to maintain or regain control, or when the safety and security concerns of an incident presents the potential of posing a significant risk, and the skills and equipment of the SERT team would be the most effective option available. It is the policy of the Fresno County Sheriff's Office Custody Division that the role of the SERT Commander shall be to confer and coordinate with the designated Incident Commander to establish a goal for the particular operation and to properly deploy the SERT members toward achieving the goal. 405.3 SERT TEAM COMPOSITION The SERT team is a collateral duty assignment for select members of the Fresno County Sheriffs Office Custody Division. The team is composed of the following members: • One (1) Correctional Lieutenant • Four (4) Correctional Sergeants • Sixteen (16) Correctional Officers 405.4 SERT MEMBER SELECTION (a) All correctional officers selected as SERT members must hold the rank of C/O II or higher. (b) For the purpose of SERT member selection, consideration is given to those correctional officers with excellent work experience and ethics, who have demonstrated the ability to: 1. Perform in an exemplary manner during regular duty. 2. Perform well under stressful situations. 3. Follow orders exactly. 4. Act as a team member rather than as an individual. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Security Emergency Response and Tactics Published with permission by Fresno County Sheriff's Office (SERT)Team-63 Fresno County Sheriff's Office Custody Policy Manual Security Emergency Response and Tactics (SERT) Team (c) The SERT Commander and SERT members shall be appointed by and serve in that assignment at the discretion of the Jail Operations Bureau Commander. (d) The selection process shall consist of an oral interview and a physical abilities test,and include a review of each candidate's Bureau File, Training File, and Personnel File. (e) The interview panel will consist of the SERT Lieutenant and at least two (2) SERT Sergeants. (f) Recommendations for appointment to the SERT team shall be submitted to the Jail Operations Bureau Commander by the interview panel. (g) SERT members may be removed from the team by the SERT Commander with the approval of the Jail Operations Bureau Commander. Removal cannot be appealed. 405.5 SERT UNIFORM AND EQUIPMENT ISSUE Each member will be issued a SERT uniform, a training uniform, and SERT equipment that remain the property of the Fresno County Sheriffs Office. It shall be the responsibility of each SERT member to properly maintain the uniforms and issued equipment, and to bring all issued equipment to every activation and training session. Upon final separation from the team,the departing SERT member shall personally return all issued equipment to the SERT Commander. 405.6 ON-CALL STATUS All SERT team members serve in an on-call status. SERT activation alerts are transmitted via phone using the Everbridge mass notification system. In order to remain readily accessible at all times, SERT members are required to provide a contact number for notifications that require an emergency response. All SERT team members are subject to call out, unless otherwise excused. SERT members are responsible to notify the SERT team leaders and will be excused under the following circumstances: (a) Scheduled vacation (b) Out of town (or otherwise unavailable to immediately respond) (c) Under the influence of any alcoholic beverage (d) Use of over-the-counter or prescription medication that may have an adverse effect on performance 405.7 SERT TRAINING A training program specifically designed for the team shall be developed by the SERT Commander in conjunction with the Training Unit. All SERT members shall participate in a minimum of fifty-six (56) hours of designated SERT training annually. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Security Emergency Response and Tactics Published with permission by Fresno County Sheriff's Office (SERT)Team-64 Fresno County Sheriff's Office Custody Policy Manual Security Emergency Response and Tactics (SERT) Team If a SERT member will not be available for training due to unforeseen circumstances, they shall promptly notify the SERT Commander or a SERT Sergeant. 405.8 SERT EQUIPMENT All equipment assigned to the team, including all riot suppression equipment, firearms, and munitions, shall only be utilized by members of SERT and only with prior approval of the SERT Commander or Jail Operations Bureau Commander. When not in use, all SERT equipment shall be stored in the SERT Equipment Room located in the North Annex Jail. All SERT weapons shall be stored in the North Annex Jail SERT armory. Access to the armory is limited to SERT members. 405.9 SERT RADIOS Each SERT member will be assigned a permanent call number. These call numbers will be used whenever a SERT member is directed to log onto a radio channel which is normally used by the Patrol Bureau. Three bank chargers have been placed into the SERT armory and all SERT radio batteries should remain in those chargers when not in use. 405.10 SERT ACTIVATION AND RESPONSE The SERT team may be activated by the SERT Commander or the on-duty Watch Commander with the approval of a Jail Operations Bureau Commander. (a) The Everbridge system shall be utilized to initiate activation of the SERT team. The mass notification system will alert all SERT members. (b) SERT members may not self-deploy. SERT members will be responsible to individually respond to the activation via phone, text, or email. A designated SERT Sergeant will utilize the Everbridge system to monitor the responses of the SERT members. SERT members shall respond and assemble as quickly as legally possible to the Main Jail Briefing Room (or other designated staging location) in their SERT uniform, for briefing and appropriate equipment issue. An alternative location for assembly of the SERT team may be designated by the SERT Commander (or designee). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Security Emergency Response and Tactics Published with permission by Fresno County Sheriff's Office (SERT)Team-65 Policy Fresno County Sheriff's Office 406 6 Custody Policy Manual Recording Planned Emergency Responses 406.1 PURPOSE AND SCOPE The purpose of this policy is to establish a procedure whereby pre-planned responses to an emergency incident and/or calculated uses of force, shall be recorded using a portable video recordert. The recorded incident will serve as a valuable resource in the event of litigation by preserving an objective account of what occurred. Additionally, the video can facilitate an administrative review of the use of force and can serve as an effective training device, visually demonstrating proper and improper responses to various situations. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.C.4. 406.2 POLICY It is the policy of the Fresno County Sheriffs Office Custody Division to video record all pre- planned emergency responses and/or calculated uses of force. The policy is not intended to include situations in which an immediate response is required and retrieving the recorder and/or expending essential staff is not practicable. 406.3 VIDEO RECORDER There is one video recording camera assigned to each housing floor, located inside the First Response Emergency Equipment(FREE)locker in each security station.The camera shall remain in the charger when not in use. It shall be the Security Officer's responsibility to: 1. Ensure the camera is charged and ready for use at the beginning of each shift. 2. Include the camera in the inventory of emergency equipment and document in the Safety Check System. Video recording cameras have been assigned to each facility, and are stored in the following locations: (a) Main Jail - Facility Sergeant's Office (two) (b) Main Jail — Booking Sergeant's Office (c) West Annex Jail - Facility Sergeant's Office (d) North Annex Jail — Facility Sergeant's Office (e) SERT Armory The Sergeants assigned to the corresponding areas shall be responsible to ensure the camera is sufficiently charged and ready for use at the beginning of each shift.A designated SERT Sergeant shall ensure the readiness of the SERT camera on a monthly basis. Spare batteries have been assigned to each location and should remain in the chargers until needed. When preparing a planned emergency response/calculated use of force,the supervising Sergeant shall ensure that a camera is obtained, and an officer is designated to operate the video recorder. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Recording Planned Emergency Responses- Published with permission by Fresno County Sheriff's Office 66 Fresno County Sheriff's Office Custody Policy Manual Recording Planned Emergency Responses The officer so designated will not participate in the emergency response unless it becomes necessary to intervene to prevent death or serious injury to another staff member. 406.4 RECORDING THE INCIDENT The staff member designated to record the incident shall record as much of the incident as possible. When possible, the recording shall include but not be limited to the following: (a) The incarcerated person's behavior that led up to the need for emergency response/ calculated use of force. (b) The visual and verbal identification of each staff member participating in the planned response. Each staff member should speak his or her name, computer number, and assigned role in front of the camera. (c) Any attempts by staff to deescalate the situation verbally and any opportunities given to the incarcerated person to comply with orders. (d) The incarcerated person's submission and/or compliance with orders. (e) The execution of the planned response. The recording officer shall attempt to keep as many of the involved persons in the view of the camera as possible. However, this provision does not prohibit the officer from zooming in on noteworthy details. (f) The conclusion of the incident, including close views of any visible injuries suffered by any involved person. When recording injuries, the officer shall ensure that the identity of the injured person is made clear in the recording. (g) Any statements made by the incarcerated person at the conclusion of the incident. 406.4.1 STORAGE OF THE VIDEO At the conclusion of the incident,the involved supervising Sergeant shall be responsible to retrieve the camera and upload the recording into the V-drive. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Recording Planned Emergency Responses- Published with permission by Fresno County Sheriff's Office 67 Fresno County Sheriff's Office Custody Policy Manual Chapter 5 - Incarcerated Person Management Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Person Management-68 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 504 Custody Policy Manual Safety Checks 504.1 PURPOSE AND SCOPE The purpose of this policy is to establish a requirement for conducting visual safety checks for all incarcerated persons, and for creating and maintaining a log to document all safety checks. 504.2 POLICY It is the policy of the Fresno County Sheriff's Office that all correctional staff shall conduct safety checks on all incarcerated persons, at a frequency determined by custody status, housing classification, and applicable state law. Officers shall only utilize approved routes for routine safety checks (e.g., not using fire doors between pods). Correctional staff shall conduct appropriate rounds with sufficient frequency to provide incarcerated persons with adequate supervision and reasonable safety. More frequent rounds shall be conducted for those requiring more intensive supervision for safety and security reasonst. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.A.3. 504.3 SAFETY CHECKS The staff shall adhere to the following procedures when conducting safety checks (15 CCR 1027; 15 CCR 1027.5): (a) Safety checks shall be conducted at least once every 60 minutes and more frequently if necessary. (b) Officers shall perform a complete tour of safety checks in their assigned area within the first thirty (30) minutes of coming on duty, and within the last thirty (30) minutes before going off duty. (c) Safety checks shall be conducted on an irregular schedule (staggered) so that incarcerated persons cannot predict when the checks will occur. (d) Safety checks shall be done by personal observation of the correctional officer and shall be sufficient to determine whether the incarcerated person is experiencing any stress or trauma. (e) Cameras and monitors may supplement the required visual observation safety checks, but they shall not replace the need for direct visual observation. (f) Safety checks will be clearly documented in permanent logs. (g) Actual times of the checks and notations should be recorded. (h) Log entries shall never be made in advance of the actual check. Log entries made in this manner do not represent factual information and are prohibited. (i) Special management incarcerated persons shall be checked more frequently as detailed in this chapter under Special Management Incarcerated Persons Policy. 504.3.1 SAFETY CHECK DOCUMENTATION All safety checks shall be documented. Documentation shall include (15 CCR 1027.5): Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Safety Checks-69 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Safety Checks (a) The actual time when each safety check occurred. (b) The location where each safety check occurred, such as a cell, module, or dormitory number. (c) Initials or member identification number of staff who completed the safety check. (d) Should a legitimate incident arise that prevents timely safety checks, a note shall be made on each late entry specifying the reason. Safety check documentation shall be reviewed at regular, defined intervals by the Jail Operations Bureau Commander or designee. The review shall include any noted inconsistent documentation or any untimely completion of safety checks (15 CCR 1027.5). 504.4 REFERENCE See the following for further guidance: SAFETY CHECK PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Safety Checks-70 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 506 Custody Policy Manual Civil Detainees 506.1 PURPOSE AND SCOPE This policy provides safeguards to ensure that persons held under a civil detainee are afforded appropriate standards of custody. Nothing in this policy prevents application of discipline under the Discipline Policy. 506.1.1 DEFINITIONS Definitions related to this policy include: Civil detainee -Any person in custody held for a reason other than for criminal matters. 506.2 POLICY It is the policy of the Fresno County Sheriff's Office that any confinement conditions placed on civil detainees are for legitimate, non-punitive purposes. 506.3 LESS RESTRICTIVE CONDITIONS Civil detainees should not be restricted in their activities to any extent greater than that reasonably necessary to maintain order and security, and to ensure their appearance at any arraignments or trials. 506.4 SCREENING Civil detainees should undergo the same screening process as other incarcerated persons, including attention to whether the person poses an enhanced security concern. 506.5 ORIENTATION Civil detainees should receive orientation materials explaining the benefits and rules that are applicable to them. 506.6 CONDITIONS OF CONFINEMENT IN HOUSING All civil detainees should be housed separately from other incarcerated persons. 506.6.1 ACCESS TO MAIL AND TELEPHONE Civil detainees shall have the same access to books, periodicals, magazines, and telephones as any other general population incarcerated person. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. CIVII Detainees-71 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 508 Custody Policy Manual Classification 508.1 PURPOSE AND SCOPE This policy describes the Fresno County Sheriff's Office's classification process,which is designed to identify security and health issues so that incarcerated persons may be held and housed in such a way as to foster a safe and secure facility (15 CCR 1050). 508.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division that the classification plan shall utilize an objective classification system. The objective classification system shall consist of a numerical system of evaluation that promotes similar classification decisions consistent with the individual's behavior and charges in comparable cases. The system shall include consideration of each incarcerated person's security level, suicide risk, and past behavior. It is the policy of the Fresno County Sheriffs Office Custody Division that all incarcerated people shall be classified after the booking process is completed and prior to their placement into a housing unit. If it becomes necessary to reclassify an individual, the reclassification procedure shall be completed per this policy. It is the policy of the Fresno County Sheriff's Office Custody Division that the Custody Division's classification system shall be subject to audit. The extent and frequency of the audit shall be determined by the Population Management Lieutenant. 508.3 CLASSIFICATION OFFICER RESPONSIBILITY Classification officers are responsible to: (a) Interview and assess individuals to determine custody level; analyze risk factors, review criminal history information, current charges, and past incarceration records; and assign custody levels utilizing the objective classification assessment tool. (b) Initiate and document all housing transfers. Population Management staff has the sole authority to assign individuals to housing units. While other staff members may recommend transfers in emergencies, Population Management staff must review, approve, and initiate all housing reassignments. (c) Perform reassessment/reviews as scheduled and when warranted. Modify housing assignments as appropriate. (d) Assign individuals to discipline housing. (e) Maintain a log of all adverse activity that results in housing reassignments that occur during the course of each shift. The log includes relevant information pertaining to altercations, assaults, safety cell placements, observation cell transfers, Pro-Straint Restraint Chair placements, and other disturbances. (f) Identify and document independent gang source items. (g) Review requests for incarcerated worker status and make decisions as to appropriateness for participation. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-72 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification (h) Continuously evaluate the populations of each facility as they relate to the established jail population capacities. Determine areas where population reduction or relocation is necessary. Implement transfers or releases, as applicable. 508.4 CLASSIFICATION PLAN The Jail Operations Bureau Commander or the authorized designee should create and maintain a classification plan to guide staff in the processing of individuals brought into the facility. The plan should include a process for determining appropriate housing assignments (28 CFR 115.42). The plan should include use of an objective screening instrument, procedures for making decisions about classification and housing assignments, intake and housing forms, and a process to ensure that all classification and housing records are maintained in each incarcerated person's permanent file. The plan should include an evaluation of the following criteria (15 CCR 1050): • Age • Gender identity • Criminal sophistication (e.g., security level)t • Seriousness of crime charged • Physical or mental health needs (e.g., suicide risk)t • Assaultive/non-assaultive behavior • Past behaviort • All individuals shall be assessed for their risk of being sexually abused by other persons or sexually abusive toward other persons. Considerations include, but are not limited to: • Whether the individual has a mental, physical, or developmental disability. • The age of the individual. • The physical build of the individual. • Whether the individual has previously been incarcerated. • Whether the individual's criminal history is exclusively nonviolent. • Whether the individual has prior convictions for sex offenses against an adult or child. • Whether the individual is, or is perceived to be, gay, lesbian, bisexual, transgender, intersex, or gender nonconforming. • Whether the individual has previously experienced sexual victimization. • The individual's own perception of vulnerability. • Whether the individual is detained solely for civil immigration purposes. • Any other criteria as deemed appropriate by the Sheriff or the authorized designee. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-73 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification Incarcerated individuals are not permitted to request a particular housing placement. Information obtained in response to screening questions shall be considered confidential and shall only be made available to those who have a legitimate need to know (28 CFR 115.41). This information shall not be released outside of the Sheriff's Office without the knowledge and approval of a Population Management Sergeant, the Population Management Lieutenant, any Custody Division Captain, or by order of the court. tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.D.1. 508.4.1 INCARCERATED PERSON RESPONSE TO SCREENING Incarcerated persons may not be compelled by threat of discipline to provide information or answers regarding (28 CFR 115.41): (a) Whether the incarcerated person has a mental, physical, or developmental disability. (b) Whether the incarcerated person is or is perceived to be gay, lesbian, bisexual, transgender, intersex, or gender nonconforming. (c) Whether the incarcerated person has previously experienced sexual victimization. (d) The incarcerated person's own perception of vulnerability. 508.5 ARRESTEE CLASSIFICATION The initial determination is intended to identify predatory, violent, and at-risk incarcerated persons (e.g.,administrative separation charges, mental illness, intoxication,gang affiliation,etc.). It should occur early in the intake process, prior to placement into a cell, to allow for appropriate supervision while an incarcerated person is being temporarily held in this facility and until a decision is made to place the individual into a more permanent housing assignment. Any pertinent classification information upon intake shall be communicated from the Booking I officer to the Main Jail 1st Floor staff. 508.5.1 CUSTODY LEVELS The classification plan provides for the placement of individuals into three (3) custody levels: • Level 1 (minimum) • Level 2 (medium) • Level 3 (maximum) Generally, housing assignments shall be consistent with the individual's scored custody level. However, situations may occur in which a person requires housing in a unit which is not commensurate with their custody level. In such circumstances, compatible individuals with dissimilar classification custody levels may be housed together in designated dual-classification housing units using the following guidelines: • Level 1 and Level 2 may be housed together. • Level 2 and Level 3 may be housed together. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-74 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification • Level 3 may not be housed with Level 1. 508.6 CLASSIFICATION UPON HOUSING Once it has been determined that the person arrested will not be released from custody on bail or O.R., a more in-depth classification of the incarcerated person will be conducted in a timely mannert after which the person will be moved to more permanent housing. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.D.1. 508.6.1 INITIAL CUSTODY ASSESSMENT SCALE The Initial Custody Assessment Scale is used to determine the most appropriate custody level for the incarcerated person. The form consists of a set of scored items that are weighted according to their reliability and ability to predict institutional adjustment. Scores on the initial classification form include the individual's current charges, previous serious offenses, history of institutional misconduct, prior incarceration time, and other factors known to be related to institutional misconduct, such as gang involvement and the individual's age. 1. SEVERITY OF CURRENT CHARGES/CONVICTIONS The individual's most serious current charge is awarded the corresponding number of points associated with the severity category. [Refer to Addendum B for the Severity of Offense Scale.] The Points Assessed Low 1 Moderate 2 High 5 Highest 6 (a) Misdemeanors are usually considered "Low" and given the corresponding one (1) point. Exceptions are noted on the Severity of Offense Scale. An exception also applies when a felony is reduced to a misdemeanor. For example, a PC 245(a)(1) charge would still be considered "High" on the Severity of Offense Scale, regardless of whether the charge was reduced to a misdemeanor. (b) All felonies are considered at least"Moderate." If not listed on the Severity of Offense Scale, the classification officer shall research the code section and make a well- reasoned determination to rank as appropriate. (c) An attempt shall be made to determine the underlying charge for any out-of- state or federal agency hold/detainer. The charge should be scored based on the California criminal code that best describes the offense. Indeterminate charges shall be considered "Moderate" and given the corresponding two (2) points. (d) Attempt to commit a crime (PC 664), aiding and abetting (PC 31), and conspiracy (PC 182) charges, are all scored the same as the principal felony. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-75 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification (e) If an individual has been booked on a technical violation of probation or parole, the severity of the current charge is to be based on the offense for which probation or parole was granted. 2. SEVERITY OF INSTITUTIONAL BEHAVIOR The person's disciplinary history for the past thirty-six(36) months is assessed, including behavior in all institutions, if readily available (e.g., CDCR). Violations are categorized by severity, ranging from violent or predatory behavior (e.g., assault) to nuisance behavior that simply disrupts the smooth and orderly management of the facility (e.g., violation of visiting rules or cell cleanliness). [Refer to Addendum C for the Severity of Institutional Behavior chart.] Severity of institutional behavior in the last 36 Points Assessed months None or Minor (Nuisance Behavior) 0 Moderate- Disruptive Behavior in last 12 months 2 Major-Aggressive/Destructive Behavior in the last 4 36 months Serious -Violent/Predatory Behavior in the last 36 6 months Prior history of institutional sexual assault shall be considered in assessing individuals for risk of being sexually abusive, without regard to the time parameter. That information would be included as a factor that may warrant override. 3. SERIOUS OFFENSE HISTORY The individual's most serious prior conviction during the last 15 years is awarded the corresponding number of points associated with the severity category according to the Severity of Offense Scale. The Severity of Offense Scale is used to rate Points Assessed the most serious prior conviction in the last 15 years None or Low 0 Moderate 1 High 4 Highest 5 (a) Parole violators may not be penalized for the same charge twice (i.e., their current parole hold and their prior conviction may not both be the same charge). Convictions prior to the parole charge shall be assessed. (b) If a felony charge is reduced to a misdemeanor, the severity of offense points will not change(e.g., if a PC 245(a)(1)charge is reduced to a misdemeanor, the charge would still be scored "High"). 4. INSTITUTIONAL DISCIPLINARY HISTORY Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-76 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification The total number of disciplinary actions within the past 36 months shall be calculated. Violations include 24-hour lockdowns, charges acquired while in custody (e.g., PC 241.1, PC 4573.6), and rule violations received at other institutions (if readily available). To be included, the individual must have been found guilty of the rule violation or associated charge(e.g., PC 4573.6 conviction), or admit to such. Total number of disciplinary reports and 24- Points Assessed hour lockdowns within the past 36 months None 0 One 1 Two 2 Three or more 3 5. PRIOR INCARCERATION TIME The total number of years spent in correctional institutions shall be tallied. All county jail, state prison, state hospital, and federal prison time shall be included. Total number of years spent in correctional Points Assessed institutions 0 to 2 years 0 2.01 to 8 years 2 8.01 to 15 years 3 15.01 years or more 4 6. GANG INVOLVEMENT Identification of gang members and associates allows the Population Management Unit to maintain housing separation of the various factions based on security needs. (a) Gang members generally account for more assaults on other incarcerated persons and staff than individuals not affiliated with a gang. Modulating housing assignments and monitoring gang activity helps to reduce assaults and violence within the facilities. (b) The initial identification process is primarily facilitated by self-admissions, tattoos, and distinctive clothing during the initial classification interview. Individuals need only self- identify and declare themselves to be a gang member, associate, or dropout to be considered such. (c) Conversely, individuals may attempt to conceal their affiliation by denying gang involvement. However, if an individual meets any single criterion for gang membership, points may be assessed accordingly. Gang Involvement Points Assessed None or denies 0 Previously documented/Jail Culture 1 Ex-Member, Ex-Associate, or Dropout 2 Full or Associate member 4 Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-77 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification 7. CURRENT AGE Self-explanatory. Current age Points Assessed Age 46 or older 0 Age 32 -45 1 Age 23-31 2 Age 18-22 3 The SUBTOTAL is a total of the points of the first two category scores (items 1 and 2). The COMPREHENSIVE CUSTODY SCORE is the total score(items 1-7). The suggested custody level is based on this point total. Custody Score Custody Level Indicated by Scale 9 or fewer points on items 1-7 Level 1 10 - 16 points on items 1-7 Level 2 17 or more points on items 1-7 Level 3 9 or more points on items 1-2 Level 3 If the custody level indicated by the scale is appropriate, the classification officer shall initiate a housing assignment within the designated custody level. If there are factors which warrant a custody level different from the custody level indicated by the scale, the classification officer can recommend to override the scored custody level. 508.6.2 INTERVIEW The classification process begins with a review of any initial classification information obtained during the booking process, as well as a review of any prior classification information and an interview by the classification officer. The review of initial classification documents and the questions,answers,and observations from the incarcerated person's interview will be documented and numerically scored, representing the security level appropriate for each incarcerated person. Individualized determinations shall be made about how to ensure the health and safety of each incarcerated person (28 CFR 115.42; 15 CCR 1050). 508.6.3 OVERRIDE The classification officer has the authority to override the classification level when it appears necessary to more appropriately assign housing. The override capability exists to use the classification officer's training and expertise in those instances when the classification level is not reflective of the incarcerated person's potential security or health risk. All overrides will be reviewed by a supervisor and are intended to be an exception, rather than the rule. If an override is recommended by classification staff, the classification officer must provide a rationale, and the override must be reviewed and approved (or not approved) by a Population Management Sergeant. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-78 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification (a) The review shall be completed within forty-eight (48) hours following the time of the override. (b) If the recommended custody level is not approved, the Population Management Sergeant shall ensure that the individual is reclassified, and a housing transfer of the individual is initiated, as appropriate. 508.7 REVIEWS AND APPEALS Once an incarcerated person is classified and housed, the person may request a review of the decision of the classification officer. The requested review process shall begin with a Request Form then an Incarcerated Person Grievance Form if the incarcerated person is still dissatisfied. The decision after the grievance may be appealed to the Jail Operations Bureau Commander or the authorized designee, in accordance with the Chapter 6: Grievances Policy. The decision by the Jail Operations Bureau Commander or the authorized designee is final. 508.7.1 PERIODIC CLASSIFICATION REVIEWS All individuals shall have their initial classification status reassessed within 30 days from the date of arrival at the facility to determine if reclassification is warranted. Each individual's risk of victimization or abusiveness will be reassessed based upon any additional relevant information received since the intake screening. The classification officer shall review the status of all incarcerated persons who have been incarcerated in the facility for more than 30 days and minimally every 90 days thereafter. The review should examine changes in the incarcerated person's behavior or circumstances and should either raise, lower, or maintain the classification status (28 CFR 115.41). Housing and program assignments for each transgender or intersex incarcerated person shall be reassessed at least twice each year to review any threats experienced by the person (28 CFR 115.42). Incarcerated person risk levels shall be reassessed when required due to a referral, request, incident of sexual abuse, or receipt of additional information that increases the incarcerated person's risk of sexual victimization or abusiveness (28 CFR 115.41). A. The classification review consists of a reassessment of the following: 1. Any disciplinary actions within the past thirty-six (36) months. 2. Any incident reports. 3. All current charges. 4. All past classification log entries (i.e., Class Comments). B. The classification review shall be conducted by one or more classification officers utilizing a Custody Reassessment Scale. C. Individuals are not required to be present during their classification review. D. The custody reassessment will not necessarily result in a change of custody level or housing assignment. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-79 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification 1. Reviews that result in no change shall require that a Notification of Classification Review be forwarded to the individual notifying them that their present classification was determined to be appropriate and will continue unaffected. 2. Reviews that result in a reclassification shall require that the individual be personally informed of the transfer and provided the opportunity to respond. A written decision that explains the reasoning shall be provided, as follows: (a) A Reclassification Form shall be initiated for all general population and protective custody housing transfers, as well as removals from administrative separation housing. [Refer to Addendum F - Reclassification Form.] (b) An Administrative Separation Placement/Transfer Notice shall be initiated for all transfers into administrative separation, as well as transfers to or from more restrictive administrative separation housing (e.g., from an A- pod to an FF-cell; from an FF-cell to an A-pod). E. Individuals will subsequently have their classification status routinely reviewed for modification a minimum of once every ninety (90) days thereafter, with the following exceptions [Refer also to Addendum G.]: 1. All individuals housed in single cells shall receive a reassessment of their classification status every thirty (30) days to determine if the individual can be moved to less restrictive housing. 2. All individuals with serious mental illness housed in lockdown cells (e.g., Main Jail A-pods) shall receive a reassessment of their classification status every thirty (30) days to determine if the individual can be moved to less restrictive housing. 3. Every thirty (30) days, involuntarily separated LGBTI individuals shall be reviewed to determine whether there is a continuing need for separation from the general population. 4. Transgender and intersex individuals shall be interviewed during their reassessments at least twice each year to review any threats to safety experienced by the individual. 5. Individuals who are transferred to protective custody or non-single cell administrative separation housing shall have their classification status reviewed, if requested, thirty (30) days from the time of placement, and every ninety (90) days thereafter. 6. An individual's classification status shall be reviewed prior to removal from disciplinary status, for transfer to an appropriate housing unit. 7. An individual's classification status shall be reassessed when warranted due to a referral, request, serious incident, or receipt of additional information that bears on the individual's risk of victimization or abusiveness.The Population Management Unit shall be immediately notified if an employee has significant concern that an individual may be subject to sexual victimization, or if an individual displays predatory behavior. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-80 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification F. The classification officer performing the review shall ensure that a Class Comment entry is made in Offendertrak and the next review is scheduled as appropriate (e.g., 30 or 90 days hence). 508.8 HOUSING ASSIGNMENTS 508.8.1 MANAGEMENT ISSUES AND SPECIAL HOUSING Special management issues are factors that warrant attention and possible intervention by staff in the form of special housing. (a) Some individuals may request special housing for their own protection. Whether the individual requests it or when there is reason to believe such custody is warranted, the decision is the responsibility of the Population Management Unit.All decisions to place an individual in protective custody or administrative separation, as well as decisions to deny requests for placement in protective custody or administrative separation, shall be documented. Any factors which affect the individual's housing shall be indicated on the form. (b) Individuals initially classified into an administrative separation cell shall have an Administrative Separation Placement/Transfer Notice completed by the classification officer. [Refer to Addendum D] 1. A copy of the Administrative Separation Placement/Transfer Notice will be provided to the individual prior to placement. 2. The individual's administrative separation placement shall be reviewed for retention or release by a Population Management Sergeant within forty-eight (48) hours of placement. (c) Incarcerated people classified as 'High Security' shall be handled with extreme caution and remain separated from all other incarcerated people unless under escort by officers. All incarcerated people classified as high security by the Population Management Unit shall be issued and required to wear yellow jumpsuits. 508.8.2 INCARCERATED PERSONS WITH SERIOUS MENTAL ILLNESS A. A person with serious mental illness (SMI) shall not be housed in an administrative separation lockdown cell (e.g., Main Jail A-Pods and FF-cells) unless the individual demonstrates a current threat to jail security, incarcerated persons and/or officer safety as documented by correctional staff, that prevents the individual from being safely housed in less restrictive locationst . tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), II.G.2. A. In the event that any person with SMI must be housed in a single cell or any locked down housing unit for more than 48 hours, the individual is to have their case reviewed by a multidisciplinary team consisting of corrections and Mental Health staff every two (2)weeks. The decision for an SMI individual's continued housing in a single cell must include input from a licensed mental health cliniciant . tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), II.G.4.a. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-81 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification A. All SMI individuals housed in administrative separation cells shall receive a classification review at least once every thirty (30) days to determine if the individual can be moved to less restrictive housing. Mental Health staff shall assess the housing requirements of SMI individuals, which shall be discussed at monthly administrative meetings with custody and health care stafft. NOTE: A new mental health assessment is not required every 30 days, so long as Mental Health staff has adequate information to make an informed and meaningful recommendation about whether the SMI individual should continue to be housed in that unit. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), II.G.6. A. The Population Management Unit shall assist Mental Health staff in the development and implementation of behavior management plans for individuals with serious mental illness who engage in repeated acts of misconduct with the goal of reducing their placements, or shortening the length of time the individual spends in lockdown administrative separation housing. Population Management staff who are familiar with the housing of those with serious mental illness shall be included in administrative meetings where behavior management plans are developed and reviewed.t. tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), II.F.1-2. 508.8.3 INDIVIDUALS AT RISK OF SUICIDE A. All persons are screened for suicide risk immediately upon intake and prior to housing assignment. B. Any person who displays signs of suicide risk shall have a comprehensive suicide risk assessment form completed by a mental health clinician to determine if the individual presents a low, moderate, or high risk of suicidet . tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), II.E.1. A. Housing recommendations for individuals at risk of suicide must balance safety and the environment. The least restrictive environment should be considered. 1. Individuals determined by Mental Health to be a low risk for suicide shall be housed with other incarcerated persons or, if they cannot be housed with other incarcerated persons, in housing where they can be frequently monitored by correctional staff. Such individuals shall be monitored at least monthly by Mental Health stafft. 2. Individuals determined to be a moderate risk for suicide shall be housed with other incarcerated persons unless they pose a safety and security threat to other incarcerated persons. Moderate-risk individuals shall also be housed in locations that allow correctional staff to observe and communicate with these individuals on a daily basis. Such individuals shall be monitored at least weekly by Mental Health stafft. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-82 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), II.E.3. A. All incarcerated persons shall be screened for suicide risk and offered the opportunity to talk to a Mental Health clinician during special situations, including placement in restrictive housing, or after a change in classification. 1. The classification officer involved in the placement or reclassification shall be responsible for notifying Mental Health Services on the individual's behalf if so requested. 2. Documentation of the notification shall be indicated on the associated classification form. 508.8.4 ACCOMMODATIONS FOR INDIVIDUALS WITH DISABILITIES A. The Population Management Unit shall maintain a list of housing units with accessible features to simplify housing decisions (e.g., accessible toilets and showers with such physical features as grab bars, shower seats, no shower curbs, no stairs, and pathways wide enough to permit wheelchair/walker access, etc.). The list shall separately identify each cell in the Outpatient Housing Unit(OHU/Main Jail 2nd floor)t. [Refer to Addendum E.] tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.A.4. A. Staff assigned to the Population Management Unit are responsible for ensuring that individuals with disabilities are housed in the most integrated setting appropriate to the needs of the individuals. Unless it is appropriate to make an exception, Population Management staff shall not place individuals with disabilities: 1. In inappropriate security classifications because no accessible cells or beds are available. 2. In housing locations that do not offer the same services, programs, and activities as the location where they would otherwise be housed. 3. In medical Outpatient Housing Units unless the individual is actually receiving medical care or treatment. Exceptions shall only apply if there is no other housing location where the individual can be reasonably accommodated. Individuals with disabilities who are housed in the OHU because they cannot be reasonably accommodated in other locations shall receive equal access to services, programs, and activitiest . tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.A.7. A. Medical staff shall make available all information needed to make adequate housing decisions. Medical staff is responsible for initiating a Disability Evaluation Form which will indicate the individual's functional limitations and restrictions. B. Population Management staff shall review all Disability Evaluation Forms and: 1. Make appropriate notations on the Class Comment log based upon the incarcerated person's individual housing needs. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-83 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification 2. Ensure that an "ADA" Alert was created in Offendertrak with the appropriate notations made in the Remark section. If the Alert was not created, notify the ADA Coordinator. 3. Ensure the individual is assigned to appropriate housing,or make necessary moves to ensure the individual's housing is appropriate based upon their needs. 4. Make appropriate notations on the Disability Evaluation Form; sign and forward the form to the ADA Coordinator for ADA compliance review. The ADA Coordinator will be responsible for notifying Jail Programs staff. 508.8.5 ADMINISTRATIVE SEPARATION A. If it is determined by Population Management that an individual's presence in the general population (or protective custody) presents a threat to the safety of others, endangers facility security, or jeopardizes the integrity of an investigation of alleged serious misconduct, criminal activity, or the safety of any person, the individual shall be immediately removed from the general population (or protective custody) and transferred to administrative separation. 1. An Administrative Separation Placement/Transfer Notice shall be completed by the classification officer. 2. The individual must be personally interviewed and informed of the transfer. 3. The individual's comments, reaction, and/or arguments to the reclassification shall be noted on the form and considered. 4. A copy of the form will be provided to the individual prior to placement, if practical, but not later than twenty-four (24) hours after such placement. 5. The individual's administrative separation placement shall be reviewed for retention or release by a Population Management Sergeant within forty-eight (48) hours of placement. B. Anytime an individual housed in administrative separation is transferred to or from a more restrictive administrative separation housing unit (e.g., from an A-pod to an FF-cell; from an FF-cell to an A-pod, etc.), an Administrative Separation Placement/ Transfer Notice shall be completed. (The transfer between various administrative separation cells does not require a Reclassification Form.) C. A documented individualized ongoing review and evaluation of the need to continue placement in administrative separation shall be performed as part of the classification review and reassessment process. 1. Administrative separation must not adversely affect an individual's health. 2. Removal from administrative separation status shall occur at the earliest possible time in keeping with the circumstances and reasons for the individual's initial placement in administrative separation. (A Custody Reassessment Scale and Reclassification Form shall be completed.) D. An individual should not remain in a single cell for more than one year unless the Population Management Lieutenant has determined that the release of the Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-84 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification individual would severely endanger the lives of individuals or staff, the security of the institution, or the integrity of an investigation into suspected criminal activity or serious misconduct; or the individual has voluntarily requested to be housed alone. E. Administrative separation housing does not involve any deprivation of privileges more than is necessary to maintain the safety of incarcerated people and facility staff. F. A person convicted of a capital crime and sentenced to death by a jury may be transferred and/or housed in an administrative separation single cell housing unit for the balance of their stay in custody, subject to the review and approval of the Population Management Lieutenant. 508.8.6 HIGH RISK INDIVIDUALS - PREA Housing, bed, work, and program assignments should be made to separate incarcerated persons at high risk of being sexually victimized from those at high risk of being sexually abusive (28 CFR 115.42). Incarcerated persons identified as being at high risk for sexually aggressive behavior will be monitored and housed in an area that will minimize the risk to other incarcerated persons and staff. All incarcerated persons identified as being at risk of victimization shall be monitored and housed in an area to minimize the risk to their safety. However, incarcerated persons at high risk for sexual victimization shall not be placed in involuntary protective custody unless an assessment of all available alternatives has been made and it has been determined that there is no available alternative means of separation from likely abusers (28 CFR 115.43; 28 CFR 115.68). Housing and program assignments of a transgender or an intersex incarcerated person shall include individualized consideration for the incarcerated person's health and safety and any related supervisory, management, or facility security concerns (15 CCR 1050). A transgender or an intersex incarcerated person's views with respect to their own safety shall be given serious consideration. Lesbian, gay, bisexual, transgender, or intersex incarcerated persons shall not be placed in dedicated facilities, units, or wings solely on the basis of such identification or status unless such placement is pursuant to a consent decree, legal settlement, or legal judgment (28 CFR 115.42). A. Individuals at high risk for sexual victimization shall not be placed in involuntary separated housing unless an assessment of all available alternatives has been made, and a determination has been made that there is no available alternative means of separation from likely abusers. Involuntary separated housing includes both protective custody and administrative separation. 1. If the assessment cannot be conducted immediately, the individual may be held in involuntary separated housing for less than twenty-four (24) hours while the assessment is completed. 2. The PREA Manager and the Jail Programs Sergeant shall be notified of the individual's housing placement. B. Individuals placed in separated housing for this purpose shall have access to programs, privileges, education, and work opportunities to the extent possible. If Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-85 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification the individual has restricted access to programs, privileges, education, or work opportunities, the Jail Programs Sergeant shall document: 1. The opportunities that have been limited. 2. The duration of the limitation. 3. The reasons for such limitations. C. The individual may be assigned to involuntary separated housing only until an alternative means of separation from likely abusers can be arranged. Such an assignment shall not ordinarily exceed a period of thirty(30)days, and documentation shall include: 1. The basis for the concern for the individual's safety. 2. The reason why no alternative means of separation can be arranged. D. Every thirty (30) days, each involuntarily separated individual shall be reviewed to determine whether there is a continuing need for separation from the general population. E. In deciding whether to assign a transgender or intersex individual to a housing unit for male or female individuals, the classification officer shall consider on a case- by-case basis whether a placement would ensure the individual's health and safety and whether the placement would present management or security problems. A transgender or intersex individual's own view with respect to his or her own safety shall be given serious consideration. 508.9 KEEP SEPARATES 'Keep Separates' shall be used to identify those individuals who have been identified as having legitimate housing issues and cannot or should not be housed together (e.g., co-defendants, known relatives of any alleged victims, known enemies, etc.). (a) Individuals with a documented Keep Separate (K/S) shall not be housed on the same housing floor if there is a possibility that the individuals have the potential to interact during institutional activities. (b) Individuals may be assigned to units on the same housing floor where controlled movement exists to the extent that they do not have any access to each other. (c) Individuals who have siblings and/or parental relationships with other persons in custody should not be housed in the same unit unless there are no other housing options available and/or such assignment is determined to be necessary. The relationship shall be documented by the classification officer. 508.10 GRIEVANCE AND APPEAL Incarcerated people who believe they have been incorrectly or unfairly classified should complete the following steps to have their classification reviewed: (a) Complete a Request Form routed to Classification for review. (b) If the incarcerated person is unsatisfied with the result, they may submit a grievance. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-86 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification (c) Individuals may appeal any matter pertaining to their classification to the Jail Operations Bureau Commander, whose decision is final. 508.11 REASSESSMENT AND RECLASSIFICATION 508.11.1 REASSESSMENT A Custody Reassessment Scale document is used to update and review an individual's initial custody assessment to determine if reclassification is warranted. The reassessment is similar to initial custody assessment, but places greater emphasis on the individual's in-custody conduct to reflect the individual's actual behavior while confined. [Refer to Addendum H - Custody Reassessment Scale.] The categories are the same as the Initial Custody Assessment Scale, however, some of the time parameters and points attributed to the categories differ. 1. SEVERITY OF CURRENT CHARGES/CONVICTIONS The Severity of Offense Scale is used to rate the Points Assessed most serious charge/detainer/warrant Low 0 Moderate 1 High 4 Highest 6 2. SEVERITY OF INSTITUTIONAL BEHAVIOR Severity of institutional behavior in the past 36 Points Assessed months None 0 Minor- Nuisance Behavior/24-hour lockdown in the 1 last 12 months Moderate—Disruptive Behavior in the last 12 2 months Major—Aggressive/Destructive Behavior in the last 5 24 months Serious Major—Violent/Predatory Behavior in the 6 last 36 months 3. SERIOUS OFFENSE HISTORY The Severity of Offense Scale is used to rate the Points Assessed most serious prior conviction during the last 15 years None or Low 0 Moderate 1 High 3 Highest 5 Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-87 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification 4. INSTITUTIONAL DISCIPLINARY HISTORY Total number of rule violations and 24-hour Points Assessed lockdowns within the past 12 months None 0 One 1 Two 2 Three or more 4 5. PRIOR INCARCERATION TIME Total number of years spent in correctional Points Assessed institutions 0 to 2 years 0 2.01 to 8 years 1 8.01 to 15 years 2 15.01 years or more 3 6. GANG INVOLVEMENT Gang involvement Points Assessed None or Denies 0 Previously Documented /Jail Culture 1 Ex-Member, Ex-Associate, or Dropout 2 Full or Associate Member 4 7. CURRENT AGE Current age Points Assessed Age 46 or older 0 Age 32—45 1 Age 23-31 2 Age 18—22 3 The SUBTOTAL is a total of the points of the first two category scores (items 1 and 2). The COMPREHENSIVE CUSTODY SCORE is the total score (items 1 — 7). The suggested custody level is based on this point total. Custody Score Custody Level Indicated by Scale 8 or fewer points on items 1-7 Level 1 9-15 points on items 1-7 Level 2 16 or more points on items 1-7 Level 3 9 or more points on items 1-2 Level 3 (a) The remaining fields on the Custody Reassessment Scale are identical as the Initial Custody Assessment Scale. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-88 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification (b) If the CUSTODY LEVEL INDICATED BY SCALE designates no change to the individual's current custody level (or an override will be recommended by the Classification Officer that keeps the individual in the same custody level), a Notification of Classification Review shall be completed and forwarded to the individual notifying them that their present classification was determined to be appropriate and will continue unaffected. [See Addendum I - Notification of Classification Review.] (c) If the review results in a CUSTODY LEVEL INDICATED BY SCALE that differs from the individual's current custody level (or an override will be recommended by the classification officer that changes the individual's custody level), a Reclassification Form shall be prepared and the individual shall be personally informed. 508.11.2 RECLASSIFICATION (a) A classification officer shall prepare a Reclassification Form any time an individual is reclassified to a different classification custody level, whether it be general population, protective custody, or removal from an administrative separation housing unit. The Reclassification Form shall articulate the specific reasons for the override or reclassification. (b) The individual must be personally interviewed and informed of the transfer. (c) The individual's comments, reaction, and/or arguments to the reclassification shall be noted on the form and considered. (d) The individual shall be provided with a copy of the form. If the information is sensitive or can cause the individual problems in their housing area, the individual should be advised of such and offered the option to destroy the copy. (e) Except in rare cases and only with Sergeant notification and approval, no individual shall "jump" a custody level on a reassessment (e.g., Level 1 to Level 3). 508.12 STAFF TRAINING IN CLASSIFICATION Officers assigned to the Population Management Unit shall receive specialized and ongoing training specifically developed to provide, enhance, and maintain the knowledge and skills necessary to perform effectively as a classification officer. (a) Newly assigned officers will receive on-the-job training regarding the principles, policies, procedures, legal requirements, and instruments utilized for classification assessments, housing assignments, reassessments, and reclassifications. (b) Ongoing periodic training is provided in order to ensure consistency and accuracy in the implementation of this policy. 508.13 AUDIT The Population Management Lieutenant or their designee will internally audit the classification system periodically to help ensure that individuals are being classified appropriately within the limits of the facility. The audit will assess the following features of the objective classification system in an effort to help ensure that: (a) Individuals are housed according to their assigned custody levels. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-89 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Classification (b) Classification instruments are completed in an accurate and timely manner. The extent and frequency of the audit shall be determined by the Population Management Lieutenant. 508.14 REFERENCE See the following procedures for further guidance: Control of Incarcerated Person Movement Procedures Search Procedures Suicide Intervention and Prevention Procedures Mental Health Screening and Evaluations Procedure Attachments: Classification Addendum A - Initial Custody Assessment Scale Classification Addendum B - Severity of Offense Scale Classification Addendum C - Severity of Institutional Behavior - RV Initial Assessment and Reassessment Classification Addendum D -Administrative Separation Placement-Transfer Notice Classification Addendum E -ADA Housing (El & E2) Classification Addendum F - Reclassification Form Classification Addendum G- Reassessment-Review Chart Classification Addendum H - Custody Reassessment Scale Classification Addendum I - Notification of Classification Review Classification Addendum J - Definitions Classification Addendum X - Questionnaire Classification Addendum Y - Housing Assignments Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification-90 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 510 Custody Policy Manual Control of Incarcerated Person Movement 510.1 PURPOSE AND SCOPE The purpose of this policy is to establish a process for the safe and secure movement of incarcerated persons between areas within the facilities and transportation from the facilities to court, medical appointments, or other jurisdictions (15 CCR 1029(a)(6)). 510.2 POLICY The staff should be vigilant in the control and movement of incarcerated persons between areas within the facilities and when transporting persons outside the secure confines of the facilities. Control may be by direct or indirect visual observation (e.g., watching a camera monitor to ensure an incarcerated person walks down a hallway/tunnel safely). All staff should consider all incarcerated person movement as high-risk activity. The staff should be aware of their surroundings at all times and take necessary steps to prevent escape. 510.3 CONTROL OF MOVEMENT Staff shall not allow incarcerated persons to leave their assigned housing area unless they have approved activities that may include but are not limited to the following: (a) Court (b) Transportation to another facility (c) Receiving a visit (d) Law enforcement interview or to participate in a lineup (e) Reporting for work (f) Receiving dental or medical care (g) Attending educational classes or religious services (h) Release (i) Facility Emergency 0) Any other reason deemed appropriate by staff 510.4 MOVEMENT OF INCARCERATED PERSONS Movement of one or more incarcerated persons in the facilities should be done in a safe and orderly manner with incarcerated persons walking in a single-file line. Staff members should have situational awareness during the movement of incarcerated persons and should consider the design of the facilities, areas of poor visibility, and the presence of other persons being moved. The staff should avoid areas where incarcerated persons may have access to contraband items. 510.5 MOVEMENT OF SPECIAL MANAGEMENT INCARCERATED PERSONS Incarcerated persons should be restrained during movement based upon individual security classification, with higher risk persons in handcuffs, waist chains, and leg restraints. An exception to this procedure is when an incarcerated person has a physical disability where restraint Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Control of Incarcerated Person Movement-91 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Control of Incarcerated Person Movement devices may cause serious injury. In this instance, staff may need to improvise on how restraints maybe applied. The staff should contact their immediate supervisor for further direction. Pregnant incarcerated persons shall be moved in accordance with the Use of Restraints Policy. Whenever a high-security incarcerated person is not able to be restrained, the staff should compensate by utilizing wheelchairs and should secure the incarcerated person to the chair. It may also be necessary to increase the number of staff present to ensure the safe movement of high-security incarcerated persons. The staff should be watchful in and around passageways and ensure that sallyport doors are secured to prevent escape. 510.6 REFERENCE See the following for further guidance: CONTROL OF INCARCERATED PERSON MOVEMENT Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Control of Incarcerated Person Movement-92 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 512 Custody Policy Manual Use of Restraints 512.1 PURPOSE AND SCOPE This policy establishes guidelines for the application, supervisory oversight, and restrictions on the use of restraints on persons incarcerated in thes facilities. This policy shall apply to the use of specific types of restraints, such as restraint chairs, ambulatory restraints, and similar restraint systems, as well as all other restraints, including handcuffs, waist chains, and leg irons when such restraints are used to restrain any incarcerated person for prolonged periods. 512.1.1 DEFINITIONS Definitions related to this policy include: Restraint Device— Equipment utilized to immobilize an incarcerated person's extremities and/or prevent the incarcerated person from being ambulatory. The following are authorized restraining devices that may be utilized alone or in combination with handcuffs: (a) Flex-cuffs and cord-cuffs (b) Waist or belly chains (c) Shackles or leg Irons (d) Handcuffs (e) Pro-Straint Restraint Chairs (f) WRAP restraint (g) Other restraints approved and utilized by specialty units (e.g., SERT, Transportation Unit) Restraint Chair - A specifically manufactured metal and ABS plastic chair. It is equipped with buckles and retracting straps capable of securing a person to the chair in such a fashion as to limit their ability to move. Each restraint chair has also been equipped with a wheeled transport carriage for movement from one point to another after the incarcerated person has been secured into the chair. The Wrap-A temporary restraining device that immobilizes the body and restricts an incarcerated person's ability to kick or do harm to themselves and others. The Wrap restrains the individual in an upright/seated position of respiratory recovery while immobilizing the incarcerated person's extremities and preventing them from being ambulatory. 512.2 POLICY It is the policy of this Office that restraints shall be used only to prevent self-injury, injury to others, or property damage. Restraints may also be applied according to an incarcerated person's classification, such as maximum security,to control the behavior of a high-risk incarcerated person while the person is being moved outside the cell or housing unit. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Use of Restraints-93 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Use of Restraints Restraints shall never be used for retaliation or as punishment. Restraints shall not be utilized any longer than is reasonably necessary to control the incarcerated person. Restraints are to be applied only when less restrictive methods, including verbal de-escalation techniques, have been attempted and are deemed ineffective in controlling the dangerous behavior of an incarcerated person (15 CCR 1029(a)(4); 15 CCR 1058). Each incident where restraints are used shall be documented in an incident report by the handling staff member and submitted to their supervisor prior to the end of shift. This policy does not apply to the temporary use of restraints, such as handcuffing or the use of leg irons to control an incarcerated person during movement and transportation inside or outside the facility. 512.3 USE OF RESTRAINTS - CONTROL Supervisors shall proactively oversee the use of restraints on any incarcerated person. Whenever feasible, the use of restraints, other than routine use during transfer, shall require the approval of the Watch Commander prior to application. In instances where prior approval is not feasible, the Watch Commander shall be apprised of the use of restraints as soon as practicable. Restraint devices, such as restraint chairs, shall only be used on an incarcerated person when it reasonably appears necessary to overcome resistance, prevent escape, or bring an incident under control,thereby preventing injury to the incarcerated person or others, or eliminating the possibility of property damage. Restraints shall not be utilized any longer than is reasonably necessary to achieve the above goals. Sufficient justification for the use of restraints is required and shall be documented in an incident reportt. Placing an incarcerated person in a restraint chair or other restraints for extended periods requires approval from the Watch Commander or the authorized designee prior to taking action. Medical staff shall be called to assess the application of the restraints,when feasible, prior to the application or as soon as practicable after the application, and to check the incarcerated person for adequate circulation. The use of restraints for purposes other than for the controlled movement or transportation of a calm and compliant incarcerated person shall be documented in an incident report and shall be video recorded unless exigent circumstances prevent staff from doing so. The documentation shall include, at a minimum, the type of restraint used, when it was applied, a detailed description of why the restraint was needed, the name of the person authorizing placement, names of staff involved in the placement(if applicable), any injuries sustained,when the restraints were removed and the duration of placement (15 CCR 1058). The following provisions shall be followed when utilizing restraints to control an incarcerated person (15 CCR 1058): (a) Restraints shall not be used as punishment, placed around a person's neck, or applied in a way that is likely to cause undue physical discomfort or restrict blood flow or breathing (e.g., hog-tying). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Use of Restraints-94 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Use of Restraints (b) Restrained incarcerated persons shall not be placed in a position that inhibits breathing. (c) Restraints shall not be used to secure a person to a fixed object except as a temporary emergency measure. A person who is being transported shall not be locked in any manner to any part of the transporting vehicle except for items installed for passenger safety, such as seat belts. (d) Incarcerated persons in restraints shall be housed either alone or in an area designated for restrained persons. (e) Restraints shall be applied for no longer than is reasonably necessary to protect the incarcerated person or others from harm. Restraint chair placement shall not exceed 4 hourst. (f) Staff members shall conduct continuous direct face-to-face observation at least twice every 30 minutes on an irregular schedule to check the incarcerated person's physical well-being and behaviort. Restraints shall be checked to verify correct application and to ensure they do not compromise circulation. All checks shall be documented, with the actual time recorded by the person doing the observation, along with a description of the incarcerated person's behavior. Any actions taken should also be noted in the incident report. (g) The specific reasons for the continued need for restraints shall be reviewed, documented, and approved by the Watch Commanderor authorized designee at least every hourt. (h) Continuous direct visual observation shall be maintained until a medical opinion can be obtained. Staff shall notify medical of the initial placement time for restraintst. (i) Within one hour of placement in restraints, a qualified health care professional shall document an opinion regarding the placement and retention of the restraints. Q) As soon as practicable, but within one hour of placement in restraints,the incarcerated person shall be medically assessed to determine whether the person has a serious medical condition that is being masked by the aggressive behavior. The medical assessment shall be a face-to-face evaluation by a qualified health care professional. (k) As soon as practicable, but within one hour of placement in restraints,the incarcerated person must be evaluated by a mental health professional to assess whether the incarcerated person needs immediate and/or long-term mental health treatment. If the Watch Commander, or the authorized designee, in consultation with responsible health care staff determines that the incarcerated person cannot be safely removed from restraints after eight hours, the person shall be taken to a medical facility for further evaluation. (I) Where applicable, the Jail Operations Bureau Commander shall use the restraint device manufacturer's recommended maximum time limits for placement. 1. Incarcerated persons who have a disability that prevents the application of restraint equipment in the prescribed manner shall be afforded reasonable accommodation under the direction of the supervisor in charge. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Use of Restraints-95 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Use of Restraints 2. When restraints are necessary, they shall be applied to ensure effective application while reasonably accommodating the incarcerated person's disability. (a) ALERTs may be utilized to make staff aware of required accommodations that may not otherwise be obvious (e.g., use of a gait belt while ambulating). (b) Any question or clarification needed regarding required accommodations should be directed to the ADA Coordinator. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.F.1-4.,6. 512.4 USE OF RESTRAINTS - CLINICAL Restraints shall not be used for medical purposes or during any medical procedures. Medical staff shall not participate in decisions to initiate the use of restraints by correctional staff. See Chapter 7: Involuntary Medication for possible exceptions. Qualified medical staff shall document vital signs, mental status, sensation of limbs, and check for injuries incurred during the restraining application within the first hour of placement. Medical staff shall check all restraints to ensure the incarcerated person has proper circulation and document vital signs, mental status, and sensation of limbs at least once every sixty(60) minutes thereaftert. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), I.D.15. 512.5 RANGE OF MOTION Incarcerated persons placed in restraints for longer than two hours should receive a range-of- motion procedure that will allow for the movement of the extremities. Range-of-motion exercise will consist of alternate movement of the extremities (i.e., right arm and left leg) for a minimum of 10 minutes every two hours. 512.6 FOOD, HYDRATION, AND SANITATION Incarcerated persons who are confined in restraints shall be given food and fluids. Provisions shall be made to accommodate any toileting needs at least once every two hours. Food shall be provided during normal meal periods. Hydration (water)will be provided no less than once every two hours or when requested by the incarcerated persont. Offering food and hydration to incarcerated persons will be documented to include the time, the name of the person offering the food or water, and the incarcerated person's response (receptive, rejected). Incarcerated persons shall be provided the opportunity to clean themselves or their clothing while they are in restraints. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.F.5. 512.7 AVAILABILITY OF FIRST AID EQUIPMENT First aid equipment,such as barrier masks, shall be provided by the facility and located in proximity to the location where incarcerated persons in restraints are held. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Use of Restraints-96 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Use of Restraints 512.8 RESTRAINED INCARCERATED PERSON HOLDING Restrained incarcerated persons should be protected from abuse by other incarcerated persons. Under no circumstances will restrained incarcerated persons be housed with incarcerated persons who are not in restraints. In most instances, restrained incarcerated persons are housed alone or in an area designated for restrained persons (15 CCR 1058). 512.9 PREGNANT INCARCERATED PERSONS Restraints will not be used on incarcerated persons who are known to be pregnant unless based on an individualized determination that restraints are reasonably necessary for the legitimate safety and security needs of the incarcerated person, the staff, or the public. Should restraints be necessary, the restraints shall be the least restrictive available and the most reasonable under the circumstances. Incarcerated persons who are known to be pregnant will not be handcuffed behind their backs or placed in waist restraints or leg irons. Once pregnancy has been confirmed, a pregnant incarcerated person should be advised of the policies and procedures regarding the restraint of pregnant persons (Penal Code §3407; 15 CCR 1058.5). 512.9.1 INCARCERATED PERSONS IN LABOR No incarcerated person who is in labor, delivery, or recovery from a birth shall be restrained by the use of leg restraints/irons, waist restraints/chains, or handcuffs behind the body (Penal Code § 3407; 15 CCR 1058.5). No incarcerated person who is in labor, delivering, or recovering from a birth shall be otherwise restrained except when all of the following exist (Penal Code § 3407; 15 CCR 1058.5): (a) There is a substantial flight risk or some other extraordinary medical or security circumstance that dictates restraints be used to ensure the safety and security of the incarcerated person,the staff of this or the medical facility, other incarcerated persons, or the public. (b) A supervisor has made an individualized determination that such restraints are necessary to prevent escape or injury. (c) There is no objection from the treating medical care provider. (d) The restraints used are the least restrictive type and are used in the least restrictive manner. Restraints shall be removed when medical staff responsible for the medical care of the pregnant incarcerated person determines that the removal of restraints is medically necessary(Penal Code § 3407). The supervisor should, within 10 days, make written findings specifically describing the type of restraints used, the justification, and the underlying extraordinary circumstances. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Use of Restraints-97 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Use of Restraints 512.9.2 INCARCERATED PERSONS IN RECOVERY AFTER TERMINATED PREGNANCY Incarcerated persons recovering from a termination of pregnancy shall not be restrained using leg restraints/irons, waist restraints/chains, or handcuffs behind the body unless an exception identified in the Incarcerated Persons in Labor subsection of this policy applies (15 CCR 1058.5). Restraints shall be removed when medical staff responsible for the medical care of the incarcerated person determines that the removal of restraints is medically necessary (15 CCR 1058.5). 512.10 REFERENCE See the following for further guidance: USE OF RESTRAINTS PROCEDURE SAFETY CHECK PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Use of Restraints-98 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 515 Custody Policy Manual Canines 515.1 PURPOSE AND SCOPE The canine program aids staff in locating contraband and maintaining the security of these facilities. This policy outlines requirements of the program, its staff, and the expectations of the Office. 515.2 POLICY The Fresno County Sheriff's Office is committed to ensuring the facilities are free from contraband and drugs and to maintaining facility security. This is done by employing trained Canine Teams to assist in the detection of drugs and other contraband, in accordance with all applicable laws, regulations, and Office policies and procedures. 515.3 GUIDELINES FOR THE USE OF CANINES A Canine Team shall be assigned to assist in conducting searches for illegal narcotics and electronic storage devices (ESD) (e.g., cell phones, SIM cards, SD cards) in areas both inside and outside the jail facilities. A canine shall not be used to search an individual for narcotics or electronic devices unless the canine is trained to passively indicate the presence of contraband. Canines shall not be utilized for any purpose other than narcotic/ESD detection (e.g., cell extractions, escape details, response to violent incidents, etc.). At no time shall a canine be used to intimidate, frighten, or psychologically torment any person. A narcotic/ESD detection canine shall not be used for verification of suspected drugs. Such verification shall be performed in accordance with existing drug testing procedures. Requests for searches other than those conducted pursuant to this policy shall require prior approval from a Custody Division Bureau Commander. Canines may be used to assist staff in conducting searches for contraband, perimeter patrol, building searches, vehicle searches, and area searches. At no time may a canine be used to demean, punish, or psychologically torment an incarcerated person. Contact between canines and incarcerated persons should be minimal. Canines should not be used to search individuals unless trained to do so. Canines may be used for: • Searching incarcerated person housing units, including cells, during a housing unit search, as described in the Searches Policy. • Physical plant searches, as described in the Searches Policy. • Searching unoccupied intake/booking areas. • Searching unoccupied transportation vehicles before and after incarcerated person use. • Any other search-related use authorized by a supervisor. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-99 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines A Canine Team shall only be used to perform tasks for which it has been trained or certified. 515.3.1 REPORTING CANINE USE, BITES, AND INJURIES Wheneverthe use of the canine results in a bite or any injury a canine use report shall be completed and included with any related incident report. The injured party should receive required medical attention as soon as possible. Photographs should be taken of the bite or injury as soon as practicable after tending to the immediate needs of the injured party. Photographs shall be retained with the canine use report until the potential need for use in any related civil proceeding has expired. If a subject alleges an injury that is not visible, a supervisor shall be notified, and the location of the alleged injury should be photographed as described above. 515.4 SELECTING AND TRAINING CANINES A selection committee consisting of the Canine Handler, a supervisor, and an outside subject matter expert (in canine programs) shall select any canine to be used in the canine program. The committee shall consider the prospective canine's ability to detect contraband and its ability to work effectively in a custody environment. 515.4.1 TRAINING Before assignment in this facility, each Canine Team shall be trained and certified to meet the certification standards established by an approved and recognized canine association. The Canine Handler and the canine will be certified together as a team minimally in the field of narcotics and likely ESD detection by the International Police Canine Association (IPCA) or other recognized and approved certification organization. (If either the canine or the handler are replaced, a new team is formed and the new team needs to be certified.) Training Lieutenant/Training Coordinator Office 515.4.2 CONTINUED TRAINING The canine and handler shall be recertified as a team on an annual basis. (a) It is the responsibility of the Canine Handler to notify the supervising Sergeant at least two (2) months prior to the annual certification anniversary date. (b) If a narcotic/ESD detection team fails to certify or re-certify, the team shall undergo remedial training and re-testing. (c) If the evaluator determines the team to be unfit for certification, the canine shall be placed out of service until certification has been successfully completed. (d) Each Canine Team shall complete 16-hours of documented training monthly to maintain basic detection proficiency. Each Canine Handler is responsible for maintaining their canine at a level of proficiency sufficient to pass the annual evaluation. 1. All training shall be conducted while on duty. The Custody Division Canine Team(s)will participate in training with the Sheriff's Narcotic Detection Canines Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-100 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines as well as other law enforcement agency canine narcotic or ESD detection teams. 2. Any training performed within the jail facilities shall be approved in advance by the supervising sergeant (or in their absence, the Population Management Lieutenant). The on-duty Watch Commander shall be notified of any impending training session to take place within the jail. 515.4.3 FAILURE TO SUCCESSFULLY COMPLETE TRAINING Any Canine Team failing certification shall not be deployed until certification is achieved. Any Canine Team failing annual recertification shall be immediately removed from service. When practicable, pending successful recertification,the Canine Handler shall be temporarily reassigned to other duties. 515.4.4 TRAINING RECORDS The Canine Handler is responsible for maintaining accurate and complete training records. (a) The handler shall maintain a monthly training log. A copy of the training log shall be submitted to the supervising sergeant at the end of each month. A copy shall also be forwarded to the Training Unit for court presentation purposes. (b) If the canine handler fails to meet the 16-hour minimum, they are required to explain the circumstances to the supervising sergeant and document the reason on the training log. 515.5 SELECTION AND TRAINING FOR CANINE HANDLERS A Canine Handler is appointed by and shall serve in that assignment at the discretion of the Jail Operations Bureau Commander The position of Canine Handler is a special assignment that requires a specific set of skills, experience, training, and temperament, in addition to those of a line staff member. A Canine Handler shall: (a) Possess three years of experience as a correctional officer in the Fresno County Sheriffs Office. (b) Have achieved performance evaluations of satisfactory or better. (c) Have demonstrated ability to communicate well with incarcerated persons. (d) Demonstrated ability to perform ancillary tasks with a minimum of supervision. (e) Reside in an adequately fenced, single-family residence (e.g., minimum 5-foot-high fence with locking gates). (f) Have a garage that can be secured and will accommodate a canine unit. (g) Live within 30 minutes travel time from the Fresno limits. (h) Agree to be assigned to the position for a minimum of three years. (i) Be willing to devote time to the daily care and maintenance training of the canine. 0) Possess and maintain an excellent driving record. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-101 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines (k) Perform in an exemplary manner at all times. (1) Be willing to be "on call" and available to work with limited notice. Canine Handler candidates shall be screened by an interview board that may include a review of the candidate's Bureau File, Training File, Department Personnel File, driving history, attendance records, and other personnel-related items as deemed appropriate. The Canine Handler interview board shall consist of a minimum of two (2) Correctional Sergeants and one (1) Lieutenant. Jail Operations Bureau Commander The Canine Handler shall receive all necessary training with their canine before being utilized in this facility. All training records for canine handlers will be maintained by the Training Unit. 515.6 MEDICAL CARE OF THE CANINE All medical attention shall be rendered by the designated canine veterinarian, except during an emergency as provided in this policy. 515.6.1 NON-EMERGENCY MEDICAL CARE Non-emergency medical care will be coordinated through the canine program supervisor. Any indication that a canine is not in good physical condition shall be reported to the canine program supervisor as soon as practicable. All records of medical treatment shall be maintained in the Canine Handler's personnel file. 515.6.2 EMERGENCY MEDICAL CARE The handler shall notify the canine program supervisor as soon as reasonably practicable when emergency medical care for the canine is required. Depending on the severity of the injury or illness, the canine shall either be treated by the designated veterinarian or transported to a designated emergency medical facility for treatment. If the handler and dog are out of the area, the handler may use the nearest available veterinarian. 515.6.3 REPORTING CANINE INJURIES In the event that a canine is injured, the injury will be immediately reported to the canine program supervisor. The injury will be documented on the appropriate report form. 515.7 REQUESTS FOR ASSISTANCE FROM OTHER AGENCIES A Custody Division Bureau Commander must approve all requests for canine assistance from outside agencies, subject to the following provisions: (a) Canine Teams shall not be used to perform any assignment that is not consistent with this policy. (b) The handler has the ultimate authority to decide whether the canine will be used for any specific assignment. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-102 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines (c) Canine Teams should not be called into service when off-duty or used outside the jurisdiction of the Office, unless authorized by the canine program supervisor. (d) It shall be the responsibility of the Canine Handler to coordinate with outside agency personnel in order to minimize the risk of unintended injury. 515.8 REQUESTS FOR PUBLIC DEMONSTRATIONS All public requests for a canine team appearance shall be approved by the Jail Operations Bureau Commander prior to making any commitment. Handlers shall not demonstrate any canine activities to the public unless authorized to do so by the canine program supervisor or the authorized designee. 515.9 CANINE HANDLER RESPONSIBILITIES 515.9.1 AVAILABILITY The handler shall be available for call-out under conditions specified by the canine program supervisor. 515.9.2 CARE FOR THE CANINE AND EQUIPMENT The Canine Handler shall be responsible for the health and welfare of the canine and shall ensure that the canine receives proper nutrition, grooming, training, medical care, attention, and living conditions. In addition, the handler will be responsible for: (a) Ensuring the canine is not exposed to any foreseeable and unreasonable risk of harm, unless required by a particular application. (b) Maintaining all Office-issued equipment under their control in a clean and serviceable condition. (c) Permitting the canine program supervisor to conduct spontaneous on-site inspections of any area of the residence that is used for the canine. (d) Reporting any changes in the living status of the handler that may affect the lodging or environment of the canine to the canine program supervisor as soon as possible. (e) Keeping the canine in a kennel provided by the Office when off-duty and at the home of the handler. When a canine is kenneled at the handler's home, the gate shall be secured with a lock. When off-duty, the canine may be let out of the kennel while under the direct control of the handler. (f) Permitting the canine to socialize in the home with the handler's family under the direct supervision of the handler. (g) Ensuring that under no circumstances will the canine be lodged at another location unless approved by the canine program supervisor. (h) Involving the canine in any activity or conduct when off-duty only with approval in advance by the canine program supervisor. (i) Notifying the canine program supervisor whenever the canine handler anticipates taking a vacation or an extended number of days off and it may be necessary to Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-103 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines temporarily relocate the canine. In those situations, the handler shall give reasonable notice to the supervisor so that appropriate arrangements can be made. Q) Maintaining a daily record that contains the training, care of the dog, and significant events, such as public appearances, and when the canine is utilized for searches. 515.9.3 CANINE EQUIPMENT AND UNIFORM REQUIREMENTS (a) All food, cleaning supplies, and items necessary for home care of the canine shall be provided by the Sheriff's Office and maintained at the Canine Handler's residence. (b) It shall be the responsibility of the Canine Handler to maintain all required and issued equipment in good repair and bring all applicable equipment to duty and training sessions. [Refer to Addendum A for a list of issued equipment.] (c) The Canine Handler shall be issued one(1)canine-equipped unmarked transportation vehicle (to be serviced and repaired by Fleet Services). The Canine Handler must conform to all rules and regulations pertaining to take-home vehicles. 1. The issued vehicle shall be operated under the provisions of Sheriff's Office Policies and Procedures Chapter 7: Vehicle Use. 2. The Canine Handler shall be responsible to have the vehicle serviced when due, and for ensuring the cleanliness of the vehicle per the provisions of Sheriff's Office Policies and Procedures Chapter 7: Vehicle Use. (d) A kennel will be provided by the Sheriff's Office and installed at the Canine Handler's residence. 1. When off-duty, the canine shall be maintained in the kennel and the kennel gate shall be secured with a lock. 2. The Canine Handler shall clean the kennel daily. (e) The Canine Handler may wear the Class C uniform during regular duty and all training sessions, or as otherwise directed by the Jail Operations Bureau Commander. (f) Upon final separation from the team, the Canine Handler shall personally return all issued equipment to the supervising sergeant. 515.9.4 ON-CALL STATUS (a) The Canine Handler shall serve in an on-call status. In order to remain readily accessible at all times, the Canine Handler is required to provide a contact number for notifications that require an immediate response. (b) The Canine Handler is subject to call out, unless otherwise excused. The Canine Handler is responsible to notify their supervising sergeant and will be excused under the following circumstances: 1. Scheduled vacation. 2. Out of town (or otherwise unavailable to immediately respond). 3. Under the influence of any alcoholic beverage. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-104 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines 4. Use of over-the-counter or prescription medication that may have an adverse effect on performance. (c) Requests for off-duty narcotic/ESD detection canine team assistance for the purpose of conducting a narcotic/ESD search shall be forwarded through the Watch Commander. All activations require the approval of a Custody Division Bureau Commander 515.9.5 CANINES IN PUBLIC AREAS All canines shall be kept on a leash when in areas that allow access to the public. Exceptions would include specific operations for which the canines are trained. If a canine unit is left unattended, all windows and doors shall be secured in such a manner as to prevent unauthorized access to the dog. The handler shall also ensure that an unattended unit remains habitable for the canine. 515.9.6 HANDLER COMPENSATION The Canine Handler shall be compensated for time spent in the care,feeding, grooming, and other needs of the canine in accordance with the Fair Labor Standards Act, and according to the terms of the collective bargaining agreement or memorandum of understanding (29 USC § 207). 515.9.7 TRANSPORTATION OF CANINE (a) While conducting Sheriff's Office business, the canine shall be transported in an unmarked canine vehicle. (b) While off-duty and with prior authorization from the supervising sergeant, the Canine Handler may transport the canine to official departmental appointments in any vehicle which provides adequate protection for the canine and the public. (c) The Canine Handler shall not leave or confine the canine in any unattended motor vehicle under conditions that endanger the health orwell-being of a canine due to heat, cold, lack of adequate ventilation, or lack of food or water, or other circumstances that could reasonably be expected to cause suffering, disability, or death to the canine. 515.10 CONTROLLED SUBSTANCE TRAINING AIDS Controlled substance training aids are required to effectively train and maintain drug-detecting dogs. Further, controlled substances can be an effective training aid during training sessions for facility personnel and the public. Correctional officers acting in the performance of their official duties may possess or transfer controlled substances for the purpose of narcotics-detection canine training in compliance with state and federal laws and in compliance with applicable state requirements (21 USC § 823(g); Health and Safety Code § 11367.5). Only approved training aids provided by the canine program supervisor may be used to train the dog. The Canine Handler shall maintain accurate records of controlled substances provided for training purposes and shall promptly report any loss or destruction of controlled substance training aids to the canine program supervisor. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-105 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines When not in use as training aids, the controlled substances shall be secured in storage that is only accessible by aCanine Handler and the program supervisor. 515.11 CANINE PROGRAM SUPERVISOR RESPONSIBILITIES The canine program supervisor shall be selected according to policy. The canine program supervisor's responsibilities include but are not limited to: (a) Perform spontaneous inspections of the canine, canine vehicle, canine's living conditions, and other related equipment at least once each year. Verify the health of the canine and condition and serviceability of all issued equipment. (b) Maintain a folder containing all pertinent information for the canine. The following files are to be contained in the folder: 1. Acquisition documents 2. Certification and specialized training courses completed 3. Monthly training logs 4. Annual inspection records 5. Veterinarian service reports and vaccination records 6. Photo of the canine 7. Handler records (c) Ensure all canine medical, training, and certification records are current. (d) Maintain statistical data (e.g., number of searches performed, number of call-outs, amount of illegal drugs and ESD's confiscated, etc.). Submit a quarterly report to the Population Management Lieutenant. (e) Maintain a liaison with the Patrol Division K-9 Unit coordinator. 515.12 CANINE OWNERSHIP The Fresno County Sheriff's Office owns all canines and canine equipment assigned to members of the Fresno County Sheriffs Office. Canines shall not be permitted to engage in any of the following activities without the approval of the Jail Operations Bureau Commander: (a) To perform breeding services. (b) To participate or be entered into any show, competition, or trial. (c) To participate in a parade, celebration, or advocacy event. (d) To perform public demonstrations of the canine's skills and ability. 515.13 RETIREMENT OF CANINE In the event a canine becomes unfit for law enforcement service (for whatever reason), the canine shall be retired. The determination to retire the canine shall be based on input from the Canine Handler, the supervising sergeant, Population Management Lieutenant, Jail Operations Bureau Commander, and the veterinarian. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-106 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Canines The last assigned handler will normally be given the opportunity to keep the canine. In the event the Canine Handler does not wish to keep the canine, a determination shall be made by the Jail Operations Bureau Commander with input from the supervising sergeant regarding the most appropriate disposition of the canine (e.g., award to another qualified person, donate to an allied agency, euthanasia). Anyone assuming ownership of a retired canine must sign a release of liability. The document shall state that he/she understands the risks associated with the ownership of a retired canine, and that Fresno County and the Fresno County Sheriff's Office are released from any liability resulting from ownership of the canine. 515.14 DEATH OF CANINE If the Custody Division canine becomes so ill or injured that a veterinarian recommends the canine be euthanized, the Canine Handler shall: (a) Notify the supervising Sergeant. (b) Obtain a written diagnosis of the canine's condition from the recommending veterinarian. Upon approval to euthanize the canine, all final documentation shall be forwarded to the Jail Operations Bureau Commander. Whenever a canine dies due to unusual or unknown circumstances, the Jail Operations Bureau Commander may have a necropsy of the canine performed by a veterinarian and the results shall be forwarded to the Bureau Commander. 515.15 REFERENCE See the following for further guidance: CANINE PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-107 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 516 Custody Policy Manual Reporting In-Custody Deaths 516.1 PURPOSE AND SCOPE This policy provides direction for notifications, reporting, and review of in-custody deaths (15 CCR 1046). 516.1.1 DEFINITIONS Definitions related to this policy include: In-custody death - The death of any person, for whatever reason (natural, suicide, homicide, accident), who is in the process of being booked or is incarcerated or under supervision at any facility of this Office (Penal Code § 832.10). 516.2 POLICY It is the policy of this Office to follow state and local guidelines regarding notifications and reporting in-custody deaths. 516.3 MANDATORY REPORTING All in-custody deaths shall be reported within 10 days of the death to the state Attorney General's office with a copy sent to the Board of State and Community Corrections (BSCC), in accordance with reporting guidelines and statutory requirements.Any change or new information that becomes available after the initial reporting to the Attorney General shall be updated to the report and provided to the Attorney General within 10 days of the date of change or the date the new information becomes available (Government Code § 12525; 15 CCR 1047). If the decedent is a boarder for another agency, the Jail Operations Bureau Commander shall notify that agency so that agency will assume responsibility for the notification of the decedent's family. Pursuant to Article 37 of the Vienna Convention on Consular Relations 1963, in the case of the death of a foreign national, telephonic notification to the appropriate consulate post should be made without unreasonable delay and confirmatory written notification shall be made within 72 hours of the death to the appropriate consulate post.The notification shall include the incarcerated person's name, identification number, date and time of death, and the attending physician's name. In the event that a juvenile dies while in custody, the Jail Operations Bureau Commander or the authorized designee shall notify the court of jurisdiction and the juvenile offender's parent or guardian. BSCC may inspect and evaluate the jail or court holding facility pursuant to the provisions of 15 CCR 1047 within 30 calendar days of the death. Any inquiry made by the Board shall be limited to the standards and requirements set forth in 15 CCR 1047(15 CCR 1047). A copy of the initial review report for every in-custody death provided to the state Attorney General's office shall be submitted to the Board of State and Community Corrections (BSCC) within 10 days of the death, and contain the information required by 15 CCR 1046 and comport Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Reporting In-Custody Deaths-108 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Reporting In-Custody Deaths with the disclosure requirements of Penal Code § 832.10 (public disclosure of records) (15 CCR 1046). The initial review report shall contain the following information: 1. Demographic information (a) Full name of the decedent (b) Date of birth (c) Date of death (d) Time of death (e) Gender (f) Race and ethnicity (g) Relevant medical history 2. Facility Information (a) Name and location of the detention facility (b) Description of the location where the death occurred within the facility (c) Date and time of the incident (d) Detention facility personnel (including names and roles)involved in the reporting of the death or incident 3. Any relevant circumstances leading up to death, including behavioral health or medical issues. 516.4 PROCEDURE Upon determining that a death of any person has occurred while in the custody of this Office, the Watch Commander is responsible for ensuring that the Sheriff and all appropriate investigative authorities, including the Coroner, are notified without delay and all written reports are completed. The Watch Commander shall also promptly notify the Jail Operations Bureau Commander and make any other notifications required by policy or direction. The Jail Operations Bureau Commander shall observe all pertinent laws and allow appropriate investigating agencies full access to all facts surrounding the death. The Office shall establish policies and procedures for the investigation of any in-custody death. An autopsy shall be performed for all incarcerated person deaths, except for where the cause of death can be conclusively determined from the facts known before the death. The decedent's personal belongings shall be disposed of in a responsible and legal manner. All property and records shall be retained according to established records retention schedules. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Reporting In-Custody Deaths-109 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Reporting In-Custody Deaths The Coroner shall be responsible for the notification of the decedent's family or friend, regardless if the death occurs in the facility or at the hospital. The individual designated by the decedent shall be notified of all pertinent information as required by law. During an investigation, all inquiries regarding the death shall be referred to the Public Information Officer. Correctional officers shall not make a public comment. 1 Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), I.N.3. 516.5 IN-CUSTODY DEATH REVIEW (MORTALITY REVIEW) The Sheriff is responsible for establishing a multi-disciplinary team of qualified staff to conduct an administrative review of every in-custody death. At a minimum, the review team shall include the facility administrator or designee, the health administrator, the responsible physician, and other health care, and supervision staff who are relevant to the incident. (15 CCR 1046; 15 CCR 1030) The in-custody death review should be initiated as soon as practicable, and a written report shall be completed within 30 days of the death. The team should review the appropriateness of clinical care, determine whether changes to policies, procedures, or practices are warranted, and identify issues that require further study (15 CCR 1046).t 1 Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), I.N.1-2. 516.5.1 BOARD OF STATE AND COMMUNITY CORRECTIONS IN-CUSTODY DEATH REVIEW RECOMMENDATIONS The Sheriff or the authorized designee shall review the BSCC recommendations within 90 days of receipt, following the BSCC review of an in-custody death. In a written response to the BSCC, the Sheriff or the authorized designee shall (Penal Code § 6034): (a) Identify the recommendations that the Office will implement and the anticipated cost and timeline of implementation. (b) Identify the recommendations that the Office cannot or will not implement and provide an explanation. The Office shall make the recommendations and responses available to the public with appropriate redactions as permitted by law (Penal Code § 6034). 516.6 RECORD RELEASE REQUIREMENTS Records subject to public disclosure that are related to an in-custody death investigation shall be made available for public inspection at the earliest time possible or no later than 45 days from the date of a request, unless the record is subject to delayed release, redaction, or other release restrictions as provided by law (Penal Code § 832.10). The PRA (Public Records Act) Sergeant should work with the Sheriff or the authorized designee in determining what records exist and whether the records are subject to delay from disclosure, redaction, or other release restrictions. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Reporting In-Custody Deaths-1 1 O Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Reporting In-Custody Deaths 516.6.1 DELAY OF RELEASE Disclosure of in-custody death records during active criminal or administrative investigations may be delayed as follows (Penal Code § 832.10): (a) Disclosure may be delayed up to 60 days from the date the death occurred or until the Office is informed of the district attorney's charging decision, whichever is first. (b) The Office may continue to delay the disclosure of records after 60 days from the in-custody death if the disclosure could reasonably be expected to interfere with a criminal enforcement proceeding against any person. (c) If criminal charges are filed related to the death, disclosure may be delayed until the court case reaches final disposition. (d) During an administrative investigation, disclosure may be delayed until the Office determines whether a policy or law was violated related to the death. The Office shall provide the records when the investigation or proceedings are no longer active or no later than 18 months after the death, whichever is first. 516.6.2 NOTICE OF DELAY OF RELEASE The PRA Sergeant shall provide written notice to the requester as follows when delaying the disclosure of records (Penal Code § 832.10): (a) During the initial 60 days, the PRA Sergeant shall provide the requester with the specific basis for the determination that the interest in delaying disclosure clearly outweighs the public interest in disclosure and include the estimated date for the disclosure. (b) When delay is continued after 60 days, the PRA Sergeant shall provide the requester, at 180-day intervals as necessary, with the specific basis for the determination that the disclosure could reasonably be expected to interfere with a criminal enforcement proceeding and include the estimated date for the disclosure. 516.6.3 REDACTION The Office is authorized to redact records for the following reasons (Penal Code § 832.10): (a) To remove personal data or information, such as a home address, telephone number, or identities of family members, other than people's names and work-related information. (b) To preserve the anonymity of whistleblowers, complainants, victims, and witnesses. (c) To protect confidential medical, financial, or other information of which disclosure is specifically prohibited by federal law or would cause an unwarranted invasion of personal privacy that clearly outweighs the strong public interest in records about possible misconduct. (d) Where there is a specific, articulable, and particularized reason to believe that disclosure of the record would pose a significant danger to the physical safety of any person. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Reporting In-Custody Deaths-111 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Reporting In-Custody Deaths Additionally, the Office may redact a record, including personal identifying information, where, on the facts of the particular case, the public's interest in the nondisclosure of information is clearly outweighed by the disclosure of information (Penal Code § 832.10). 516.7 IN-CUSTODY DEATH PUBLICATION The Sheriff or the authorized designee should ensure that all specified information relating to the in-custody death is posted on the Office's website as prescribed and within the time frames provided in Penal Code § 10008. 516.8 PROCEDURES See the following procedure for further guidance: REPORTING IN-CUSTODY DEATH PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Reporting In-Custody Deaths-112 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 518 Custody Policy Manual Transportation of Incarcerated Persons Outside the Secure Facility 518.1 PURPOSE AND SCOPE The purpose of this policy is to establish guidelines for the transportation of incarcerated persons outside the facilities and to ensure that the staff assigned to transportation duties are qualified and adequately trained. 518.2 POLICY It is the policy of the Fresno County Sheriff's Office to provide safe, secure, and humane transportation for all incarcerated persons and other persons as required by law. This Office shall transfer all incarcerated persons from the jail to the place of imprisonment pursuant to the sentence of the court as soon as practicable after the sentence, in accordance with all laws relating to the transfer of incarcerated persons and costs related to transfers to facilities and jurisdictions. 518.3 PROCEDURES Only staff members who have completed Office-approved training on incarcerated person transportation should be assigned incarcerated person transportation duty.All staff members who operate transportation vehicles shall hold a valid license for the type of vehicle being operated. Any member who transports an incarcerated person outside the secure confines of these facilities is responsible for: (a) Obtaining all necessary paperwork for the incarcerated person being transported (e.g., medical/dental records, commitment documents). (b) Ensuring that all incarcerated persons are thoroughly searched and appropriate restraints are properly applied. 1. Incarcerated persons who are known to be pregnant will not be handcuffed behind their backs or placed in waist restraints while being transported (see the Use of Restraints Policy). 2. Incarcerated persons who are transported to a hospital for the purpose of childbirth shall be transported in the least restrictive way possible and in accordance with Penal Code § 3407. The incarcerated person shall not be shackled to anyone else during transport (see the Use of Restraints Policy) (Penal Code § 4023.8(I)). (c) Ensuring that all vehicle security devices (e.g.,window bars, inside cages, door locks) are in good repair and are operational. (d) Thoroughly searching the transporting vehicle for contraband before any incarcerated person is placed inside, and again after removing the person from the transporting vehicle. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Transportation of Incarcerated Persons Published with permission by Fresno County Sheriff's Office Outside the Secure Facility-113 Fresno County Sheriff's Office Custody Policy Manual Transportation of Incarcerated Persons Outside the Secure Facility 518.4 TRAINING The Training Unit shall ensure that all employees charged with incarcerated person transportation duties receive training appropriate for the assignment. Documentation of all training presented shall be retained in the employee's training file in accordance with established records retention schedules. 518.5 REFERENCE See the following for further guidance: Chapter 5: Use of Restraints TRANSPORTATION OF INCARCERATED PERSONS OUTSIDE THE SECURE FACILITY Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Transportation of Incarcerated Persons Published with permission by Fresno County Sheriff's Office Outside the Secure Facility-114 Policy Fresno County Sheriff's Office • Custody Policy Manual Safety and Sobering Cells 519.1 PURPOSE AND SCOPE This policy establishes the requirement for placing incarcerated persons into and the continued placement of incarcerated persons in safety cells or sobering cells. Incarcerated people shall not be housed in safety cells for medical reasonst. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), I.D.6. 519.1.1 DEFINITIONS Definitions related to this policy include: Safety cell -An enhanced protective housing designed to minimize the risk of injury or destruction of property used for incarcerated persons who display behavior that reveals intent to cause physical harm to themselves or others or to destroy property. Sobering cell - A holding cell designed to minimize the risk of injury by falling or dangerous behavior. It is used as an initial sobering place for arrestees or incarcerated persons who are a threat to their own safety or the safety of others as a result of being intoxicated from any substance, and who require a protected environment to prevent injury or victimization by other incarcerated persons. 519.2 POLICY These facilities will employ the use of safety and sobering cells to protect incarcerated persons from injury or to prevent the destruction of property by an incarcerated person in accordance with applicable law. A sobering or safety cell shall not be used as punishment or as a substitute for treatment. 519.3 SAFETY CELL PROCEDURES The following guidelines apply when placing any incarcerated person in a safety cell (15 CCR 1055): (a) Placement of an incarcerated person into a safety cell requires approval of the Watch Commander. (b) A safety cell entry shall be initiated every time an incarcerated person is placed into the safety cell and a record should be maintained for the entire time the incarcerated person is housed in the cell. Records will be retained in accordance with established Office retention schedules. (c) A safety check consisting of direct visual observation that is sufficient to assess the incarcerated person's well-being and behavior shall occur twice every 30 minutes with no more than a 15-minute lapse between safety checks. Each safety check of the incarcerated person shall be documented. (d) Incarcerated persons should be permitted to be normally clothed with one jumpsuit, one pair of socks, and one pair of underwear, except in cases where the incarcerated Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Safety and Sobering Cells-1 1 5 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Safety and Sobering Cells person has demonstrated that clothing articles may pose a risk to the incarcerated person's safety or the facility. Such incarcerated people shall be provided with a"safety garment" to provide for their personal privacy and safety. In these cases, the reasons for not providing clothing shall be documented on the safety cell incident report. The Facility Sergeant shall review the status of any partially clothed incarcerated person every four hours and provide the incarcerated person with any appropriate additional clothing items, at such time as the Watch Commander deems it safe to do so, based on incarcerated person behavior. The review shall be documented. (e) Incarcerated persons in safety cells shall be given the opportunity to have fluids at least hourly. Correctional officers shall provide the fluids in disposable cups. The incarcerated persons shall be given sufficient time to drink the fluids prior to the cup being removed. Each time an incarcerated person is provided the opportunity to drink fluids will be documented. (f) Incarcerated persons will be provided meals during each meal period. Meals will be served in disposable containers, and the incarcerated persons will be monitored while eating the meals. Incarcerated persons shall be given ample time to complete their meals prior to items being removed. All meals provided to incarcerated persons in safety cells will be documented on the safety cell log. (g) The Facility Sergeant shall review the appropriateness for continued retention in the safety cell at least every four hours. The reason for continued retention or removal from the safety cell shall be documented. (h) A medical assessment of the incarcerated person in the safety cell shall occur as soon as possible, but not more than 2 hours from the time of placement. The person shall be medically cleared for continued assessment, referral to advanced treatment, or removed from the safety cell a minimum of 24 hours thereafter. Medical assessments shall be documented. (i) A mental health assessment, performed by any qualified mental health staff, for placement and retention shall be conducted as soon as possible, but not more than 4 hours from an incarcerated person's placement. The mental health professional's recommendations shall be documented. It is the intention of this policy that incarcerated persons should be removed from the safety cell as soon as it is safe to do so, and nothing shall preclude correctional, medical, or mental health staff from recommending removal prior to that time. All incarcerated persons held in a safety cell shall maintain the same general rights as provided to incarcerated persons in general population, as is consistent with the safety and security of incarcerated persons, staff, and the public. Any deprivation of these rights shall require the prior approval of the Watch Commander and thereafter documentation forwarded to the Jail Operations Bureau Commander indicating the legitimate governmental purpose served by the deprivation. Any deprivation of rights must be weighed against the necessity for reasonable security of the institution and protection of the public. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Safety and Sobering Cells-1 1 6 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Safety and Sobering Cells 519.4 SOBERING CELL PROCEDURES The following guidelines apply when temporarily placing any incarcerated person in a sobering cell (15 CCR 1056): (a) A sobering cell entry shall be initiated every time an incarcerated person is placed into a sobering cell. A digital log via the Spartan device shall be maintained for the entire time the incarcerated person is housed in the cell. Cell logs will be retained in accordance with established Office retention schedules. (b) A safety check consisting of direct visual observation that is sufficient to assess the incarcerated person's well-being and behavior shall occur at least twice every 30 minutes on an irregular schedule. Each visual observation of the incarcerated person by staff shall be documented. If an incarcerated person is held in a sobering unit for more than six hours, they shall receive a documented medical examination by a medical staff member to determine whether the incarcerated person has an urgent medical problem. (c) Qualified health care professionals shall assess the medical condition of the incarcerated person in the sobering cell at least every six hours. Only incarcerated persons who continue to need the protective housing of a sobering cell will continue to be detained in such housing. (d) Incarcerated persons will be removed from the sobering cell when they no longer pose a threat to their own safety and the safety of others and are able to continue the booking process. (e) Incarcerated persons will be detained in separate sobering cells based on the individuals' actual or perceived gender identity or gender expression. (f) If a releasable intoxicated incarcerated person is held in custody for more than six hours, a sack lunch shall be provided. 519.5 REFERENCE See the following for further guidance: SAFETY AND SOBERING CELLS PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Safety and Sobering Cells-1 1 7 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 520 Custody Policy Manual Biological Samples 520.1 PURPOSE AND SCOPE This policy provides guidelines for the collection of biological samples from those incarcerated persons required to provide samples upon conviction and/or arrest for certain offenses. This policy does not apply to biological samples collected at a crime scene or taken from a person in conjunction with a criminal investigation. Nor does it apply to biological samples collected from those required to register, for example, as sex offenders. 520.2 POLICY The Fresno County Sheriff's Office will assist in the expeditious collection of required biological samples from arrestees and offenders in accordance with the laws of this state and with as little reliance on force as practicable. 520.3 PERSONS SUBJECT TO BIOLOGICAL SAMPLE COLLECTION It is the policy of the Fresno County Sheriff's Office Custody Division to obtain buccal swab samples, right thumbprints, and a full palm print impression of each hand and blood specimens or other biological samples required from qualified offenders pursuant to Section 296 of the California Penal Code. It is the policy of the Fresno County Sheriff's Office Custody Division to ensure that the requisite samples, specimens, and print impressions must be collected promptly or as soon as administratively practicable after arrest (e.g., during booking), conviction or adjudication, and in any event prior to release on bail or any physical release from confinement or custody. Incarcerated persons must submit a biological sample (Penal Code § 296: Penal Code § 296.1): (a) Upon conviction or other adjudication of any felony offense. (b) Upon conviction or other adjudication of any offense if the person has a prior felony on record. (c) When arrested or charged with any felony. 520.4 PROCEDURE When an incarcerated person is required to provide a biological sample, a trained employee shall attempt to obtain the sample in accordance with this policy. 520.4.1 COLLECTION The following steps should be taken to collect a sample: (a) Verify that the incarcerated person is required to provide a sample pursuant to Penal Code § 296 and Penal Code § 296.1. (b) Verify that a biological sample has not been previously collected from the offender by querying the individual's criminal history record for a DNA collection flag or, during regular business hours, calling the California Department of Justice (DOJ) designated Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Biological Samples- 1 1 8 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Biological Samples DNA laboratory. There is no need to obtain a biological sample if one has been previously obtained. (c) Use the designated collection kit provided by the California DOJ to perform the collection and take steps to avoid cross contamination. 520.4.2 SUBMISSION OF SPECIMENS AND PRINT IMPRESSIONS The Identification Unit shall be responsible for properly packaging, labeling, and mailing the collected samples. (The Buccal DNA Collection kits do not need to be refrigerated.) The Buccal DNA Collection Kit will be mailed to: State of California Department of Justice DNA Data Bank Program 1001 W. Cutting Blvd., Suite 110 Richmond, CA 94804-2028 520.5 CALCULATED USE OF FORCE TO OBTAIN SAMPLES If an incarcerated person refuses to cooperate with the sample collection process, correctional officers should attempt to identify the reason for refusal and seek voluntary compliance without resorting to using force. Force will not be used in the collection of samples except as authorized by court order or approval of legal counsel and only with the approval of the Watch Commander. Methods to consider when seeking voluntary compliance include contacting: (a) The incarcerated person's parole or probation officer when applicable. (b) The prosecuting attorney to seek additional charges against the incarcerated person for failure to comply or to otherwise bring the refusal before a judge. (c) The judge at the incarcerated person's next court appearance. (d) The incarcerated person's attorney. (e) A chaplain. (f) A supervisor who may be able to authorize disciplinary actions to compel compliance, if any such actions are available. The Watch Commander shall review and approve any calculated use of force. The supervisor shall be present to supervise and document the calculated use of force. 520.5.1 VIDEO RECORDING A video recording should be made any time force is used to obtain a biological sample. The recording should document all staff participating in the process, in addition to the methods and all force used during the collection. The recording should be part of the investigation file, if any, or otherwise retained in accordance with the Office's established records retention schedule. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Biological Samples- 1 1 9 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Biological Samples If the use of force includes a cell extraction, the extraction shall also be video recorded, including audio. The video recording shall be retained by the facility in accordance with established records retention schedules. Notwithstanding the use of the video as evidence in a criminal proceeding, the tape shall be retained by the jail administration (15 CCR 1059). 520.6 LEGAL MANDATES AND RELEVANT LAWS California law provides for the following: 520.6.1 DOCUMENTATION RELATED TO FORCE The Watch Commander or the authorized designee on-duty shall prepare prior written authorization for the use of any force (15 CCR 1059). The written authorization shall include information that the subject was asked to provide the requisite sample and refused, as well as any related court order authorizing the force. 520.6.2 BLOOD SAMPLES A blood sample should only be obtained under this policy when: (a) The California DOJ requests a blood sample and the subject consents, or (b) A court orders a blood sample following a refusal. The withdrawal of blood may only be performed in a medically approved manner by health care providers trained and qualified to draw blood. A California DOJ collection kit shall be used for this purpose (Penal Code § 298(a); Penal Code § 298(b)(2)). 520.6.3 STATE MANDATES Correctional officers shall document their efforts to secure voluntary compliance and include an advisement of the legal obligation to provide the requisite specimen, sample, or impression, and the consequences of refusal (15 CCR 1059). 520.7 REFERENCE See the following for further guidance: BIOLOGICAL SAMPLES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Biological Samples- 120 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 522 Custody Policy Manual Delayed and Inadvertent Releases 522.1 PURPOSE AND SCOPE This policy is intended to provide guidance to staff and management to prevent and address delayed or inadvertent release. 522.1.1 DEFINITIONS Definitions related to this policy include: Inadvertent release -Any instance of an incarcerated person being mistakenly released. Delayed release-Any instance of an incarcerated person being mistakenly detained beyond their scheduled release date. 522.2 POLICY It is the policy of this Office to reasonably ensure that delayed and inadvertent releases do not occu r. 522.3 DELAYED RELEASE Any custody member who discovers or receives information of a delayed release, or a complaint from an incarcerated person regarding a delayed release (which could be discovered through a grievance), should immediately notify the Jail Records Unit, who will notify the Watch Commander (see the Grievances Policy). The Watch Commander should direct the Jail Records Unit to immediately conduct an investigation to determine the correct release date of the incarcerated person and to report the findings to the Watch Commander. Incarcerated persons who are found to be delayed release shall be processed for immediate release in accordance with the End of Term Release Policy. The Watch Commander shall ensure that the Jail Operations Bureau Commander is notified and that a report is completed. 522.4 INADVERTENT RELEASE Whenever an inadvertent release is discovered, the custody member making the discovery shall immediately notify the Watch Commander. The notification shall be documented. 522.4.1 INADVERTENT RELEASE INVESTIGATION The Watch Commander should direct the Jail Records Unit to immediately conduct an investigation to determine the cause of the inadvertent release. The Watch Commander will coordinate a response based upon the seriousness of the threat the incarcerated person may pose to the community. The threat assessment should be based upon the person's criminal history and the reason the person is currently in custody,among other factors. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Delayed and Inadvertent Releases-121 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Delayed and Inadvertent Releases In the case of an inadvertent release, the Watch Commander should immediately notify the Jail Operations Bureau Commander and ensure a report is completed. The Jail Operations Bureau Commander should notify the Sheriff or authorized designee. An appropriate evaluation of the circumstances shall be made to determine whether the inadvertent release should be classified as an escape. 522.4.2 RETURNING THE INCARCERATED PERSON TO CUSTODY When the incarcerated person is located and returned to the facilities, the appropriate notifications should be made as soon as possible. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Delayed and Inadvertent Releases-122 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 524 Custody Policy Manual Federal Court Release 524.1 PURPOSE AND SCOPE The purpose of this policy is to ensure that each incarcerated person in custody who is assigned to a housing unit in any Fresno County Jail Facility is provided with a bed. No incarcerated person shall be required to sleep on the floor in any housing unit, with or without a mattress. 524.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division that in order to prevent incarcerated people from sleeping on the floor, the Sheriff of Fresno County, or authorized designee, is authorized to release incarcerated persons from the Fresno County Jail System or refuse to accept new arrestees for booking into the Fresno County Jail System whenever the Fresno County Jail System, or any facility therein, or any specific housing unit therein, reaches ninety percent(90%) of capacityt. The Sheriff, or authorized designee, shall release incarcerated people or refuse to accept new arrestees when the total population of the Fresno County Jail System, or any facility therein, or any housing unit therein, reaches one hundred percent (100%) of capacity. For purpose of this policy, "capacity" is defined as actual staffed capacity. tCruz v. County of Fresno, (Case No. 1:93-cv-05070-JFM (E.D.Cal. Feb.23, 1994)and Stipulated Modification re Jail Capacity (Case No. 1:93-cv-05070-MCE (E.D. Cal. Feb. 13, 2012)) It is the policy of the Fresno County Sheriff's Office Jail Division that the following Incarcerated Person Population Caps shall be established and maintained: Main Jail North Annex West Annex Maximum Capacity 1064 1696 300 90% Release Capacity 958 1526 270 524.3 DAILY INCARCERATED PERSON POPULATION CAP EVALUATION Population Management Officers are assigned to continuously evaluate the incarcerated person population of each facility as it relates to the incarcerated person population caps established in this policy. In the event the incarcerated person population exceeds the incarcerated person population cap, a Population Management Officer shall determine the areas of the facility where incarcerated person population reduction or relocation is necessary in order to provide each incarcerated person with a bed. (a) To the fullest extent possible, the incarcerated persons in overcrowded cells shall be relocated into cells within their same classification containing vacant bed space. (b) If overcrowding exists after all possible incarcerated person relocation is accomplished, the release of those incarcerated persons from custody who are housed in overcrowded areas shall be implemented as outlined in this policy. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Federal Court Release-123 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Court Release The release of incarcerated persons shall be based upon the population reduction needs of those specific housing units which exceed the incarcerated person population cap. In the event there is chronic overcrowding, the Sheriff may initiate certain incarcerated person release criteria in this policy which shall be applied at the time of booking. 524.4 INCARCERATED PERSON RELEASE CRITERIA The following criteria shall be used to select incarcerated people eligible for release and is listed below in the order of preference. Each category should be considered based on the descending order of the length of stay (i.e., incarcerated persons who have been in custody the longest should be considered for release first). (a) Unconvicted and/or unsentenced incarcerated persons charged with misdemeanor State crimes, regardless of the bail amount. 1. FCR1: Unsentenced misdemeanor crimes against property(open charge) 2. FCR2: Unsentenced misdemeanor crimes against property (warrant/ bench warrant charge), and all unsentenced civil/contempt charges (remand order, warrant/bench warrant) 3. FCR3: Unsentenced misdemeanor crimes against persons(open charge) 4. FCR4: Unsentenced misdemeanor crimes against persons(warrant/ bench warrant charge) (b) Sentenced misdemeanor incarcerated people on State charges (which should be considered in the descending order of percentage of total sentence served). 1. FCR5: Sentenced misdemeanor charges in the following order: (a) Incarcerated people sentenced for crimes against property or civil commitments. (b) Incarcerated people sentenced for crimes against persons. (c) Sentenced felony incarcerated people serving county time (which should be considered in the descending order of percentage of total sentence served). 1. FCR6: Sentenced felony charges in the following order: (a) Incarcerated people sentenced for crimes against property. (b) Incarcerated people sentenced for crimes against persons. (d) Unconvicted and/or unsentenced incarcerated persons charged with felony State crimes, regardless of the bail amount. Includes incarcerated persons who have plead guilty or otherwise been convicted of State crimes who are awaiting sentencing. 1. FCR7: Unsentenced felony charges in the following order: (a) Incarcerated persons charged with crimes against property. (b) Incarcerated persons charged with crimes against persons. (e) State Parole violators(PC 3056, PC 3000.08)serving 180 days or less in local custody. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Federal Court Release-124 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Court Release 1. FCR8: PC 3000.08 - State Parole violations in the following order: (a) State Parole Holds. 1. Violators without open criminal charges (pending revocation hearing). 2. Violators with misdemeanor criminal charges (pending revocation hearing and/or court disposition). 3. Violators with felony criminal charges (pending revocation hearing and/or court disposition) in the following order: (a) Incarcerated persons charged with crimes against property. (b) Incarcerated persons charged with crimes against persons (non-PC 667.5 offenses). (b) State Parole warrants. 1. Without open criminal charges (pending revocation hearing). 2. With misdemeanor criminal charges (pending revocation hearing and/or court disposition). 3. With felony criminal charges (pending revocation hearing and/or court disposition) in the following order: (a) Incarcerated persons charged with crimes against property. (b) Incarcerated persons charged with crimes against persons (non-PC 667.5 offenses). (c) Flash Incarcerations (PC 3000.08(e)). (d) PC 3000.08/3056 violators serving 180 days or less in local custody(post revocation hearing). (e) PC 3000.08/3056 violators serving 180 days or less in local custody for the parole violation, who also have criminal charges pending or are doing time for criminal charges in the following order: 1. Misdemeanor charges pending. 2. Misdemeanor charges sentenced. 3. Felony charges pending: (a) Crimes against property. (b) Crimes against persons (non-PC 667.5 offenses). (f) Violators of conditions of Mandatory Supervised Release (MSR) or Probation (PC 1203.35) or Post Release Community Supervision (PRCS/PC 3454(c)) resulting in Flash Incarceration. 1. FCR9: Probation/PRCS/MSR violations— Flash Incarceration. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Federal Court Release-125 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Court Release (g) Violators of conditions of Probation (PC 1203.2(a)), PRCS (PC 3455), or MSR (PC 1170(h)/PC 1203.2(a)). 1. FCR10: Probation/PRCS/MSR violations — Formal Revocation. 2. FCR10: Probation/PRCS/MSR warrants. (h) Sentenced felony incarcerated persons serving local state time (which should be considered in the descending order of percentage of total sentence served). 1. FCR11: Sentenced felony charges in the following order: (a) Incarcerated persons sentenced for crimes against property. (b) Incarcerated persons sentenced for crimes against persons. 524.4.1 INELIGIBLE INCARCERATED PEOPLE The following incarcerated people shall NOT be considered for release under the provisions of this release criteria: Persons charged with: (a) A felony crime falling within the provisions of Penal Code 667.5 (Violent Felony). (b) Felony spousal abuse (PC 273.5). (c) Elder or dependent adult abuse involving physical pain or mental suffering (PC 368(b)). (d) Any charge involving the neglect, endangerment, or abuse of a child (PC 273, et seq.). Violation of a protective order or stay-away court order (PC 166(c)(1) or PC 273.6). Incarcerated people in custody on a "third strike" offense. Incarcerated people who have been convicted and sentenced to imprisonment in the state prison. Incarcerated people who fall under the provisions of any contract (e.g., USMS, CBP). 524.4.2 EXCEPTIONS TO RELEASE CRITERIA Certain incarcerated people who might otherwise be released pursuant to this release criteria may be retained for good cause, which shall be in writing and shall be specifically approved by a Jail Division Bureau Commander, Assistant Sheriff, Undersheriff, or the Sheriff. The written justification shall be noted and maintained in the incarcerated person's classification record. Good cause for retention shall include, but not be limited, to the following: (a) Information that the incarcerated person has threatened to harm, or intends to harm, either the victim or a witness of the crime charged, or has in the past threatened or harmed a victim or witness to a prior crime committed by the incarcerated person or another. (b) Information that an ongoing criminal investigation would be jeopardized by release of the incarcerated person. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Federal Court Release-126 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Court Release The Population Management Unit shall ensure that a minimum of five (5) beds are allocated for persons arrested by the Fresno Police Department (FPD). Those incarcerated people who might otherwise be released pursuant to this release criteria, may be retained based upon the determination of the FPD. Substitution of incarcerated people housed in these beds shall be adjusted by request of the FPD via the on-duty Jail Watch Commander and/or Population Management Sergeant. The Sheriff, at his/her discretion, may reassign/transfer an incarcerated person into a new housing assignment to avoid releases, as long as any incarcerated person so transferred is placed in a housing unit consistent with said incarcerated person's objective classification, and the reassignment does not cause any housing unit or facility to exceed the capacities established by the Federal Court Order. Exceptions to the policy which would cause the release of an incarcerated person not ordinarily eligible for release, may only be made with the approval of the Sheriff, Undersheriff, Assistant Sheriff, or a Jail Division Bureau Commander. 524.5 RELEASE PROCEDURES When a pre-trial incarcerated person is released at the time of booking pursuant to this policy, an Incarcerated Person Release Per Federal Court Order (J-152) form will be completed. The incarcerated person will be assigned a court appearance date,which will be indicated on the form. (a) If the incarcerated person was arrested for misdemeanor charges, the date shall be set for at least (but as close as possible to)sixty (60)*court days from the current date (i.e., the scheduled citation date). (b) If the incarcerated person was arrested for felony charges, the date shall be set for at least (but as close as possible to) ten (10)* court days from the current date. (c) If the incarcerated person was arrested for misdemeanor drug charges, the date shall be set for at least (but as close as possible to) thirty (30) court days from the current date (i.e., the scheduled drug date). When an incarcerated person is released from a housing area pursuant to this policy, an Incarcerated Person Release Per Federal Court Order (J-152) form will be completed. (* These dates can be changed at the request of the courts.) (a) The incarcerated person's records shall be reviewed to determine if the incarcerated person has already been scheduled for court. If so, the scheduled court date/time will be indicated on the form. (b) If the incarcerated person has misdemeanor charges and does not yet have a scheduled court date, the date shall be set for at least (but as close as possible to) sixty (60)* court days from the current date (i.e., the scheduled citation date). (c) If the incarcerated person has felony charges and does not yet have a scheduled court date, the date shall be set for at least (but as close as possible to)ten (10)* court days from the current date. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Federal Court Release-127 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Court Release (d) If the incarcerated person has misdemeanor drug charges and does not yet have a scheduled court date, the date shall be set for at least (but as close as possible to) thirty (30) court days from the current date (i.e., the scheduled drug date). (e) Records shall print a copy of the applicable Minute Order and attach to the court's copy of the Incarcerated Person Release Per Federal Court Order form. The form shall be distributed as follows: 1. The original signed form shall be forwarded to the court. 2. A copy is to be given to the incarcerated person at the time of release. Sentenced incarcerated people who are released as per this policy will be given a copy of the Incarcerated Person Release Per Federal Court Orderform confirming their release from custody. The applicable release reason (e.g., FCR1, FCR2, etc.) shall be used in the DISPOSITION REASON field on the CHARGES screen and in the RELEASE TYPE field on the RELEASE screen. 524.6 NON-ACCEPTANCE OF ARRESTEES In an ongoing effort to control overcrowding, the following low-level warrants will not be accepted for booking into the Fresno County Jail System: (a) All infraction warrants. (b) All municipal code and county ordinance warrants. (c) Misdemeanor traffic warrants.The only exception shall be for misdemeanor DUI traffic warrants and Jail Warrants. Persons with State Parole violation holds (PC 3000.08 or PC 3056)without open criminal charges may not be accepted for booking into the Fresno County Jail System whenever the Fresno County Jail System, or any facility therein, or any specific housing unit therein, reaches ninety percent (90%) of capacity. State Parole warrant abstractswill be accepted, subject to the following: (a) The warrant must contain a valid warrant number and issuing Parole Board Member. (The parolee's CDCR number does not suffice as a valid warrant number.) (b) The abstract must accompany the arrestee's booking paperwork. (c) The warrant will remain subject to Federal Court release. The Sheriff reserves the right to suspend or amend, either partially or totally, the intake procedures and criteria, as necessary, to manage the Fresno County Jail System so that the facilities remain within their capacities. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Federal Court Release-128 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 525 Custody Policy Manual Ex-Parte Court Orders 525.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain a consistent standard for the Custody Division Records Unit to process ex parte orders for incarcerated people. 525.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division not to follow any ex parte court orders which involve the granting of an incarcerated person in custody special or additional privileges, as per County Counsel opinion. 525.3 EX-PARTE COURT ORDERS The purpose of this policy is to establish a consistent method of handling ex parte court orders which direct that incarcerated people in custody receive special or additional privileges. Ex parte orders are considered illegal, as per County Counsel opinion. The Fresno County Sheriff's Office Custody Division shall forward all court orders which allow individuals specialized privileges to the County Counsel and to request formal motions to vacate such orders whenever they are issued. 525.3.1 EX PARTE COURT ORDERS An ex parte order is a court order on the behalf of an incarcerated person or individual, without notice to, or contestation by, any person adversely interested (namely, the Sheriffs Office). Such orders are considered to be illegal, per se, and will not be followed. 525.3.2 NOTIFICATION OF AN EX PARTE COURT ORDER If any staff member is notified of a request from any court for special or additional privileges to be granted to any incarcerated person in custody, the receiving staff member shall notify the on- duty Watch Commander. The Watch Commander shall address the issue and advise the issuing judge or clerk that there is a standing order not to follow such orders, on the advice of County Counsel. The Watch Commander shall notify the Jail Operations Bureau Commander of the conversation and circumstances surrounding the incident. If the order concerns medical treatment, medical condition, medication, or a psychological evaluation, the issuing judge shall be directed to the Medical and Services Bureau Commander, or their designee for appropriate handling. 525.3.3 WRITTEN ORDERS If any staff member receives a court order granting an incarcerated person special or additional privileges, the receiving staff member shall: (a) Scan a copy of the order into the incarcerated person's records file. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Ex-Parte Court Orders- 129 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Ex-Parte Court Orders (b) Forward the original copy of all orders to the on-duty Watch Commander. The Watch Commander shall be responsible to: (a) Forward the original copy of all orders addressing medical issues to the Medical and Services Bureau Commander. (b) Forward the original copy of all orders concerning law library time for proper incarcerated persons to the Jail Programs Manager. (c) Forward the original copy of all remaining non-medical issues to the Jail Operations Bureau Commander. (d) Notify the Jail Operations Bureau Commander of the essential information concerning all distributed court orders (i.e., medical and law library orders). The Jail Operations Bureau Commander shall return the copy of the court order to the issuing judge along with: (a) A memorandum delineating the Custody Division policy not to follow such orders on the advice of County Counsel. (b) A copy of County Counsel's opinion dated April 4, 1994. The Jail Operations Bureau Commander will forward a copy of the order and the memorandum of rejection to County Counsel. 525.4 REFERENCE See the following for further guidance: EX-PARTE COURT ORDERS Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Ex-Parte Court Orders- 130 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 527 Custody Policy Manual Metal Detector Clearance 527.1 PURPOSE AND SCOPE The purpose of this policy is to provide for facility security and staff, incarcerated person, and public safety by establishing consistent parameters for metal detector clearance. 527.1.1 DEFINITIONS Security Perimeter -A division line in a jail facility that separates the area of the facility in which incarcerated people are allowed, from that in which incarcerated people are not allowed. The following areas are considered NOT to be within the security perimeter; however, persons entering these areas may be required to clear the metal detector at the discretion of the officer assigned to the area: (a) Main Jail public visiting areas (b) North Annex Jail public visiting area (c) West Annex 1 st Floor media room, medical area, and medical offices (d) Identification fingerprint section 527.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division that all persons entering the security perimeter of the facility where metal detectors are in place must pass through the metal detector without activating it before they are allowed access into the security perimeter. It is the policy of the Fresno County Sheriffs Office Custody Division that all incarcerated people must pass through the housing floor metal detector without activating it whenever they leave or return to their housing floor. 527.3 METAL DETECTOR CLEARANCE INTO THE FACILITIES All persons entering the security perimeter of a facility where metal detectors are in place shall be required to pass through the metal detector without activating its alarm. If the metal detector alarm activates, the person attempting to enter the facility shall be asked by lobby staff to step back and remove any easily removable metal items from their person that may have activated the metal detector alarm. Lobby staff shall not suggest or mention the removal of metal supported underwear. All persons entering the facility security perimeter who are not exempted by this policy MUST CLEAR THE METAL DETECTOR or they shall not be permitted entrance into the facility. (a) Exceptions shall be made for persons with certain medical conditions, devices, or implants (e.g., pacemakers). The person may be searched using a hand-held scanner and/or consent to a pat-down search of their person in lieu of passing through a metal detector. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Metal Detector Clearance-131 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Metal Detector Clearance (b) Pat-down searches should be as least invasive as possible and should be conducted in such a manner as to maintain the dignity of the person being searched. (c) The person may be asked to remove materials or objects from their person to allow proper inspection. (d) The search shall be limited to the area of the unresolved alarm and only to the extent necessary to ensure that there are no prohibited items on the person. Items that do not clear the metal detector (e.g., purses, briefcases, packages, etc.) shall be subjected to a search for contraband by a staff member before being permitted to be brought into the facility by professional visitors. Public visitors are not allowed to take personal effects (e.g., strollers, purses, bags, etc.) into the public visiting areas. Persons who request entry into the facility shall have the option to leave items which do not clear the metal detector in the lockers provided rather than submitting those items to a search. 527.3.1 HAND-HELD SCANNERS (HAND WANDS) Hand-held scanners are sensitive to metal, but will only alarm when the broad surfaces of the sensing element are placed in close proximity to metal objects. The inspection should follow a systematic pattern until the officer has covered both the front and back of the person's body, from the top of their head to the floor. (a) The sensing element should be used parallel to the area being inspected, and should be held one-to-three inches above the surface of the part of the body being inspected. (b) Officers shall overlap in theirwanding pattern,starting at the point in which an identified source or object has been located to ensure that a secondary object is not concealed in or near the same location of the person's body where previous objects have been found. (c) The officer shall continue to use the hand wand until the source of the alarm is absolute and positively identified and the entire surface of the body has been inspected and cleared. 527.3.2 METAL DETECTOR CLEARANCE EXEMPTIONS The following personnel shall be exempt from the metal detector clearance policy: (a) Custody Division personnel, while on-duty and coming to and from work. (b) Fresno County Maintenance personnel assigned to work in the jail who are on-duty. (c) Jail Medical and Mental Health Services personnel, while on-duty and coming to and from work. (d) Identification Bureau personnel, while on-duty and coming to and from work. (e) Bailiff personnel delivering courtwork to the jail records window. (f) Armored courier personnel, during scheduled delivery and pick up of money bags from the Records window. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Metal Detector Clearance-132 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Metal Detector Clearance (g) U.S. Postal Service personnel, during scheduled delivery and pick up from the Main Jail 2nd floor Distribution Room. (h) Chaplains (i) Commissioners and Deputy Commissioners from the Board of Prison Terms, while on official business. Q) Peace Officers. However, no weapons (i.e., firearms, etc.) shall be allowed into the secured areas of the facility. (k) Persons given prior exemption by the Watch Commander or a Bureau Commander. 527.3.3 PHYSICALLY IMPAIRED PERSONS Physically impaired persons can present a unique challenge to the entry screening process. Likewise, the process can be a difficult and demanding experience for non-ambulatory and other physically impaired persons. If not handled with dignity and respect, the process can be very humiliating for the person being screened. This special challenge does not, however, relieve staff of their responsibility to conduct a complete and thorough search. The following procedure shall be followed with persons confined to a wheelchair: (a) The Lobby Officer shall inquire as to the person's ability to walk through the metal detector or stand far enough away from the wheelchair to allow inspection of his/her person with a hand-held scanner. (b) If the person is physically incapable of standing or walking, a consent to search shall be obtained from the person and a search shall be conducted of their person and the wheelchair. (c) The wheelchair and any other ambulatory-related of medical devices shall be thoroughly inspected for concealed prohibited items. Close attention should be paid to blankets or coverings, and any attachments to the device. Hand-carried items within their possession shall also be inspected. 527.3.4 RIGHT TO REFUSE The public has the right to refuse the screening process and inspection of their personal belongings. The public has the right to stop the screening of their persons or personal belongings at any time during the screening process, unless an obvious threat or illegal contraband has been detected or identified. Access to the facility shall be denied to those persons electing not to be screened or those persons who withdraw consent during the entry screening process. Personal belongings not screened will be denied access into the facility. 527.4 BOOKING METAL DETECTOR CLEARANCE The Booking I Officer shall ensure that all arrestees that cannot be subjected to the radiation of the body scanner clear the metal detector without activating it prior to being accepted from the transporting agency at the time of booking. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Metal Detector Clearance-133 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Metal Detector Clearance (a) If an incarcerated person continues to set off the metal detector and the arresting/ transporting officer is unable to locate the item causing the activation, a hand-held metal detector shall be used to thoroughly search the arrestee. (b) If there is doubt about the acceptability of a arrested due to continued activation of the metal detector, the sergeant overseeing booking is to be contacted immediately to make a further determination on the acceptability of the arrestee. (c) If circumstances are such that a strip search of the arrestee is warranted, all applicable policies shall be followed 527.5 HOUSING UNITS - INCARCERATED PERSON CLEARANCE The philosophy behind the decentralized service system (where the services are brought to the incarcerated person instead of bringing the incarcerated person to the service)is to allow for better security. If an incarcerated person is only routed on the floor, there is no reason to search the incarcerated person unless the officer feels it is necessary (e.g., returning from a private interview or a medical appointment). Whenever an incarcerated person leaves or returns to the floor, they shall be pat-searched and required to clear the metal detector. (a) The exception to this policy is during mass movement of incarcerated persons, such as when going to or from recreation. During mass movement, randomly selected incarcerated persons (in a number which does not cause an unreasonable delay)shall be selected and pat-searched. However, ALL incarcerated persons shall be required to clear the metal detector. If an incarcerated person repeatedly activates the metal detector and the officer is unable to locate the item causing the activation: (a) The Facility Sergeant shall be notified (b) The incarcerated person shall be strip-searched (with approval of the Watch Commander) (c) An incident report shall be written Officers always have the discretion to search an incarcerated person at ANY time while they are in custody. 527.6 METAL DETECTOR MAINTENANCE The sensitivity of the metal detectors shall not be tampered with, and all maintenance problems shall be reported to the Services Unit immediately. Correctional staff shall not move, alter, or adjust the sensitivity or settings of the equipment unless designated or directed to do so by a supervisor. The metal detectors are self-calibrating. However, it shall be the responsibility of the Services Unit to ensure that the machines are inspected, and the calibration is tested on a monthly basis. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Metal Detector Clearance-134 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 528 Custody Policy Manual Body Scanner 528.1 PURPOSE AND SCOPE The purpose of this policy is to establish an effective radiation safety and protection program to provide for the safe operation of the body scanner. 528.1.1 DEFINITIONS Body Scan=X-ray technology used to produce an image revealing the presence of contraband concealed on or inside of a subject. Body Scan Device=A stationary system for obtaining full height radiographic images of a person to detect any kind of weapons, explosives, drugs, and metals either concealed under the clothes, swallowed, or hidden in anatomical cavities of the human body without causing harm to the scanned person. X-Ray=Also referred to as X-radiation, is a form of electromagnetic radiation similar to light but of shorter wavelength and capable of penetrating solids and of ionizing gases. Radiation_The process in which energetic particles or waves travel through a medium or space. There are two distinct types of radiation: ionizing and non-ionizing. X-radiation is an ionizing radiation. Radiation Survey_Measurement of the X-radiation equivalent dose rate at the external surfaces of the body scan device, the personnel workstation, the boundaries of the working zone, and in adjacent rooms, if applicable. Exposure= Means being exposed to ionizing radiation or to radioactive material. Sievert (abbreviated Sv) - A unit used to derive a quantity called equivalent dose. This relates the absorbed dose in human tissue to the effective biological damage of the radiation. Equivalent dose is often expressed in terms of millionths of a Sievert, or microsievert (pSv) . Dose - A general term used to express how much radiation exposure a person or other material has received.2 1 One Sv is equal to 1,000,000 pSv; or one microsievert (1 pSv) is equal to 0.000001 Sv. One thousand (1000) microsieverts (pSv) equal one millisievert (mSv). One Sievert equals 100 rem. (The rem is an older unit of measurement.) 2 The average effective dose from natural background radiation in the United States is 3.1 mSv per year. This figure does not include man-made doses, such as from medical procedures,which add another 3.1 mSv for a total of about 6.2 mSv per year. HPS Fact Sheet— Background Radiation • Annual radiation dose limits for individual members of the public are 1 mSv (does not include medical administrations (e.g., X-rays or CT exams) which can range as high as 10 mSv or higher for a single procedure.) (10 CFR 20.1301(a)(1)) Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-135 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner • Annual occupational dose limits for adults are 50 mSv. (10 CFR 20.1201(a)(1)(i)) 528.2 POLICY The Fresno County Sheriff's Office is dedicated to all components of workplace safety.This written program establishes procedures to safeguard the health of Sheriffs employees, transport officers from other agencies, and incarcerated people in the vicinity of a body scan device and to ensure compliance with the applicable federal and state regulations. It is the policy of the Fresno County Sheriffs Office Custody Division to ensure that radiation safety procedures and guidelines are followed to ensure the safe operation of the X-ray based body scan device. 528.3 OVERVIEW The body scanner will be utilized to scan new bookings, in-custody incarcerated persons, objects, and property. The intent is to prevent weapons, drugs, and contraband from entering the facilities, and to detect contraband possessed by incarcerated persons within the facilities or hidden within their property. All arrestees and incarcerated persons may be subject to an X-ray scan, unless a condition exists that would prohibit scanning (e.g., pregnant, disabled, intoxicated, combative). The operator shall be the same sex as the person being scanned. (a) Although the scanner does not reveal identity or gender-specific images, the scanner cannot be used for cross-gender searches. Penal Code Section 4030 treats all body scanners the same and requires that a person within sight of the visual display of a body scanner depicting the body during a scan shall be of the same sex as the person being scanned (except for physicians or licensed medical personnel). (b) "Sex" (as used in Penal Code section 4030) refers to the searched person's gender, including the person's gender identity and gender expression. The scanner may be used to scan any item belonging to an a rrestee/i n ca rce rated person. Use of the scanner to inspect the contents of packages or articles not belonging to an arrestee/ incarcerated person, or items that will not be stored inside the Jail Clothing or Property Rooms will not be conducted without clear legal authority to do so. The body scanner does not take the place of a pat search or strip search. 528.4 GUIDELINES FOR SCANNING All arrestees will be scanned using the following procedure, unless a condition exists that would prohibit scanning. (a) Following the removal of all property, the arrestee will be instructed to remove their shoes and stand on the platform with their face pointed down toward the dot on the platform. The individual will be instructed to hold their shoes during the scanning process. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-136 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner (b) If it is suspected that the individual may have concealed weapons or drugs in their shoes, the shoes should be scanned separately to avoid potential use of the weapon or destruction of evidence. (c) The intake process will continue if no anomalies are detected. It is not necessary to document the routine scanning of arrestees. It is necessary to document the scanning of incarcerated persons. 528.4.1 EXCEPTIONS AND CONSIDERATIONS Pregnant individuals-Although the amount of radiation is minute and extremely unlikely to cause any sort of fetal effect, the scanner shall not be used to scan a woman who is known or alleged to be pregnant. A statement by the subject that she is pregnant is sufficient to exempt the subject from a body scan at the time of booking, unless otherwise refuted by Medical staff. Disabled individuals - Persons who have a disability that prevents the use of the scanner shall be afforded reasonable accommodation. Searches shall be thorough and professional,with safety and security being the paramount concern. Intoxicated individuals - Care should be exercised when scanning persons who demonstrate an acute level of intoxication to such an extent that standing, or remaining still for the duration of the scan might not be possible. If the person demonstrates objective symptoms of intoxication to an extent that their safety may be compromised by the moving scanner platform, then the scan should be delayed to a later time, or deferred completely if the person will be released when sober. Pacemakers and Medical Devices -There is no FDA published material indicating the use of the Scanner will adversely affect implanted medical devices such as a pacemaker, and pacemaker manufacturers regard the full-body scanners as safe for pacemakers and ICD's. The presence of such a device should not preclude the use of the scanner unless other circumstances known to Medical staff or Jail staff indicate otherwise. Refusal to cooperate/ Combative individuals (a) Due to the nature of the scanning process, scanning a combative subject will not produce a usable image. Subjects who refuse to cooperate with the scanning process should be placed into a cell where their activities can be monitored until they have been scanned or otherwise searched for weapons, drugs, or contraband. (b) If the subject is an arrestee, they may be accepted into custody and booked. 1. They shall be strip searched unless they meet the criteria NOT to be strip searched (e.g., misdemeanor or infraction offenses not involving weapons, controlled substances or violence; cite and release). 2. If the arrestee would not otherwise be qualified for a strip search, their refusal to submit to a scan may be considered with other factors such as behavior, symptoms of drug use, or observations that would seem to indicate an attempt to conceal a weapon or drugs. If the behavior warrants reasonable suspicion, the Booking I Officer shall complete a Visual Body Cavity Search Authorization form and submit the form for approval to the Watch Commander. The Watch Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-137 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner Commander shall evaluate the information and circumstances, and approve or deny the request, as warranted. 528.5 DETECTION OF CONTRABAND If the scanning process reveals an object that is clearly identifiable as a weapon, suspected drug, or other contraband, the following procedures shall be followed: The arresting/transporting officer shall be notified of the detection and the approximate area where the object appears to be located. If the object is clearly a weapon or drug, that information shall be conveyed to the officer to ensure that appropriate officer safety practices are utilized. (a) The subject's clothing shall be searched by the arresting/transporting officer, with focus on the approximate area where the object appeared to be located. (b) If the item is retrieved by the officer, the arrestee shall be rescanned to ensure that all contraband was recovered. (c) If a weapon, drug, or other noteworthy item is detected, the item shall be documented in the scanner logbook. An incident report is not necessary, unless circumstances dictate otherwise. If the clothing search is unsuccessful, and/or it appears that the anomaly may have been ingested or inserted into a body cavity (e.g., rectum, vagina, mouth), the arrestee will be asked to remove the object. (a) If the arrestee refuses to remove the object, or the object appears to be in a location where a physical body cavity search or intrusive medical procedure would be required, a second opinion shall be obtained from another correctional officer. If both concur, the sergeant overseeing booking shall be contacted and advised of the detection. (b) The decision to accept or refuse the arrestee shall be evaluated by the Sergeant. A Sergeant's recommendation to refuse an arrestee will be reviewed and approved by the Watch Commander and documented in an incident report. NOTE: Arrestees who require a physical body cavity search shall not be accepted into custody. If the arrestee is refused admittance: (a) The Booking Officerwho performed the scan shall initiate an incident report.The report should indicate the reason for refusal, and include a description of the suspected contraband and approximate area where the object appears to be located. An entry shall also be noted in the scanner logbook. (b) The Sergeant shall provide the arresting/transporting officer with the following: 1. A copy of the incident report (approved by the Sergeant). 2. A copy of the body scan image of the arrestee on a flash drive (if available) or via agency email. (c) The arresting/transporting officer will be required to obtain a medical clearance prior to return and acceptance of the arrestee. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-138 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner If the arrestee is accepted into custody and the item was not retrieved by the arresting/transporting officer, a strip/visual body cavity search should be conducted prior to placement into a holding cell. (a) The Booking Officer needs to complete a Visual Body Cavity Search Authorization form and submit the form for approval to the Watch Commander. (b) An incident report shall be written if the item is retrieved via strip search. Any contraband retrieved from a body cavity, or which is otherwise suspected of being contaminated, shall be handled using appropriate safeguards and shall be placed in a container which shall be clearly labeled "contaminated." 528.5.1 PRESERVATION OF IMAGES Scanned images are automatically preserved under each incarcerated person's JID number. The sergeant overseeing booking shall be notified of the detection and appropriate steps will be taken to provide a copy of the image, if needed as evidence for a criminal prosecution. 528.5.2 IN-CUSTODY SCANNING (INCARCERATED PEOPLE) To prevent the introduction, transfer or concealment of weapons, drugs and contraband inside the facilities, all incarcerated people may be scanned at any time, unless a condition exists that would prohibit scanning (e.g., pregnant, disabled, intoxicated, combative). Considerations that may warrant use of the scanner for individuals in custody: (a) After contact with the public(i.e., the incarcerated person has returned from any place where they have not been under continuous staff supervision and could reasonably have obtained and concealed contraband before being returned to custody). Such contact includes but is not limited to incarcerated people returning from court, outside medical appointments or hospital stay, court-ordered pass (e.g., funeral), and work crews. (b) Incarcerated people within housing units who demonstrate signs or symptoms of drug intoxication. (c) Any time there is a reasonable suspicion to believe the incarcerated person may have unauthorized or dangerous items concealed on their person, or that he or she may have been involved in an altercation of any kind. (d) Prior to placement in a safety cell. It is not necessary to obtain approval to scan an incarcerated person. However, the Facility Sergeant must be notified in order to coordinate movement and ensure that the intake area is secured (i.e., the sallyport/intake door shall remain secured and not be opened when an incarcerated person is in the intake area). (a) All scans conducted of incarcerated people shall be documented via the OffenderTrak system, regardless of the result. (b) If any contraband is discovered,the item recovered shall be documented in an incident report. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-139 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner (c) If the contraband is a weapon, drug, or other noteworthy item, the discovery shall also be documented in the scanner logbook. If a physical body cavity search is determined to be necessary, the Watch Commander shall be notified and make the necessary arrangements to obtain a search warrant. 528.5.3 INCARCERATED PERSON PROPERTY Incarcerated people have traditionally used a variety of methods to conceal weapons, drugs, and contraband. Methods have involved concealing prohibited items inside incarcerated person commissary containers, sack lunches, issued bedding, and within envelopes used for legal materials. Notwithstanding language regarding the property of arrestees or persons not housed in a Jail facility, any property located in incarcerated person housing may be scanned at any time, for any reason. Incarcerated person property located in a stored property bag may be scanned when staff has information to believe articles within the property bag may contain illegal property,weapons, drugs, or contraband that would pose a risk to the Jail facility if not recovered from the bag, a risk to another institution if the incarcerated person is transferred, or a risk to the general safety of the public if the incarcerated person is released. 528.6 SCANNER SYSTEM SAFETY AND OPERATING PARAMETERS The following provisions shall be adhered to by all staff: (a) Operators of the scanner shall use it in a responsible manner, in accordance with this policy, and in accordance with the manufacturer's operating instructions. (b) The operator's manual shall not be removed from the Booking Office. (c) During operation of the scanner, unauthorized persons (other than service personnel) are not allowed within the working zone, approximately two (2) meters out from the base of the unit. The working zone shall be clearly marked on the floor around the unit. The scanner shall be considered operational when the red light on the unit is on. (d) The operator shall continuously monitor the position of the person being scanned. In case of an incident, the scan shall be stopped by pressing the red Emergency Stop button mounted at the operator's station. Doing so will stop X-radiation output. (e) Upon becoming aware of any safety issue related to the scanner, staff shall immediately report their concern to their supervisor, who will forward the concern to the Radiation Safety Officer. (f) Any installation of scan device components or part removal shall be completed by a service engineer of the representative company and/or additional service contractors. Staff shall not disassemble or attempt any repair on the scanner. 528.7 TRAINING No employee shall operate the scanner without first successfully completing proper training. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-140 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner (a) Each operator shall be provided with training on the operation and use of the scanner. At a minimum, this shall include pre-operational checks, operation of the system, subject positioning, interpretation of images, procedures to be followed if the system is damaged or malfunctions, and practical operational experience. (b) Each operator shall be provided radiation safety training prior to performing security screening operations, which shall include: 1. The types of radiation 2. Sources and magnitudes of typical exposures 3. Radiation units 4. Concept of time, distance, and shielding 5. Concept of ALARA (As Low As Reasonably Achievable) 6. Biological effects 7. Radiation risk 8. Basic risk communication concepts 9. Training on the administrative controls associated with ensuring that dose to subjects is limited and on the importance of these administrative controls (i.e., any individual screened shall be limited to no more than 250 pSv in any 12- month period). 10. Other safety hazards (e.g., unauthorized disassembly of the system). 11. Physical security procedures to prevent unauthorized use or access. 12. Operator awareness and control of inspection zones. (c) Refresher training shall be provided at least once every twelve (12) months. 528.8 DUTIES OF THE RADIATION SAFETY OFFICER A designated officer assigned to the Services Unit shall serve as the Radiation Safety Officer. The Radiation Safety Officer (RSO)will: (a) Maintain the Radiation Safety and Protection Program and coordinate the safe operation of X-ray based body scan devices in compliance with applicable federal and state regulations. (b) Ensure all new or relocated radiation sourcing equipment operated by the Sheriff's Office within the Custody Division is registered with the Radiologic Health Branch of the California Department of Public Health (form numbers RH-2261 N and/or RH-2261C)within thirty (30) days. (c) Ensure all radiation sourcing equipment operated within the Custody Division is maintained and serviced in compliance with applicable federal and state regulations. (d) Arrange and schedule any needed repair or service for the scanner upon being advised of any damage or malfunction. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-141 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner (e) Ensure that radiation safety surveys are performed in compliance with ANSI Standards. Retain any survey, service, inspection, and instrument calibration records for the lifetime of the scanner. (f) Ensure that the annual fee for the scanner is paid to the Radiologic Health Branch of the California Department of Public Health (CDPH-RHB) prior to the anniversary of the effective date of the license. NOTE: Title 17 of the California Code of Regulations, Section 30231, requires the above payment and mandates that failure to do so requires all usage of the scanner to immediately cease until such time that the fee and any late fees have been paid. (g) Ensure that all required documents and postings are maintained and current. (h) Maintain all records and documentation associated with the Radiation Protection Program. (i) Performs an internal audit on an annual basis. 528.9 BODY SCANNER DEVICE SAFETY FEATURES The system operation modes are preset by the manufacturer during installation and are not to be changed by the operator. Numerous safety features are built into the scanner, which make it possible to minimize radiation doses to which personnel and persons being scanned could be exposed: (a) X-ray generator enclosed in the X-ray protection case. (b) System of slit diaphragms in the X-ray protection case provides a narrow fan-shaped X-radiation beam. (c) X-ray protection shutter shuts off output of the X-ray radiation from the generator. (d) Permanently connected additional X-ray filter. (e) High-sensitivity digital X-ray converter. (f) Built-in dosimeter for monitoring the stability of the X-ray generator. (g) Emergency STOP button. (h) Red signal lantern - When ON indicates the scanner is in operation. In the event of scanner malfunction, the X-ray protection shutter shuts off X-radiation output from the generator. If the X-ray protection shutter fails, high voltage to the X-ray tube shuts off. The scanner software tests the system when it is turned ON and during the scanning process. Error messages are displayed on the operator's monitor screen. 528.9.1 FAILURE OF SAFETY FEATURES/VENDOR REPAIR The safety features noted above are required to be functioning to operate the system. In the event any of the safety features become inoperable, the operator shall shut down the scanner and immediately notify the sergeant overseeing booking. The Sergeant will: (a) Notify the Watch Commander. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-142 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner (b) Notify the RSO, who will contact a contracted vendor to make any repairs as necessary. (c) Facility staff shall not attempt any repair on the scanner. 528.9.2 ANNUAL SERVICING AND SURVEY OF THE SCANNER To ensure the scanner is operating within manufacturer specifications, a calibration, maintenance, and service shall be performed twice a year by an authorized service engineer. Refer to the Operator's Manual for detailed service tasks. Radiation surveys shall verify the effective dose, radiation leakage, and inspection zone. Surveys shall be performed on each body scanner device: (a) Upon installation of a new unit (b) At least once every twelve (12) months (c) Upon relocation of an existing unit (d) Immediately following any service that could potentially increase the system output. 528.9.3 RADIATION DOSES Safety of the Persons Scanned According to ANSI standards, the radiation dose shall not exceed 10 pSv per scanning session. The scanner's effective doses are pre-set at 0.25, 0.50, and 0.75 pSv per scan. The level selected should be based on the individual's density(i.e., weight), utilizing the dose as low as is reasonably achievable (ALARA). Administrative controls keep track of the accumulated doses and prevent any single person from exceeding 250 pSv in any 12-month period. Approximate Weight of Effective Dose Setting Number of Screenings Individual to be Scanned per Screening per Year Not to Exceed 75- 175 pounds 0.25 pSv 100 LBS 1000 175-275 pounds 0.50 pSv 200 LBS 500 275- 660 pounds 0.75 pSv 300 LBS 333 Safety for the Operator Within an unshielded perimeter of approximately 2m (6.6 feet) from the base of the scanner, the maximum dose rate of the scattered radiation does not exceed 10 pSv per hour. NOTE: The operator station for the scanner is located outside the exposure perimeter. Safety for Bystanders With the exception of the incarcerated person being scanned, all other persons shall remain outside of the restricted area clearly outlined on the floor around the scanner while a scan is in progress. For incidental or occasional bystanders, the level of exposure per day and year is negligibly low. During scanning, the radiation leak dose rate must not exceed.05 pSv/h outside the area outlined, as depicted in the diagram. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-143 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner Dose per Screening - The effective dose per screening shall not be greater than 0.75 pSv. 528.9.4 DAILY SYSTEM CHECK The assigned operator of the scanner for each shift will complete an initial status equipment and safety check prior to operating the device. Staff completing a status equipment and safety check will: (a) Inspect the scanner for obvious damage. (b) Ensure all access panels are securely in place. (c) Ensure all accessible (external) cable connections and power cords are secure. (d) If the system is not already on, turn it on using the key switch (clockwise). (e) Verify the "POWER ON" light is lit. If any damage or malfunction is found during a system check, staff will: (a) Power the unit off. (b) Notify the sergeant overseeing booking, who will notify the Watch Commander and the RSO. The Watch Commanderwill ensure the scanner is not operated until appropriate service or repairs have been completed. If it is believed that the damage or malfunction may compromise the safety of any person in the immediate vicinity of the device, the emergency procedures outlined will be followed. During breaks between scanning sessions, operators should perform general cleaning of the scanner and general maintenance of the operator's workstation personal computer. 528.10 POSTINGS AND NOTICES A current copy of the 17 CCR, incorporated sections of 10 CFR 20, the license, and a copy of operating and emergency procedures shall be posted, or if the posting of these documents is not practicable, a notice which describes each document and states where it may be examined may be posted instead. A current copy of the California Department of Public Health Form RH-2364 (Notice to Employees). The document shall be posted so that it allows individuals working in or frequenting any portion of a restricted area to observe a copy on the way to or from such area. Any notice of violation involving radiological working conditions, or any order issued pursuant to the Radiation Control Law (Health and Safety Code § 114960 et seq.) and any required response from the registrant. Information is to be provided to screened individuals, informing the person being screened that the scanner emits radiation, and that more information is available. At a minimum, the following information shall be made available to screening subjects prior to scanning (Addendum A): (a) The estimated effective dose from one screening (i.e., the reference effective dose). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-144 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner (b) An example shall be provided to compare the dose to a commonly known source of radiation, for example: "The radiation dose from one screening is roughly equivalent to that received from natural sources during 12 minutes of flight on an aircraft at an altitude of 30,000 feet." (c) The screening complies with the ANSI/HPS consensus standard N43.17; if requested, information on how to acquire this standard shall be provided. A sign shall be conspicuously posted bearing the radiation symbol and the words reading Caution Radiation Area. The scanner shall be marked with the following symbols: Attention!Refer to the operation documents! Caution!Dangerous Voltage! A binder titled "Radiation Safety and Protection" containing all required documents shall be kept at the Booking intake window. The RSO shall be responsible to ensure that the binder and all postings are replaced if defaced, altered, or missing. 528.11 EMERGENCY PROCEDURES If an emergency situation occurs, the scanner shall be powered off and the appropriate personnel shall be notified in accordance with the safety check procedures. NOTE: If the control panel is not accessible or functioning, the unit should be unplugged immediately. If a situation occurs in which staff suspect possible exposure to excessive or dangerous levels of radiation while operating the scanner, the operator will immediately notify the sergeant overseeing booking and seek medical attention. The Sergeant will assess the situation and immediately notify the Watch Commander and the RSO. If it is suspected that there was a potential exposure to excessive or dangerous levels of radiation, the Watch Commander will ensure that the use of the scanner is immediately discontinued. The RSO will: (a) Schedule any needed service and a radiation survey on the scanner. (b) If it is deemed safe to do so, ensure that the scanner is surveyed in the condition it was in when it became suspect. (c) Only clear the scanner to return to normal operations if it is determined to be safe to do so by a service engineer of the representative company and/or other qualified service contractor. The RSO will ensure that a qualified service contractor will calculate the approximate exposure (radiation intensity) of the person(s) possibly exposed. California Radiation Control Regulations require that an employee be given a written report if they receive an exposure greater than the limits set in the radiation safety standards. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-145 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner 528.12 DISPOSAL OF EQUIPMENT Disposal shall be performed in accordance with the disposal instructions provided by the manufacturer. Final disposition of the scanner shall be reported within thirty (30) days to the CDPH Radiologic Health Branch on the Radiation Machine Registration form (RH2261) with substantiating documentation attached. NOTE: Continued registration is required for X-ray machines that are not used but are physically present in the facility or are in storage. 528.13 RECORDKEEPING The designated Radiation Safety Officer shall be responsible to maintain all records and documentation associated with the Radiation Protection Program. (a) Maintenance Logs - Records of modifications, maintenance, and repair shall be maintained for the life of the system. (b) Survey Records - Survey records shall include system make, model, serial number, and location; surveyor; survey date; instrumentation make, model, serial number, and calibration dates; results of visual inspection of system safety features; background measurements; survey measurements; survey diagram; and system parameters at which measurements were made. (c) Training Records - Records of training shall be maintained that contain the date of training, an outline of the training, and the names of those in attendance. (d) Logbook - The paper log maintained at the operator's station shall be scanned and maintained on a monthly basis. Physical copies of any records will be maintained in the Services Unit Office. Scanned and computerized documents will be maintained SharePoint. The scanner's software will register and store the personal data of the persons scanned into the computer database and will include the number of times and dates when each individual was screened,the reference effective dose per screening, as well as the cumulative reference effective dose for the number of screenings undergone by each individual over the past 12 months. 528.14 INTERNAL AUDIT The RSO shall be responsible to ensure that the Radiation Protection Program is audited on an annual basis. The audit shall include any maintenance, inspections, and servicing that took place during the rating period, and include a description of any corrective actions taken if problems were noted. In addition, the RSO shall: (a) Review and ensure that training is current for all operators. Determine refresher training needs for the upcoming year. (b) Perform a random sampling review of each operator's scans. Ensure that the concept of ALARA has been adhered to and the appropriate effective dose has been used. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-146 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Body Scanner (c) Determine the total number of scans, the number that resulted in the detection of contraband, the type of contraband located, and the number of arrestees not accepted in Booking due to the detection of contraband. The findings shall be documented via the Radiation Protection Program Annual Audit Checklist and submitted to Jail Command Staff. 528.15 INSPECTIONS The Sheriff's Office shall afford the CDPH-RHB the opportunity to inspect materials, machines, activities, facilities, premises, and records pursuant to Title 17 regulations. Any employee who believes that a violation of the Radiation Control Law, Title 17, or license conditions exists or has occurred, may request an inspection by giving notice of the alleged violation to the CDPH-RHB. Any such notice shall be in writing. Refer to Title 17, 30254(h) for requirements and instructions. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Body Scanner-147 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office • Custody Policy Manual Lineups 529.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain consistent methods for scheduling and performing witness identification lineups. 529.1.1 DEFINITION Lineup-An out-of-court procedure in which a witness attempts to identify another person. Lineups will be arranged whether the defendant is in or out of custody. 529.2 POLICY It is the policy of the Fresno County Sheriffs Office Custody Division to schedule and provide incarcerated people participants for witness identification lineups. It is the policy of the Fresno County Sheriff's Office Custody Division to terminate and reschedule lineups delayed longer than fifteen (15) minutes past their scheduled time. 529.3 SCHEDULING LINEUPS The agency requesting the lineup shall call the Watch Commander to schedule a lineup. Date and time of lineups will be scheduled at the discretion and with the approval of the Watch Commander. It shall be the responsibility of the agency requesting the lineup to provide a photograph of the defendant at least three days in advance of the lineup. The agency requesting the lineup shall make provisions for photographs to be taken of the participants. 529.4 LINEUP PARTICIPANT SELECTION A Lineup Officer shall be assigned to locate incarcerated persons with physical characteristics similar to the defendant. (a) A minimum of five (5) incarcerated persons shall be selected to participate in the lineup. (b) No incarcerated person shall be forced to participate in a lineup. (c) Potential lineup participants may be offered an incentive to volunteer for the lineup. (d) The Lineup Officer shall explain the procedure to the incarcerated person participants. 529.5 LINEUP PROCEDURE The participants in the lineup shall file into the viewing room from the side entrance. All participants shall be dressed similarly. Each participant shall be assigned a number from one through six. These numbers are painted on the floor of the lineup room. Each participant shall stand on, and respond to, their assigned number. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Lineups-148 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Lineups Participants are usually asked to make quarter turns to their right, stopping at the four points of the compass so that they present all profiles to the witness. The participants may be asked to repeat certain words or phrases used during the commission of the crime, or to try on a certain item of clothing, such as a jacket or hat. All try-ons should be conducted before the lineup begins to be sure the clothes or accessories fit properly. If any of the participants (or the defendant)do not understand English, all instructions at the lineup shall be given in both languages. Instruct all participants to wait for the full translation before following any instruction. The lineup shall be conducted by a member of the law enforcement agency requesting the lineup, or their designee. 529.5.1 RIGHT TO COUNSEL AT LINEUP The defendant has a right to counsel at the lineup under California law, unless the defendant waives that right. Defense counsel is merely present at the lineup to silently observe and to later recall their observations for purposes of cross-examination or to act in the capacity of a witness. Any interference or disruption by an incarcerated person's defense attorney will be cause for that attorney's arrest and/or removal from the facility. The lineup cannot proceed without defense counsel present. The prosecutors are required to wait a reasonable amount of time before beginning a lineup without counsel. 529.5.2 PROBLEMS THAT OCCUR AT LINEUPS Singling out individuals - Any action that takes place in the lineup room should be done equally by all participants. This includes trying on clothes, movement, and statements. Language - Persons who do not understand English may find it impossible to obey instructions in the lineup room. Also, if the lineup participants are to repeat certain words, then participants should be selected who are similar not only in appearance, but also in voice (e.g., although six people are similar looking, if the perpetrator of the crime had a New York accent, and only one of six lineup participants has a New York accent, it is not a fair lineup). Unusual physical characteristics - Unique problems arise when the incarcerated person is at the extreme end of any characteristic (e.g., seven feet tall or 300 pounds). The attorneys should attempt to anticipate those problems and seek unique solutions (i.e., have all participants viewed in a sitting position, etc.). Similarly, when the incarcerated person has an unusual scar or burn, missing digits or limbs, an unusual hair style, hypodermic marks or tattoos, special precautions must be taken to protect against a prejudicial or unfair lineup. One method is to conceal the unique item from the witness's view. Clothing, hats, tape, and band aids can be used to conceal most unique features. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Lineups-149 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Lineups 529.5.3 OUT OF CUSTODY LINEUPS Defendants who are not in the Sheriffs custody shall be pat-searched and placed in an area segregated from the incarcerated persons until directed into the lineup room. The defendant shall be provided with jail-issue clothing and an identification wristband similar to those worn by the incarcerated persons. Upon completion of the lineup, all incarcerated person participants shall be strip searched prior to being returned to their housing units. 529.5.4 DEFENSE (EVANS) LINEUPS An Evans lineup is conducted by court order. Defense counsel may request that the order include special instructions concerning the way the lineup is conducted. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Lineups-150 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 531 Custody Policy Manual Mental Health Observation Cell 531.1 PURPOSE AND SCOPE The purpose of this policy is to establish standards and procedures in order to provide safe and humane quarters for incarcerated people who are suffering from a mental health or behavioral crisis or display behavior which reveals an intent to cause physical harm to self or others. It is the intention of this policy that a mental health observation cell (hereafter referred to as "observation cell") not be utilized as a replacement for a safety cell, but rather as an extension of mental health treatment after safety cell time parameters have expired and the individual requires further observation. Additionally, the observation cell may be utilized when the safety cell's features are deemed more restrictive than necessary for the care of the incarcerated person. 531.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division that incarcerated people may be housed in a mental health observation cell only under the following circumstances: • The person is currently suffering from a mental health or behavioral crisis as determined by a qualified mental health professional or qualified medical staff (i.e., RN or provider). • The person reveals an intent to cause physical harm to self or others. Such individuals may only be housed in a mental health observation cell upon recommendation of a qualified mental health professional (or in their absence, a registered nurse who has been trained in mental health issues)with approval of the Watch Commander. The incarcerated person shall be reevaluated for removal or continued retention in the observation cell a minimum of every twenty- four (24) hours thereafter by a qualified mental health professional and the Watch Commander. It is the intention of this policy that people should be removed from the observation cell as soon as it is safe to do so, and nothing shall preclude correctional, Medical, or Mental Health staff from recommending removal prior to that time. It is the policy of the Fresno County Sheriff's Office Custody Division that whenever a person's placement in an observation cell is to exceed ten (10) days, Mental Health staff shall submit written justification to the Watch Commander from the facility Psychiatrist or the Medical Director for the reasonable extension and temporary continuance of the observation cell housing, and/ or discontinue the observation cell placement. In no case shall anybody remain housed in an observation cell longer than fourteen (14) days. It is the policy of the Fresno County Sheriff's Office Custody Division that intermittent direct visual/ verbal supervision shall be provided and documented at least twice each hour by correctional officers or health care staff. The documented visual inspections shall be recorded via a safety check system. It is the policy of the Fresno County Sheriffs Office Custody Division that all people housed in an observation cell shall be treated humanely and afforded basic human necessities. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 151 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell It is the policy of the Fresno County Sheriff's Office Custody Division that all people housed in an observation cell shall maintain the same general rights as provided to individuals in general population, as is consistent with the safety and security of other incarcerated people, staff, and the public. Any deprivation of these rights shall require written documentation by a qualified mental health professional and the prior approval of the Watch Commander. Documentation of the deprivation shall be forwarded to the Jail Operations Bureau Commander indicating the specific identifiable risks to the incarcerated person's safety or to the security of the facility. It is the policy of the Fresno County Sheriff's Office Custody Division that it shall be the responsibility of the West Annex Jail Floor Officers to monitor the observation cell conditions. 531.3 CONDITIONS OF OBSERVATION CELL CONFINEMENT The observation cell is to be used to separate and protect those who display behavior that indicates they are in a mental health crisis or a danger to themselves or others and require close observation. (a) The observation cell shall not be used for"attitude adjustment" or discipline. (b) The observation cell is not a sobering cell and is not intended for that purpose. (c) Individuals shall not be housed in the observation cells for medical reasons. Placement into an observation cell requires recommendation from a qualified mental health professional (or in their absence, a registered nurse who has been trained in mental health issues) and approval of the Watch Commander. Observation cell occupancy, except in an emergency, shall not exceed one (1) incarcerated person. When an emergency requires excess occupancy, an incident report shall be written and immediately sent to the Watch Commander for review and further direction. All incarcerated people housed in an observation cell shall have their wristbands removed for their own safety. A new wristband shall be issued when they are removed from the observation cell. Any deprivation of rights or privileges withheld from an incarcerated person in an observation cell shall require written documentation by a qualified mental health professional and the prior approval of the Watch Commander. (a) Documentation of the deprivation shall be forwarded to the Jail Operations Bureau Commander indicating the specific identifiable risks to the incarcerated person's safety or to the security of the facility. (b) No restrictions shall be placed upon a person's appearance in court or contact with legal counsel. Observation cells shall be well-ventilated, adequately lighted, appropriately heated or cooled, and maintained in a sanitary condition at all times. 531.4 SECURITY ISSUES A minimum of two (2) officers shall be present at any time an observation cell door is opened. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 152 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell Staff needs to maintain caution concerning the possibility of subversive plots to set-up and ambush staff. While incarcerated person safety is cause for concern, staff safety is of paramount importance, and an observation cell shall not be entered without sufficient back-up. The observation cell door and the safety cell doors located in the same area shall NOT be open at the same time when they contain an individual. All pass-throughs (feed hatches) shall be maintained in the closed position, unless in use. ALL STAFF shall utilize safety precautions and NEVER place their face or keys in or near the pass- through. 531.5 NOURISHMENT AND SUSTENANCE Food provided to people housed in an observation cell shall be substantially the same quality and quantity as that provided to the general population. If the person misuses an item in a manner that threatens their safety or that of others, said items may be removed until it is determined by a Watch Commander to be safe to return. (a) All food and drinks shall be served in the same manner as for general population,with the exception that they shall be passed through the pass-through door and the dinner meals may be served on Styrofoam trays depending on the person's documented restrictions or actions. Appropriate finger foods may be substituted if eating utensils are withheld for safety reasons. (b) The officer shall instruct the individual to step to the rear of the observation cell prior to opening the pass-through door. (c) Incarcerated workers shall NOT be utilized to feed the people housed in the observation cells. If a person is not receiving sufficient nutrition and fluids due to their refusal to eat, a medical assessment shall be made. If the person's well-being is determined to be endangered, a physician's recommendation shall be made for transfer to a hospital. 531.6 CLOTHING Incarcerated people housed in an observation cell will be provided clothing in accordance with the recommendation of Mental Health and the approval of the Watch Commander. Minimally, they should be provided with one jumpsuit, one pair of socks, and one pair of underwear, with the exception of people who have attempted or expressed imminent suicide and people who have demonstrated misuse of clothing. Such individuals shall be provided with a "safety garment" to provide for their personal privacy and safety. The Watch Commander and facility Mental Health shall review the status of any partially clothed incarcerated person every eight (8) hours. (a) The Watch Commander shall consult with facility Mental Health to ensure the incarcerated person is provided with appropriate additional clothing items when deemed safe to do so, based on the incarcerated person's behavior. (b) The reviews shall be recorded via a safety check system. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 153 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell 531.7 PERSONAL HYGIENE The fact that an incarcerated person is housed in an observation cell does not change any of the personal hygiene needs and the incarcerated person must be provided the opportunity to maintain their personal hygiene. Incarcerated individuals who are deprived of personal hygiene items must have this deprivation documented by a qualified mental health professional. Incarcerated people in an observation cell shall be afforded a shower at a minimum of every other day or any time that the incarcerated person's hygiene necessitates such. Incarcerated people in observation cells will be provided toilet paper based upon the recommendation of Mental Health staff. Minimally (except where an incarcerated person has demonstrated the misuse of paper products in such a manner as to endanger their safety or that of others), the incarcerated person shall be provided with three (3)feet of toilet paper. Thereafter, three (3)feet of toilet paper shall be provided upon request. If the actions or behavior of an incarcerated person poses a threat to their safety or that of others, then such privileges may be denied until it is determined by a member of facility Mental Health staff with the approval of the Watch Commander to be safe to be allowed. Deprivation shall be documented to include the occurrence, date and time of denial, and date and time of return,when applicable. 531.8 CELL CLEANLINESS Observation cells shall be maintained in a sanitary manner. (a) All garbage and/or excess food shall be removed at the end of meal periods or as soon as practicable by correctional staff. (b) Cells shall be cleaned at a minimum daily, after each occupancy, and more often when necessary. A minimum of two (2) officers shall be present when an occupied observation cell needs to be opened for cleaning. (a) The incarcerated person shall be instructed to face the back of the cell, place their hands behind their back, and stand with their back next to the pass-through door. (b) One of the officers shall place handcuffs on the incarcerated person, then escort the incarcerated person to a secure area until the observation cell is cleaned. The floor officers shall ensure that the observation cells are properly cleaned and that all unsanitary conditions in the cell are rectified. (a) The individual cleaning the cell shall be provided with disposable gloves and eye protection. (b) All soiled cleaning materials and gloves shall be placed in a plastic bag and the end securely tied. (c) If necessary, the incarcerated person worker's jumpsuit may be exchanged for a clean one. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 154 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell 531.9 BEDDING Incarcerated people housed in an observation cell shall be provided with a mattress or an all-in- one-bed in accordance with the recommendation of Mental Health and the approval of the Watch Commander. (a) The all-in-one-bed is specially designed to replace the traditional blanket and mattress issued to most incarcerated people. It is constructed of heavy-duty durable material capable of withstanding tough treatment and is highly resistant to tear. (b) Any decision to withhold bedding should be based on clear justification that possession of the bedding would represent a risk to the safety of the individual or the security of the facility. Incarcerated people who demonstrate misuse of the bedding in such a manner as to threaten their own safety or that of others shall have the bedding removed from the cell. Reasons for deprivation may include the following: (a) Attempts to use the bed as a weapon or smothering device. (b) Using the bed as an obstruction device (e.g., stuffed around the door to prevent opening or used to cover the view panel). (c) Any attempt to disassemble or otherwise abuse the bed (e.g., smearing bodily waste on the bed). If at any time the incarcerated person is deprived of bedding, the deprivation shall be documented to include the occurrence, date and time of denial, and date and time of return, when applicable. When not in use, the all-in-one-beds shall be stored with the mattresses in the storage room located next to H-pod. 531.10 USE OF RESTRAINTS AND TEMPORARY REMOVAL If an incarcerated person is placed in restraints while housed in an observation cell,facility Mental Health shall be notified. The placement of restraints on any incarcerated person in an observation cell shall necessitate review by Mental Health staff within one(1)hour.Alternative housing options should be considered, as the situation dictates. If an incarcerated person is placed in restraints while housed in an observation cell, and the incarcerated person requires temporary mobility and/or use of their hands, the following shall be performed: (a) If the incarcerated person is handcuffed with their arms behind their back, the handcuffs shall be re-affixed in front of their body. (b) If the incarcerated person's handcuffs and shackles are intertwined in front of their body, the restraints shall be disengaged from each other. Provision for mobility includes, but is not limited to: (a) Personal hygiene and sanitation. Upon request of the incarcerated person, they shall be given the opportunity to eliminate body waste with an appropriate reduction of restraints. If the actions or behavior of the incarcerated person poses a threat to their Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 155 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell safety or that of others, then such privileges may be denied until it is determined by a Watch Commander to be safe to do so. (b) Meal distribution. (c) Exercise of extremities. Staff must remove the restraints (one at a time) every two (2) hours and allow the incarcerated person to exercise their extremities in range of motion exercises. (d) Transportation (i.e., disengage the restraints from each other if the restraints are interlaced). (e) Medical distress. Sufficient staff shall be present to safely control the incarcerated person anytime restraints are removed. 531.10.1 STAFF MEMBER RESPONSIBILITY WHEN USING RESTRAINTS At no time shall any restraint device be utilized in such a way as to intentionally inflict pain or punishment, or be used as a substitute for treatment. At no time shall a chain or other mechanical restraint device be placed around the head or neck of an incarcerated person for any purpose. Staff shall monitor restrained incarcerated people and immediately remove the restraints and notify Medical staff if the incarcerated person displays any of the following symptoms: (a) Difficulty breathing/shortness of breath (b) Unconsciousness (c) Vomiting (d) Choking (e) Seizing (f) Discoloration (g) Swelling of extremities (h) Complaining of numbness Incarcerated people should be kept in restraints for the least amount of time necessary to handle each particular situation. The incarcerated person shall be released from the restraints as soon as their behavior and safety considerations allow it. Cardiopulmonary resuscitation equipment is available in the utility closet located inside each security station in a Medical Emergency "Ready Bag" that contains essential items frequently needed by first responders, including protective apparel, CPR masks, and an Ambu-Bag (with mask). An AED is mounted to the wall just outside the security station. See Chapter 5: Use of Restraints Policy Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 156 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell 531.11 OBSERVATION CELL PLACEMENT, NOTIFICATION, AND DOCUMENTATION An incident report shall be completed by a designated correctional officer, documenting the initial placement of the incarcerated person into the observation cell. The report shall include, but not be limited to the following: (a) The name of the Mental Health staff member who recommended the incarcerated person's placement into the observation cell. (b) The name of the Watch Commander who authorized the incarcerated person's placement into the observation cell. (c) Indicate the location of the observation cell utilized. (d) The type of behavior that elicited observation cell placement. (e) The location where the incarcerated person was transferred from (e.g., housing unit or safety cell). (f) Indicate if the incarcerated person was placed into the observation cell with restraints. If so, indicate which type and why restraints were utilized. (g) Indicate if the incarcerated person was placed into a safety garment or any restrictions to clothing items. (h) Indicate if the incarcerated person is to be deprived of any specific items (as recommended by Mental Health and approved by the Watch Commander). (i) Indicate the names and titles of staff members present. Q) Indicate if force was used and if so, describe what type and how much. Be specific. 1. Indicate if any staff injuries occurred; the type of injury; whether treatment was necessary; and the name and title of the Medical staff member who treated the injury. 2. Indicate if the incarcerated person was evaluated or treated by Medical staff. If so, include the injuries, diagnosis, and/or treatment as indicated by Medical staff, as well as their name and title. (k) Indicate the name of the Sergeant notified. The report shall be forwarded to the Watch Commander. It shall be the responsibility of the Watch Commander to notify the West Annex Jail Sergeant of the impending transfer. The West Annex Jail Sergeant shall ensure that the affected Security Officer and Population Management are notified. A designated Population Management Officer shall initiate a HOUSING ALLOCATION movement into the appropriate observation cell. The West Annex Jail Security Officer shall ensure: (a) The incarcerated person's transfer into the appropriate observation cell has been recorded into the OffenderTrak system. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 157 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell (b) Medical staff is notified. Staff shall document the initial placement into the observation cell via a safety check system. The incarcerated person's jail identification (JID) number shall be entered into the appropriate field. The JID number shall also be entered during the following transactions: (a) The first entry of each shift (if the cell is empty, an entry shall be made noting such) (b) Transfer into a different cell (c) Removal All subsequent and remaining transactions shall not require input of the JID number. The following information shall be written on the dry-erase board posted outside of the observation cell in which the incarcerated person is placed: (a) Incarcerated person's name. (b) JID number. (c) Reason for placement. (d) List any items to be withheld from the incarcerated person (e.g., bedding, eating utensils, etc.). (e) Note if the incarcerated person requires additional security precautions (e.g., "yellow suiter," "spitter," etc.). (f) The projected time for the range of motion exercises, if applicable. (g) The 10-day projected time for extension review. The observation cell conditions and documentation of such conditions shall be maintained and monitored by the Floor Officers. 531.12 OBSERVATION CELL DOCUMENTED CHECKS The incarcerated people housed in observation cells must have direct visual observation at least twice each hour by correctional officers or health care staff. (a) Such observation shall be documented via a safety check system. (b) The intervals of the checks should vary. Checks should not be on a routine schedule the incarcerated person can predict, but often enough that staff can assure incarcerated person safety. (c) Correctional staff shall immediately notify facility Medical staff if any medical concerns are observed. The following list of items shall be checked and documented to ensure that the incarcerated person housed in the observation cell receives humane treatment and is afforded basic human necessities. In addition to the initial placement and removal events, the following notations shall be entered on every occasion when they are applicable via a safety check system: (a) Whether the incarcerated person is asleep, complacent (e.g., calm, quiet, compliant, etc.), or obstreperous (e.g., verbally abusive, agitated, belligerent, combative, etc.). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 158 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell (b) Anytime restraints are checked, reduced, or removed, or when extremities are exercised in a range of motion exercises. (c) Anytime the incarcerated person is removed from the cell for an attorney visit, cell cleaning, court, law library kiosk, phone call, recreation, shower, or personal visit. 1. Telephone and kiosk access will be accommodated in an available Interview Room. 2. The incarcerated person will not receive dayroom access, but may participate in recreation, based upon the recommendation of Mental Health staff. Yard time will take place in one of the G/H-yards, according to schedule. (d) The return from any event, or transfer into a safety cell. (e) Anytime the incarcerated person is provided with bedding, a clothing exchange, a meal, medication, toilet paper. (f) To document medical and mental health evaluations. (g) To document supervisor and/or Watch Commander checks. The West Annex Jail Facility Sergeant shall document a minimum of three (3) visits per shift via a safety check system. An on-duty Watch Commander shall document a minimum of one (1) visit every 24 hours. 531.13 OBSERVATION CELL ASSESSMENTS AND REVIEWS Transfer to an observation cell requires the recommendation of a qualified mental health professional. (a) Prior to placement in the observation cell, the clinician (or RN) must perform an evaluation to determine the incarcerated person's need for mental health services and suitability for retention in the observation cell. (b) If an RN performed the initial evaluation, qualified Mental Health staff shall evaluate the incarcerated person and perform a clinical assessment within the first twelve (12) hours of placement. Each incarcerated person must have a medical assessment to determine whether they have a serious medical condition that is being masked by the aggressive behavior. Some acting-out behavior may be symptomatic of serious or life-threatening illnesses. (a) This assessment is performed on all incarcerated people placed into a safety cell. If the incarcerated person is being transferred from a safety cell into an observation cell, it is not necessary to repeat this assessment a second time. (b) If the incarcerated person is transferred directly into an observation cell from general housing, the assessment shall be completed prior to the placement into the observation cell (absent exigent circumstances) but no later than a maximum of two (2) hours from the time of initial placement. The assessment shall be performed by an RN or provider. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 159 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell The incarcerated person shall be medically cleared by qualified Medical staff(i.e., RN or provider) for retention every twenty-four (24) hours thereafter. The incarcerated person shall be reevaluated for removal or continued retention in the observation cell a minimum of every twenty-four (24) hours by a qualified mental health professional and the Watch Commander. However, nothing shall preclude correctional, Medical, or Mental Health staff from recommending removal prior to that time. 531.13.1 OBSERVATION CELL EXTENSION Whenever an incarcerated person's placement in an observation cell is to exceed ten (10) days, a mental health assessment from the facility Psychiatrist or facility Medical Director shall be conducted and a written recommendation shall be forwarded to the Watch Commander for the reasonable extension and temporary continuance of the observation cell housing. No incarcerated person shall remain in an observation cell for more than fourteen (14) continuous days. The Psychiatrist or Medical Director shall submit the Observation Cell Extension Request to the on-duty Watch Commander, who shall sign the form and forward it to the Jail Operations Bureau Commander for his/her approval. The original form shall be returned to Mental Health staff to be placed in the incarcerated person's mental health file. The housing floor Security Officer shall create an "Observation Cell Extension" EVENT, as well as a "Remove from Observation Cell" EVENT in OffenderTrak. The date and time shall be set for four (4) days from the time of the extension. During the four-day extension, Mental Health staff must present a crisis management plan indicating the next course of action to effectively manage the behavioral health of the incarcerated person, which may include, but is not limited to the following: (a) Direct admittance to a behavioral health facility. (b) Transport to a medical or behavioral health facility for 72-hour treatment and evaluation pursuant to Section 5150 of the Welfare and Institutions Code. (c) Direct supervision (managed within the Jail facility). 531.14 INVENTORY AND STORAGE OF AN INCARCERATED PERSON'S PERSONAL AND JAIL-ISSUED PROPERTY WHILE ASSIGNED TO THE OBSERVATION CELL If an incarcerated person is transferred directly from a housing unit (as opposed to being transferred from a safety cell), a designated officer shall be assigned the task of ensuring that both the incarcerated person's personal and jail-issued property are removed from the housing unit. This shall include clothing, bedding, and, if applicable, the mattress. The designated officer shall ensure that all of the incarcerated person's personal property is searched for contraband and placed into a paper bag, stapled closed, and clearly marked with the incarcerated person's name, booking number, and JID number. The property shall be inventoried utilizing an OffenderTrak LOG event. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 160 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Mental Health Observation Cell The paper bag containing the incarcerated person's property shall be stored in the mezzanine storage area until the incarcerated person is removed from the observation cell. (a) Any jail-issued bedding, linen, or clothing that is not retained by the incarcerated person while in the observation cell shall be sent to the Laundry Room. (b) Personal property, clothing, and/or bedding items shall not be stored in the hallways adjacent to the observation cells at any time. (c) When not in use, the all-in-one beds shall be stored with the mattresses in the storage room located next to H-pod. When the incarcerated person is removed from the observation cell, they shall receive a full new jail issue and their personal property shall be returned to them.The incarcerated person's property inventory LOG event in OffenderTrak shall be modified. 531.15 OBSERVATION CELL REMOVAL Mental Health staff will be responsible to recommend removal from the observation cell when the incarcerated person is no longer in crisis. No incarcerated person shall remain in the observation cell longer than is necessary for treatment needs. Upon the determination that the incarcerated person can be safely removed from the observation cell, the following shall occur: (a) A designated Population Management Officer shall initiate a HOUSING ALLOCATION movement to a new housing location. (b) The officer who is notified and instructed to initiate the removal of the incarcerated person from the observation cell shall complete an incident report which will include the following information: 1. Date and time of removal. 2. Date and time of original placement. 3. Reason for removal. 4. Name of the Mental Health staff member who recommended removal. 5. Name of the Watch Commander who approved removal. 6. New housing assignment. The incident report documenting the removal shall be forwarded to the Watch Commander. The officers on the housing floor shall ensure the following is completed: (a) A new wristband shall be placed on the incarcerated person. (b) The incarcerated person's location is updated in OffenderTrak as appropriate (e.g., removed from "Observation Cell" and re-designated as "In Transit." Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Mental Health Observation Cell- 161 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 532 Custody Policy Manual Guarding Incarcerated People Off-Site 532.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain a consistent and legal method of guarding incarcerated people who are transported and/or admitted to an off-site medical or mental health facility. 532.2 POLICY The Fresno County Sheriff's Office Custody Division requires a Correctional Officer, Deputy, or Reserve Deputy to guard all incarcerated persons transported to off-site medical or mental health facilities. Guards for hospitalized individuals are determined based on security needs and court petitions, as follows: (a) Incarcerated persons hospitalized for over 48 hours will be reported to the Superior Court by the Medical Director of Jail Medical Services. (b) For misdemeanors, the Jail Medical and Services Bureau Commander or authorized designee may petition to remove the guard after consulting with the Medical Director and the Superior Court, per Penal Code Section 4011.7. (c) For felonies, the Jail Medical and Services Bureau Commander or authorized designee may petition for guard removal if the individual is deemed physically incapable of escape or poses no danger to life or property per Government Code 26605.5, 26605.6, or Penal Code Section 1172.2. (d) The Watch Commander determines the number of officers and security measures required for guarding. (e) All officers assigned to off-site guard duty must complete hospital-required training and orientation before their assignment. 532.3 OFFICER/GUARD RESPONSIBILITIES The primary responsibility of the officer on guard duty is to prevent the escape of the incarcerated person. All persons under guard are to be considered high escape risks. Officers shall be responsible to: (a) Inspect the rooms when coming on-duty. Check for windows that open, faulty locks on doors or windows, weapons, contraband, current restraints, etc. (b) Restrict their activities to the actual guarding of persons under guard. Officers shall not engage in any activity that may distract from the performance of their duties. 1. Remain alert to the activities of other persons in the room, as well as the person being guarded. They shall not turn their back to the incarcerated person or have their gun facing the incarcerated person. 2. Officers shall not walk away from the immediate presence of the incarcerated person, engage in any unnecessary visiting with friends, staff, or incarcerated persons, or participate in any activity that detracts their attention from the incarcerated person. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 162 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site 3. Officers are not expected to intervene when an incarcerated person is "acting out" or become involved in behavior intervention, unless necessary to prevent serious bodily injury. 4. No radios, portable TV's, card games, board games or electronic games of any type are allowed while guarding an incarcerated person. This includes the use of electronic devices to surf the Internet, watch video recordings, or television broadcasts, listen to music, or perform any other non-work-related function. 5. Cellular telephones may be utilized to conduct Sheriff's Office business. Personal calls shall be kept to a minimum, and at no time should the officer's attention be detracted from the incarcerated person. Officers shall maintain visual contact with the incarcerated person at all times. The only exceptions are when the incarcerated person is: (a) Under general anesthesia (b) In surgery (c) In labor and in the delivery room (d) In the restroom (e) Or at any time the officer's presence is not practical due to room configurations, equipment congestion, isolation, or other reasons. In these cases, the officers may remain in the hall immediately outside the incarcerated person's room for as long as necessary. If this creates a problem with the medical staff, notify the Administrative Sergeant so they can decide what should be done. Officers shall not leave their incarcerated person alone. Officers should not expect to be relieved for a rest or meal break while assigned to guard duty. If absolutely necessary, Community Medical Center Security can briefly relieve officers while they use the restroom by contacting Security Services. (a) Community Medical Center Security offers assistance throughout the hospitals, including the Law Enforcement Room in the Behavior Control Unit (LER/BCU) in Community Regional Medical Center (CRMC). Their dispatch number is 559-459-6575. (b) Internal Services (County) Security offers assistance in the parking lots and outer buildings, including the Crestwood Fresno Psychiatric Health Facility (formerly PHF). Their after-hours radio paging number is 559-452-7102. Officers shall not become overly familiar or friendly with incarcerated people under guard. 532.3.1 MENTAL HEALTH FACILITY -ADDITIONAL OFFICER RESPONSIBILITY The routine shackling and handcuffing of incarcerated persons are not permitted in the psychiatric facilities. Handcuffs shall be carried, but are not to be dangled from the belt. The handcuffs are to be concealed from sight and only used in the case of an emergency, or when transporting the incarcerated person to and from the psychiatric facility. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 163 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site Officers shall be in close attendance with the incarcerated person at all times. (a) Depending on the circumstances, the officer will most likely be allowed to attend consults and therapy sessions with the incarcerated person. If a doctor wants privacy, the officer may be asked to step outside of the room, but should be able to maintain visual contact (e.g., the door can remain open if there are no windows). The officer should remain directly outside the room for as long as necessary. If this creates a problem with the mental health staff, notify the Administrative Sergeant so they can decide what should be done. (b) Direct visual contact shall be maintained as much as possible. If the incarcerated person is inside their room, the door shall remain open (unless in seclusion or restraints). A visual documented check shall be conducted at least once every fifteen (15) minutes whenever the incarcerated person is not in the direct line of supervision. Remain alert to the activities of other persons in the room, as well as the person being guarded. Officers are not to fraternize with incarcerated persons. Remember, the incarcerated persons are there for a reason. Do not laugh at them, believe, or support any of their stories. 532.3.2 ASSIGNMENT TO A PSYCHIATRIC UNIT Uniforms are not to be worn when working in the psychiatric housing units. Officers shall wear neat, clean, conservative civilian clothes and display their Sheriff's Office identification card. No T-shirts with logos, sweatpants or sweatshirts, shorts, or any clothing that would attract attention. Female officers shall not wear high heels or dresses. Firearms and ammunition are not permitted in the facility. If assistance is needed, the Charge Nurse will assist in the securing of these items. (a) Crestwood - Gun lockers are available in the secure entry area. Additional (personal) lockers are available for use, but officers are required to provide their own locks. (b) Community Behavioral Health Center - A safe lockbox is provided in the reception area. Officers may carry their issued OC-spray, expandable baton, and/or Taser. These items must be concealed from view at all times and may only be used in circumstances serious in nature, calling for extreme measures necessary to protect against serious bodily injury. The incarcerated person phones are for the incarcerated persons' use only, as required by law. The phones in the Nurses'Station are business phones and are not to be used for personal phone calls. Officers may make and receive brief phone calls to and from the Sergeants. County-issued laptop computers and cell phones may be utilized to conduct Sheriff's Office business, but only in the dining (i.e., "common") area, or in the dayroom (i.e., "secured") area during sleeping hours (i.e., 2200 — 0500 hours). (a) Phone calls shall be kept to a minimum and computers may only be used to complete reports. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 164 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site (b) At no time should the use of these items detract the officer's attention from the incarcerated person. Personal belongings(e.g., backpacks, purses, clothing, etc.)should be stored in a secure location. There are very few secure storage areas within the facilities. If possible, store personal belongings with the weapons, or ask the Charge Nurse to assist in locating a secure storage area in which to place personal belongings. Backpacks holding work-related items may be taken into the dining/ common area, but may not be taken into the dayroom/secure area except during sleeping hours (i.e., 2200 —0500 hours). Officers will not be relieved to leave for lunch and should either bring a sack lunch with them, or wait for the Transportation Officer to deliver a meal. (a) When two or more officers are on-duty, they may not leave the area for lunch at the same time. (b) Food and beverages shall only be consumed in the dining/common area (or in the dayroom/secure area between 2200 — 0500 hours). 532.4 DAILY OCCURRENCE LOG The Administrative Sergeant will create a Hospital Logbook specific for each incarcerated person, which will accompany the incarcerated person to the medical facility. Incarcerated Person Daily Occurrence Log sheets shall be used to record, at a minimum, hourly entries as well as the dates and times of the following activities: (a) If the incarcerated person is to be denied television privileges. (b) If the incarcerated person is authorized to receive visitation, and the name of the Watch Commander who approved the visits. (c) Any incarcerated person movement (e.g., to X-ray, surgery, etc.). (d) Any unusual occurrences. (e) Any other information that needs to be conveyed to relief officers. If additional Incarcerated Person Daily Occurrence Log sheets are needed, contact the Administrative Sergeant or Transportation. When the incarcerated person is released or returned to custody, the Logbook shall be returned to the Jail along with the incarcerated person's medical paperwork. (a) The Incarcerated Person Daily Occurrence Log sheets shall be taken to Jail Records to be scanned into the incarcerated person's records. (b) Return medical paperwork to jail medical. (c) Return the Hospital Logbook to the Administrative Sergeant. (d) Notify Population Management of the persons return and if there were any behavioral problems the incarcerated person may have exhibited while under guard (e.g., violent outbursts, etc.). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 165 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site 532.5 MENTAL HEALTH FACILITY PATIENT RIGHTS Incarcerated people admitted for psychiatric treatment or evaluation are afforded additional rights that cannot be taken away without "good cause." All psychiatric patients have the right to: Wear their own clothing. Although they will most likely be transported wearing a jumpsuit, they will be issued alternative clothing at the facility. Personal clothing may be brought in by visitors, but is limited to two outfits (the acceptance of large amounts of clothing and luggage is to be discouraged due to limited storage space). To have reasonable access to telephones, both to make and receive confidential calls and to have such calls made for them. To be free from harm, including unnecessary or excessive physical restraint, isolation, medication, abuse, or neglect. To see visitors each day.Visiting will be in accordance with the psychiatric facility's visiting policies. Snacks may be brought in by visitors, but must be consumed during visiting hours.Any extra items not eaten must be returned to the visitors.To maintain compliance with infection control policies, no extra food, candy, or drinks are to be stored in the living areas. The officer shall thoroughly search all items for contraband prior to giving them to the incarcerated person. Visitors may NOT bring cigarettes, matches, lighters, glass objects, razor blades, medications, or other objects deemed potentially dangerous. (See 532.8.1 for additional procedures.) (a) During visits, the assigned officer shall place themselves inside of the room in a position to constantly observe the visitor(s) and the incarcerated person. Officers will remain alert to the activities of other persons in the room, as well as the person being guarded. (b) If an officer feels that a visit should be denied for violation of a visiting rule, they must notify the Charge Nurse. Any time a visitor is asked to leave, it is considered to be a denial of the visitation right and the Charge Nurse must ensure that specific procedures are complied with, as specified under Title IX, Section 865.2.Violation of the following rules may be grounds for terminating a visit: 1. To ensure protection of confidentiality, cameras and recording equipment are not allowed. 2. Physical contact between the incarcerated person and visitor(s) shall be limited to a brief hug upon greeting and/or leaving. 532.5.1 GOOD CAUSE FOR DENIAL OF RIGHTS The rights listed above may be denied only for "good cause." Good cause for denying a incarcerated person the exercise of a right exists when the professional person in charge of the facility has good reason to believe: (a) That the exercise of the specific right would be injurious to the incarcerated person. (b) That there is evidence that the specific right, if exercised, would seriously infringe on the rights of others. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 166 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site (c) That the institution or facility would suffer serious damage if the specific right is not denied. (d) That there is no less restrictive way of protecting the interests specified above. The reason used to justify the denial of the right must be related to the specific right denied, and the cause has to have occurred in the hospital facility. The right shall not be withheld or denied as a punitive measure, nor shall a right be considered a privilege to be earned. If a staff member believes that "good cause" exists to deprive the incarcerated person of one of their rights (e.g., telephone access), that information shall be passed on to the Watch Commander,who will contact the Facility Case Manager and discuss the situation. The Case Manager will then advise if the right may be denied as outlined in Title IX. The Charge Nurse shall be responsible to obtain an order from a psychiatrist. The order is only effective for twenty-four (24) hours. The denial of the right will be re-evaluated on a daily basis. A new order must be written if the denial is to be continued for longer than 24 hours. The order shall be recorded in the incarcerated person's medical record. It is the nursing staff's responsibility to notify the Patients' Rights Advocate and complete the Denial of Rights form. Once the good cause for denial is no longer present, the right must be restored. 532.6 USE OF RESTRAINTS With limited exceptions, handcuffs, waist chains, and shackles shall be applied to all incarcerated people transported to off-site medical facilities. Waist chains are available in the Booking and 1st Floor Security Stations and should be applied whenever possible. High-security incarcerated people shall be transported with handcuffs, shackles, and waist chains during ALL movement. (a) Restraints shall not be placed on an incarcerated person during labor, including during transport to the hospital, during delivery, and while in recovery after giving birth. Handcuffs may only be utilized when circumstances exist that require the immediate application of mechanical restraints to avoid the imminent threat of death, escape, or great bodily injury, and only for the period during which such threat exists. No shackles or waist chains shall be applied to pregnant incarcerated people. In every instance, special effort shall be made to avoid harm to the unborn child. If handcuffs are applied, the incarcerated person's hands shall be cuffed in front of her body. Restraints shall be removed when a professional who is currently responsible for the medical care of a pregnant incarcerated person during a medical emergency, labor, delivery, or recovery after delivery determines that the removal of restraints is medically necessary. NOTE: The straps utilized by ambulance personnel are for the safety of the incarcerated person during transportation and are not subject to restriction for the purpose of this policy. (b) Very obese individuals and incarcerated people with a cast, bandage, or obvious serious injury to their extremities shall have their hands cuffed in front of their bodies (if the use of handcuffs is possible). If handcuffs cannot be utilized, shackles shall be applied. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 167 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site (c) Incarcerated people on crutches shall be handcuffed to one crutch. If feasible or deemed necessary, transfer (and handcuff) the incarcerated person to a wheelchair as soon as possible. (d) Incarcerated people confined to wheelchairs shall be handcuffed to the wheelchair. All persons under guard at the hospital shall be leg shackled to the bed. Exceptions shall only be made for females during labor, delivery, and recovery, or when it is physically or medically impossible or impractical. (Recovery is the length of time the incarcerated person stays in the hospital after giving birth.) Removal of any restraints for examination and/or treatment is based upon the discretion of the officer. The nurses and doctors cannot order that an incarcerated person's restraints be removed. If guarding more than one incarcerated person, allow only one incarcerated person to be out of bed at a time. Persons under guard shall not be allowed out of their room except upon the request of the hospital staff for a medical reason. In such cases, the incarcerated person shall be shackled and accompanied by the officer. Incarcerated persons under guard shall be leg shackled when they go to the restroom. (a) When the incarcerated person is in the restroom, the officer shall stand in the hall to ensure the incarcerated person does not try to escape out a back door. (b) Do not use the incarcerated person's restroom unless absolutely necessary. When possible, use the staff restrooms in the hallways and utilize Security Services to guard the incarcerated person. All restraints shall be double-locked at all times. Officers shall not relax their guard. Although mechanical restraint devices greatly assist in controlling incarcerated people, the devices should not be considered a guarantee against incarcerated person assault, nor should they be considered a guarantee against incarcerated person escape. The devices are no substitution for vigilance and attention to duty on the part of Sheriffs personnel. Just because an incarcerated person would logically seem to be weakened or incapacitated by some medical condition, the incarcerated person's violent mind-set may still be functioning fully,just seeking an opportunity to attack and/or escape. 532.7 TELEPHONE ACCESS Hospitalized incarcerated people are not permitted to make or receive personal telephone calls. Exceptions may be made with the approval of the Watch Commander for incarcerated people who experience hospital stays in excess of thirty (30) days duration or for those having life-threatening or critical injuries or illnesses. 532.8 VISITING HOSPITALIZED INCARCERATED PEOPLE Hospitalized incarcerated people will not be allowed to have personal visits, except as approved by a Watch Commander. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 168 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site Special visits may be arranged for those incarcerated people who experience hospital stays in excess of thirty(30)days duration orforthose having life-threatening or critical injuries or illnesses. Visits are restricted to immediate family members. Pregnant incarcerated people may request to have a support person present during childbirth. (a) The approval for the support person will rest with the Watch Commander and will be based on a case-by-case review. Reason for denial must address the safety/security concerns for the incarcerated person, infant, public, and/or staff and be documented in an incident report. (b) After the birth, the appointed guardian of the infant and/or family members may be permitted to visit the incarcerated person in the hospital with the approval of the Watch Commander. 532.8.1 VISITATION PROCEDURES If the incarcerated person is authorized to receive visitors, visiting will be in accordance with both the hospital's and the jail's visiting policies and will be monitored, controlled, and logged by the assigned officer. (a) Visitation must conform to the hospital's regular visiting hours. (b) Only two visitors shall be allowed in at a time. (c) Children under age 12 are not allowed to visit incarcerated people unless special arrangements are made with hospital staff. The guarding officer shall be responsible to obtain the visitor's name, verify their identity, and log the visitor's driver's license/identification. The officer shall announce the arrival of the visitor and confirm that the incarcerated person wishes to accept the visit. (a) The officer shall log the full name of all persons who visit, along with the time and duration of the visit. (b) It is not necessary to notify the Jail when the incarcerated person receives a visit. Violating any of the following rules shall be grounds for terminating the visit: (a) The privacy curtains surrounding the hospital bed shall remain open. (b) There shall not be an exchange of any items. Absolutely no food or clothing may be brought in for the incarcerated person (e.g., no home-cooked meals, fast foods, canned sodas, etc.). (c) There shall be no physical contact between the incarcerated person and their visitor(s) at any time. (d) Visitors may not congregate in the hallway. (e) If the visitor displays behaviors that might be the result of drug or alcohol consumption. (f) If the visitor becomes disruptive or is agitating the incarcerated person. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 169 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site During visits, the guarding officer shall place themselves inside of the room in a position to constantly observe the visitor(s) and the incarcerated person. Officers will remain alert to the activities of other persons in the room, as well as the person being guarded. Officers retain the discretion to limit or deny visits to guarded incarcerated persons, as space and activity in the room allows (e.g., an ICU room, a double room shared with an incarcerated person guarded by another agency, the presence of other visitors in the room, etc.). The decision rests with the officer and not with the nurse on-duty. If a visit is denied, the basis for the decision shall be included in the Logbook and the Administrative Sergeant shall be informed. Visitors are not permitted to take photographs unless authorized by the Watch Commander. 532.9 SERGEANT NOTIFICATION The hospital facilities fall under the responsibility of the Administrative Sergeant. The Sergeant shall be notified when any of the following events occur: (a) Whenever an officer is leaving the room for more than a few minutes (if two or more officers are working in the same room, one officer may leave briefly to go to the cafeteria). (b) When taking an incarcerated person out of the room (e.g., going to X-Ray or an operating room), or any time the incarcerated person is removed or transferred from their assigned location. (c) Any time force is used to help restrain an incarcerated person or another incarcerated person. (d) If it is physically or medically impossible or impractical to shackle an incarcerated person. (e) If any problems occur with the medical staff. (f) If the incarcerated person's television privileges are revoked (e.g., if the incarcerated person's behavior is deemed inappropriate). (g) If the incarcerated person has been granted permission to use the telephone, and it becomes necessary to revoke the privilege (e.g., if the incarcerated person's behavior is not deemed appropriate, or there is reason to believe the incarcerated person is planning an escape attempt). (h) If the incarcerated person has been granted permission to have visitors, and it becomes necessary to revoke the privilege (e.g., if there are any problems or unusual occurrences with visitors). (i) If the incarcerated person attempts or effects an escape. Q) Notify the Administrative Sergeant if compassionate release is being evaluated or has been granted, to coordinate transition and documentation. (k) When the incarcerated person is ready to be released back to the jail (after the doctor has signed their release and their medication is ready). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 170 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site 532.9.1 DOCUMENTATION Incarcerated people housed at off-site medical facilities remain under the custody, care, and control of the Fresno County Sheriffs Office Custody Division.The fact that an incarcerated person is housed at an off-site facility does not negate the necessity for a report to be written.Any security incident or unusual occurrence which would normally necessitate a report shall continue to be required. 532.10 GUARD-TO-INCARCERATED PERSON RATIO PER ROOM The following ratios shall be considered guidelines and do not preclude a Watch Commander, based upon other information they may have, from adjusting the ratios up or down (e.g., certain incarcerated people may require a higher level of security while others who are non-ambulatory and/or comatose, may allow a reduction in the ratio): Number of Number of Officers Number of Officers Number of Officers Incarcerated People on Watch I on Watch II on Watch III 1 1 1 1 2 1 2 2 3 2 2 2 4 2 3 3 If two officers are on-duty, one will sit outside in the hall (except on Watch 1). 532.11 ESCAPE ATTEMPTS When guarding incarcerated people at an off-site medical facility, the primary responsibility of the officer is to prevent the escape of the incarcerated person under their custody. Officers must remain alert and take preventative steps to avert any escape attempts. Should an incarcerated person attempt an escape, the response of the officer will vary greatly dependent upon the circumstances. If possible, capture and restrain the incarcerated person. This course of action may not always be prudent or advisable (e.g., if guarding more than one incarcerated person; if a vehicle pursuit is necessary; if a "break-out" involving weapons and outside help is involved, etc.). Use officer discretion and prudence as required. Depending on the circumstances, immediately advise both the Administrative Sergeant and Community Medical Center Security. Again, officer discretion is required (e.g., if the immediate recapture of the incarcerated person can be facilitated and would be impeded by the time necessary to contact others, notification to the Sergeant will come secondary, but as soon as feasibly possible). Under no circumstances is an officer to assume the role of a patrol officer or detective (e.g., do not try to entrap the incarcerated person at their home, conduct an investigation, etc.). The Watch Commander will be responsible to notify the Patrol Watch Commander to deploy resources and conduct an investigation, as appropriate. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 171 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site 532.12 HOSPITAL SAFETY CODES Hospital safety codes are used to alert all employees when emergency situations occur. The hospital policies concerning each code need to be reviewed by persons assigned to guard duty. (a) Code Red —A fire has been reported and the fire plan has been activated. Be ready to move the incarcerated person should it become necessary for an evacuation. (b) Code Yellow-A bomb threat has been reported and a bomb search has been initiated in all departments.Search the room for any suspicious packages or devices and inform Security of any findings when they come by during the search. (c) Code Pink or Code Purple — An infant (pink) or child (purple) abduction has taken place or is in progress. Do not leave the incarcerated person but watch the hallway for anyone carrying a baby or small child. Notify medical staff and be able to provide a description. (d) Code Blue—A patient is experiencing a medical emergency. If the incarcerated person is the patient, be ready to remove any restraint device that might interfere with medical treatment. After the emergency is over, check the room for any items that may have been left by medical staff that could pose a threat. (e) Code Silver— Used to alert staff to an armed person and/or hostage situation. Be on high alert-the person may be in the building to cause harm to the incarcerated person, or aid in their escape. (f) Code Green — Used to notify staff that a high-risk patient has gone missing. (g) Doctor Stat — Indicates that a doctor's services are required immediately. If the incarcerated person is the patient,follow the procedures as indicated for a Code Blue. 532.13 COMPASSIONATE RELEASE CONSIDERATIONS Incarcerated persons housed at an off-site medical facility may qualify for compassionate release under the conditions listed below. 532.13.1 ELIGIBILITY CRITERIA Conditions under which compassionate release may be considered: (a) Severely Physically Incapacitated —The incarcerated person is so incapacitated that they pose no threat to public safety, and: • The examining physician (not employed by or contracted with the County) provides diagnosis and prognosis. • The Sheriff (or designee) determines their medical needs are better served outside custody. (b) Terminal Illness —The incarcerated person has a life expectancy of six (6) months or less, as determined by the responsible physician, and: • They are sentenced. • They do not reasonably pose a threat to public safety. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 172 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Guarding Incarcerated People Off-Site A post-release placement is secured, and eligibility for Medicaid or other aid is explored. (c) Permanent Medical Incapacitation — Under AB 960, an incarcerated person may also be considered if they: Cannot perform activities of daily living (e.g., bathing, dressing, toileting). Have progressive end-stage dementia or other end-of-life illnesses. Did not have the condition at the time of sentencing. 532.13.2 PROCEDURES (a) Medical Notification Upon diagnosis, the responsible or designated physician shall notify the Jail Medical and Services Bureau Commander or authorized designee to begin assessment and documentation. (b) Documentation and Review The Jail Medical and Services Bureau Commander or authorized designee gathers: Name, offense(s), sentencing info. Medical diagnosis and prognosis. Proposed placement location (e.g., hospice, residential care). (c) Chain of Approval The Sheriff or designee shall review all documentation and determine appropriateness. If approved, the Sheriff shall notify the Presiding Judge of the Superior Court. (d) Relief from Guarding Duties Once a compassionate release is approved: The incarcerated person is no longer considered under Sheriffs custody. All guarding, restraint, and security protocols cease. Medical paperwork and the Daily Occurrence Log shall be returned for scanning and retention. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Guarding Incarcerated People Off-Site- 173 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 533 Custody Policy Manual Custodial Body-Worn Cameras 533.1 PURPOSE AND SCOPE The use of a body-worn camera (BWC) by correctional officers is intended to enhance the mission of the Fresno County Sheriff's Office by accurately capturing contact with incarcerated people.This policy provides guidelines for the use of a BWC by correctional officers while in the performance of their duties. The requirement to activate a BWC in a Use of Force incident will not supersede an officer's authority to defend themselves or others. The Office recognizes that BWC recordings cannot always show the full incident, nor do video images capture an entire scene. The use of a BWC does not reduce the requirement to provide thorough written documentation of an incident. Persons reviewing BWC recordings must be cautious before conclusions are reached about what the recordings show. 533.1.1 DEFINITIONS Administrative User - Personnel authorized by the BWC Coordinator to assist with the management of Evidence.com. Axon Respond -Allows location data via GPS. Axon Signal -When activated, Signal wirelessly alerts nearby Axon cameras to begin recording. Axon View XL Application - An application installed on office-issued pairing devices that allow staff to view, but not alter, video recordings captured by the AXON camera. The application also allows staff to attach metadata to the video file. Audit trail—An electronic tracking system which provides a record of uploads, views, downloads, transfers, and modifications to copies of the original record. Body-worn camera(BWC)—A department-authorized and issued camera worn on an individual's person that records and stores audio and video. Buffering mode - The BWC power is on and in a state where the device is capturing only video, but not saving the recording to memory. The device is continually recording in 30 second loops and will only save once the BWC is activated to record both sound and video. Digital evidence — BWC files for upload to Evidence.com. Docking station - A hardware device which allows for a BWC to be mounted securely while the BWC is charging and allows for uploading files to Evidence.com. When the camera is docked, video data stored on the camera is automatically uploaded to Evidence.com. Docking also allows for firmware updates to the BWC. Evidence.com -A secure, "cloud" based storage system externally hosted by Axon, and for use by authorized users. Evidence.com is used to organize, classify, manage,view, share, and archive digital evidence. It tracks and provides an extensive audit log of all activity to protect the chain of custody. Levels of access can be set and restricted within Evidence.com. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 174 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custodial Body-Worn Cameras Metadata - Searchable data specific to the digital file such as case numbers, call for service numbers, retention categories, and other descriptors used to identify digital evidence,and required to be added to digital files to facilitate searching for the file. Muting - Deactivating the audio recorder while video recording continues. Recording off (de-activation) - The process of turning off the BWC and ensuring it is not recording. This discontinues the recording being saved to memory but does not prevent the device from buffering. Recording on (activation)-The process of turning on the BWC and recording video and/or audio to memory. Power on/off - The process of powering on or off the recording device. This merely turns the device on or off and does not refer to recording. Sleep mode - Puts the camera in an idle state that disables recording and buffering. While in this state, automatic activation will not initiate camera recording. Stealth mode - Turns off all indicators and notifications such as LED lights, sounds (audio prompts), and vibrations (haptic feedback). Tagging - A method to add metadata to digital files which can be retrieved by case/incident numbers, incident types, date/time, etc. 533.2 POLICY The use of the BWC system is meant to assist correctional officers in the performance of their duties and provide documentary evidence of incidents such as: assisting correctional officers in accurate report writing, protecting the Office and its members from unfounded allegations of misconduct, reducing time spent by members in court, and documenting encounters with the incarcerated population. Correctional officers shall utilize BWC in accordance with the provisions in this policy to maximize the effectiveness of the audio/video documentation to achieve operational objectives, ensure evidence integrity, and enhance the mission of the Office. Any use of a non-department authorized and issued BWC is prohibited. Correctional officers shall document the use of a body-worn camera in their written report. 533.3 PRIVACY Body-worn Camera (BWC) use is limited to activities listed below. All BWC data made by correctional staff acting in their official capacity shall, at all times, remain the property of the Fresno County Sheriff's Office. Members shall have no expectation of privacy or ownership interest in the content of any BWC data. 533.4 ACTIVATION OF BODY-WORN CAMERA There are many situations where the use of the BWC is appropriate. This policy is not intended to describe every possible circumstance. Except as otherwise prohibited, correctional officers should activate the system any time they feel its use would be appropriate and/or valuable to document Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 175 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custodial Body-Worn Cameras an incident or contact. Correctional officers shall not intentionally obscure the BWC view at any time during the recording of an incident or contact. Unless it is unsafe or impractical to do so, or mechanical issues impede the use of the device, correctional officers shall make every reasonable effort to activate their BWC cameras prior to making contact in any of the following incidents: • Use of Force. • Cell and pat down searches. • Incarcerated person(s) in medical or mental health distress. • During the movement of incarcerated people in/out of the facility. • Responding to fights, riots, or disturbances. • Unusual or suspicious circumstance situations. • Any movement of an individual housed in administrative separation or with a history of uncooperative, unpredictable, or violent behavior. • If applicable,while performing the duties as a S.E.R.T. member in any of the previously mentioned instances.All participating S.E.R.T. members shall wear an activated BWC during any S.E.R.T. operation (excluding training exercises). • Unless specifically prohibited or otherwise inappropriate for the situation, correctional officers may activate the BWC before or during any other incident, at their discretion. Passive activation tools, such as the Axon Signal technology, are intended to enhance safety by allowing correctional officers to focus on the situation, not the BWC. It is incumbent upon the correctional officer to ensure that their BWC is activated in accordance with this policy section, and not to solely rely on this technology. 533.5 WHEN BODY-WORN CAMERA RECORDING IS NOT REQUIRED It is the correctional officer's responsibility to activate the recording when the purpose of the deactivation/muting has passed. If the correctional officer deactivates the BWC or mutes the video, they should verbally indicate the reason for deactivation/muting prior to deactivating or muting the recording unless it is unsafe or impractical to do so. Circumstances when a correctional officer is not required to activate the BWC, or may deactivate, or mute a recording, include the examples listed below (officers may still activate BWC, at their discretion, during these circumstances): (a) In the correctional officer's judgment, a recording would interfere with their ability to conduct a classification interview, investigation, or may be inappropriate because of the incarcerated person's physical condition and/or appearance, emotional state, age, or other sensitive circumstances (e.g. classification interview, sexual assault victim). (b) A healthcare provider is discussing medical issues with an incarcerated person. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 176 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custodial Body-Worn Cameras (c) While in a hospital for an extended security detail with an incarcerated person. However, the BWC should be turned on in the hospital (in buffering mode) in case a situation arises which requires the activation of the BWC. (d) Correctional officer and incarcerated person safety would be compromised (e.g. a confidential informant or undercover member). 533.6 PROHIBITED USE OF BODY-WORN CAMERAS Officers shall not activate their BWC during the following types of interactions with incarcerated people: (a) While conducting a strip search on an incarcerated person who is compliant. Officers may activate their BWC if a strip search needs to be conducted on an incarcerated person who has indicated an intention to resist or of non-compliance. (b) Intentionally during an incarcerated person's use of the toilet or shower. Situations may prompt the need for BWC activation without regard to privacy (i.e., an incarcerated person becoming violent, uncooperative, or resistive, OR the possibility of an allegation of misconduct). Recording of Office personnel during routine, non-incarcerated person contact activities is prohibited during breaks and in facility administrative areas where no incarcerated persons are typically present. 533.7 OFFICER RESPONSIBILITIES Correctional officers who are trained to use a BWC shall abide by the following: (a) Ensuring the BWC is in good working order. 1. Officers shall ensure the camera battery is fully charged and operating properly. 2. Unless otherwise approved by a supervisor, officers shall place their BWC on a docking station, on a daily basis, at the end of their shift. 3. Officers shall immediately report unresolved equipment malfunctions and/or problems to their supervisor. All available methods should be used to try to resolve the issue as quickly as possible. (b) Officers shall ensure all digital evidence is uploaded and appropriately categorized with metadata by the end of their shift. Overtime will not be authorized for this purpose without the authorization of a supervisor. (c) Officers shall position the BWC to facilitate an optimum recording field of view. To achieve this officers must wear the BWC on the outermost garment and must ensure the recording field of view is not obstructed by anything (e.g. a jacket, inclement weather gear, plate carrier, etc.) (d) While on duty, officers shall keep the BWC powered-on, in buffering mode. 1. Officers may place their BWC in "Sleep Mode" only when attending to personal business (such as using the restroom, changing clothes, or lactation breaks). The purpose of this is to prevent inadvertent activations from Axon Signal. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 177 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custodial Body-Worn Cameras (e) When writing reports, officers shall document whether a BWC was activated. (f) Officers have discretion on whether to view a BWC recording prior to submitting a report. If an officer does not review the BWC recording before submitting a report, the officer must document that fact in the report. Officers are encouraged to review critical incident videos prior to report submittal. (g) If an officer fails to or is unable to activate their body-worn camera prior to initiating any instances requiring BWC activation in this policy, they shall activate it as soon as it is practical and safe to do so. As in all contacts, the safety of Office members, incarcerated persons, and members of the public are the highest priorities. The failure to activate a BWC because an incident unfolds too quickly, making the activation impracticable or unsafe, is not a violation of this policy. The inability to activate a BWC must be documented. (h) Videos without an associated incident report or criminal report shall be titled by location, computer ID number, and date (e.g., if you worked on Main Jail 4, your ID number is A1337, the date is 01/01/2024, and the video has no evidentiary value, it would be titled "MJ4-A1337-01012024"). 533.7.1 180-DAY TRANSITION PERIOD During the first 180 days a correctional officer is assigned a BWC,following completion of training, unintentional deviations in policy and procedure in the use and deployment of a BWC shall be considered training issues. During the transition period, officers should receive non-documented counseling and training only. Note: This does not apply to intentional acts to circumvent Office policy and procedure, such as intentionally not activating a BWC when required, intentionally de-activating a BWC prior to completion of an incident, or disabling or tampering with a BWC to include unauthorized deletion of any data. Such acts will not be considered a training issue within the 180-day transition period. Upon completion of the 180-day transition period, barring any long-term leaves or absences, officers will be expected to be proficient in the use and deployment of the BWC. If, at the end of the 180-day transition period, or at any time thereafter, an officer feels they need additional training to become proficient in the use and deployment of the BWC, they shall immediately address any concerns with a supervisor. Supervisors will be expected to arrange additional training, as needed, as soon as practical. 533.8 SUPERVISORY RESPONSIBILITIES The supervisor's responsibilities are as follows: (a) Supervisors shall make every effort to ensure officers utilize the BWC according to policy guidelines. (b) Supervisors shall make every effort to ensure videos related to critical incidents are uploaded to Evidence.com in a proper and timely manner. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 178 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custodial Body-Worn Cameras (c) Supervisors shall confirm that all videos are uploaded and properly categorized to ensure that the auto-retention feature can be triggered when necessary. (d) Supervisors shall ensure that videos containing criminal evidence are categorized appropriately and with the case number. (e) While reviewing, and prior to approving a report regarding the use of force, supervisors are required to review the relevant portion of BWC recordings associated with the incident. Supervisors shall evaluate the circumstances surrounding the incident and initiate an administrative investigation if there is a question of violation of law by department personnel, policy non-compliance, an identifiable training issue or if for any reason further investigation may be appropriate (see Department Chapter 3 Use of Force policy). (f) Supervisors are authorized to review relevant recordings any time they are investigating alleged misconduct or reports of meritorious conduct, for purposes of periodic audits, or to assist with evaluating an officer's performance. (g) Supervisors shall not review BWC footage for the sole purpose of searching for violations of department policy or law. Supervisors are encouraged, however, to attempt to resolve citizen or incarcerated person complaints by reviewing video captured by the BWC. (h) The supervisor shall contact the BWC Coordinator or designee upon learning of any reported problems or malfunctions of issued BWC equipment. 533.9 ACCESSING AND REVIEW OF RECORDINGS All access to Evidence.com is logged and subject to audit at any time. Access to any data from the system is permitted on a right to know, need to know basis. Members may only review video according to the provisions of this policy. Evidence.com automatically time/date stamps and records each access by name. Any witnessed violations of this policy shall be reported to a supervisor. Prior to viewing any data, members shall document the specific reason for access on the video file page in the "NOTES" section. Members may review BWC files as it relates to: (a) Completing an investigation and preparing official reports. Officers should not use the fact that a video recording is available to write a less-detailed report. (b) Officers are encouraged to review BWC data prior to documenting an incident to ensure their reports, statements, and documentation are as accurate and complete as possible. (c) Preparation prior to courtroom testimony or for courtroom presentation. (d) Providing a statement pursuant to an administrative or criminal inquiry, including officer-involved shooting investigations. The officer shall only review their own BWC footage. (e) Potential training purposes upon proper clearance only - the BWC video in question shall be reviewed by the Sheriff or their designee first, to decide whether the content Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 179 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custodial Body-Worn Cameras of the video supports further review by others to be used for training purposes, and upon review is not or does not appear to have the potential to become evidence of an internal affairs investigation, complaint, or other civil action. The Sheriff or their designee can, at any time, refuse to allow a BWC to be used for training purposes. (f) Duties when assigned to an official investigation as it relates to a personnel complaint, Internal Affairs investigation, or other administrative investigation. The BWC data accessed must be related to the given investigation. (g) Complying with a public records request, and in accordance with the Records release policy and state orfederal laws as authorized by the Sheriff or their designee.All Public Records Act requests for BWC data shall be routed through the PRA Unit. Although the system is designed not to allow it, any tampering with or deletion of BWC data is specifically prohibited. 533.9.1 OFFICIAL USE ONLY For official use, Evidence.com shall only be accessed from department authorized computers or devices. (a) Exception: Administrative users of Evidence.com may access Evidence.com from a computer or device outside of the department for the purpose of completing administrative tasks, such as locking or unlocking users, etc. Excluding members of the PRA unit responding to a PRA request, no employee shall release or cause to be viewed any BWC video to the media or member of the public without the authorization of the Sheriff or their designee. When appropriate, every effort will be made to notify involved employee(s) prior to release. 533.10 RELEASE OF BODY-WORN CAMERA RECORDINGS BWC data made pursuant to this policy are Office records and may only be released as provided in Department Manual Chapter 8 (Records Maintenance and Release) or for other authorized legitimate Fresno County Sheriff's Office business purposes. When criminal charges are being sought in a case, all related BWC data will be provided to the District Attorney's office or other prosecuting entity. 533.11 RETENTION BWC data shall be stored in compliance with standards set forth in Penal Code § 832.18 or any applicable County of Fresno Retention Schedule, whichever is for the longer period of time. 533.12 BWC COORDINATOR LIAISON The Custody Division Compliance Lieutenant shall act as a liaison to the Office BWC Coordinator. Under the direction of the BWC Coordinator, the BWC Coordinator Liaison (Custody Division Compliance Lieutenant) or their designee shall coordinate, initially and on a periodic basis, the use, maintenance, auditing, and training of BWC recording devices and the storage of recordings, including: Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 180 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Custodial Body-Worn Cameras (a) Coordinating with the Training Unit to implement proper training procedures. Training shall minimally include: 1. BWC operations. 2. BWC placement. 3. BWC uploading procedures. (b) Establishing a system for downloading, storing, and securing recordings. (c) Designating those responsible for downloading recorded data. (d) Establishing a maintenance system to ensure the availability of operable BWC devices. (e) Establishing a system for categorizing data according to the type of incident captured. (f) Establishing a system to prevent the tampering, deleting, and copying of recordings, and of chain of custody integrity. (g) Working with the County Counsel's Office to appropriately resolve legal questions or issues, and to ensure compliance with an appropriate retention schedule for recordings and associated documentation. (h) Isolating and mitigating accidental recordings. (i) Maintaining logs of access and isolations of recordings (Penal Code § 832.18). 533.13 DELETION OF UNINTENTIONAL RECORDINGS In the event of an unintentional activation of the BWC when activation is not required by this policy, officers may request the unintentional recording be deleted. A memo should be submitted to the officer's immediate supervisor. The memo should include the title of the video, privacy concerns, if the contents require gender-sensitive review, and the justification for deletion. Once the video has been reviewed and determined to be unintentional by the supervisor or their designee, a "NOTE" shall be made regarding the request, review, and decision. The request will be forwarded to the BWC Coordinator Liaison (Custody Division Compliance Lieutenant)for deletion. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Custodial Body-Worn Cameras- 181 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 534 Custody Policy Manual Warrant Abstract 534.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain a consistent method for processing warrants and warrant abstracts. 534.2 POLICY It is the policy of the Fresno County Sheriff's Office Jail Custody to book incarcerated people into custody utilizing a warrant abstract in lieu of the actual warrant. 534.3 PROCEDURES 534.3.1 WARRANT ABSTRACT BOOKING (a) When an agency arrests someone with an outstanding warrant, the arresting officer shall contact the FSO records warrant clerk and request that the warrant abstract be sent to the Jail. (b) The warrant clerk will send a warrant abstract to Booking and clear the warrant from the system. (c) The Booking Officer shall retrieve the abstract from the printer and give it to the transporting officer. (d) The transporting officer shall sign the abstract in the appropriate space and submit the abstract with the arrest tag to the Booking Officer for approval. (e) The arrestee shall be booked according to policy. (f) Local felony and misdemeanor warrant abstracts shall be forwarded to Jail Records where they shall be placed into the appropriate court bin. Local warrant abstracts must be scanned into Laserfiche. (g) Out-of-county warrants require that a Communications Form (J-124 form) be completed, scanned, and forwarded to Jail Records. The warrant abstract shall be scanned and shredded. (Refer also to Out-of-County Warrant). 534.3.2 JAIL WARRANTS (a) Jail Warrants are issued for persons who have not appeared for their Adult Offender Work Program (AOWP)assignment. Jail Warrants are considered to be commitments (they have been issued days to serve in custody) and will have no work time or good time credits given, and no credit for time served (unless arrested and transported from another county). 1. The booking and JID numbers shall be written on the Jail Warrant Abstract. Scan and forward the abstract to Jail Records. 2. Records shall be responsible for forwarding the abstract to the court. (b) If the person is arrested in another county on the Jail Warrant, the Transportation Unit will be notified. Depending on the length of time the person has to serve, Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Warrant Abstract-182 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Warrant Abstract Transportation will determine if the incarcerated person will be picked up and transported to Fresno County, or remain and serve their time in the arresting county. (c) If the incarcerated person is transported to Fresno County, they shall receive credit for the days served while in the other county's custody. (d) If the incarcerated person is to serve their time in the other county, Transportation will request that Booking or Records book and release the incarcerated person as a "Quick Booking." 1. Under the CHARGES tab (BOOKING/BOOKING MANAGEMENT), make a notation in the COMT/STRIKE/BAL section noting the name of the county and the number of days served. 2. Write the booking and JID numbers on the Jail Warrant Abstract, scan, and forward to Jail Records. 3. Records shall be responsible for forwarding the abstract to the court. 534.3.3 OUT-OF COUNTY WARRANT (a) The arresting officer shall contact the issuing agency and request they teletype the warrant to FSO records (the mnemonic is FSOO; ORI is CA0100000). (b) The arresting officer should contact the FSO records warrant clerk, notify them that they are waiting for an out-of-county warrant teletype, and request that a copy of the teletype be forwarded to the Jail Booking printer. (c) The Booking Officer shall give the teletype to the Transporting Officer, who will write the date, their name, badge number, and agency on the teletype, and return the teletype with the arrest tag to the Booking Officer for approval. (d) The Booking Officer shall fill out a teletype notification Communications Form (J-124 form) to be sent to the county holding the warrant. 1. The abstract shall be scanned and shredded. 2. The teletype shall be scanned and forwarded to Jail Records. (e) Records will immediately FAX the teletype to FSO Records (559-488-1899). In the event that the out-of-county warrant is the sole warrant detaining the incarcerated person in custody, the Booking Officer is required to arrange an event in OffenderTrak under Pending Activity, allowing the out-of-county agency a period of five days, inclusive of weekends and holidays, to retrieve the incarcerated person in custody. 534.3.4 OUT-OF-STATE WARRANTS The arresting/transporting officer shall submit the teletype with the arrest tag to the Booking Officer for approval. If the arresting/transporting officer does not already have the out-of-state teletype, the procedures in Out-of-County Warrants may be applied. The Booking Officer shall make a copy of the teletype with the incarcerated person's booking number on it, scan it, place it in an envelope, and forward it to the Transportation Unit. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Warrant Abstract-183 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Warrant Abstract The Transportation Unit shall be responsible for organizing all transportation arrangements with the out-of-state agency. 534.3.5 WARRANT ABSTRACT ADD-ON If a warrant is issued or discovered after the incarcerated person has been booked, the following shall occur: (a) FSO Records shall be contacted to send the warrant abstract to the Jail. 1. All local warrant abstracts will be sent to the Booking printer. The Booking Officers will be responsible for ensuring that the abstract is routed to Jail Records. 2. Out-of-county warrants may be routed directly to Jail Records in a "free-text" format. (b) The Records Officer shall: 1. Sign and date the warrant abstract 2. Initiate a CHARGES record 3. Make a copy of the warrant abstract for the incarcerated person. Handle the warrant abstract in accordance with the procedures outlined in Jail Warrants. 4. Create a Notice of Additional Charges (J-169)form (a) Detach the pink copy and forward it to the Jail Identification Bureau. (b) Attach a copy of the warrant abstract to the yellow (incarcerated person) copy. Forward the form to the incarcerated person as notification of the additional charge. (c) The incarcerated person will be required to sign the white copy of the form. The incarcerated person will be given a copy of the warrant abstract along with the yellow copy of the Notice of Additional Charges. (d) The original signed form (white copy) shall be returned to Jail Records to be scanned and shredded. 534.3.6 WARRANT ABSTRACT DISTRIBUTION Between 0800 and 0900 hours, a designated Records Officer shall gather all of the "Return to Court" paperwork (i.e., warrant abstracts, bonds, etc.) and distribute them accordingly: (a) With the exception of outlying Superior Court bonds, all Superior Court paperwork (i.e., warrant abstracts, bonds, etc.) shall be taken to room 401 on the 4th floor of the Courthouse. (b) Any outlying Superior Court bonds shall be taken to the 2nd floor of the Sheriff's Administrative Building and given to Accounting. 534.3.7 FEDERAL WARRANTS Federal warrants will not have an associated warrant abstract but instead will have a confirmation notice containing the pertinent warrant information sent by the U.S. Marshal's Office. The charge Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Warrant Abstract-184 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Warrant Abstract shall be booked as a "Federal Marshal Hold" and the form scanned into the incarcerated person's records. (Refer also to Federal Incarcerated People policy). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Warrant Abstract-185 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 535 Custody Policy Manual Federal Incarcerated People 535.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain a consistent method for processing and handling incarcerated people under federal jurisdiction. 535.2 POLICY Only federal law enforcement officers are authorized to book individuals for violations of federal law (i.e., open charges of the United States Code). All such arrests shall be accompanied by a United States Marshals Service USM-41 form. Any law enforcement officer may book individuals on federal warrants. All incarcerated people arrested on federal charges shall be considered in the custody of the arresting federal agency until their initial appearance in Federal Court. Subsequent to their initial court appearance, the responsibility for the incarcerated person will transfer to the United States Marshals Service. Federal incarcerated people in the custody of the United States Marshals Service shall not be released, even temporarily, to any agency (federal, state, or local)without authorization from the United States Marshals Service being presented to Jail personnel. Federal incarcerated people transported to any medical facility outside the confines of any Fresno County Detention Facility for treatment shall require authorization from the United States Marshals Service prior to their transportation unless exigent circumstances exist. 535.3 OVERVIEW All persons arrested for violations of federal statutes must be accompanied by the following documents at the time of booking: (a) A United States Marshals Service Prisoner Remand or Order to Deliver& Receipt for U.S. Prisoners (USM-41)form; OR (b) A warrant issued by a U.S. Magistrate, District Court Judge, or other authorized officer of the U.S. Courts. A USM-41 form is not required unless the arrest was effectuated by a federal agency. All persons who have been arrested on federal charges are considered to be in the custody of the arresting federal agency until their initial appearance in Federal Court. Subsequent to their initial court appearance, the responsibility for the incarcerated person will transfer to the United States Marshals Service (USMS). Incarcerated people brought into custody on local/State charges should remain under the jurisdiction of the arresting agency until the local case has been adjudicated. Once the case has been adjudged,the federal agency will be notified to initiate the Federal Court process. Exceptions should be rare, and require a Writ of Habeas Corpus. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Federal Incarcerated People-186 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Incarcerated People 535.4 ARRESTEES TO BE BOOKED AS FEDERAL INCARCERATED PEOPLE Only federal law enforcement officers are authorized to book individuals for violations of federal law (i.e., open charges of the United States Code). Persons arrested on federal charges must have an accompanying USM-41 form. Such persons shall be considered and booked as a Federal Marshal Hold. Any peace officer may arrest an individual pursuant to a federal arrest warrant. A USM-41 form is not required (unless the arrest was effectuated by a federal agency). (a) Persons arrested on federal warrants by federal agents may be accompanied by an actual Arrest Warrant. However, most federal warrant arrests will not have an associated warrant abstract but instead will have a confirmation notice containing the pertinent warrant information. (b) The Booking I Officer shall ensure that the warrant has been confirmed. The charge shall be booked as a Federal Marshal Hold and the form(s) scanned into the incarcerated person's records (Laserfiche DocType = Federal Hold). (c) The arresting federal agency may also submit one of the following detainers, which shall be scanned into the incarcerated person's records. The information from the form should be referenced in the NOTES section of the Holds screen, but will not require a separate charge to be initiated: 1. Detainer - Based on Violation of Probation and/or Supervised Release (USM-16D). Issued by USMS when the incarcerated person violates the conditions of probation and/or supervised release. 2. Detainer-Based on Federal Judgment and Commitment(USM 16-B). Issued by USMS when the incarcerated person owes time to the Federal Board of Prisons. (Such persons shall not be deported without agreement from the USMS.) 3. Federal Detainer - Against Unsentenced Prisoner Based on Federal Arrest Warrant. Utilized by all remaining federal agencies (except USMS). Federal incarcerated persons shall not be warrant-checked at the time of booking. Because the incarcerated person is to be booked on a federal hold, any local warrants or out-of- county warrant abstracts presented at the time of booking by the arresting/transporting officer shall be scanned into the incarcerated person's records without a corresponding charge being created. (a) Local warrants — Notify Sheriffs Records that the incarcerated person is in federal custody and the warrant will not be served and needs to be reactivated. (b) Out-of-county warrants — Send a teletype and notify the issuing agency that the incarcerated person is in federal custody and the warrant will not be served and needs to be reactivated. (c) A notation shall be placed in the NOTES section of the corresponding Holds screen noting that a local and/or out-of-county warrant abstract has been scanned into the incarcerated person's records and requires checking prior to release. (The warrant will need to be called for and served, should the incarcerated person be released from the federal hold.) Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Federal Incarcerated People-187 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Incarcerated People 535.5 DEPARTMENT OF HOMELAND SECURITY DETAINERS AND HOLDS The vast majority of Immigration and Customs Enforcement (ICE/INS) "holds" are immigration detainers and have an accompanying Immigration Detainer - Notice of Action(I-247) form. The Immigration Detainer shall be accepted and added, however, the detainer will not serve as a hold, or delay an incarcerated person's release beyond the scheduled date of release. Incarcerated people with Immigration Detainers are not considered to be "federal incarcerated people" and it is not necessary to notify or obtain authorization from the United States Marshal (USM) at any time. If ICE brings an incarcerated person into custody on a federal charge (e.g., illegal re-entry/18 USC 1326), the charge will have an accompanying USM-41 form. The charge shall be booked and processed as a Federal Marshal Hold and all USMS notifications shall apply. The incarcerated person shall be considered a federal incarcerated person. Persons brought into custody on a United States Customs and Border Protection (CBP) hold will have an accompanying Order to Detain or Release Alien (1-203) form. The hold is used to detain individuals who are awaiting CBP determination of admissibility and/or further administrative immigration action. The Order to Detain is limited to seventy-two (72) hours and will be accompanied by a CBP letter noting the release date and time. (a) Although the charge is billable, there is no accompanying USM-41 form. (The charge is billed directly to CBP.) (b) Incarcerated people with CBP Holds are not considered to be under the auspices of the USMS and it is not necessary to notify or obtain authorization from the USM at any time. If necessary, any notifications shall be made directly to CBP. 535.6 FEDERAL CHARGES ADDED AS AN ADDITIONAL CHARGE (DETAINER) If an incarcerated person is originally booked into custody with local charges, but then a federal agency wants to add charges, the following documents must be submitted: (a) A Notice of Additional Charges (J-169)form (b) A USM-41 form The charge shall be booked as a Federal Marshal Detainer (regardless of the agency) and the code section (if available) shall be listed in the NOTES section, along with a notation stating: "OK to attend local court. Contact (agency) and USMS when local charges are dispositioned." (If the charge is booked as a Federal Hold, the incarcerated person will not be able to attend any scheduled local court appearances while under the federal jurisdiction without authorization from the USM.) Federal detainers are not billable. When a document is received that causes the disposition of the last local charge and a federal detainer exists, the incarcerated person's name will appear on the list of federal incarcerated people. After the local charges are dispositioned, the incarcerated person's PRISONER TYPE shall be changed to FEDERAL. NOTE: It is important that the PRISONER TYPE field NOT be modified before the local charges are dispositioned. The modification causes the incarcerated person to be flagged as a federal Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Federal Incarcerated People-188 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Incarcerated People incarcerated person — and as a federal incarcerated person, the incarcerated person would not be permitted to attend local court proceedings without first obtaining authorization from the USM. (a) Notify the federal agency that placed the detainer that the local case has been adjudicated. (b) Send a follow-up email notification to the USM. Note that the originating federal agency has been notified (if different than the USMS), and include the agency representative's contact information. (c) Print and scan the email notification into the incarcerated person's records. (d) Disposition and remove the detainer. (d) Create a Federal Marshal Hold. Billing will be automatically generated. If the document received sentences the incarcerated person to CDCR and a federal detainer exists, the state commitment will take precedence and the incarcerated person will be transported to prison along with the federal detainer. (a) Notify the federal agency that placed the detainer that the incarcerated person has been sent to prison. (b) Send a follow-up email notification to the USM. Note that the originating federal agency has been notified (if different than the USMS)and include the agency representative's contact information. (c) Print and scan the email notification into the incarcerated person's records. 535.7 WRIT OF HABEAS CORPUS A Writ of Habeas Corpus is a legal document directing a detention official to produce an incarcerated person before the court to appear for prosecution (ad prosequendum) or to appear to testify (ad testificandum). (a) Writs of Habeas Corpus Ad Prosequendum, although issued by the State, must be approved by the USM. Writs received from any source other than directly from the USMS are not considered valid. (b) The USM is not required to honor a request for a federal prisoner in his or her custody pursuant to a State or local writ. Generally, the writ is not honored until the completion of the incarcerated person's sentencing. In honoring a State or local writ, the USM will exercise discretion when an incarcerated person is a protected witness, has medical problems, or is a high-security risk. 535.8 TEMPORARY REMOVAL FROM THE FACILITY Federal incarcerated people in the custody of the USMS shall not be released to any other agency (federal, state, or local), without written authorization from the USM. Jail staff members who receive authorization from the USM,which initiates the removal of a federal incarcerated person from custody, shall notify the Booking/Records Sergeant on-duty. The Sergeant shall notify the Watch Commander. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Federal Incarcerated People-189 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Incarcerated People A designated Records Officer shall create a "File" EVENT via the OffenderTrak system and make a notation in the DESCRIPTION section indicating the name and telephone number of the person from whom authorization was obtained. The federal incarcerated person may then be released into the custody of the requesting agency. Authorization from the USM shall be presented each time a federal incarcerated person is removed from Fresno County Detention Facility custody. 535.9 FEDERAL INCARCERATED PEOPLE SCHEDULED FOR LOCAL COURT Federal incarcerated people in the custody of the USMS shall not attend any scheduled local court appearance without written authorization from the USM having been presented to Jail personnel. The written documentation shall be scanned into the incarcerated person's records. If a federal incarcerated person is scheduled for any court appearance other than federal, a designated Records Officer shall verify that a Writ of Habeas Corpus is on file with the incarcerated person's records. Careful attention should be given to the content of the Writ, possibly limiting authorization to a single court appearance. If no written authorization is on file, or the Writ that is on file was specified for a previous court appearance, the incarcerated person's court date will be canceled and Court Holding notified. 535.10 FEDERAL INCARCERATED PEOPLE TRANSPORT TO THE HOSPITAL Federal incarcerated people in the custody of the USMS shall not be transported from the confines of any Fresno County Detention Facility without prior authorization of the USM. Two (2) officers shall be assigned to transport/accompany and guard the incarcerated person whenever they leave the facility. Designated Medical Services staff shall be responsible to contact and obtain authorization from the USM prior to scheduling off-site clinic appointments. The Administrative Sergeant shall be responsible to contact and notify the USM prior to any emergency transportation to the hospital. (a) The Sergeant shall create a "File" EVENT via the OffenderTrak system and make an appropriate notation in the DESCRIPTION section indicating the name and telephone number of the person from whom authorization was obtained. (b) The USM shall be notified when the incarcerated person has been returned to the facility. The USM shall be informed each time a federal incarcerated person is transported away from the confines of the Fresno County Detention Facility. 535.11 FEDERAL INCARCERATED PERSON EMERGENCY NOTIFICATIONS If a federal incarcerated person dies, escapes, attempts to escape, is involved in a use of force situation, or is removed from the Fresno County Detention Facility for any reason, the USM shall be notified, twenty-four (24) hours a day, at (559) 487-5600. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Federal Incarcerated People-190 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Federal Incarcerated People If the federal incarcerated person is sentenced and committed to serve their term at the Fresno County Detention Facility, the Federal Bureau of Prisons must be notified, as well. (a) During their normal working hours (7:30 a.m. to 4:00 p.m.), the Federal Bureau's Community Corrections Office shall be contacted and notified at (916) 930-2002. (b) After normal business hours, the Community Corrections Manager shall be contacted at (916) 203-3313. 535.12 FEDERAL CHARGES COMPLETED When an unsentenced federal incarcerated person is released from USMS custody following the dismissal of charges, the court will issue a release order, and the USM will provide a modified USM-41 form noting "Release Authorized." Once the federal hold is dispositioned, the incarcerated person shall be warrant checked and any warrants found shall be booked. (It will be necessary to change the incarcerated person's PRISONER TYPE from "Federal" to "County" or"Out of County Wart," as applicable.) 535.13 AWOL - MILITARY DESERTERS If a military deserter is brought into custody, the affected military agency shall be notified when the incarcerated person is ready for pick-up and the appropriate teletypes shall be sent. Neither the Sheriff's Transportation Unit nor the USMS is involved in returning the incarcerated person to their respective military agency. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Federal Incarcerated People-191 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 537 Custody Policy Manual Holds and Detainers 537.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain a consistent method of holding incarcerated people in custody and releasing incarcerated people from custody, on charges which are not California state criminal or civil law violations. This includes Federal charges and State Parole holds. ICE detainers are entered for documentation purposes only and do not require clearance before release. 537.2 PROCEDURES All new arrestees booked into custody on State Parole holds as described in this policy, must be accompanied by a Fresno County Law Enforcement Arrest Report(J-2 form) and a Prisoner Hold Order (J-96 form). When a State Parole hold is placed by an agency other than Parole, Jail personnel must ensure that an authorized parole agent's signature is obtained on the form on the next business day. Any agency that wishes to release a State Parole hold as described in this policy must complete a Release Order (J-95 form). All new arrestees booked into custody on Federal charges as described in this policy, must be accompanied by a Fresno County Law Enforcement Arrest Report(J-2 form) and a United States Marshals Service USM-41 form. All Federal detainers as described in this policy, placed on an incarcerated person already in custody which involves the addition or placement of Federal criminal charges, must be accompanied by a United States Marshals Service USM-41 form and a Notice of Additional Charges (J-169)form. The Fresno County Jail shall not receive for booking or house persons detained pursuant to Health and Safety Code Sections 121350 through 121369, for the sole purpose of medical examination, quarantine, or forcible treatment of tuberculosis, pursuant to H&S 121358. A person who violates, or who refuses or neglects to conform to any rule, order, or regulation prescribed by the Health Department and is subsequently arrested and charged with H&S 120275 or 120280 will be cited from custody. 537.2.1 STATE PAROLE HOLDS All parole holds placed by California Department of Corrections & Rehabilitation (CDCR) parole agents shall be considered and processed as State Parole holds. When a State Parole hold is placed by an agency other than parole, Jail personnel must ensure that an authorized parole agent's signature is obtained on the Prisoner Hold Order (J-96)form. It shall be the responsibility of the Booking I Officer to ensure that the Prisoner Hold Order form accompanying a State Parole hold is signed ONLY by an authorized parole agent. If submitted by any agency other than parole, the name of the agent who authorized the hold shall be noted. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 192 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers Teletyped copies of State Parole hold warrant information shall be considered sufficient documentation to place a State hold. (a) A signed Prisoner Hold Order form will not be required. The teletyped copy of the warrant information will suffice to document the hold. (b) Make a notation on the appropriate tab (Charges or Holds) indicating that a teletype has been received authorizing the hold. Book the State Parole hold by initiating the appropriate Charges or Holds screen, as applicable. Ensure the incarcerated person's CDCR number is placed in the CDC Number field. Any out-of-county warrant abstracts shall be booked as normal. The issuing agency shall be notified to pick up ASAP. See Chapter 5: Warrants 537.2.2 PROCESSING THE RELEASE OF STATE PAROLE HOLDS Any agency that wishes to release a hold that has been placed on an incarcerated person in custody shall complete a Release Order(J-95)form. The Release Order form shall be distributed as follows: (a) The white copy shall be scanned into the incarcerated person's records. (b) The pink copy shall be given to the authorized parole agent signing the release order or to the State Parole Liaison Officer, as applicable. Parole Holds may be released via teletype. The teletype information shall be considered sufficient documentation to release a State hold and a signed Release Order form is not required. (a) The teletype shall be scanned into the incarcerated person's records. (b) Make a notation on the appropriate tab (Charges or Holds) indicating that a teletype was received authorizing the release. 537.2.3 DETAINERS (ORDER OF PRODUCTION) 1. When the Sheriffs Office is ordered by the courts (via a Superior Court Order)to bring a State prisoner to Fresno as a defendant or a witness in a local case,the incarcerated person will be returned to the Fresno County Jail on an Order of Production. 2. The charge does not require a Prisoner Hold Order form. 3. The incarcerated person will be booked on one hold (the Detainer) and one charge (the Superior Court Order of Production). 1• DETAINER HOLDS SCREEN Hold for Agency CDC Hold Type CDC Detainer NOTES Miscellaneous 2• SUPERIOR COURT CHARGES SCREEN ORDER CASE/WART# Original Case Number Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 193 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers STATUTE Original Charge AUTHORITY SCO ARRAIGNMENT Date of Booking DATE CLASS Felony or Misdemeanor COMT/STRIKE/BAL/ "Detainer of file." VOID # court date, and miscellaneous 4. The State will not be billed, and the charge is not subject to bail. Records might not receive any disposition from the court (concerning the court-ordered case) and the incarcerated person will be automatically scheduled to return to prison by the Transportation Unit, usually the day after the incarcerated person's scheduled court date. If the incarcerated person has any additional local warrants, add the charges, and notify the Transportation Unit. Records will receive the paperwork from the court and the charge will be processed as any other charge. If the charge is dispositioned prior to the completion of the detainer, Records shall notify the Transportation Unit to schedule the incarcerated person's return to prison. If the incarcerated person has an out-of-county warrant, print the screen. Do not add or call for the warrant; instead, scan the printed warrant information into the incarcerated person's file and make a notation in the NOTES section of the Holds (i.e., Detainer) screen. Records will be responsible for providing the warrant information to the Transportation Officer when the incarcerated person is returned to prison. 537.2.4 PARENTAL RIGHTS HEARING When an incarcerated person is returned to custody for a child custody hearing, their accompanying paperwork will be stamped in red "PARENTAL RIGHTS HEARING." These incarcerated people will have an Order of Production and a Detainer, which shall be booked as a single hold: PARENTAL RIGHTS HEARING HOLDS SCREEN HOLD FOR AGENCY CDC HOLD TYPE PARENTAL RIGHTS NOTES "Detainer of File," court date, and miscellaneous information The hold does not require a Prisoner Hold Order form. It is unnecessary to warrant check the incarcerated person. Found warrants will not be added. Jail Records will not receive any disposition from the court and the incarcerated person will be automatically scheduled to return to prison by the Transportation Unit, usually the day after their scheduled court date. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 194 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers If an additional charge is placed on the incarcerated person while in custody, it shall be necessary to notify the Transportation Unit so they can reschedule the incarcerated person's return to prison. 537.2.5 PROBATION HOLDS Probation holds shall be booked like a PC 836 charge,with the exception of the AUTHORITY(i.e., "Open"). Probation holds do not require Probable Cause Declarations, or a Prisoner Hold Order form, but do require a Probation Violation Form (PROB-1076). If the form is submitted by any agency other than Probation, the form shall be left intact, scanned into Laserfiche, and forwarded to Jail Records for review.The DPO's authorization and signature are only required for PC 3455(a) and PC 1170(h) holds. Felony Probation: The ARRAIGNMENT DATE shall be set for ten (10) calendar days, including the date of arrest. Misdemeanor:The ARRAIGNMENT DATE shall be set for two (2) court days, excluding the date of arrest, unless prior to 0800. SUPERIOR COURT ORDER CHARGES SCREEN CASE/WART# <NO CASE> STATUTE Applicable charge (e.g., PC 1203.2, PC 3455(a), PC 1170(h)) AUTHORITY OPEN ARRAIGNMENT DATE Felony - Ten (10) calendar days (including date of arrest) Misdemeanor-Two (2)court days CLASS Felony or Misdemeanor ARREST NUMBER (Default) COMT/STRIKE/BAL/VOP# NOTE!!! - Original case number If the Probation hold is added as an additional charge the following documents must be submitted: (a) A Notice of Additional Charges (J-169)form (b) Probation Violation Form (PROB-1076) Felony Probation: The ARRAIGNMENT DATE shall be set for ten (10) calendar days, including the date of arrest. Misdemeanor: The ARRAIGNMENT DATE shall be set for two (2) court days, excluding the date of arrest, unless prior to 0800. SUPERIOR COURT ORDER CHARGES SCREEN CASE/WART# <NO CASE> STATUTE Applicable charge (e.g., PC 1203.2, PC 3455(a), PC 1170(h) AUTHORITY OPEN Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 195 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers ARRAIGNMENT DATE Felony - Ten (10) calendar days (including date of arrest) Misdemeanor-Two (2)court days CLASS Felony or Misdemeanor ARREST NUMBER (Default) COMTS/STRIKE/BAL/VOP# NOTE!!! - Original case number DATE RECEIVED (date Probation Hold is received)VALUE: actual date received If Records receives a remand order from the court, the receiving officer shall modify the screen and add the case number to the CASE/WART #field. The actual charge and court date shall be listed in the COMT/STRIKE/BAL/VOP#field under"NOTE!!!" 537.2.6 PC 1381 DEMAND (OUT-OF-COUNTY DETAINERS) Penal Code Section 1381 allows incarcerated people to serve sentences for multiple offenses simultaneously. When a person serving a sentence of more than ninety(90)days in one institution has another pending criminal matter within California, the incarcerated person can file a 1381 form to request that the District Attorney in that county bring the pending matter to trial within ninety (90) days. When an incarcerated person is brought to custody from another county or prison on a PC 1381 Demand,the incarcerated person is to be booked on the local warrant and a detainer.The detainer is non-billable. DETAINER HOLDS SCREEN HOLD FOR AGENCY Applicable institution HOLD TYPE MISC DETAINER NOTES Detainer's release date and any other pertinent information LOCAL CHARGE (CHARGES SCREEN) CASE/WART# Warrant Number STATUTE Original Charge AUTHORITY Warrant (as applicable) ARRAIGNMENT DATE Date warrant issued CLASS Felony or Misdemeanor COURT FRESNO COMT/STRIKE/BAL/VOP# Any additional charges The detainer's release date shall be listed in the NOTES section. When the incarcerated person's local charge is dispositioned (e.g., time served, case dismissed), Records shall notify the Transportation Unit to schedule the incarcerated person's return to the other county/prison. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 196 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers If the incarcerated person is sentenced to local time, but they have more time to serve in the other county/prison, the incarcerated person should be returned to complete their sentence in the other county/prison. Notify the Transportation Unit to schedule the incarcerated person's return. Send with a Fresno County Sheriff's (J-70), if applicable. 537.2.7 OUT-OF-STATE HOLDS/WARRANTS (PC 1551) California subscribes to the Uniform Criminal Extradition Act which regulates interstate extradition. Extradition is the process of transporting an incarcerated person back to the state(i.e., the"home" or "demanding" state) where charges are pending. Penal Code Sections 1548-1558 govern the procedures and protocols that are involved with extradition from California. Out-of-state holds are non-billable and have no corresponding billing form. Booking I will be responsible for listing the Prisoner Type as "OUT OF STATE WART." Out-of-state holds will be booked as follows: OUT-OF-STATE HOLD HOLDS SCREEN HOLD FOR AGENCY Applicable Agency HOLD TYPE OUT OF STATE WART NOTES State, county, charge, and contact telephone number (a) The state, county, original charge, and contact telephone number should be listed in the NOTES section of the Holds screen. (b) All out-of-state holds will initially be booked as "no bail." Make a copy of the teletype and all accompanying paperwork, place everything in an envelope, and forward it to the Transportation Unit. If the incarcerated person has an out-of-county charge as well, the out-of-county charge will take precedence. Forward copies of both the out-of-state and out-of-county warrants to Transportation. Upon receipt of a remanding order noting PC1551 for persons held on an out-of-state warrant, the Records Officerwill initiate a Charges screen containing the information from the remanding order. (a) Once the PC1551 charge is added to the incarcerated person's charges, the incarcerated person may be allowed to post bail (if so allowed by the remand order) - even though the incarcerated person will still have the out-of-state detainer charge. If the defendant is able and chooses to post bail, the Transportation Detective assigned to extradition duties shall be contacted (at any time, 24 hours a day) prior to the disposition of the Charges screen. (b) If the defendant is unable or chooses not to post bail, the extradition process shall continue. If there is any question regarding the disposition/release of an out-of-state incarcerated person, contact the Transportation Detective prior to releasing the incarcerated person. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 197 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers 537.2.8 IMMIGRATION AND CUSTOMS ENFORCEMENT (ICE/INS) DETAINERS AND HOLDS The Fresno County Sheriffs Office complies with the California Values Act (S13 54) and does not enforce civil immigration detainers. However, ICE detainers will be entered into records for documentation purposes and to ensure staff can reference any qualifying information under Government Code§7282.5. The vast majority of ICE "holds" are immigration detainers and have an accompanying Immigration Detainer- Request for Voluntary Action (1-247D)form. Entry of ICE Detainers for Documentation Purposes • ICE detainers (1-247 form)will be accepted and entered into the Holds Screen, but they will not serve as an enforceable hold or delay an individual's release. • Records staff will use the ALERTS section to document any S11354qualifying convictions under Gov.Code§7282.5,which may allow notification to ICE in specific circumstances. • The PRISONER TYPE shall not be set to"Federal" unless the individual is also held on federal criminal charges with an accompanying USM-41 form. All detainers shall be dispositioned as "HOLD DROP— FSO A1134". 537.2.9 U.S. CUSTOMS AND BORDER PROTECTION HOLDS (CBP) Persons brought into custody on a United States Customs and Border Protection (CBP) hold will have an accompanying Order to Detain or Release Alien (1-203) form. The hold is used to detain individuals who are awaiting CBP determination of admissibility and/or further administrative immigration action and is limited to seventy-two (72) hours. (a) Such people shall be booked on a CBP Hold. (b) The PRISONER TYPE shall be set as "Federal." 1• CBP HOLD HOLDS SCREEN HOLD FOR AGENCY CBP HOLD TYPE CBP HOLD NOTES (none necessary, but may list date/time of release) (c) Although the charge is billable, there is no accompanying USM-41 form. (The charge is billed directly to CBP.) (d) The Order to Detain will be accompanied by a CBP letter noting the release date and time, which shall be forwarded to Records. (e) Records will be responsible to schedule and process the release as any other enroute incarcerated person. 1. A PEND event shall be created for two (2) hours prior to the scheduled pick- up time. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 198 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers 2. The incarcerated person's stay is brief, and the transporting officer will not require a medical summary. 3. The RELEASE TO field under the RELEASE screen shall be modified to indicate that the incarcerated person was released enroute with CBP. Incarcerated people with CBP Holds are not considered to be under the auspices of the USMS and it is not necessary to notify or obtain authorization from the USM at any time. If necessary, any notifications shall be made directly to CBP. 537.2.10 FEDERAL CHARGES - BOOKED AS HOLDS Only federal law enforcement officers are authorized to book individuals for violations of federal law (i.e., open charges of the United States Code). Persons arrested on open federal charges must have an accompanying USM-41 form. Such persons shall be considered and booked as a Federal Marshal Hold. ICE detainers do not constitute federal criminal charges and should not be classified as a Federal Marshal Hold. (a) Booking I will be responsible to list the PRISONER TYPE as FEDERAL. (b) The hold shall be booked as follows: 1• FEDERAL HOLD HOLDS SCREEN HOLD FOR AGENCY USMS (or other federal agency, as applicable) HOLD TYPE Federal Marshal Hold NOTES The US code section (if available) If there is a local warrant, note that the warrant has been scanned into the incarcerated person's records and requires checking prior to release (c) The U.S. Code section (if available) shall be listed in the NOTES section of the Holds screen. (d) Multiple "open" charges shall be combined and treated as one count. (If multiple federal agencies file separate charges, each agency will have an individual Holds screen.) (e) Federal charges and holds are billable.The AGENCY= USMS and the BILLING TYPE = HOUSING. Any peace officer may arrest an individual pursuant to a federal arrest warrant. A USM-41 form is not required (unless the arrest was effectuated by a federal agency). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers- 199 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers Persons arrested on federal warrants by federal agents may be accompanied by an actual Arrest Warrant. However, most federal warrant arrests will not have an associated warrant abstract, but instead will have a confirmation notice containing the pertinent warrant information. Except when involved in multi-agency task forces, local law enforcement agencies will normally only have access to the confirmation notice. The Booking I Officer shall ensure that the warrant has been confirmed. The charge shall be booked as a Federal Marshal Hold and the form(s)scanned into the incarcerated person's records (Laserfiche DocType = Federal Hold). The arresting federal agency may also submit one of the following detainers, which shall be scanned into the incarcerated person's records. The information from the form should be noted in the NOTES section of the Holds screen, but will not require a separate charge to be initiated: (a) Detainer - Based on Violation of Probation and/or Supervised Release (USM-16D). Issued by USMS when the incarcerated person violates the conditions of probation and/or supervised release. (b) Detainer-Based on Federal Judgment and Commitment(USM-1613). Issued by USMS when the incarcerated person owes time to the Federal Board of Prisons. (Such persons shall not be deported without agreement from the USMS.) (c) Federal Detainer-Against Unsentenced Prisoner Based on Federal Arrest Warrant. Utilized by all remaining federal agencies (except USMS). Federal incarcerated people shall not be warrant checked at the time of their booking. Because the incarcerated person is to be booked on a federal hold, any local warrants or out-of- county warrant abstracts presented at the time of booking by the arresting/transporting officer shall be scanned into the incarcerated person's records without a corresponding charge being created. (a) Local warrants — Notify Sheriffs Records that the incarcerated person is in federal custody and the warrant will not be served and needs to be reactivated. (b) Out-of-county warrants — Send a teletype and notify the issuing agency that the incarcerated person is in federal custody and the warrant will not be served and needs to be reactivated. (c) A notation shall be placed in the NOTES section of the corresponding Holds screen noting that a local and/or out-of-county warrant abstract has been scanned into the incarcerated person's record and requires checking prior to release. (The warrant will need to be called for and served, should the incarcerated person be released from the federal hold.) 537.2.11 LOCAL CHARGES WITH ADDITIONAL FEDERAL CHARGES (DETAINER) If an incarcerated person is originally booked into custody with local charges, but then a federal agency wants to add charges, the following documents must be submitted: A Notice of Additional Charges (J-169)form and a USM-41 form. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers-200 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers The federal charge shall be booked as a Federal Marshal Detainer(regardless of the agency)and the code section (if available) shall be listed in the NOTES section, along with a notation stating: "OK to attend local court. Contact (agency) and USMS when local charges are dispositioned." (If the charge is booked as a Federal Hold, the incarcerated person will not be able to attend any scheduled local court appearances while under the federal jurisdiction without authorization from the USM.) ICE detainers may be added but that does not change the incarcerated persons prisoner status nor does it need to be dropped prior to release. FEDERAL DETAINER HOLDS SCREEN HOLD FOR AGENCY USMS (or other federal agency, as applicable) HOLD TYPE Federal Marshal Detainer NOTES "OK to attend local court. Contact (agency)and USMS when local charges are dispositioned." Federal detainers are not billable. When a document is received that causes the disposition of the last local charge and a federal detainer exists, the incarcerated person's name will appear on the list of federal incarcerated persons. After the local charges are dispositioned, the incarcerated person's PRISONER TYPE shall be changed to FEDERAL. NOTE: It is important that the PRISONER TYPE field NOT be modified before the local charges are dispositioned. The modification causes the incarcerated person to be flagged as a federal incarcerated person — and as a federal incarcerated person, the incarcerated person would not be permitted to attend local court proceedings without first obtaining authorization from the USM. (a) Notify the originating federal agency that placed the detainer that the local case has been adjudicated, unless the agency is ICE. No notification shall be sent to ICE regarding the incarcerated persons status. (b) A follow-up email notification shall be made to the USMS. Note that the originating federal agency has been notified (if different than the USMS) and include the agency representative's contact information. (c) Print and scan the email notification into the incarcerated person's records. (d) Disposition the federal Detainer(Holds screen). Change the REMOVED DATE to the current date. The REMOVE REASON = STILL ACTIVE — REMOVED FOR BILLING (e) Create a Federal Marshal Hold (refer also to Federal Charges section). Billing will be automatically generated. FEDERAL HOLD HOLDS SCREEN HOLD FOR AGENCY USMS HOLD TYPE Federal Marshal Hold NOTES The US code section (if available) Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers-201 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers If the document received sentences the incarcerated person to CDCR and a federal detainer exists, the state commitment will take precedence and the incarcerated person will be transported to prison along with the federal detainer. (a) Notify the federal agency that placed the detainer that the incarcerated person has been sent to prison. (b) Send a follow-up email notification to the USM. Note that the originating federal agency has been notified (if different than the USMS), and include the agency representative's contact information. (c) Print and scan the email notification into the incarcerated person's records. Refer to Federal Incarcerated Persons policy for federal incarcerated person jurisdiction matters. 537.2.12 AWOL AND MILITARY DESERTERS If a military deserter is brought into custody, the charge shall be booked as follows: FEDERAL DETAINER HOLDS SCREEN HOLD FOR AGENCY Applicable agency HOLD TYPE MILITARY AWOL NOTES Agency contact information If an AWOL hold is to be booked along with other charges, the agency is not to be billed until all local charges have been dispositioned. The affected military agency shall be notified when the incarcerated person is ready for pick-up and the appropriate teletypes shall be sent. Neither the Sheriff's Transportation Unit nor the USMS are involved in returning the incarcerated person to their respective military agency. 537.2.13 MEDICAL QUARANTINE ORDERS (H&S 121350, ET SEQ) Per order of the court, the Fresno County Jail shall not book or house persons detained pursuant to Health and Safety Code Sections 121350 through 121369, for the sole purpose of medical examination, quarantine, or forcible treatment of tuberculosis. Notwithstanding, the Jail shall not discharge or release a person known or believed to have active tuberculosis without notifying the local health officer, via the on-duty Charge Nurse. (a) It shall be the responsibility of medical staff to create an ALERT (SPEC COND/ MEDICAL)via OffenderTrak and make a notation in the REMARK section (e.g., "Notify Charge Nurse upon incarcerated person's release"). (b) A Records Officer shall be responsible for notifying medical staff and note the name of the staff member who was informed in the RELEASE NOTES section of the incarcerated person's Release screen. (It is not necessary to notify medical staff if the incarcerated person is being transferred to another facility. Medical staff will have been previously notified by Records and will provide the incarcerated person's medical summary to the transporting officer.) The incarcerated person shall be released from custody without delay. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers-202 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Holds and Detainers (c) Medical staff shall be responsible for notifying and submitting a written treatment plan to the local health officer within twenty-four (24) hours of the incarcerated person's discharge, release, or transfer. 537.2.14 VIOLATION OF MEDICAL QUARANTINE ORDERS (H&S 120275/120280) A person who violates, or who refuses or neglects to conform to any rule, order, or regulation prescribed by the Public Health Department may be arrested and charged with Health and Safety Code Sections 120275 or 120280. H&S 120275 and H&S 120280 are misdemeanor charges; however, the incarcerated person shall remain in custody and NOT be cited. (a) The charge shall be booked on the warrant and processed as any other criminal charge. (b) In the unlikely event that the charge is a PC 836 arrest, a notation shall be written in the Comt/Strike/BAL/VOP#section of the Charges screen "Do not cite per PC 853.6(i) (7) (c) The bail amount should default to NO BAIL. (d) Scan and forward the booking paperwork to the on-duty Watch Commander,who shall in turn, forward to the Jail Operations Bureau Commander. When the incarcerated person's release from custody is imminent, Records shall notify the on- duty Charge Nurse and on-duty Watch Commander. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Holds and Detainers-203 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 538 Custody Policy Manual Immigration Status 538.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain a consistent method of access, communication, and cooperation with United States Immigration and Customs Enforcement(ICE) agents. 538.1.1 DEFINITIONS Detainer Request- an ICE request that a local law enforcement agency maintains custody of an individual currently in its custody beyond the time they would otherwise be eligible for release in order to facilitate transfer to ICE. ICE Access - includes all of the following: (a) Responding to an ICE hold, notification, or transfer request. (b) Providing notification to ICE in advance of the public that an individual is being or will be released at a certain date and time through data sharing or otherwise. (c) Providing ICE non-publicly available information regarding release dates, home addresses, or work addresses, whether through computer databases, jail logs, or otherwise. (d) Allowing ICE to interview an individual. Judicial Probable Cause Determination - a determination made by a federal judge or federal magistrate judge that probable cause exists that an individual has violated federal criminal immigration law and that authorizes a law enforcement officer to arrest and take into custody the individual. Judicial Warrant - a warrant based on probable cause for a violation of federal criminal immigration law and issued by a federal judge or a federal magistrate judge that authorizes a law enforcement officer to arrest and take into custody the person who is the subject of the warrant. Notification Request - an ICE request that a local law enforcement agency inform ICE of the release date and time in advance of the public of an individual in its custody. Transfer Request - an ICE request that a local law enforcement agency facilitate the transfer of an individual in its custody to ICE. 538.2 POLICY The Fresno County Sheriff's Office Custody Division shall cooperate with all law enforcement agencies, providing access to computer databases and responding to agency requests.Contrarily, in order to comply with the California Values Act, immigration authorities must be restricted from normal law enforcement access and information sharing. This policy serves to address those restrictions. All records relating to ICE access provided by the Sheriffs Office, including all communication with ICE, shall be public records for purposes of the California Public Records Act (PRA). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Immigration Status-204 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Immigration Status No person shall be held solely on the basis of their immigration status. 538.3 CALIFORNIA VALUES ACT - LIMITATIONS AND ALLOWANCES A. Members of the Sheriff's Office shall not perform any of the following for the purpose of immigration enforcement: 1. Inquire into an individual's immigration status. 2. Detain an individual on the basis of a hold request. 3. Provide information regarding a person's release date or respond to requests for notification by providing release dates or other information unless that information is available to the public or is in response to a notification request in accordance with GC 7282.5. [Refer to Immigration Detainers.] 4. Provide personal information that identifies an individual (unless that information is available to the public). Non-disclosed personal information includes but is not limited to the individual's home address, work address, social security number, home telephone number, education, financial matters, medical or employment history, and includes statements made by, or attributed to, the individual. 5. Use immigration authorities as interpreters. 6. Transfer an individual to immigration authorities unless authorized by a judicial warrant or judicial probable cause determination, or in accordance with GC 7282.5. [Refer to Section Immigration Detainers.] B. Notwithstanding the limitations in section (A) above, members of the Sheriffs Office may perform the following: 1. Respond to a request from ICE for information about a specific person's criminal history, including previous criminal arrests, convictions, or similar criminal history information. 2. Provide information that is available to the public, including: (a) Information posted on the Sheriff's website (e.g., name, date of birth, physical description including date of birth, color of eyes and hair, sex, height and weight, time and date of arrest, time and date of booking, housing location, all charges being held upon, bail amount, sentence date, release date, and arresting agency). (b) Information available pursuant to the Public Records Act (occupation, factual circumstances surrounding arrest, and time and manner of release). 3. Give ICE access to interview an individual in custody. All interview access shall comply with requirements of the TRUTH Act, and Written Consent and Interview Procedures sections of this policy. 538.4 DEMOGRAPHIC INFORMATION When a foreign national is arrested or detained, there are legal requirements to ensure that the foreign national's government can offer appropriate consular assistance. In most cases, the Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Immigration Status-205 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Immigration Status incarcerated person has the option to decide whether to have consular representatives notified of the arrest; however, 56 countries require mandatory notification. For the purpose of consular notification, a "foreign national" is any person who is not a United States citizen. In order to determine notification requirements, the Booking Officer is responsible for completing the demographic information in OffenderTrak,which includes the incarcerated person's PRIMARY LANGUAGE and COUNTRY OF BIRTH. This information is used to communicate with the incarcerated person in a language they prefer and to comply with United States treaty obligations regarding consular notification and access. The Booking Officer shall not inquire into an individual's immigration status. [Refer to Chapter 6: Foreign Nationals and Diplomats Policy.] 538.5 WRITTEN CONSENT In advance of any interview between ICE and an incarcerated person, the incarcerated person shall be provided with a written consent form. A Records Officer will be responsible for providing the incarcerated person with a copy of the multilingual (English, Spanish, Hmong)Consent Form. The form explains that ICE may request to interview the incarcerated person to determine the incarcerated person's immigration status and ascertain if the incarcerated person is lawfully entitled to be in the United States.The form explains that the interview is voluntary, and that the incarcerated person may decline to be interviewed or may choose to be interviewed only with his/her attorney present. (a) The form is also available in Chinese, Korean, Tagalog, and Vietnamese. (b) If the form is not available in a language understood by the incarcerated person, the Records Officer must find an interpreter on staff or through the Sheriff's translation service. The translator's name and ID number shall be recorded in the incarcerated person's GENERAL LOG. (c) If the incarcerated person is illiterate or otherwise unable to read, the information shall be read and/or explained to the incarcerated person. The incarcerated person is instructed to select an option and sign the form. (a) Staff should reassure the incarcerated person that their decision is voluntary. Under no condition shall staff mislead or coerce an incarcerated person into signing an agreement to be interviewed. (b) If an incarcerated person refuses to sign the form, the officer shall write "refused to sign" on the signature line. The incarcerated person's refusal to sign the form shall be considered a refusal to be interviewed. The Records Officer shall note the selection made by the incarcerated person in OffenderTrak [PERSON#DEMOGRAPHICS#ADD/TELE/CDC/CONSUL# CDC#/AFIS/ICE CONSENT (Attribute = ICE INTERVIEW CONSENT; Value = YES, NO, or ATTORNEY, as applicable)]. The form shall be scanned into Laserfiche (under Jail Records "ICE Consent Form"). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Immigration Status-206 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Immigration Status 538.6 INTERVIEW PROCEDURES When an ICE agent requests an interview with an incarcerated person, the Lobby Officer shall review the incarcerated person's ICE CONSENT field (under PERSON# DEMOGRAPHICS) to ensure that the incarcerated person has given consent prior to initiating an interview event. Only incarcerated persons who have given written consent to be interviewed may be interviewed by ICE agents. (a) The event shall be initiated as an "ICE Interview" via OffenderTrak. The name of the ICE agent shall be documented in the DESCRIPTION field on the EVENT screen. (b) The event shall be completed by either the floor officer or Lobby Officer, depending on the incarcerated person's location. If the incarcerated person did not give consent, the interview will be denied. If the Consent Form has not yet been initiated (or entered in OffenderTrak), the ICE agent should be directed to Jail Records. 538.7 IMMIGRATION DETAINERS Upon receipt of an Immigration Detainer - Notice of Action (DHS Form 1-247A), the detainer will be accepted and added. In compliance with the TRUST Act, the detainer will not serve as a hold, or delay an incarcerated person's release beyond the scheduled date of release unless ICE presents proof that it has probable cause for the detention (i.e., an arrest warrant or probable cause statement signed by a federal judge or magistrate). NOTE: Detainers and warrants are entirely separate and are not to be confused. (a) Duly issued warrants and probable cause statements signed by a federal judge or federal magistrate will be honored in all cases. (b) ICE detainers remain subject to release, and will not affect the ability of incarcerated persons to post bond or cause them to be ineligible for release pursuant to court order. This includes the Cruz v. County of Fresno federal court order, or release to any program. (c) A copy of any document submitted by ICE may be provided to the incarcerated person's attorney, upon request. The receiving officer shall complete an ICE Request Notification form, notifying the incarcerated person of the request and indicating whether the Sheriffs Office intends to comply or not comply with the request. (a) Both the form and DHS Form 1-247A shall be scanned into Laserfiche (under Jail Records "ICE Request Notification"). (b) Copies of both forms shall be provided to the incarcerated person. Release date information is public information and persons requesting such should be directed to the Sheriff's website. If a Sheriff's Office employee provides ICE with notification that an incarcerated person is being, or will be, released on a certain date, the same notification shall be Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Immigration Status-207 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Immigration Status promptly provided to the incarcerated person and to his/her attorney or to one additional person who the incarcerated person shall be permitted to designate. (a) The Notification of Release Date Form shall be completed and delivered to the incarcerated person by a designated Records Officer. (b) The Records Officer shall be responsible for ensuring that a copy of the request is forwarded to the person so named by the incarcerated person. Incarcerated persons will not be transferred into the custody of immigration authorities unless authorized by a judicial warrant or judicial probable cause determination, or in accordance with GC 7282.5. [Refer to Transfer Based Upon Qualifying Condition section.] If a law enforcement agency wishes to re-arrest an individual who is being released from custody, they may do so after the individual has completed the release process. (a) Given that the release vestibule opens into the publicly accessible lobby, in order to alleviate any unnecessary risks to the individual, officers, and/or any bystanders, the arresting officers may request permission to enter the release vestibule to effect the arrest. 1. The arresting agency must submit the request in writing, delineating a compelling need for heightened safety and security measures. 2. The supervising Sergeant will assess the merits of the request on a case-by- case basis. Approved requests shall be documented in an incident report ( 1059/ Release Vestibule Arrest). 3. The individual's property (particularly any property containing weapons or items that could be used as weapons) should be placed into a manila envelope and provided upon exit from the release vestibule. 4. Under no circumstances shall the incarcerated person's release be delayed or postponed. (b) If an incarcerated person exhibits aggressive or hostile behavior during the release process, the releasing officer may seek approval from the supervising Sergeant to admit the arresting agency into the release vestibule for safety and security reasons. Such action shall be documented in an incident report (1059). 538.8 TRANSFER BASED UPON QUALIFYING CONDITION (GC 7282.5) In accordance with the California Values Act, incarcerated people with a qualifying charge (or more) may be transferred into the custody of immigration authorities. Refer to GC 7282.5 for the list of qualifying charges. ICE may request the transfer of an individual by submitting a "Request for Transfer" on agency letterhead. The request must be submitted to Jail Records and include the following information: (a) The incarcerated person's name, date of birth, JID, and Booking numbers. (b) The qualifying charge(s). (c) The year of conviction. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Immigration Status-208 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Immigration Status (d) The code section(s) that meet the criteria for transfer (e.g., GC 7282.5(a)(2) / VC 10851). The Records Officer who receives the request will be responsible to research and confirm any local convictions in OffenderTrak/Odyssey/ Laserfiche. (a) If the conviction is verified, the Records Officer will create an "SB54" Alert in OffenderTrak, signifying that the incarcerated person is eligible for transfer to ICE. The officer will enter his/her name, the qualifying conviction, and the year of conviction in the Remark section. (b) If the charge(s) cannot be verified by the Records Officer, the officer will contact the Population Management Unit to research via a Criminal History audit. Upon confirmation, the Records Officer will be responsible for creating the SB54 Alert and include the name of the officer who verified the conviction, the qualifying charge(s), and the year of conviction in the Remark section. Upon verification of the qualifying charge(s), the Records Officer shall notify ICE that the incarcerated person will be processed for transfer once the incarcerated person no longer has any active charges or holds. The incarcerated person will proceed with the court process and complete any court-ordered sentence prior to transfer to ICE, with the following exceptions: (a) Incarcerated persons sentenced to serve state prison time will be transferred to CDCR. ICE shall not be notified that the incarcerated person will be/was transferred to prison. Forward the ICE request to the prison. (b) Incarcerated persons remain eligible for release to court-ordered programs. It is not necessary to forward the ICE request to the program. The name of the program can/ will be provided upon request. (c) Incarcerated persons remain eligible to post bail. However, any person inquiring about the incarcerated person's bail shall be informed that the incarcerated person qualifies for transfer to ICE in accordance with the California Values Act (SB54/GC 7282.5). If the person proceeds and a bond is posted, ICE shall be notified of the pending release. (d) Incarcerated persons remain eligible for release pursuant to the Cruz v. County of Fresno federal court order. ICE shall be notified of the pending release. If the charge(s) cannot be verified, does not meet the qualifications, or the incarcerated person is otherwise ineligible for transfer, ICE shall be advised. The Records Officer shall complete an ICE Request Notification form notifying the incarcerated person of the request and indicating whether the Sheriffs Office intends to comply or not comply with the request. (a) Both the ICE Request Notification form and the ICE "Request for Transfer" shall be scanned into Laserfiche (under Jail Records "ICE Request Notification"). (b) Copies of both forms shall be provided to the incarcerated person. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Immigration Status-209 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Immigration Status Once all charges have been dispositioned, ICE will be notified that the incarcerated person is available for transfer. Any incarcerated person with an active SB54 Alert will be processed in the same manner as any other enroute transfer. (a) The RELEASE TYPE will be ICE TRANSFER. (b) The transfer will be processed expeditiously and should not unduly delay the incarcerated person's release. Under no circumstances shall the process exceed 12 hours from the time of notification. If any transfers are made in a calendar year, the number of transfers made, as well as the offense that allowed for the transfer shall be reported to the California Department of Justice. The report shall be made by January 15 of each year, in a manner specified by the Attorney General. 538.9 PUBLIC RECORDS All records relating to ICE access provided by the Sheriffs Office, including all communication with ICE, shall be public records for purposes of the California Public Records Act(PRA). In accordance with the PRA, personal identifying information may be redacted prior to public disclosure. Records relating to ICE access include, but are not limited to, data maintained regarding the number and demographic characteristics of individuals to whom ICE has been provided access, the date ICE access was provided, and whether the ICE access was provided through a hold, transfer, or notification request or through other means. 538.10 PUBLIC FORUM If the Sheriff's Office provides ICE access to an individual in custody during a calendar year, the Board of Supervisors is required to hold at least one community forum during the following year. The community forum must be open to the public, in an accessible location, and with at least 30 days' notice to provide information to the public about ICE's access to individuals. The Board is required to receive and consider public comment. As part of the forum, the Sheriff's Office may provide the Board with data it maintains regarding the number and demographic characteristics of individuals to whom the Sheriffs Office has provided ICE access, the date ICE access was provided, and whether the ICE access was provided through a hold, transfer, or notification request or through other means. The data will be provided in the form of statistics. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Immigration Status-210 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office • Custody Policy Manual Citations 539.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain consistent citation criteria to be utilized by the Fresno County Sheriff's Office Custody Division. 539.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division that incarcerated people who have charges which meet the criteria as established by law, shall be issued a citation and released from custody on their written promise to appear. 539.3 CITATION CRITERIA All open misdemeanor charges, infractions, and violations of city or county ordinances shall be cited, with certain exceptions. All felonies and the following disqualifying charges shall NOT be released on citation and shall be held for court or bail after booking: Any domestic violence-related offense, including: (a) Penal Code Sections 243(e)(1) and 273.5. (b) Any misdemeanor violation of a protective court order involving domestic violence - Penal Code Sections 166(c)(1) and 166(c)(4) (i.e., PC 166c*). (c) Penal Code 273.6 if the person made threats to kill or harm, has engaged in violence against, or has gone to the residence or workplace of the protected party. H&S 120280 (failure to comply with a health order). The incarcerated person shall be booked utilizing the authority PC 853.6(i)(2), and a notation "do not cite per PC 853.6(i)(2)" shall be written in the COMT/STRIKE/BAL section under the CHARGES tab in OffenderTrak. The booking paperwork shall be scanned and forwarded to the on-duty Watch Commander. Warrants, filing slips, and remand orders shall not be cited, regardless of the bail amount. (a) Notwithstanding the foregoing, in an ongoing effort to control overcrowding, the following low-level warrants will not be accepted for booking: 1. All infraction warrants. 2. All municipal code and county ordinance warrants. 3. All misdemeanor traffic warrants. The only exception shall be for misdemeanor DUI traffic warrants. (b) Jail Warrants are considered to be commitments (i.e., they have been issued days to serve in custody). All Jail Warrants shall be accepted, regardless of the underlying charge (including misdemeanor traffic warrants). (c) If a person is arrested for H&S 120280 (failure to comply with a health order), the warrant shall be processed as usual. The booking paperwork shall be scanned and forwarded to the on-duty Watch Commander. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Citations-211 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Citations If a bail bond on a citable charge is presented at the Jail, the release of the charge on the bond shall take precedence over the release on citation and the bond will be accepted in lieu of the issuance of a citation on the charge. 539.4 AUTHORITY TO DETAIN A CITABLE OFFENSE (PC 853.6(1)) Whenever any person is arrested by a peace officer for a misdemeanor, that person shall be released according to the procedures as set forth by this policy, unless one of the reasons as delineated under PC 853.6(i) is a reason used for non-release: (a) The person arrested was so intoxicated that they could have been a danger to themselves or to others. (Once the individual is no longer intoxicated, they shall be given the opportunity to sign their citation and be released from custody.) (b) The person arrested required medical examination or medical care or was otherwise unable to care for their own safety (e.g., H&S 120280). (c) The person was arrested under one or more of the circumstances listed in Sections 40302 and 40303 of the Vehicle Code. (d) There were one or more outstanding arrest warrants for the person. (e) The person could not provide satisfactory evidence of personal identification. (Once the individual has been positively identified by LivelD, they shall be given the opportunity to sign their citation and be released from custody.) (f) The prosecution of the offense or offenses for which the person was arrested, or the prosecution of any other offense or offenses, would be jeopardized by immediate release of the person arrested. (g) There was a reasonable likelihood that the offense or offenses would continue or resume, or that the safety of persons or property would be imminently endangered by release of the person arrested. (h) The person arrested demanded to be taken before a magistrate or refused to sign the notice to appear. (i) The person was subject to Penal Code Section 1270.1. The incarcerated person shall be booked utilizing the authority PC 853.6(i) and the applicable subsection. The notation "was not cited per PC 853.6(i)" shall be written in the COMT/STRIKE/ BAL section under the CHARGES tab in OffenderTrak. The arresting officer shall indicate the applicable code section and reason for the non-release on the arrest tag. If the decision to not release was made by a member of the Jail Division, an incident report shall be written. The report shall delineate the clear articulable facts and circumstances that prevented the incarcerated person from being cited and released. 539.5 CITATIONS ISSUED ON OUT-OF-COUNTY CHARGES If an incarcerated person is in custody on an out-of-county, non-citable misdemeanor charge, a telephone call, and teletype shall be made/sent to the agency/county of jurisdiction notifying the Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Citations-212 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Citations agency that they have five (5) calendar days (by 1800 hours) in which to pick up the incarcerated person. (a) If the agency/county of jurisdiction indicates they will not or cannot pick up the incarcerated person, the incarcerated person shall be issued a citation (as per the county's instructions) and be immediately released from custody. (b) If the agency/county of jurisdiction does not pick up the incarcerated person within five (5) calendar days, the incarcerated person shall be immediately released from custody. A teletype shall be completed and sent to the agency/jurisdiction holding the warrant, notifying them that the incarcerated person was not picked up within the time parameters. The notification shall include that the individual has been released and the warrant should be reactivated. The telephone number called, the person contacted, and the date and time of the scheduled appearance(obtained from the agency/county of jurisdiction)shall be noted in the COMT/STRIKE/ BAL section under the CHARGES tab in OffenderTrak. A teletype shall be sent to the agency advising them of the action taken, and the date, place, and time of the scheduled court appearance. A copy of the teletype shall be scanned into the incarcerated person's records. The abstract and the original copy of the citation shall be mailed to the court of jurisdiction. 539.6 AMENDING A PREVIOUSLY ISSUED CITATION Corrections to citations previously issued must be made on a Notice of Correction and Proof of Service form (TR-100). (a) Complete the form, indicating the changes that need to be corrected. Print two (2) original copies of the form. (b) Scan the form into the incarcerated person's records. (c) Forward one copy of the Notice of Correction and Proof of Service form to the court with jurisdiction over the case.Attach the original citation (if available), or a copy, if not. Address an envelope and insert the second copy of the Notice of Correction and Proof of Service form, along with a copy of the original citation, to the person named on the citation. Forward the envelope to the Distribution Room for mailing. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Citations-213 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 542 Custody Policy Manual Money Bags 542.1 PURPOSE AND SCOPE The purpose of this procedure is to establish and maintain a consistent method for the handling and use of cash reserves for the release of incarcerated person's monies. 542.2 POLICY It is the policy of the Fresno County Sheriffs Office Custody Division, that cash reserves in the amount of ten thousand dollars ($10,000)will be used in the event of a system failure of the Numi Financial Debit Card System. The cash reserves will be divided and secured into two (2) locking deposit bags (money bag) in the amount of five thousand dollars ($5,000) each and kept secure in the Jail Records Unit safe located in the Jail Records Office. 542.3 PROCEDURE Each shift shall be assigned one (1) lockable reserve money bag containing five thousand dollars. Each bag shall be labeled by shift. When it becomes necessary to use reserve cash for releases of incarcerated persons, the designated Sergeant shall retrieve and open the appropriate money bag from the safe: (a) The Reserve money bag shall be given to the Money/Property Officer. The amount inside the bag shall be verified by the Money/Property Officer, who shall enter the corresponding amounts into the Cash Reconciliation Sheet. (b) At the end of each shift, the remaining money will be placed into the money bag, along with ALL of the appropriate cash reconciliation paperwork (e.g. Offendertrak Release Report showing how much and to whom the money has been disbursed). The bag shall then be given to the designated Sergeant, who shall be responsible to lock and secure the bag in the safe and request a reserve replenishment from the Business Office, as needed, 542.4 SECURITY OF RESERVE CANVAS MONEY BAGS The Fresno Sheriff's Business Office and the designated Sergeant's key deck sets shall have master keys for the money bags which are assigned to each shift.All money bags are to be locked and secured in the Records Unit safe. Designated Sergeants are provided with the combination to the safe and are responsible to safeguard the code. 542.5 REPLENISHMENT Two cash reserve bags are in the Business Office safe ($5000.00)each, and a phone call or email is received from a Jail Sergeant to release the reserve fund. Once the reserve is returned to the Business Office reserve bags are replenished based on the Offendertrak release batch report. Each time the cash reserve needs to be replenished, the Business Office will need a Cash Count Form (showing remaining denominations) in the bag with an Offendertrak release batch to report. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Money Bags-214 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Money Bags The Business Office will replenish the reserve by issuing a check; it takes two business days to issue a replenishment check. Once the check is cashed the Jail Records Unit will be informed to pick up the cash. 542.6 OVERAGES AND SHORTAGES All overages and shortages shall be documented by an incident report written by the Money/ Property Officer and reported to the designated Sergeant, who after investigating the discrepancy will notify the Sheriff's Business Office Supervising Account Clerk. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Money Bags-215 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 543 Custody Policy Manual Contraband Watch 543.1 PURPOSE AND SCOPE The purpose of this policy is to establish a consistent method for placing incarcerated individuals on Contraband Watch (CW), ensuring their safety and the security of the facilities by preventing the use or spread of contraband. 543.1.1 DEFINITIONS Definitions related to this policy include: Contraband Watch — The act of placing an incarcerated person in a cell with a toilet that has its water shut-off in an attempt to confiscate any contraband the incarcerated person may have concealed within their body. Designated Cell —A cell that has a sink and toilet with the capability to shut off water in order to prevent destruction or further concealment of contraband. 543.2 POLICY Incarcerated persons suspected of concealing contraband (i.e., narcotics, electronic devices, weapons, any unauthorized items) within their bodies, that is not deemed life-threatening, shall be placed on Contraband Watch (CW). The intention of CW is to recover suspected contraband, prevent further facilitation and safeguard the individual's health and safety. Every arrestee booked into the Fresno County Jail shall be processed through the body scanner upon intake, in accordance with jail policy. Each image will be read and interpreted by a trained and designated jail staff member. If an image is determined to be suspicious, the sergeant overseeing booking shall be notified and conduct a review of the scan in question. If the sergeant agrees the scan reveals possible contraband, they must choose to accept or refuse the arrestee, either decision requires approval of the Watch Commander. If the arrestee is accepted, they shall be escorted into the facility's designated cell and immediately placed on a Contraband Watch protocol with the approval from the Watch Commander. The recommendation to refuse an arrestee will be reviewed and approved by the Watch Commander and documented in an incident report. NOTE: Arrestees who require a physical body cavity search shall not be accepted into custody. If a housed incarcerated individual is suspected of possessing contraband on their person, the same protocol shall apply. See Chapter 5: Body Scanner Policy for refusal process. 543.3 AUTHORIZATION AND NOTIFICATIONS Authorization for placement of CW shall be obtained from the Watch Commander prior to the incarcerated person entering the designated cell. When authorization is obtained to place an incarcerated person on CW, notifications shall be made to the sergeant overseeing booking, Population Management, and the Booking Nurse. Medical shall be notified immediately if the incarcerated person is suspected of ingesting narcotics. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Contraband Watch-216 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Contraband Watch When CW is discontinued, the Watch Commander and Population Management shall be notified. 543.4 DESIGNATED CELL The designated cell shall have a sink, drinking spout, and toilet with the capability to shut off water in order to prevent destruction or further concealment of contraband. If such a cell is not available, another closely compatible cell shall be determined by the sergeant overseeing booking. Staff shall ensure that all water access is shut off, the cell is clean and free of any unauthorized items. Each designated cell shall have a Fresno County Jail Observation Log affixed to the cell for documentation of observations and medical assessments. 543.5 MEALS AND WATER Each incarcerated person on CW shall be given the opportunity to have fluids at least hourly. Correctional officers shall provide the fluids in disposable cups. The incarcerated person shall be given sufficient time to drink the fluids prior to the cup being removed. Each time an incarcerated person is provided the opportunity to drink fluids while on CW it shall be documented. Incarcerated persons will be provided meals during each meal period. Hot meals will be served in disposable containers, and the incarcerated persons may be monitored while eating the meals. Incarcerated persons shall be given ample time to complete their meals prior to items being removed (no less than 15 minutes). All meals provided to an incarcerated person on CW shall be documented. When collecting trash from the meal or water, correctional officers should inspect the items to ensure no contraband is being thrown away. 543.6 PLACEMENT Upon an individual being a placed on Contraband Watch they shall be escorted to the body scanner and images shall be taken. (a) A visual body cavity search shall be conducted and documented in Offendertrak in accordance with policy. (b) A medical assessment shall be conducted by Jail medical staff upon placement and recorded on the Observation Log. (c) An item-for-item exchange of jail issued clothing shall be conducted to impede any concealment of contraband. (d) Upon placement of CW, a report shall be initiated via Offendertrak documenting any findings and reason for placement. 543.7 OBSERVATIONS AND ASSESSMENTS Safety checks shall be conducted twice every 30 minutes and documented on the Observation Log. This includes any activity, behaviors, observations, or findings. A medical assessment shall be done at the time of initial placement and continued as medical protocols recommend. If the incarcerated person has ingested narcotics (or other hazardous items) the medical assessments may be more frequent, depending on the circumstances. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Contraband Watch-217 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Contraband Watch If at any time a decline in the individual's health or mental state is observed, the sergeant overseeing booking and the Booking nurse shall be notified immediately. (a) A medical assessment shall be conducted to determine any additional action to be taken. (b) If necessary, a mental health evaluation may be requested. Medical personnel responsible for ongoing care of incarcerated people shall not remove contraband from incarcerated people for the purpose of prosecution. CCR15 1206(o). An assessment for continuation of placement shall be conducted every 4 hours by the sergeant overseeing booking or designee. Assessments for continuation should include an additional body scan and/or X-Ray image. Contraband Watch to continue until contraband is recovered or no longer suspected. 543.8 REMOVAL AND FINDINGS Upon determination that CW is no longer warranted, the Watch Commander and Population Management shall be notified. A report shall be initiated via Offendertrak documenting any findings, reason for termination, and the associated report number for the initial placement. Any contraband found shall be processed in accordance with Policy. Notification of findings, reports, digital images or additional information obtained shall be forwarded to Population Management. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Contraband Watch-218 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 6 - Due Process of Incarcerated Persons Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Due Process of Incarcerated Persons-219 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 606 Custody Policy Manual Prison Rape Elimination Act 606.1 PURPOSE AND SCOPE This policy provides guidance for compliance with the Prison Rape Elimination Act of 2003(PREA) and the implementing regulation that establishes standards (PREA Rule) to prevent, detect, and respond to sexual abuse and sexual harassment (28 CFR 115.11; 15 CCR 1029). 606.1.1 DEFINITIONS Definitions related to this policy include: Intersex-A person whose sexual or reproductive anatomy or chromosomal pattern does not seem to fit typical definitions of male or female. Intersex medical conditions are sometimes referred to as disorders of sex development (28 CFR 115.5). Sexual abuse -Any of the following acts, if the incarcerated person does not consent, is coerced into such act by overt or implied threats of violence, or is unable to consent or refuse (28 CFR 115.6; 15 CCR 1006): (a) Contact between the penis and the vulva or the penis and the anus, including penetration, however slight (b) Contact between the mouth and the penis, vulva, or anus (c) Penetration of the anal or genital opening of another person, however slight, by a hand, finger, object, or other instrument (d) Any other intentional touching, either directly or through the clothing, of the genitalia, anus, groin, breast, inner thigh, or the buttocks of another person, excluding contact incidental to a physical altercation Sexual abuse also includes abuse by a staff member, contractor, or volunteer as follows, with or without consent of the incarcerated person, detainee, or resident: • Contact between the penis and the vulva or the penis and the anus, including penetration, however slight • Contact between the mouth and the penis, vulva, or anus • Contact between the mouth and any body part where the staff member, contractor, or volunteer has the intent to abuse, arouse, or gratify sexual desire • Penetration of the anal or genital opening, however slight, by a hand, finger, object, or other instrument, that is unrelated to official duties, or where the staff member, contractor, or volunteer has the intent to abuse, arouse, or gratify sexual desire • Any other intentional contact, either directly or through the clothing, of or with the genitalia, anus, groin, breast, inner thigh, or the buttocks, that is unrelated to official duties, or where the staff member, contractor, or volunteer has the intent to abuse, arouse, or gratify sexual desire • Any attempt, threat, or request by a staff member, contractor, or volunteer to engage in the activities described above Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-220 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act • Any display by a staff member, contractor, or volunteer of their uncovered genitalia, buttocks, or breast in the presence of an incarcerated person, detainee, or resident • Voyeurism by a staff member, contractor, or volunteer Sexual harassment - Repeated and unwelcome sexual advances; requests for sexual favors; verbal comments, gestures, or actions of a derogatory or offensive sexual nature by one incarcerated person, detainee, or resident that are directed toward another; repeated verbal comments or gestures of a sexual nature to an incarcerated person, detainee, or resident by a staff member, contractor, or volunteer, including demeaning references to gender, sexually suggestive or derogatory comments about body or clothing, or obscene language or gestures (28 CFR 115.6; 15 CCR 1006). Transgender - A person whose gender identity (i.e., internal sense of feeling male or female) is different from the person's assigned sex at birth (28 CFR 115.5). 606.2 POLICY This Office has zero tolerance with regard to sexual abuse and sexual harassment in this facility. This Office will take appropriate affirmative measures to protect all incarcerated persons from sexual abuse and harassment, and promptly and thoroughly investigate all allegations of sexual abuse and sexual harassment. 606.3 PRESERVATION OF ABILITY TO PROTECT INCARCERATED PERSONS The Office shall not enter into or renew any collective bargaining agreement or other agreement that limits the Office's ability to remove alleged staff sexual abusers from contact with any incarcerated persons pending the outcome of an investigation or of a determination of whether and to what extent discipline is warranted (28 CFR 115.66). 606.4 PREA COORDINATOR The Jail Administration and Programs Bureau Commander shall appoint an upper-level manager (Administrative Sergeant) with sufficient time and authority to develop, implement, and oversee Office efforts to comply with the PREA standards. The PREA coordinator shall review facility policies and practices, and make appropriate compliance recommendations to the Jail Administration and Programs Bureau Commander (28 CFR 115.11). The PREA coordinator's responsibilities shall include: (a) Developing a written plan to coordinate response among staff first responders, medical and mental health practitioners, investigators, and facility management to an incident of sexual abuse. The plan must also outline the Office's approach to identifying imminent sexual abuse toward incarcerated persons and preventing and detecting such incidents (28 CFR 115.11; 28 CFR 115.65; 28 CFR 115.62). (b) Ensuring that within 30 days of intake, incarcerated persons are provided with comprehensive education, either in person or through video, regarding their rights to be free from sexual abuse and sexual harassment and to be free from retaliation for reporting such incidents, and regarding the Office's policies and procedures for responding to such incidents (28 CFR 115.33). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-221 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act (c) Developing a staffing plan to provide adequate levels of staffing and video monitoring, where applicable, to protect detainees from sexual abuse. This includes documenting deviations and the reasons for deviations from the staffing plan, as well as reviewing the staffing plan a minimum of once per year. In calculating adequate staffing levels and determining the need for video monitoring, facilities shall take into consideration (28 CFR 115.13): 1. Generally accepted detention and correctional practices. 2. Any judicial findings of inadequacy. 3. Any findings of inadequacy from federal investigative agencies. 4. Any findings of inadequacy from internal or external oversight bodies. 5. All components of the facility's physical plant, including blind spots or areas where staff or incarcerated persons may be isolated. 6. The composition of the incarcerated person population. 7. The number and placement of supervisory staff. 8. Institution programs occurring on a particular shift. 9. Any applicable state or local laws, regulations, or standards. 10. The prevalence of substantiated and unsubstantiated incidents of sexual abuse. 11. Any other relevant factors. (d) Ensuring that, when designing, acquiring, expanding, or modifying facilities, or when installing or updating a video-monitoring system, electronic surveillance system, or other monitoring technology, consideration is given to the Office's ability to protect incarcerated persons from sexual abuse (28 CFR 115.18). (e) Ensuring that any contract for the confinement of Office detainees or incarcerated persons includes the requirement to adopt and comply with the PREA standards including obtaining incident-based and aggregated data, as required in 28 CFR 115.187. Any new contract or contract renewal shall provide for Office contract monitoring to ensure that the contractor is complying with the PREA standards (28 CFR 115.12). (f) Making reasonable efforts to enter into agreements with community service providers to provide incarcerated persons with confidential, emotional support services related to sexual abuse. The facility shall provide persons with access to outside victim advocates for emotional support services related to sexual abuse by giving incarcerated persons mailing addresses and telephone numbers, including toll-free hotline numbers where available, of local, state, or national victim advocacy or rape crisis organizations. The facility shall enable reasonable communication between incarcerated persons and these organizations and agencies in as confidential a manner as possible. The facility shall inform persons, prior to giving them access, of the extent to which such communications will be monitored and the extent to which reports of abuse will be forwarded to authorities in accordance with mandatory reporting laws (28 CFR 115.53). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-222 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act (g) Ensuring the protocol describing the responsibilities of the Office and of another investigating agency, if another law enforcement agency will be responsible for conducting any sexual abuse or sexual harassment investigations, is published on the facility website or by other means, if no website exists (28 CFR 115.22). (h) Implementing a process by which incarcerated persons may report sexual abuse and sexual harassment to a public/private entity or an office that is not part of the Office, and that the outside entity or office is able to receive and immediately forward incarcerated person reports of sexual abuse and sexual harassment to the Jail Operations Bureau Commander, allowing the person anonymity (28 CFR 115.51; 15 CCR 1029). (i) Establishing a process to ensure accurate, uniform data is collected for every allegation of sexual abuse at facilities under the direct control of this Office, using a standardized instrument and set of definitions. Upon request, the Office shall provide all such data from the previous calendar year to the U.S. Department of Justice (DOJ) no later than June 30 (28 CFR 115.87; 34 USC § 30303; 15 CCR 1041). 1. The data collected shall include, at a minimum, the data necessary to answer all questions from the most recent version of the Survey of Sexual Violence conducted by the U.S. DOJ. 2. The data shall be aggregated at least annually. Q) Establishing a process to monitor the conduct and treatment of detainees or staff who have reported sexual abuse, and the conduct and treatment of detainees who were reported to have suffered sexual abuse. (k) Ensuring that the following are published on the Office's website or by other means, if no website exists: 1. Office policy governing investigations of allegations of sexual abuse and sexual harassment or the referral of such investigations of sexual abuse or sexual harassment(unless the allegation does not involve potentially criminal behavior) (28 CFR 115.22) 2. Information on how to report sexual abuse and sexual harassment on behalf of an incarcerated person (28 CFR 115.54) (1) Ensuring audits are conducted pursuant to 28 CFR 115.401 through 28 CFR 115.405 (28 CFR 115.93). (m) Implementing a protocol requiring mid-level or higher-level supervisors to conduct and document unannounced inspections to identify and deter sexual abuse and sexual harassment. The protocol shall prohibit announcing when such inspections are to occur, unless it is necessary for operational considerations (28 CFR 115.13). (n) Ensuring agreements with outside investigating agencies include PREA requirements, including a requirement to keep the Fresno County Sheriffs Office informed of the progress of the investigation (28 CFR 115.71). (o) Ensuring that information for uninvolved incarcerated persons, family, community members, and other interested third parties to report sexual abuse or sexual harassment is publicly posted at the facility (15 CCR 1029). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-223 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act (p) Ensuring the Office conducts follow-up criminal background records checks at least once every five years on members or contractors who may have contact with incarcerated persons or has in place a system for otherwise capturing such information (28 CFR 115.17). 606.5 REPORTING SEXUAL ABUSE, HARASSMENT, AND RETALIATION Any employee, agency representative, volunteer, or contractor who becomes aware of an incident of sexual abuse, sexual harassment, or retaliation against incarcerated persons or staff shall immediately notify a supervisor, who will forward the matter to a sexual abuse investigator (28 CFR 115.61). Staff may also privately report sexual abuse and sexual harassment of incarcerated persons (e.g., report to the Jail Operations Bureau Commander) (28 CFR 115.51; 15 CCR 1029). The facility shall provide information to all visitors or third parties on how they may report any incident, or suspected incident of sexual abuse, or sexual harassment to a staff member(28 CFR 115.54; 15 CCR 1029). Incarcerated persons may report sexual abuse or sexual harassment incidents anonymously or to any staff member they choose. Staff shall accommodate all incarcerated person requests to report allegations of sexual abuse or harassment. Staff shall accept reports made verbally, in writing, anonymously, or from third parties and shall promptly document all verbal reports (28 CFR 115.51; 15 CCR 1029). Additionally, incarcerated persons may report abuse, retaliation, or harassment by writing to the Sheriff's Office Internal Affairs Unit, or by contacting the local Rape Crisis Center at (559) 222-7273. Threats or allegations of sexual abuse and sexual harassment, or retaliation, regardless of the source, shall be documented and referred for investigation. Sexual abuse and sexual harassment reports shall only be made available to those who have a legitimate need to know, and in accordance with this policy and applicable law (28 CFR 115.61). If the PREA Coordinator is available, the reporting person should be referred or transferred to speak directly to the PREA Coordinator. If the PREA Coordinator is not available, the employee contacted shall document the information in an email and forward it to the PREA Coordinator(or notify the Watch Commander, if immediate response is indicated). 606.5.1 REPORTING TO OTHER FACILITIES If there is an allegation that an incarcerated person was sexually abused while the person was confined at another facility, the PREA Coordinator shall notify the head of that facility as soon as possible but not later than 72 hours after receiving the allegation. The PREA Coordinator shall ensure that the notification has been documented (28 CFR 115.63). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-224 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act 606.5.2 GRIEVANCES - EXHAUSTION OF ADMINISTRATIVE REMEDIES (a) Incarcerated persons are not required to use any informal procedure or to otherwise attempt to resolve with staff, an alleged incident of sexual abuse. (b) There is no time limitation on when an incarcerated person may submit a grievance regarding an allegation of sexual abuse. 1. The grievance shall be investigated and processed for review within ninety (90) days of the initial filing of the grievance. 2. Computation of the 90-day time period shall not include time consumed by incarcerated persons in preparing any administrative appeal. 3. The response time may be extended up to seventy (70) days, if the normal time period is insufficient to make an appropriate decision. The incarcerated person shall be notified in writing of any such extension and provide a date by which a decision will be made. 4. At any level of the administrative process, if the incarcerated person does not receive a response within the time allotted for reply, including any properly noticed extension, the incarcerated person may consider the absence of a response to be a denial at that level. (c) Third parties, including fellow incarcerated persons, staff members, family members, attorneys, and outside advocates, shall be permitted to assist incarcerated persons in filing requests for administrative remedies relating to allegations of sexual abuse, and shall also be permitted to file such requests on behalf of incarcerated persons. 1. If a third party files such a request on behalf of an incarcerated person, the incarcerated person must agree to have the request filed on their behalf, and must personally pursue any subsequent steps in the administrative remedy process. 2. If the incarcerated person declines to have the request processed on their behalf, that decision shall be documented. (d) An incarcerated person may file an emergency grievance when the incarcerated person is subject to a substantial risk of imminent sexual abuse 1. After receiving such an emergency grievance, the form shall be forwarded to a level of review at which corrective action may be taken, provide an initial response within forty-eight (48) hours, and a decision made within five (5) calendar days. 2. The initial response and final decision shall document the determination whether the incarcerated person is in substantial risk of imminent sexual abuse and the action taken in response to the emergency grievance. 3. An incarcerated person may be disciplined for submitting a grievance related to alleged sexual abuse only when it can be demonstrated that the incarcerated person filed the grievance in bad faith. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-225 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act 606.6 RETALIATION All incarcerated persons and staff who report sexual abuse or sexual harassment, or who cooperate with sexual abuse or sexual harassment investigations, shall be protected from retaliation. Protective measures, including housing changes, transfers, removal of alleged abusers from contact with victims, administrative reassignment, or reassignment of the victim or alleged perpetrator to another housing area, and support services for incarcerated persons or staff who fear retaliation, shall be utilized (28 CFR 115.67; 15 CCR 1029). The Jail Administration and Programs Bureau Commander or the authorized designee shall assign a supervisor to monitor, for at least 90 days, the conduct and treatment of incarcerated persons or staff who report sexual abuse or sexual harassment, as well as persons who were reported to have suffered sexual abuse, to determine if there is any possible retaliation. The supervisor shall act promptly to remedy any such retaliation. The assigned supervisor should consider incarcerated person disciplinary reports, housing or program changes, negative staff performance reviews, or reassignment of staff members. Monitoring may continue beyond 90 days if needed. Incarcerated person monitoring shall also include periodic status checks.The Jail Administration and Programs Bureau Commander should take reasonable steps to limit the number of people with access to the names of individuals being monitored and should make reasonable efforts to ensure that staff members who pose a threat of retaliation are not entrusted with monitoring responsibilities. If any other individual who cooperates with an investigation expresses a fear of retaliation, the facility shall take reasonable measures to protect that individual against retaliation (28 CFR 115.67). 606.7 FIRST RESPONDERS If an allegation of incarcerated person sexual abuse is made, the first correctional officer to respond shall (28 CFR 115.64): (a) Separate the parties. (b) Request medical assistance as appropriate from the on-duty Charge Nurse. If no qualified health care or mental health professionals are on-duty when a report of recent abuse is made, staff first responders shall take preliminary steps to protect the victim and shall immediately notify the appropriate qualified health care and mental health professionals (28 CFR 115.82). (c) Establish a crime scene to preserve and protect any evidence. Identify and secure witnesses until steps can be taken to collect any evidence. (d) If the time period allows for collection of physical evidence, request that the alleged victim, and ensure that the alleged abuser, do not take any actions that could destroy physical evidence (e.g., washing, brushing teeth, changing clothes, urinating, defecating, smoking, drinking, eating). (e) Consider whether a change in classification or housing assignment for the victim is needed or whether witnesses to the incident need protection, both of which may include reassignment of housing. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-226 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act (f) Determine whether the alleged perpetrator should be administratively separated or administratively transferred during the investigation. If the first responder is not a correctional officer, the responder shall request the alleged victim to refrain from any actions that could destroy physical evidence and then immediately notify a correctional officer. Should an investigation involve incarcerated persons who have disabilities or who have limited English proficiency, the first responder shall not rely on incarcerated person interpreters, incarcerated person readers, or other types of incarcerated person assistants, except in limited circumstances where an extended delay in obtaining an interpreter could compromise incarcerated person safety,the performance of first responder duties, or the investigation of sexual abuse or sexual harassment allegations (28 CFR 115.16). 606.8 SEXUAL ABUSE VICTIMS Incarcerated persons who are victims of sexual abuse shall be transported to the nearest appropriate location for treatment of injuries and collection of evidence, and for crisis intervention services (28 CFR 115.82). Depending on the severity of the injuries, transportation may occur by a staff member or by ambulance, in either case with appropriate security to protect the staff, the incarcerated person, and the public, and to prevent escape. A victim advocate from a rape crisis center should be made available to the victim. If a rape crisis center is not available, the Office shall make available a qualified member of a community-based organization, or a qualified health care or mental health professional from the Office, to provide victim advocate services. Efforts to secure services from a rape crisis center shall be documented. A rape crisis center refers to an entity that provides intervention and related assistance, such as the services specified in (34 USC § 12511), to sexual assault victims of all ages. A rape crisis center that is part of a government unit may be used if it is not part of the criminal justice system (such as a law enforcement agency) and it offers a level of confidentiality comparable to the level at a nongovernmental entity that provides similar victim services (28 CFR 115.21). 606.9 EXAMINATION, TESTING, AND TREATMENT Examination, testing, and treatment shall include the following (15 CCR 1206): (a) Forensic medical examinations shall be performed as evidentiarily or medically appropriate, without financial cost to the victim. Where possible, these examinations shall be performed by Sexual Assault Forensic Examiners (SAFEs) or Sexual Assault Nurse Examiners (SANE)s. If neither SAFEs nor SANEs are available, other qualified medical practitioners can perform the examination. The Office shall document its efforts to provide SAFEs or SANEs (28 CFR 115.21). (b) If requested by the victim, a victim advocate, a qualified Office staff member, or a qualified community organization staff member shall accompany the victim through the forensic medical examination process and investigatory interviews. That person will provide emotional support, crisis intervention, information, and referrals (28 CFR 115.21). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-227 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act (c) Provisions shall be made for testing the victim for sexually transmitted diseases (28 CFR 115.82). (d) Counseling for the treatment of sexually transmitted diseases, if appropriate, shall be provided. (e) Victims shall be offered information about, and given access to, emergency contraception, prophylaxis for sexually transmitted infections, and follow-up treatment for sexually transmitted diseases (28 CFR 115.82;28 CFR 115.83). This shall be done in a timely manner. (f) Victims of sexually abusive vaginal penetration while incarcerated shall be offered pregnancy tests. If pregnancy results from the abuse, such victims shall receive comprehensive information about, and access to, all lawful pregnancy-related medical services (28 CFR 115.83). This shall be done in a timely manner. (g) Victims shall be provided with follow-up services, treatment plans, and, when necessary, referrals for continued care following their transfer to, or placement in,other facilities, or their release from custody (28 CFR 115.83). (h) Treatment services shall be provided to the victim without financial cost and regardless of whether the victim names the abuser or cooperates with any investigation arising out of the incident (28 CFR 115.82; 28 CFR 115.83). (i) The health authority or mental health staff shall obtain informed consent from incarcerated persons before reporting information to jail staff about prior sexual victimization that occurred somewhere other than an institutional setting unless the incarcerated person is under the age of 18 (28 CFR 115.81). Q) Medical and mental health practitioners shall ensure that information related to sexual victimization that occurred in an institutional setting is limited to medical and mental health practitioners and other staff unless it is necessary to inform jail staff about security or management decisions (28 CFR 115.81). 606.10 SEXUAL ABUSE AND SEXUAL HARASSMENT INVESTIGATIONS An administrative investigation, criminal investigation or both shall be completed for all allegations of sexual abuse and sexual harassment (28 CFR 115.22). Administrative investigations shall include an effort to determine whether the staff's actions or inaction contributed to the abuse. All administrative and/or criminal investigations shall be documented in written reports that include a description of the physical and testimonial evidence,the reasoning behind credibility assessments, and investigative facts and findings. Only investigators who have completed Office-approved training on sexual abuse and sexual harassment investigation shall be assigned to investigate these cases (28 CFR 115.71). When practicable, an investigator of the same gender as the victim should be assigned to the case. Sexual abuse and sexual harassment investigations should be conducted promptly and continuously until completed. Investigators should evaluate reports or threats of sexual abuse and sexual harassment without regard to an incarcerated person's sexual orientation, physical gender, or gender identity. Investigators should not assume that any sexual activity among incarcerated persons is consensual. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-228 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act The departure of the alleged abuser or victim from the employment or control of the jail or Office shall not provide a basis for terminating an investigation (28 CFR 115.71). If the investigation is referred to another agency for investigation, the Office shall request that the investigating agency follow the requirements as provided in 28 CFR 115.21 (a) through (e). The referral shall be documented.The Office shall cooperate with the outside agency investigation and shall request to be informed about the progress of the investigation (28 CFR 115.71) If criminal acts are identified as a result of the investigation, the case shall be presented to the appropriate prosecutor's office for filing of new charges (28 CFR 115.71). Evidence collection shall be based on a uniform evidence protocol that is adapted from or otherwise based on the most recent edition of the DOJ's Office on Violence Against Women publication, "A National Protocol for Sexual Assault Medical Forensic Examinations, Adults/ Adolescents," or similarly comprehensive and authoritative protocols developed after 2011 (28 CFR 115.21). The credibility of an alleged victim, suspect, or witness shall be assessed on an individual basis and shall not be determined by the person's status as incarcerated person or staff. If it is determined that an incarcerated person's allegations are false, the incarcerated person may be subject to disciplinary action. A charge of "making a false report of a crime" is appropriate if evidence discovered during the investigation would support that charge. Incarcerated persons alleging sexual abuse shall not be required to submit to a polygraph examination or other truth-telling device as a condition for proceeding with an investigation (28 CFR 115.71). If a victim considered a vulnerable adult under state law, the assigned investigator shall report the allegation to the designated social services agency as required (28 CFR 115.61). 606.10.1 INVESTIGATIVE FINDINGS All completed written investigations shall be forwarded to the Jail Administration and Programs Bureau Commander or, if the allegations may reasonably involve the Jail Administration and Programs Bureau Commander, to the Sheriff. The Jail Administration and Programs Bureau Commander or Sheriff shall review the investigation and determine whether any allegations of sexual abuse or sexual harassment have been substantiated by a preponderance of the evidence (28 CFR 115.71; 28 CFR 115.72). The staff shall be subject to disciplinary actions, up to and including termination, for violating this policy. Termination shall be the presumptive disciplinary action for staff members who have engaged in sexual abuse.All discipline shall be commensurate with the nature and circumstances of the acts committed, the staff member's disciplinary history, and the actions imposed for comparable offenses by other staff with similar histories. All terminations for violations of sexual abuse or sexual harassment policies, or resignations by staff who would have been terminated if not for their resignation, shall be reported to the law Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-229 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act enforcement agency that would handle any related investigation and to any relevant licensing bodies (28 CFR 115.76). 606.10.2 REPORTING TO INCARCERATED PERSONS The Jail Administration and Programs Bureau Commander or the authorized designee shall inform a victim incarcerated person in writing whether an allegation has been substantiated, unsubstantiated, or unfounded. If the Office did not conduct the investigation, the Office shall request relevant information from the investigative agency in order to inform the incarcerated person. If a staff member is the accused (unless the Office has determined that the allegation is unfounded), the incarcerated person shall also be informed whenever: (a) The staff member is no longer assigned to the incarcerated person's unit or employed at the facility. (b) The Office learns that the staff member has been indicted or convicted on a charge related to sexual abuse within the facility. If another incarcerated person is the accused, the alleged victim shall be notified whenever the Office learns that the alleged abuser has been indicted or convicted on a charge related to sexual abuse within the facility. All notifications or attempted notifications shall be documented. When notification is made while the incarcerated person is in custody, the incarcerated person will sign a copy of the notification letter. The letter will be added to the case file (28 CFR 115.73). 606.11 SEXUAL ABUSE AND SEXUAL HARASSMENT BETWEEN STAFF AND INCARCERATED PERSONS Sexual abuse and sexual harassment between staff, volunteers or contract personnel and incarcerated persons is strictly prohibited. The fact that an incarcerated person may have initiated a relationship or sexual contact is not recognized as a defense to violating this policy. Any incident involving allegations of staff-on-incarcerated person sexual abuse or sexual harassment shall be referred to the Internal Affairs Unit for investigation. 606.11.1 SEXUAL ABUSE BY CONTRACTOR OR VOLUNTEER Any contractor or volunteer who engages in sexual abuse within the facility shall be immediately prohibited from having any contact with incarcerated persons. The contractor or volunteer shall be promptly reported to the law enforcement agency that would investigate such allegations and brought to the attention of any relevant licensing bodies (28 CFR 115.77). 606.12 PROTECTIVE CUSTODY Incarcerated persons at high risk for sexual victimization shall not be placed in involuntary protective custody unless an assessment of available alternatives has been made and it has been determined that there is no reasonably available alternative means of separation. Incarcerated Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-230 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act persons may be held in involuntary protective custody for less than 24 hours while an assessment is completed. If an involuntary protective custody assignment is made because of a high risk for victimization, the Jail Administration and Programs Bureau Commander shall clearly document the basis for the concern for the incarcerated person's safety and the reasons no alternative means of separation can be arranged (28 CFR 115.43). The Office shall assign these persons to involuntary protective custody only until an alternative means of separation from likely abusers can be arranged, not ordinarily in excess of 30 days. Incarcerated persons placed in temporary protective custody shall continue to have reasonable access to programs, privileges, education, and work opportunities. If restrictions are put in place, the Jail Administration and Programs Bureau Commander shall document the following: (a) The opportunities that have been limited (b) The duration of the limitation (c) The reasons for such limitations Every 30 days, the Jail Administration and Programs Bureau Commander shall afford each such incarcerated person a review to determine whether there is a continuing need for protective custody (28 CFR 115.43). 606.13 SEXUAL ABUSE INCIDENT REVIEW An incident review shall be conducted at the conclusion of every sexual abuse investigation unless the allegation has been determined to be unfounded (28 CFR 115.86). The review should occur within 30 days of the conclusion of the investigation. The review team shall include the Jail Command Staff(Captains and Lieutenants) and seek input from line supervisors, investigators, and qualified health care and/or mental health professionals, as appropriate: (a) Consider whether the investigation indicates a need to change policy or practice in order to better prevent, detect, or respond to sexual abuse. (b) Consider whether the incident or allegation was motivated by race; ethnicity; gender identity; lesbian, gay, bisexual, transgender, or intersex identification status or perceived status; gang affiliation; or other group dynamics at the facility. (c) Examine the area in the facility where the incident allegedly occurred to assess whether physical barriers may enable abuse. (d) Assess the adequacy of staffing levels in the area during different shifts. (e) Assess whether monitoring technology should be deployed or augmented to supplement supervision by staff. (f) Prepare a written report of the team's findings, including but not limited to determinations made pursuant to paragraphs (a)-(e) of this section, and any Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-231 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act recommendations for improvement. The report should be submitted to the Sheriff and the PREA coordinator. The Jail Administration and Programs Bureau Commander or the authorized designee shall implement the recommendations for improvement or document the reasons for not doing so. 606.14 DATA REVIEWS This PREA Coordinator shall conduct an annual review of collected and aggregated incident- based sexual abuse data.The purpose of these reviews is to assess and improve the effectiveness of sexual abuse prevention, detection, and response policies, practices, and training by: (a) Identifying problem areas. (b) Identifying corrective actions taken. (c) Recommending corrective actions. (d) Comparing current annual data and corrective actions with those from prior years. (e) Assessing the Office's progress in addressing sexual abuse. The data collected shall include, at a minimum, the data necessary to answer all questions from the most recent version of the Survey of Sexual Violence conducted by the Department of Justice (DOJ). Upon request, the data for the previous calendar year shall be provided to the DOJ no later than June 30. The data collected shall be maintained for at least ten (10) years after the date of the initial collection. Destruction after that time may only be authorized by the Fresno County Board of Supervisors pursuant to Government Code Section 26202. An annual report shall be prepared by the PREA Coordinator and shall include a comparison of the current year's data and corrective actions with those from prior years, and shall provide an assessment of the progress made in addressing sexual abuse. The report shall be made available on the Sheriff's website. During each one-year period, at least one-third of all Sheriffs Office detention facilities shall be audited. The auditor's final report shall be published on the Sheriff's website, or otherwise made readily available to the public. The reports shall be approved by the Jail Administration and Programs Bureau Commander and made available through the Office website. Material may be redacted from the reports when publication would present a clear and specific threat to the safety and security of the facility. However, the nature of the redacted material shall be indicated (28 CFR 115.88). All aggregated sexual abuse data from Fresno County Sheriff's Office facilities and private facilities with which it contracts shall be made available to the public at least annually through the Office website. Before making aggregated sexual abuse data publicly available, all personal identifiers shall be removed (28 CFR 115.89). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-232 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Prison Rape Elimination Act 606.15 RECORDS All case records and reports associated with a claim of sexual abuse and sexual harassment, including incident reports, investigative reports, offender information, case disposition, medical and counseling evaluation findings, and recommendations for post-release treatment or counseling shall be retained in accordance with confidentiality laws. The Office shall retain all written reports from administrative and criminal investigations pursuant to this policy for as long as the alleged abuser is held or employed by the Office, plus five years (28 CFR 115.71). All other data collected pursuant to this policy shall be securely maintained for at least 10 years after the date of the initial collection, unless federal, state or local law requires otherwise (28 CFR 115.89). The Facility Sergeant shall ensure that the victim of a sex offense (pursuant to GC 6254(f)(2)) is informed that his/her name will become a matter of public record unless he/she requests that it not become a matter of public record, pursuant to PC 293(a). (a) The advisement and the victim's response shall be memorialized in the incident report. (b) If the victim has requested confidentiality, ***CONFIDENTIAL*** shall be typed on the first line in the body of the report. The incarcerated person's name will still be used, but cannot be released except to specified persons as authorized by law. Any written report concerning the offense must indicate that the victim requested confidentiality of his/her name pursuant to PC 293(a). (c) The Watch Commander shall ensure that a copy of the report is forwarded to the PREA Coordinator. 606.16 REFERENCE See the following for further guidance: PREA PROCEDURES See attachment: PREA Addendum A - Sexual Assault Victim Assistance Checklist.pdf See attachment: PREA Addendum B - Flowchart.pdf See attachment: PREA Addendum C1 - Sexual Assault Poster - English 2025.pdf See attachment: PREA Addendum C2 - Sexual Assault Poster - Espanol 2015.pdf See attachment: PREA Addendum C3 - Sexual Assault Poster - Hmong 2015.pdf See attachment: PREA Addendum D1 - Volunteer.pdf See attachment: PREA Addendum D2 - Contractor.pdf See attachment: PREA Addendum D3 - Employee.pdf See attachment: PREA Addendum E - Vulnerability Assessment form.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Prison Rape Elimination Act-233 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 6 Custody Policy Manual Grooming 607.1 PURPOSE AND SCOPE The purpose of this policy is to ensure incarcerated person grooming standards are based upon legitimate government interests. 607.2 POLICY It is the policy of this Office to allow incarcerated persons choice in personal grooming, except when a valid government interest justifies that grooming standards be established. The Jail Operations Bureau Commander or the authorized designee shall establish incarcerated person grooming standards specific to classification, facility safety and security, or health and hygiene.Any established standards should not unreasonably interfere with religious observances. Grooming standards should be identified in the incarcerated person handbook. 607.3 HAIRCUTS Incarcerated persons will be provided haircuts and hair-cutting tools subject to established facility rules. If hair length, style, or condition presents a security or sanitation concern, haircuts may be mandatory. Incarcerated persons who significantly alter their appearance may be required to submit to additional booking photos. See procedures for mandatory haircuts. While in custody, incarcerated persons shall not cut names, numbers, or other designs into their hair. Special attention shall be paid when searching those with braids, ponytails, cornrows, or twists, that could facilitate the concealment and movement of contraband and weapons. 607.3.1 HAIR CARE SERVICES The Jail Operations Bureau Commander or the authorized designee shall establish written procedures for incarcerated person hair care services (15 CCR 1267(a)). The procedures will include schedules for hair care services and allow rescheduling for conflicts, such as court appearances. Incarcerated persons shall generally be permitted to receive hair care services once per month after being in custody for at least 30 days. Staff may suspend access to hair care services if an incarcerated person appears to be a danger to themselves or others or to the safety and security of the facility. Haircuts will be performed on Saturday and Sunday during the day shift. 607.4 SHAVING Incarcerated persons may shave daily. Facial hair shall be clean and well groomed. Long beards may allow persons to conceal weapons or contraband. Incarcerated persons may be required to trim facial hair if it poses a security or safety risk. Incarcerated persons may be required to submit to new booking photographs if their appearance is significantly altered due to facial hair. Incarcerated persons with facial hairwho work around food shall wear appropriate facial coverings. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grooming-234 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Grooming An incarcerated person may be denied access to razors if they appear to be a danger to themselves or others, or if such access may jeopardize the safety and security of the facilities. Incarcerated persons may be restricted from significantly altering their appearance for reasons of identification in court (15 CCR 1267(b)). 607.5 NAILS Nail clippers will be kept in a secure location and will be issued to incarcerated persons upon request. Incarcerated workers are required to keep their nails clean and trimmed. Incarcerated persons with long nails may be required to trim their nails if there is a security concern and the person is admitted to general population. 607.6 GROOMING EQUIPMENT Grooming equipment is to be inventoried and inspected by the staff at the beginning of each shift and prior to being issued to incarcerated persons. The staff shall ensure that all equipment is returned by the end of the shift and is not damaged or missing parts. Incarcerated people shall be instructed on proper disinfection methods. Grooming equipment will be disinfected before and after each use by the methods approved by the State Board of Barbering and Cosmetology to meet the requirements of(16 CCR 979; 16 CCR 980; 15 CCR 1267(c)). Cleaning methods include: • Removing foreign matter. • Cleaning tools with soap or detergent and water. • Immersing non-electrical equipment in disinfectant. • Spraying electrical equipment with disinfectant. • Storing cleaned equipment in clear, covered containers that are labeled as such. Disinfectant solution shall be changed at least once per week or whenever the solution is cloudy or dirty. Solution will be stored in covered containers with labeled instructions for its use and the Environmental Protection Agency registration number. Damage to any electric shaver requires an incident report be written under the 7038 Damaged Electric Shaver'. 607.7 PERSONAL CARE ITEMS Incarcerated persons are expected to maintain their hygiene using approved personal care items. No incarcerated person will be denied the necessary personal care items. For sanitation and security reasons, personal care items shall not be shared (15 CCR 1265 et seq.). 607.8 REFERENCE See the following for further guidance: GROOMING PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grooming-235 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 608 Custody Policy Manual Nondiscrimination 608.1 PURPOSE AND SCOPE The constitutional rights of persons regarding discrimination are protected during incarceration. These protections extend to administrative decisions ( e.g., classification, access to programs, availability of services). This policy is intended to guide the staff toward nondiscriminatory administrative decisions and to detail an incarcerated person complaint and discrimination investigation process. 608.2 POLICY All decisions concerning incarcerated persons housed at this facility shall be based on reasonable criteria that support the health, safety, security, and good order of the facility. 608.3 DISCRIMINATION PROHIBITED Discriminating against an incarcerated person based upon actual or perceived race, ethnicity, national origin, religion, sex, sexual orientation, gender identity or expression, age, disability, pregnancy, genetic information, veteran status, marital status, and any other classification or status protected by law is prohibited. Reasonable and comparable opportunities for participation in services and programs including vocational, educational, and religious programs shall be made available to incarcerated persons in a nondiscriminatory manner. The Jail Operations Bureau Commander should periodically conduct interviews with incarcerated persons and staff members to identify and resolve potential problem areas related to discrimination before they occur. 608.4 INCARCERATED PERSONS REPORTING DISCRIMINATION Incarcerated persons who wish to report an allegation of discrimination may communicate with facility management in any way, including: (a) Confidential correspondence addressed to any Jail Operations Bureau Commander or the Sheriff or other government official, including the courts or legal representative. (b) Verbally to any supervisor or other staff member of these facilities. 608.4.1 HANDLING COMPLAINTS OF DISCRIMINATION Staff shall promptly forward all written allegations of discrimination by incarcerated persons to the Watch Commander. If the allegation is presented verbally, the receiving staff member shall prepare an incident report identifying the circumstances prompting the allegation, the individuals involved, and any other pertinent information that would be useful to investigating the allegation. Unless the complaint submitted by the incarcerated person is clearly identified as confidential and addressed to a Jail Bureau Commander, Sheriff, or other official, the Watch Commander shall review the complaint and attempt to resolve the issue. In any case, the Watch Commander shall Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Nondiscrimination-236 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Nondiscrimination document the circumstances of the allegation and what actions, if any,were taken to investigate or resolve the complaint.All reports of alleged discrimination shall be forwarded to the Jail Operations Bureau Commander for review and further investigation or administrative action as needed. Administrative evaluations and response to allegations of discrimination shall be based upon objective criteria: (a) The incarcerated person's classification (b) The incarcerated person's criminal history (c) Current and past behavior and disciplinary history (d) Housing availability (e) The availability of programs (f) The ability to safely provide the requested services Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Nondiscrimination-237 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 609 Custody Policy Manual Grievances 609.1 PURPOSE AND SCOPE The purpose of this policy is to establish a process by which incarcerated persons may file grievances and receive a formal review regarding the conditions of their confinement (15 CCR 1073). 609.2 POLICY It is the policy of this Office that any incarcerated person may file a grievance relating to conditions of confinement, which includes release date, housing, medical care, discrimination/violations of ADA, food services, hygiene, sanitation needs, out of cell time opportunities, classification actions, disciplinary actions, program participation, telephone and mail use procedures, visiting procedures, and allegations of sexual abuse. Resolutions will be prompt and equitable for verified issues raisedt. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.D.1. Grievances will not be accepted if they are challenging the rules and policies, state or local laws, court decisions, and probation/parole actions. The Sheriff's Office does not accept or process grievances against arresting agencies, judges, courts, or other institutional facilities or agencies outside the jurisdiction of the Fresno County Sheriffs Office. Retaliation for use of the grievance system is prohibited. 609.3 ACCESS TO THE GRIEVANCE SYSTEM All incarcerated persons shall be provided with a grievance process for resolving complaints arising from facility matters with at least one level of appeal. Incarcerated people may utilize the grievance procedure regardless of their disciplinary status, housing location, or classification. Appropriate provisions shall be made to ensure those who are not fluent in English, persons with disabilities, those with low literacy levels, the elderly, and the mentally ill have access to the grievance procedure. Incarcerated persons will receive information concerning the grievance procedure during the orientation process. Information will also be contained in the incarcerated persons handbook. Information regarding the grievance process will be provided to incarcerated persons in the language they understand. The information will include (15 CCR 1073): (a) A grievance form or instructions for registering and appealing a grievance, including relevant dates. (b) A process for submission and handling of anonymous grievances. (c) Instructions for the resolution of the grievance at the lowest appropriate staff level. (d) The appeal process to the next level of review. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grievances-238 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Grievances (e) Written reasons for denial of a grievance at each level of review. (f) A provision for a non-automated initial response within a reasonable time limit which shall not exceed a period of 15 calendar days. (g) A provision for resolving questions of jurisdiction within the facility. (h) Provisions for providing a copy of the grievance, appeal, response, and related documents to the incarcerated person. (i) Consequences for abusing the grievance system. 609.4 GRIEVANCE PROCEDURES Members shall attempt to informally resolve all grievances at the lowest level. All attempts to resolve a grievance shall be documented in the incarcerated person's file. If there is no resolution at this level, the incarcerated person may request a grievance form. Pursuant to the Prison Litigation Reform Act of 1996(PLRA), incarcerated people must completely exhaust the Jail's internal grievance and appeals processes prior to filing any complaint (i.e., writ) with the court. The incarcerated person should be advised to complete the form and return it to any member or submit it electronically. A grievance should be filed by an incarcerated person within 14 days of the complaint or issue. Incarcerated people are not required to use the formal grievance procedure to submit a verbal or written emergency complaint.An emergency is a condition which, if processed through the normal grievance timeframes, would subject the incarcerated person to a substantial risk of personal injury, or cause other serious and irreparable harm. Any emergency complaint received by staff shall be forwarded immediately, without substantive review, to the level at which corrective action can be taken. Incarcerated persons cannot file a grievance on behalf of another incarcerated person but an incarcerated person may assist another incarcerated person in the preparation of a grievance. Members may take reasonable steps to assist the incarcerated person in the preparation of a grievance, if requested. Upon receiving a completed grievance form, the member shall acknowledge receipt of the grievance by signing the form and giving a copy to the incarcerated person.The member receiving the form shall gather all associated paperwork and reports and immediately forward them to the appropriate inbox. Correctional staff shall review grievances to identify requests for reasonable accommodations and allegations of disability-based discrimination or violations of the ADA. All ADA related complaints (resolved and unresolved) shall be forwarded to the ADA Unit to investigate the complaints and provide substantive responsest. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.D.2-3. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grievances-239 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Grievances Staff receiving a grievance that describes an activity that may be in violation of the Prison Rape Elimination Act of 2003 (PREA) shall immediately notify the on-duty Watch Commander. (See below) Incarcerated people may file grievances and appeals directly to the Bureau Commander when the content of the grievance is of a nature that would pose a threat to the safety of the individual, staff, or other incarcerated people if the grievance were filed through established procedures. Incarcerated people may not grieve the decision on a previous grievance regarding the same matter (i.e., the results of a grievance may not be grieved). 609.4.1 EXCEPTION TO INITIAL GRIEVANCE FILING Incarcerated persons may request to submit the grievance directly to a supervisor or mail it directly to a Jail Bureau Commander if they reasonably believe the issues to be grieved are sensitive or that their safety would be in jeopardy if the contents of the grievance were to become known to other incarcerated persons. Incarcerated persons may place their grievance in a sealed envelope labeled "Grievance" and submit it to any correctional staff member. These envelopes will be delivered directly to the appropriate Jail Bureau Commander inbox. 609.4.2 TIMELY RESOLUTION OF GRIEVANCES Upon receiving a completed incarcerated person grievance form, the appropriate supervisor shall ensure that the grievance is investigated and resolved or denied in a timely manner, as established by the Jail Administration and Programs Bureau Commander. The supervisor shall assign the investigation of the grievance to the manager in charge of the area the incarcerated person is grieving. Grievances related to medical care should be investigated by the Responsible Physician or the authorized designee. The findings of that investigation, along with any recommendations, shall be forwarded to the Watch Commander. Appeals shall be forward to the Jail Medical and Services Bureau Commander as the final level of appeal. Incarcerated persons with disabilities may complete an incarcerated person grievance form to contest any disability-based discrimination or violations of the ADA. The ADA Coordinator shall ensure that a prompt and equitable resolution is provided to each issue raised. Grievances related to food matters should be investigated by the Services Unit.The findings of that investigation, along with any recommendations, shall be forwarded to the Jail Services Lieutenant. Appeals shall be forwarded to the Jail Medical and Services Bureau Commander as the final level of appeal. Grievances related to censored or rejected mail should be investigated by a member who was not involved in the decision. The findings of that investigation, along with any recommendations, shall be forwarded to the Population Management Lieutenant. Appeals shall be forwarded to the Jail Operations Bureau Commander as the final level of appeal. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grievances-240 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Grievances Other grievances relating to programs or other services provided by the Office shall be investigated by the Administration and Programs Sergeant. Findings relating to the investigation,along with any recommendations, will be forwarded to the Jail Administration and Programs Lieutenant. Appeals shall be forwarded to the Jail Administration and Programs Bureau Commander as the final level of appeal. A grievance may be denied on procedural grounds, without addressing the substantive issues. Whenever a submission is rejected, the incarcerated person shall be provided a written notice explaining the reason for the rejection. 609.4.3 APPEALS TO GRIEVANCE FINDINGS Incarcerated persons may appeal the finding of a grievance to a Jail Bureau Commanderas the final level of appeal within five days of receiving the findings of the original grievance. The Jail Bureau Commander will review the grievance and either confirm or deny it. If the Jail Bureau Commander confirms the grievance, corrective actions will be initiated. In either case, the incarcerated person shall receive a written response to the appeal. Appeals related to sexual abuse allegations shall be confirmed or denied by a Jail Bureau Commander within 10 calendar days. 609.4.4 EMERGENCY GRIEVANCES Incarcerated persons may file an emergency grievance to address issues that could subject the incarcerated person to immediate substantial risk of personal injury or cause other serious and irreparable harm, as defined by the Jail Operations Bureau Commander.An emergency grievance may be submitted to any member and forwarded immediately without substantive review to the Watch Commander. The Watch Commander should promptly initiate an investigation or direct the manager responsible for the program or service to commence an investigation. The Watch Commander should produce or receive findings and recommendations from the investigation within 48 hours of receipt of the grievance and communicate the resolution to the incarcerated person immediately. The incarcerated person may appeal the decision to the Jail Operations Bureau Commander within 24 hours of notification, and the Jail Operations Bureau Commander will communicate the final decision within 24 hours of receipt of the appeal. 609.4.5 RECORDING GRIEVANCES The Jail Administration and Programs Bureau Commander should maintain a grievance log in a central location accessible to all supervisors. The staff member who originally receives the grievances shall record them on the grievance log. Periodic reviews of the log should be made by the Jail Administration and Programs Bureau Commander or the authorized designee to ensure that grievances are being handled properly and in a timely manner. A copy of each grievance should be filed in the incarcerated person's official record and maintained throughout the incarcerated person's period of incarceration. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grievances-241 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Grievances The original grievance should be retained in a file maintained by the Jail Administration and Programs Bureau Commander or the authorized designee, and shall be retained in accordance with established records retention schedules. 609.4.6 FRIVOLOUS GRIEVANCES Incarcerated persons shall use the grievance process only for legitimate problems or complaints. If there is concern that an incarcerated person is abusing the grievance process, the person shall be informed that continued behavior may result in disciplinary action and possibly the loss of the ability to submit grievances. 609.4.7 REVIEW OF GRIEVANCES The Jail Administration and Programs Bureau Commander or the authorized designee shall conduct a quarterly review of grievances, responses, and appeals (15 CCR 1073). 609.5 GRIEVANCE AUDITS The Jail Administration and Programs Bureau Commander should perform an annual audit of all incarcerated person grievances and complaints filed the previous calendar year. The Jail Administration and Programs Bureau Commander should forward a memorandum to the Sheriff detailing the findings, including recommendations regarding any changes to policy or procedures or any additional training that might be warranted to reduce future complaints. Specific identifying information regarding dates, times, or individuals named in the complaints is not part of this process and should not be included in the memorandum. The Sheriff should evaluate the recommendations and ensure appropriate action is taken. Any training issues identified as a result of this audit should be forwarded to the Training Unit,who will be responsible for ensuring all necessary and required training is scheduled and completed. 609.6 ADDITIONAL PROVISIONS FOR GRIEVANCES RELATED TO SEXUAL ABUSE The following apply to grievances that relate to sexual abuse allegations (28 CFR 115.52; 15 CCR 1029): (a) Incarcerated persons may submit a grievance regarding an allegation of sexual abuse at any time. (b) Third parties, including fellow incarcerated persons, staff members, family members, attorneys, and outside advocates, are permitted to assist incarcerated persons in filing such grievances and to file such grievances on behalf of incarcerated persons if the incarcerated person agrees to have the grievance filed on the person's behalf. Staff members who receive a grievance filed by a third party on behalf of an incarcerated person shall inquire whether the incarcerated person wishes to have the grievance processed and shall document the incarcerated person's decision. (c) Grievances may be submitted to any staff member and need not be submitted to the member who is the subject of the complaint (d) Staff receiving a grievance shall forward the grievance to a supervisor. Grievances shall not be forwarded to any supervisor who is the subject of the complaint. The Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grievances-242 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Grievances supervisor receiving the grievance shall refer the grievance to the Watch Commander for investigation. Incarcerated persons and staff are not required to attempt to informally resolve grievances related to sexual abuse. (e) The Watch Commander shall ensure that grievances related to sexual abuse are investigated and resolved within 90 days of the initial filing. The Watch Commander may grant an extension of up to 70 days if reasonable to make an appropriate decision. If an extension is granted, the incarcerated person shall be notified and provided a date by which a decision will be made. (f) At any level of the process, including the appeal, if the incarcerated person does not receive a response within the allotted time, including any properly noticed extension, the incarcerated person may consider the absence of a response to be a denial at that level. (g) Incarcerated persons may be disciplined for filing a false grievance related to alleged sexual abuse only when it is determined that the incarcerated person filed the grievance in bad faith. 609.6.1 EMERGENCY GRIEVANCES RELATED TO SEXUAL ABUSE Any incarcerated person who believes the person or any other incarcerated person is in substantial risk of imminent sexual abuse may file an emergency grievance with any supervisor. The supervisor shall determine whether immediate action is reasonably necessary to protect the incarcerated person and shall provide an initial response within 48 hours. The supervisor shall refer the grievance to the Watch Commander, who will investigate and issue a final decision within five calendar days. The initial response and final decision shall be documented and shall include a determination whether the incarcerated person is in substantial risk of imminent sexual abuse and identify actions taken in response to the emergency grievance (28 CFR 115.52). 609.7 TRAINING The Training Unit shall ensure that all members receive initial and periodic training regarding all aspects of this policy. All training delivered should include testing to document that the member understands the subject matter. 609.8 REFERENCE See the following for further guidance: INCARCERATED PERSONS GRIEVANCE PROCEDURES Grievance Addendum- Cans and Cannots GRIEVANCE FLOWCHART Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grievances-243 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 6 Custody Policy Manual Voting 610.1 PURPOSE AND SCOPE This policy establishes the requirement for providing eligible incarcerated persons the opportunity to vote during elections, pursuant to election statutes (15 CCR 1071). 610.2 POLICY The Office will assist incarcerated persons who wish to vote in an election via a vote-by-mail ballot. 610.3 PROCEDURES Prior to each election, the Jail Administration and Programs Bureau Commander will designate a staff member to be a liaison between the Office and the county elections office. The designated staff member will be responsible for assisting incarcerated persons who have requested to vote. Incarcerated persons should be advised of voting methods during the incarcerated person orientation. 610.4 REFERENCE See the following for further guidance: VOTING PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Voting-244 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 613 Custody Policy Manual Incarcerated Persons with Disabilities 613.1 PURPOSE AND SCOPE The purpose of this policy is to provide guidelines for equal access to Fresno County Sheriffs Office services, programs, and activities for incarcerated persons with disabilities, in accordance with Title II of the Americans with Disabilities Act (ADA). This policy also includes guidelines to provide effective communication with incarcerated persons with disabilities. For accommodations for the public, see Chapter 10: Visitation. 613.1.1 DEFINITIONS Definitions related to this policy include (28 CFR 35.104): ADA Coordinator - The member designated by the Jail Operations Bureau Commander to coordinate the jail's efforts to comply with the ADA (28 CFR 35.107). American with Disabilities Act (ADA) — The act which provides comprehensive civil rights protection to individuals with disabilities in the areas of employment, public accommodations, state and local government, services, and telecommunications. Assistive devices, auxiliary aids, and services - Tools used by incarcerated persons with disabilities to facilitate their participation in services, programs, and activities offered by the Fresno County Sheriffs Office and to facilitate effective communication. They include but are not limited to the use of gestures or visual aids to supplement oral communication; a notepad and pen or pencil to exchange written notes; a computer; an assistive listening system or device to amplify sound; videophones (video relay service or VRS); taped text; qualified readers; a qualified interpreter; wheelchairs and other devices that facilitate mobility; audio books and large-print material; visible alarm signals; special diets; and lifts, and shower chairs. Disability -A physical or mental impairment that substantially limits a major life activity, including hearing, seeing, speaking, or performing manual tasks, regardless of whether the person uses assistive devices, auxiliary aids, and services. Individuals who wear ordinary eyeglasses or contact lenses are not considered to have a disability (42 USC § 12102; 28 CFR 35.108). Major life activity — includes, but is not limited to, functions such as caring for one's self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working. Modification - Any change, adjustment, alteration, adaptation, or accommodation that renders the Fresno County Sheriff's Office service, program, or activity suitable for use, enjoyment, or participation by an incarcerated person with a disability. This may include alteration of existing buildings and facilities. A modification includes any change or exception to a policy, practice, or procedure that allows an incarcerated person with a disability to have equal access to services, programs, and activities. It also includes the provision or use of assistive devices, auxiliary aids, and services. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-245 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities Qualified interpreter - A person who is able to interpret effectively, accurately, and impartially, both receptively and expressively, using any necessary specialized vocabulary. Qualified interpreters include oral interpreters, transliterators, sign language interpreters, and intermediary interpreters. Reasonable accommodation — any change or adjustment to an environment that permits a qualified person with a known disability to participate in a job, or to enjoy benefits and privileges of programs or services as an equal to everyone without a disability. Service Animal —any dog/miniature horse that is individually trained to do work or perform tasks for the benefit of an individual with a disability. Service animals are working animals, not pets. Personal pets/animals whose sole function is to provide comfort or emotional support do not qualify as service animals under the ADA. Undue hardship — means that the requested accommodation could not be provided without significant difficulty or expense or it fundamentally alters the nature or operation of the institution or program. 613.2 POLICY It is the policy of the Fresno County Sheriffs Office that incarcerated persons with disabilities have equal access to services, programs, and activities of the Fresno County Sheriff's Office. The Fresno County Sheriffs Office will not discriminate against or deny any incarcerated person access to services, programs, or activities based upon the presence or suspected presence of disabilities. This Office will take all reasonable steps to accommodate incarcerated persons with disabilities while they are in custody and will comply with the ADA and any related state laws. Discrimination on the basis of disability is prohibited. The Custody Division ADA Coordinator shall confer with medical staff monthly to review whether accommodations for those with disabilities continue to be appropriate and necessaryt. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.C.2. The Office shall post and disseminate ADA notices in alternative formats to promote effective communication, and make available grievance forms to address ADA related complaintst t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.E.2. It is the policy of the Fresno County Sheriffs Office Custody Division that the jail and the Health Authority shall collaborate to develop standardized procedures for the prescription, ordering, retention, and confiscation of assistive devices. These policies shall prioritize the safety and security of both incarcerated people and staff while ensuring that those with disabilities have equal access to jail programs, services, and activities. Those who arrive at the facility with an assistive device shall be allowed to retain the device, or shall be provided with a jail-issued equivalent device, so long as it does not constitute an immediate risk of bodily harm or threaten the security of the facilities, unless a jail physician documents that the device is not medically necessary or Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-246 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities reasonable to allow equal access to jail programs, services, or activities. The Office shall provide assistive devices prescribed by a jail physician to incarcerated persons as soon as reasonably practical, so long as the device does not constitute an immediate risk of bodily harm to other incarcerated people or staff, or threatens the security of the facilitiest. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.B.1-3. 613.3 ADA COORDINATOR RESPONSIBILITIES The ADA Coordinator will work with the Jail Operations Bureau Commander and the Responsible Physician as appropriate to (28 CFR 35.130): (a) Establish procedures to determine at admission if modifications are necessary for participation in the jail's services, programs, and activities, to document an incarcerated person's disability and preferred assistive devices, auxiliary aids, or services as applicable, and to regularly reassess in consultation with the incarcerated person whether alternative or additional modifications are necessary. (b) Provide notice to incarcerated persons regarding the rights and protections afforded by the ADA (e.g., posters, published notices, handbooks, and orientation materials describing jail services, programs, and activities and the availability of assistive devices, auxiliary aids, and services, as well as modifications) (28 CFR 35.106). (c) Establish classification criteria to make housing assignments for incarcerated persons with disabilities. 1. Absent unusual circumstances, incarcerated persons with disabilities should not be (28 CFR 35.152): (a) Housed in a medical area unless they are receiving medical care or treatment. (b) Classified as special management incarcerated persons unless they meet the criteria provided in the Special Management Incarcerated Persons Policy. (d) Establish housing areas that are equipped to meet the physical needs of incarcerated persons with disabilities, including areas that allow for personal care and hygiene in a reasonably private setting, and that allow incarcerated persons with disabilities to be integrated into the larger incarcerated person population as appropriate to the incarcerated person's needs. (e) Establish procedures for reviewing and processing requests for modifications that will help members provide incarcerated persons with disabilities access to the jail's services, programs, and activities, as appropriate. (f) Make reasonable modifications to policies, practices, and procedures as necessary to allow incarcerated persons with disabilities to participate in the jail's services, programs, and activities. (g) Establish procedures for restraining, transporting, and moving incarcerated persons with disabilities. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-247 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities (h) Establish procedures that give incarcerated persons with disabilities equal opportunities to participate in or benefit from all aspects of the jail's efforts to prevent, detect, and respond to sexual abuse and sexual harassment (28 CFR 115.16). (i) Establish procedures for responding to commonly encountered disabilities such as sight or mobility impairments and intellectual or developmental disabilities. Q) Develop, implement, and publish procedures to provide for prompt and equitable resolution of complaints and inquiries regarding discrimination in access to services, programs, and activities (28 CFR 35.107). The complaint procedures should include an appeal process. (k) Act as a liaison with local disability advocacy groups or other disability-focused groups regarding access to the jail's services, programs, and activities. (1) Facilitate a process of periodic self-evaluation. The process should include: 1. Review of current jail services, activities, and programs for access issues. 2. Assessment and update, if necessary, of current compliance measures. 3. Identification of recurring areas of complaint for which new methods of modification should be considered. 4. Review of the jail's emergency programs, services, and activities as they apply to incarcerated persons with disabilities. 5. Recommendation of a schedule to implement needed improvements. (m) Develop and implement procedures to provide that new construction and any alteration to an existing building or facility are undertaken in compliance with the ADA (28 CFR 35.151). (n) Verify that third parties providing services, programs, or activities to incarcerated persons through contract, outsourcing, licensing, or other arrangement have established reasonable policies and procedures to prevent discrimination against and denial of access to incarcerated persons with disabilities (28 CFR 35.152). (o) Recommend amendments to this policy, as needed. 613.4 JAIL BUREAU COMMANDER RESPONSIBILITIES The Administration and Programs Bureau Commander, in coordination with the Responsible Physician, and the ADA Coordinator will establish written procedures to assess and reasonably accommodate disabilities of incarcerated persons. The procedures will include but are not limited to: (a) Establishing housing areas that are equipped to meet the physical needs of disabled incarcerated persons, including areas that allow for personal care and hygiene in a reasonably private setting and for reasonable interaction with incarcerated persons. (b) Establishing classification criteria to make housing assignments to incarcerated persons with disabilities. (c) Establishing transportation procedures for moving incarcerated persons with limited mobility. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-248 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities (d) Establishing procedures for the request and review of accommodations. (e) Establishing guidelines for the accommodation of individuals who are deaf or hard of hearing, have common disabilities such as sight and mobility impairments and developmental disabilities, or have common medical issues, such as epilepsy. (f) Identifying and evaluating all incarcerated persons with developmental disabilities, including contacting the regional centerto assist with diagnosis and/ortreatmentwithin 24 hours of identification, excluding holidays and weekends (15 CCR 1057). (g) The Fresno County Sheriffs Office will not discriminate against incarcerated people or members of the public on the basis of disability in providing access to its detention facilities, programs, services, and activities. • The Americans with Disabilities Act Incarcerated Person Notice will be prominently posted in all housing units. • The Americans with Disabilities Act Public Notice will be prominently posted at the public entrances of all Jail facilities. The Jail Medical and Services Bureau Commander is responsible for ensuring the Fresno County Sheriffs Office jail is designed or adapted to reasonably accommodate incarcerated persons with disabilities. At a minimum this includes: • Access to telephones equipped with a telecommunications device or service for the deaf for incarcerated persons who are deaf, are hard of hearing, or have a speech impairment. • If orientation videos are used to explain facility rules to newly admitted incarcerated persons, subtitles may be displayed on the video presentation to assist incarcerated persons who have impaired hearing. • Some cells and dormitories should be equipped with wheelchair-accessible toilet and shower facilities. Incarcerated persons with physical disabilities should be allowed to perform personal care in a reasonably private environment. • Tables designed for eating should be accessible to those in wheelchairs. 613.5 CORRECTIONAL OFFICER RESPONSIBILITIES Correctional officers should work with qualified health care professionals to aid in making accommodations for those with disabilities. Officers shall assist incarcerated people with communication deficits, as needed, and provide reasonable accommodations (e.g., reading and writing assistance)t. If the incarcerated person needs writing assistance beyond filing out forms and grievances, they shall be referred to Jail Programs. tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.E.3. Correctional officers who work in the classification process should be aware of incarcerated persons with disabilities before making housing decisions. For example, persons with mobility issues may require a lower bunk and accessible toilet and shower facilities. When necessary or required, a supervisor of the classification correctional officer should consult with the qualified Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-249 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities health care professional or the Responsible Physician regarding housing location. Incarcerated people with disabilities shall be housed in the most integrated and appropriate housing possiblet. Correctional officers should assist an incarcerated person with a disability by accommodating the incarcerated person consistent with any guidelines related to the incarcerated person's disability. If there are no current guidelines in place, correctional officers receiving an incarcerated person request for accommodation of a disability should direct the incarcerated person to provide the request in writing or assist the incarcerated person in doing so, as needed. The written request should be brought to the ADA Unit or the facility sergeant as soon as practicable but during the correctional officer's current shift. Requests that are minor and do not reasonably appear related to a significant or ongoing need may be addressed informally, such as providing extra tissue to an incarcerated person with a cold. Such requests need not be made in writing. tHall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.A.1-2. 613.6 REQUESTS The goal of any modification should be to allow an incarcerated person with a disability to participate in the service, program, or activity the same as an incarcerated person who does not have a disability. The Fresno County Sheriff's Office will not require incarcerated persons with disabilities to furnish their own assistive device, auxiliary aid, or service as a condition for receiving access to Fresno County Sheriff's Office services, programs, and activities (28 CFR 35.160). When medical staff conducts an ADA assessment of an incarcerated person, they shall review any prior accommodations documented in the individual's records and observe the person directly to determine if additional or previously unrequested accommodations may be necessary. This ensures that both self-reported and observable disabilities are considered during intake and classification. All completed ADA Forms (ADA-1) generated during the screening process shall be submitted to the Classification Unit within one (1) hour of completion for proper housing considerations. Upon receiving a request for a modification (e.g., ADA-1 Form), staff should make reasonable efforts to accommodate the request based upon the preference of the incarcerated person with the disability by providing a reasonable modification consistent with any procedures related to the incarcerated person's disability. Members should not ask about the nature and extent of an incarcerated person's disability but should limit questions to elicit information necessary to determine the need for a modification and the appropriate type of modification. Requests for accommodation after initial entry into the facility should be made through the standard facility request process in writing or members should assist the incarcerated person in doing so, as needed. The written request should be brought to the ADA Unit or a facility sergeant as soon as practicable and during the member's current shift. The reviewing ADA Unit staff member or facility sergeant should evaluate the request with qualified medical staff and, if Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-250 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities approved, notify staff as necessary to meet the accommodation. The ADA Unit should make a record of the accommodation in the incarcerated person's file. A facility sergeant who does not grant the modification, either in part or in full, should forward the request to the ADA Unit as soon as reasonably practicable. The ADA Unit, in cooperation with qualified health care staff, should make a determination regarding the request within seven (7) days of the request being made. Medicalstaff shall make available all information needed to make adequate housing decisions to Population Managementt. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.A.3. Accommodation requests should include but are not limited to: the need for an accessible shower and toilet, the need for ground floor housing, the need for no stairs in the path of travel, the need for level terrain, and the need for and description of assistive devices and the conditions in which they are to be used (e.g., use of a wheelchair full time, for all distances greater than 50 feet, whenever out of cell/bed area, etc.). All provided accommodations shall be entered into the jail management systemt. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.A.5-6. 613.6.1 DENIAL OF A REQUEST Requests for modifications should be approved unless complying with the request would result in (28 CFR 35.150): (a) A substantial alteration of the service, program, or activity. (b) An undue financial or administrative burden on the Fresno County Sheriffs Office. All resources available for use in the funding and operation of the service, program, or activity at issue should be considered in this determination. (c) A threat to or the destruction of the historic significance of a historic property. (d) A direct threat to the health or safety of others (28 CFR 35.139). (e) A threat to the orderly operation or function of the jail. If any of these circumstances are present, the ADA Coordinator should work with Fresno County Sheriffs Office members and the incarcerated person requesting the modification to determine if an alternative modification is available. If no alternative modification is appropriate, the ADA Coordinator shall issue a written statement explaining why a modification of the service, program, or activity will not be made (28 CFR 35.150). Where physical modification of an existing building or facility, or new construction, would be unfeasible or unduly burdensome, the ADA Coordinator should work with Fresno County Sheriffs Office members and the incarcerated person requesting the modification to determine whether alternative modifications are available. Alternative methods that should be considered include (28 CFR 35.150): Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-251 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities (a) Reassigning services, programs, or activities to accessible buildings or facilities. (b) Utilizing technology, equipment, and vehicles or other conveyances. (c) Any other means or methods that would make services, programs, or activities readily accessible. 613.6.2 SURCHARGES Surcharges shall not be imposed upon incarcerated persons with disabilities to cover the costs of providing modifications (28 CFR 35.130(f)). 613.6.3 SUPPLEMENTAL ACCOMMODATIONS ADA staff may determine that an incarcerated person would benefit from additional or modified accommodations to support the safest possible environment while incarcerated. These determinations are made in coordination with medical, mental health, and classification staff, and may supplement—but do not replace—clinical evaluations. All efforts aim to uphold ADA compliance while prioritizing the safety of the individual and the facility. All supplemental accommodations shall be documented with the appropriate ADA Form as well as entry into the jail management system (JMS). 613.7 ASSISTIVE DEVICES AND AUXILIARY AIDS An incarcerated person should be permitted to retain assistive devices and auxiliary aids prescribed or recommended by a qualified health care professional. An incarcerated person may be required to provide documentation from a qualified health care professional describing the medical necessity for the device or aid.Any devices and aids brought to the jail by the incarcerated person or by others after the incarcerated person has been admitted shall be subject to a security check. The jail accepts no responsibility for loss or damage to any device or aid provided by the incarcerated person. All jail-issued assistive devices shall be documented on an Assistive Device Issue/Removal Form. Any assistive device or auxiliary aid that is determined to present an imminent risk of bodily harm or an imminent risk to the security of the jail may be temporarily removed from use and stored with the incarcerated person's property. The ADA Coordinator or the Watch Commander should work with the incarcerated person to make alternate modifications pending review by a qualified health care professional. The removal of a device or aid shall be noted in the incarcerated persons Jail Management System (JMS) record, documented with the Assistive Device Issue/Removal Form, and the incarcerated person's health care records.Assistive devices shall not be confiscated if another incarcerated person is the source of the security threatt. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.B.4. Within 24 hours of any removal of an assistive device or auxiliary aid, a qualified health care professional will consult with the incarcerated person and review relevant records to determine whether the permanent removal may be injurious to the incarcerated person's health or safety. If the qualified health professional finds that the device or aid is medically necessary and the Jail Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-252 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities Operations Bureau Commander determines after investigation of the specific facts presented that it should not be returned because of verified security concerns, options include, as applicable: (a) Reclassifying the incarcerated person to an accessible housing unit or cell. (b) With qualified health care professional approval, modifying the device or aid to meet the needs of the incarcerated person and the security needs of the jail. (c) Supplying the incarcerated person with an alternate device or aid. (d) Providing the incarcerated person with an opportunity to petition the court for the return of the device, in accordance with local, state, and federal law. 613.8 COMMUNICATIONS Members should remain alert to the possibility of communication problems when engaging with incarcerated persons with disabilities. When a member knows or suspects an incarcerated person requires assistance to effectively communicate, the member should identify the incarcerated person's choice of assistive devices, auxiliary aids, and services. The incarcerated person's choice should be honored unless another effective means of communication exists. Notice of an incarcerated person's disability and preferred method of communication should be provided to members who have contact with the incarcerated person so that effective communication may be achieved. The preferred method of communication, if one exists, shall be noted in the incarcerated persons JMS record. Members should consider all information reasonably available to them when determining how to communicate with an incarcerated person with a disability, including (28 CFR § 35.160): (a) The methods of communication usually used by the incarcerated person. (b) The nature, length, and complexity of the communication involved. (c) The context of the communication. In emergency situations involving an imminent threat to the safety or welfare of any person, members may use whatever modification reasonably appears effective under the circumstances. This may include, for example, exchanging written notes or using the services of a person who knows sign language but is not a qualified interpreter, even if the incarcerated person who is deaf or hard of hearing would prefer a qualified sign language interpreter. Once the emergency has ended, the member should inquire as to the individual's preference and give primary consideration to that preference. 613.8.1 INTERVIEWS AND JAIL HEARINGS In an effort to ensure that the rights of incarcerated persons with disabilities are protected during any formal interview or hearing that takes place in the jail, the Fresno County Sheriff's Office will provide reasonable modifications before beginning an interview or hearing , unless exigent circumstances exist or the incarcerated person has made a clear indication that the incarcerated person understands the process and desires to proceed without receiving a modification. If Miranda warnings are required under the circumstances, these should be provided to the incarcerated person via the incarcerated person's preferred method of communication. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-253 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities 613.9 ACCOMMODATION REFUSAL If an individual declines an ADA interview, ADA staff shall document the refusal using the appropriate ADA form (ADA 1 or ADA 2). These forms confirm that the individual has been informed of their right to request and receive accommodations and has voluntarily declined at this time. The form shall be signed by the incarcerated person to acknowledge their refusal. If they decline to sign, a staff witness must also sign. The completed form must then be submitted to the ADA Coordinator for review and logging. This process ensures that all reasonable efforts have been made to assess and provide necessary accommodations while maintaining accurate records of the incarcerated individual's decision. The incarcerated person may request accommodations at any time following their refusal, and such requests shall be evaluated in accordance with established policy and procedures. 613.10 DOCUMENTATION Whenever any modification has been provided, the member involved should document: (a) The type of modification, assistive device, auxiliary aid, or service provided. (b) Whether the individual elected to use an assistive device, auxiliary aid, or service provided by the jail or another identified source, if applicable. (c) Whether the individual's express preference for the modification was not honored and the reason an alternative method was used. The documentation and any written communications exchanged should be maintained consistent with the record retention schedules. 613.11 GRIEVANCES A member who becomes aware of potential disability discrimination, an ADA violation, or an incarcerated person's inability to access a jail service, program, or activity should document the issue and promptly refer the matter to the ADA Coordinator(28 CFR 35.107). The Fresno County Sheriffs Office shall assist incarcerated persons with disabilities who require assistance to file a complaint regarding members of the Fresno County Sheriff's Office. Correctional staff shall review grievances to identify requests for reasonable accommodations and allegations of disability-based discrimination or violations of the ADA. All ADA related complaints (resolved and unresolved) shall be forwarded to the ADA Unit to investigate the complaints and provide substantive responsest. See Chapter 6: Grievances. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.D.2-3. 613.12 TRAINING American with Disabilities Act (ADA) training shall be provided to all new health care staff and correctional staff, and to all other existing staff as needed on an ongoing basist. t Hall, et.al.v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), III.C.1. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-254 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons with Disabilities Members should receive periodic training on ADA compliance, to include: (a) Awareness and understanding of this policy, related procedures and forms, and available resources. (b) Procedures for handling requests for modifications. (c) Accessing assistive devices, auxiliary aids, and services needed to accommodate requests for modifications. (d) General requirements of the ADA, including modifying policies and practices, communicating with and assisting incarcerated persons, accepting calls placed through alternative systems, and identifying alternate ways to provide access to services, programs, and activities as appropriate. Management staff, even if they do not interact regularly with incarcerated persons with disabilities, should receive training as appropriate to understand and reinforce this policy. Training records should be maintained in accordance with the established records retention schedule. 613.13 REFERENCE Chapter 5: Classification Chapter 6: Grievances Chapter 10: Visitation INCARCERATED PERSONS WITH DISABILITIES PROCEDURES Jail ADA Forms Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Incarcerated Persons with Disabilities-255 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 7 - Medical-Mental Health Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Medical-Mental Health-256 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 700 Custody Policy Manual Medical Policies 700.1 MEDICAL POLICIES The following attachment is a PDF of the policies and procedures for Disabled G-150, HIV Testing G-115, Involuntary Medication G-180, Lactation E-490, Marijuana G-160, Medical G-120, Medication Pass G-105, Mental Health G-130, TB Protective Equipment G-170, and Universal Precautions G-110. Medical Policies Medical Addendums: • E-490A - Pregnancy Services Pamphlet • E-490B - Inmate Lactation Program - Pumping Instructions and Designation of Recipient • E-490C -Acknowledgment of Receipt of Breast Milk and Handling Instructions • G-105A - Medication Pass Logistics • G-120A Intake Flowchart • G-130A Intake Flowchart Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Medical Policies-257 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 8 - Environmental Health Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Environmental Health-258 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 800 Custody Policy Manual Sanitation Inspections 800.1 PURPOSE AND SCOPE The Fresno County Sheriffs Office has established a plan to promote and comply with the environmental safety and sanitation requirements established by applicable laws, ordinances and regulations. This policy establishes a plan of housekeeping tasks and inspections required to identify and correct unsanitary or unsafe conditions or work practices in the facilities. 800.2 POLICY It is the policy of the Office to maintain a safe and sanitary facility. To accomplish this goal, the Office will maintain a written plan that contains schedules and procedures for conducting weekly and monthly sanitation inspections of the facility. 800.3 RESPONSIBILITIES The Jail Medical and Services Bureau Commander will ensure that the safety and sanitation plan addresses, at a minimum, the following (15 CCR 1280): (a) Schedules of functions (e.g., daily, weekly, monthly or seasonal cleaning, maintenance, pest control, safety surveys) (b) Self-inspection checklists to identify problems and to ensure cleanliness of the facility. (c) Procedures, schedules, and responsibilities for coordinating annual inspections by the county health department, including how deficiencies on the inspection report are to be corrected in a timely manner. (d) A list of approved equipment, cleaning compounds, chemicals, and related materials used in the facility, and instructions on how to operate, dilute, or apply the material in a safe manner. (e) Record-keeping of self-inspection procedures, forms, and actions taken to correct deficiencies. (f) Training requirements for custody staff and incarcerated workers on accident prevention and avoidance of hazards with regard to facility maintenance. Consideration should be given to general job descriptions and/or limitations relating to personnel or incarcerated persons assigned to carrying out the plan. Specialized tasks, such as changing air filters and cleaning ducts or facility pest control, are more appropriately handled by the Office or by contract with private firms. Incarcerated persons engaged in sanitation duties shall do so only under the direct supervision of qualified custody staff. When incarcerated work crews are used, additional controls should be implemented to account for all equipment and cleaning materials. All staff shall report any unsanitary or unsafe conditions to a supervisor. Staff shall report repairs needed to the physical plant and to equipment by submitting a work order and notifying a supervisor. A Jail Operations Bureau Commander or the authorized designee (Watch Commander)will conduct weekly safety and sanitation inspections of the facilities. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Sanitation Inspections-259 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Sanitation Inspections 800.4 WORK ORDERS All reports of unsafe or unsanitary conditions, as well as repairs needed to the physical plant and equipment, shall be documented in a work order. The Jail Medical and Services Bureau Commander will designate a staff person to receive these work orders and take appropriate action to ensure the repairs are made or action is taken. All work and action taken will also be documented. Requests for budget resources above and beyond already budgeted maintenance items shall be reported to the Jail Medical and Services Bureau Commander. 800.5 SAFETY DATA SHEETS Materials and substances used in the operation and maintenance of the facility may qualify as hazardous material. Hazardous material is required to have a companion Safety Data Sheet (SDS) that is provided by the manufacturer or distributor of the material. The SDS provides vital information on individual hazardous materials and substances, including instructions on safe handling, storage, disposal, prohibited interactions and other details relative to the specific material. The Jail Medical and Services Bureau Commander shall be responsible for ensuring that a written hazard communication plan is developed, implemented and maintained at each workplace. Each area of the facility in which any hazardous material is stored or used shall maintain an SDS file in an identified location that includes (29 CFR 1910.1200(e)(1)): (a) A list of all areas where hazardous materials are stored. (b) A physical plant diagram and legend identifying the storage areas of the hazardous materials. (c) A log for identification of new or revised SDS materials. (d) A log for documentation of training by users of the hazardous materials. 800.5.1 SDS USE, SAFETY, AND TRAINING All supervisors and users of SDS information must review the latest issuance from the manufacturers of the relevant substances. Staff and incarcerated persons shall have ready and continuous access to the SDS for the substance they are using while working. In addition, the following shall be completed (29 CFR 1910.1200(e)): (a) Supervisors shall conduct training for all staff and incarcerated persons on using the SDS for the safe use, handling, and disposal of hazardous material in areas they supervise. (b) Upon completion of the training, staff and incarcerated persons shall sign the acknowledgement form kept with each SDS in their work area. (c) Staff and incarcerated persons using the SDS shall review the information as necessary to be aware of any updates and to remain familiar with the safe use, handling, and disposal of any hazardous material. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Sanitation Inspections-260 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Sanitation Inspections 800.5.2 SDS DOCUMENTATION MAINTENANCE Changes in SDS information occur often and without general notice. Any person accepting a delivery, addition or replacement of any hazardous material shall review the accompanying SDS. If additions or changes have occurred, the revised SDS shall be incorporated into the file and a notation shall be made in the SDS revision log. Supervisors shall review SDS information in their work areas semiannually to determine if the information is current and that appropriate training has been completed. Upon review, a copy of the SDS file and all logs shall be forwarded to the Maintenance Supervisor or the authorized designee. 800.5.3 SDS RECORDS MASTER INDEX The Maintenance Supervisor or the authorized designee will compile a master index of all hazardous materials in the facility, including locations, along with a master file of SDS information. They will maintain this information in the safety office (or equivalent), with a copy to the local fire department. Documentation of the semiannual reviews will be maintained in the SDS master file. The master index should also include a comprehensive, current list of emergency phone numbers (e.g., fire department, poison control center) (29 CFR 1910.1200(g)(8)). 800.5.4 CLEANING PRODUCT RIGHT TO KNOW ACT In addition to SDS information, printable information regarding ingredients of certain products used by staff and incarcerated persons shall be readily accessible and maintained in the same manner as an SDS (Labor Code § 6398.5; Health and Safety Code § 108952(f); Health and Safety Code § 108954.5(c)). 800.6 REFERENCE See the following for further guidance: SANITATION INSPECTION PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Sanitation Inspections-261 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 802 Custody Policy Manual Housekeeping and Maintenance 802.1 PURPOSE AND SCOPE The purpose of this policy is to establish guidelines to ensure that the Jail facilities are kept clean and in good repair in accordance with accepted federal, state and county standards. 802.2 POLICY It is the policy of this Office to maintain a sanitation and preventive maintenance schedule to keep the Jail facilities clean and in good repair. The County's Internal Services Department Facility Services Division shall develop and implement written policies and procedures for the introduction and control of tools in all Jail facilities subject to review and approval by the Sheriff's Officet. t Hall, et.al. v. County of Fresno E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015), IV.H.5. 802.3 RESPONSIBILITIES The Jail Medical and Services Bureau Commander shall establish a plan for housekeeping and maintenance of the Jail facilities. The plan should include but is not limited to (15 CCR 1280): (a) Schedules that determine the frequency of cleaning activities on a daily, weekly, or monthly timetable, by area of the facilities. (b) Supervision of the staff and incarcerated persons to ensure proper implementation of the procedures and to ensure that no incarcerated person supervises or assigns work to another incarcerated person. (c) Development and implementation of an overall sanitation plan (e.g., cleaning, maintenance, inspection, staff training, incarcerated person supervision). (d) Development of inspection forms. (e) All incarcerated person responsibilities, which should be included in the incarcerated person handbook. (f) A process to ensure that deficiencies identified during inspections are satisfactorily corrected and documented. (g) Processes for the procurement, storage, and inventory of cleaning supplies and equipment. (h) A process for the preventive maintenance of equipment and systems throughout the facilities. (i) Staff supervision of the provision and use of cleaning tools and supplies. To the extent possible, cleaning and janitorial supplies shall be nontoxic to humans. Any poisonous, caustic, or otherwise harmful substances used for cleaning shall be clearly labeled and kept in a locked storage area. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Housekeeping and Maintenance-262 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Housekeeping and Maintenance 802.4 SANITATION SCHEDULE The facility staff should implement a site-specific plan for cleaning and maintenance of each area of the jail (e.g., housing, laundry, classrooms, gym, warehouse, common areas). The following recommendations include but are not limited to specific areas and items: (a) Daily cleaning: 1. Sweep and then wet mop the entire jail floor 2. Clean all cell/bunk areas 3. Empty all trash receptacles 4. Clean all toilets and sinks 5. Clean all showers (b) Weekly cleaning: 1. Dust bars and window ledges 2. Clean air conditioning/heating grates (c) Monthly cleaning: 1. Walls 2. Ceilings 802.5 TRAINING All custodial staff and incarcerated workers assigned cleaning duties shall receive instruction commensurate with their tasks, including proper cleaning techniques, the safe use of cleaning chemicals, and areas of responsibility. 802.6 INSPECTION CHECKLIST The Jail Medical and Services Bureau Commander or the authorized designee should develop an inspection checklist that includes the cleaning and maintenance items that will be checked by supervisors. The inspection checklist will closely correspond to the established cleaning and maintenance schedule. Inspection checklists shall be filed and retained as required by the established records retention schedule. 802.7 REFERENCE See the following for further guidance: HOUSEKEEPING AND MAINTENANCE PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Housekeeping and Maintenance-263 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 805 Custody Policy Manual Vermin and Pest Control 805.1 PURPOSE AND SCOPE The purpose of this policy is to establish inspection, identification and eradication processes designed to keep vermin and pests controlled in accordance with the requirements established by all applicable laws, ordinances and regulations of the local public health entity. 805.2 POLICY It is the policy of this Office that vermin and pests be controlled within the facilities. The Jail Medical and Services Bureau Commander or the authorized designee shall be responsible for developing and implementing this policy, in cooperation with the Responsible Physician and the local public health entity, for the sanitation and control of vermin and pests, and to establish medical protocols for treating incarcerated person clothing, personal effects, and living areas,with specific guidelines for treating an infested incarcerated person (15 CCR 1212; 15 CCR 1264). 805.3 PEST CONTROL SERVICES The Jail Medical and Services Bureau Commander or the authorized designee shall be responsible for procuring the services of a licensed pest control professional to perform inspections of the facilities at least monthly and to treat areas as required to ensure that vermin and pests are controlled. 805.4 PREVENTION AND CONTROL Many infestations and infections are the result of a recently admitted incarcerated person who is vermin-infested or whose property is vermin-infested. Most infestations are spread by direct contact with an infected person or with infested clothing and bedding. Incarcerated persons with lice or mites should be treated with approved pediculicides as soon as the infestation is identified to avoid spreading it. To reduce the chance of further transmission, separate quarters for incarcerated persons undergoing treatment for lice should be used as described in the Communicable Diseases Policy. Because the use of the treatment chemicals can cause allergic reactions and other negative effects, treatment should be done only when an infestation is identified and not as a matter of routine. Clothing, bedding, and other property that is suspected of being infested shall either be removed from the facility or cleaned and treated by the following methods, as appropriate or as directed by the pest control provider or the Responsible Physician (15 CCR 1264): • Washing in water at least 130 degrees for 20 minutes • Tumbling in a clothes dryer at least 130 degrees for 20 minutes • Storing in sealed plastic bags for 14 days • Treating with an insecticide specifically labeled for this purpose Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Vermin and Pest Control-264 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Vermin and Pest Control Head lice and their eggs are generally found on the head hairs. There may be some uncertainty about the effectiveness of some available pediculicides to kill the eggs of head lice. Therefore, some products recommend a second treatment seven to 10 days after the first. During the interim, before the second application, eggs of head lice could hatch and there is a possibility that lice could be transmitted to others. Pubic lice and their eggs are generally found on the hairs of the pubic area and adjacent hairy parts of the body, although they can occur on almost any hairy part of the body, including the hair under the arm and on the eyelashes. Pubic lice and their eggs are generally successfully treated by the available pediculicides. However, when the eyelashes are infested with pubic lice and their eggs, a physician should perform the treatment. Successful treatment depends on careful inspection of the incarcerated person and proper application of the appropriate product. The area used to delouse incarcerated persons needs to be separate from the rest of the facility. All of the surfaces in the treatment area must be sanitized. There must be a shower as part of the delousing area. The supervisor shall document the date of treatments, as appropriate. 805.5 LABELING AND SECURE STORAGE OF COMPOUNDS Containers of pest exterminating compounds shall be conspicuously labeled for identification of contents. The containers shall be securely stored separately from food and kitchenware, and shall not be accessible by incarcerated persons. 805.6 REFERENCE See the following for further guidance: VERMIN AND PEST CONTROL PROCEDURES INCARCERATED PERSON HYGIENE PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Vermin and Pest Control-265 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 807 Custody Policy Manual Incarcerated Person Hygiene 807.1 PURPOSE AND SCOPE This policy outlines the procedures that will be taken to ensure the personal hygiene of every incarcerated person in the Fresno County Sheriff's Office detention facilities is maintained. The Fresno County Sheriff's Office recognizes the importance of each incarcerated person maintaining acceptable personal hygiene practices by providing adequate bathing facilities and hair care services, and the issuance and exchange of clothing, bedding, linens,towels, and other necessary personal hygiene items. 807.2 POLICY It is the policy of the Jail Medical and Services Bureau Commander facility to maintain a high standard of hygiene in compliance with the requirements established by all state laws, ordinances,and regulations(15 CCR 1069).Compliance with laws and regulations relating to good incarcerated person hygiene practice is closely linked with good sanitation practices. Therefore, the need to maintain a high level of hygiene is not only for the protection of all incarcerated persons, but for the safety of the correctional staff, volunteers, contractors, and visitors. 807.3 RESPONSIBILITIES The Jail Operations Bureau Commander shall ensure the basic necessities related to personal care are provided to each incarcerated person upon entry into the general population.Appropriate additional personal care items may be available for purchase from the incarcerated person commissary. 807.4 STORAGE SPACE There should be adequate and appropriate storage space for incarcerated person bedding, linen, or clean clothing. The inventory of clothing, bedding, linen, and towels should exceed the maximum incarcerated person population so that a reserve is always available (15 CCR 1263). The facilities should have clothing, bedding, personal hygiene items, cleaning supplies, and any other items required for the daily operation of the facilities, including the exchange or disposal of soiled or depleted items. The assigned staff shall ensure that the storage areas are properly maintained and stocked. The Jail Medical and Services Bureau Commander should be notified if additional storage space is needed. 807.4.1 BEDDING ISSUE Every incarcerated person who is expected to remain overnight shall be issued bedding and linens including but not limited to (15 CCR 1270): (a) Two blankets. Sufficient freshly laundered blankets to provide comfort under existing temperature conditions.All blankets shall be laundered prior to issue, and every ninety (90) days thereafter, upon request. (b) One clean, firm, nontoxic, fire-retardant mattress (16 CFR 1633.1 et seq.). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Person Hygiene-266 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Person Hygiene 1. Mattresses will be serviceable and enclosed in an easily cleanable, nonabsorbent material and conform to the size of the bunk. Mattresses will be cleaned and disinfected when an incarcerated person is released or upon reissue. 2. Mattresses shall meet the most recent requirements of the State Fire Marshal, the Bureau of Home Furnishings' test standard for penal mattresses, and any other legal standards at the time of purchase (15 CCR 1272). 3. Mattresses shall be free of holes and tears. Mattresses with holes, tears, or that lack sufficient padding shall be replaced upon request with mattresses that meet the requirements of 15 CCR 1270 (15 CCR 1271). (c) Three sheets. (d) Two bath towels. Laundry day, including towels, shall occur at least weekly (15 CCR 1271). 807.4.2 CLOTHING ISSUE An incarcerated person admitted to the facility for 72 hours or more and assigned to a living unit shall be issued a set of facility clothing. The issue of clothing appropriate to the climate for incarcerated persons shall include but is not limited to: (15 CCR 1260): • Clean socks. • Clean outer garments. • Clean undergarments (e.g., undershirt, bra and two pairs of panties). • Footwear. Incarcerated persons are issued a change of clothing upon admission to the facility and may have their personal clothing laundered and returned upon release, at the discretion of the Jail Operations Bureau Commander. All issued and exchanged clothing shall be clean and free of holes or tears, reasonably fitted, durable, and easily laundered and repaired. Undergarments shall be clean, free of holes or tears, and substantially free of stains. Individuals shall be able to select the garment type more compatible with their gender identity and gender expression (15 CCR 1260). Clothing shall be exchanged each week, at a minimum (15 CCR 1262). Additional clothing may be issued as necessary for changing weather conditions or as seasonally appropriate. All incarcerated person's personal undergarments and footwear shall be substituted for the institutional undergarments and footwear, unless there is a legitimate medical necessity for the items, and they are approved by the medical staff. Each incarcerated person assigned to a special work area shall be clothed in accordance with the requirements of the job, including any appropriate protective clothing and equipment, which shall Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Person Hygiene-267 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Person Hygiene be exchanged as frequently as the work assignment requires. All issued clothing shall be clean, free of holes and tears (15 CCR 1261). The Jail Medical and Services Bureau Commander or the authorized designee shall ensure that the facilities maintain a sufficient inventory of extra clothing to ensure each incarcerated person shall have neat and clean clothing. 807.5 LAUNDRY SERVICES Laundry services shall be managed so that daily clothing, linen and bedding needs are met. 807.6 INCARCERATED PERSON ACCOUNTABILITY To ensure incarcerated person accountability, incarcerated persons are required to exchange item for item when clean clothing, bedding, and linen exchange occurs. Prior to being placed in a housing unit, incarcerated persons shall be provided with a Jail Orientation Handbook listing this requirement. 807.7 PERSONAL HYGIENE OF INCARCERATED PERSONS Personal hygiene items, hair care services, and facilities for showers will be provided in accordance with applicable laws and regulations. This is to maintain a standard of hygiene among incarcerated persons in compliance with the requirements established by state laws as part of a healthy living environment. Each incarcerated person held more than 24 hours who does not have the following personal care items because of either indigency or the absence of an incarcerated person canteen shall be issued the following items (15 CCR 1265): • Toothbrush • Toothpaste • Soap • Comb • Shaving implements (dependent on housing assignment) • Sanitary pads, panty liners,and tampons at no cost and no maximum allowance(Penal Code § 4023.5) Personal hygiene items should be appropriate for the incarcerated person's gender. Additional hygiene items shall be provided to incarcerated persons upon request, as needed. Personal care items shall be issued within the first 12 hours of a housing assignment. Incarcerated persons shall not be required to share personal care items or disposable razors (15 CCR 1265). Used razors are to be disposed into approved sharps containers. Other barbering equipment capable of breaking the skin must be disinfected between individual uses, as prescribed by the California Board of Barbering and Cosmetology to meet the requirements of 16 CCR 979 and 16 CCR 980 (15 CCR 1267(c)). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Person Hygiene-268 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Person Hygiene Incarcerated persons shall be allowed to shave daily (15 CCR 1267(b)). The Jail Medical and Services Bureau Commander or the authorized designee may suspend this requirement for any incarcerated person who is considered a danger to others. 807.8 BARBER AND COSMETOLOGY SERVICES The Jail Medical and Services Bureau Commander or the authorized designee shall be responsible for developing and maintaining a schedule for hair care services provided to the incarcerated person population and will have written policies and procedures for accessing these services (see the Grooming Policy). The Jail Medical and Services Bureau Commander shall ensure that the rules are included in the Jail Orientation Handbook. See GROOMING EQUIPMENT 807.8.1 SCHEDULE FOR HAIR CARE SERVICES Incarcerated persons shall have the ability to receive hair care services once per month (15 CCR 1267(b)). Records of hair care services shall be documented in thejail management system(JMS). Prior to being placed in a housing unit, incarcerated persons will be given a Jail Orientation Handbook, which details how to request hair care services. Incarcerated people must submit an Incarcerated Person Request Form requesting a haircut. (a) Haircuts will be performed on Saturday and Sunday during the day shift. (b) Incarcerated persons waiting for haircuts should be from the same housing unit as the individual currently receiving the haircut. Due to differences in facility layout and supervision, staff shall use their best judgment to determine how many individuals may safely wait in the area. If there is any uncertainty, staff shall consult the facility sergeant for guidance. 807.8.2 HAIR CARE SPACE Due to sanitation concerns, the hair care services should be located in a room that is designated for that purpose. The floors, walls, cabinets, countertops, and ceilings should be smooth, nonabsorbent, and easily cleanable. After each haircut, all tools that came into contact with the incarcerated person shall be thoroughly cleaned and sanitized according to established guidelines and regulations. Any person infested with head lice shall not be given hair care service until cleared by the medical staff. 807.9 AVAILABILITY OF PLUMBING FIXTURES Incarcerated persons confined to cells or sleeping areas shall have access to toilets and washbasins with hot and cold running water that is temperature controlled. Access shall be available at all hours of the day and night without staff assistance. The minimum number of plumbing fixtures provided for incarcerated persons in housing units is: • One sink/washbasin for every 10 incarcerated persons (24 CCR 1231.3.2(2)). Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Person Hygiene-269 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Person Hygiene • One toilet to every 10 incarcerated persons (urinals may be substituted for up to one- third of the toilets in facilities for male incarcerated persons) (24 CCR 1231.3.1). 807.10 INCARCERATED PERSON SHOWERS Incarcerated persons will be allowed to shower upon assignment to a housing unit and at least every other day thereafter, or more often if possible. Absent exigent circumstances, no person shall be prohibited from showering at least every other day following assignment to a housing unit. If showering is prohibited, it shall be approved by the Jail Medical and Services Bureau Commander or the authorized designee, and the reasons for prohibition shall be documented (15 CCR 1266). There should be one shower for every 20 incarcerated persons unless federal, state, or local building or health codes differ. Showering facilities for incarcerated persons housed at these facilities shall be clean and properly maintained.Water temperature shall be periodically measured to ensure a range of 100 to 120 degrees for the safety of incarcerated persons and staff, and shall be recorded and maintained (24 CCR 1231.3.4). Transgender and intersex incarcerated persons shall be given the opportunity to shower separately from other incarcerated persons (28 CFR 115.42). 807.11 ADDITIONAL PRIVACY REQUIREMENTS Incarcerated persons shall be permitted to shower, perform bodily functions, and change clothing without non-medical staff of the opposite sex viewing their breasts, buttocks, or genitalia, except in exigent circumstances or when such viewing is incidental to routine cell checks. Staff of the opposite sex shall announce their presence when entering an incarcerated person housing unit (28 CFR 115.15). 807.12 DELOUSING MATERIALS Delousing materials and procedures shall be approved through consultation with the Responsible Physician or qualified health care professionals. 807.13 REFERENCE See the following for further guidance: Grooming Policy INCARCERATED PERSON HYGIENE PROCEDURES VERMIN AND PEST CONTROL PROCEDURES Special Management Incarcerated Persons Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Person Hygiene-270 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 9 - Food Services Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Food Services-271 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 900 Custody Policy Manual Food Services 900.1 PURPOSE AND SCOPE This policy provides guidelines on the preparation of food services items and dietary considerations for incarcerated persons housed in the facilities. 900.2 POLICY It is the policy of this Office that food services shall provide incarcerated persons with a nutritionally balanced diet in accordance with federal, state, and local laws, and with regulations for daily nutritional requirements (15 CCR 1241 et seq.). Food service operations shall be sanitary and shall meet the acceptable standards of food procurement, planning, preparation, service, storage, and sanitation in compliance with Food and Drug Administration (FDA) and United States Department of Agriculture (USDA) requirements and standards set forth in Health and Safety Code § 113700 et seq. (15 CCR 1245(a)). The Fresno County Sheriff's Office Custody Division shall contract with a food service provider to prepare and deliver all meals. 900.3 FOOD SERVICES MANAGER The food contracted services manager, in conjunction with the Services Unit, shall be responsible for oversight of the day-to-day management and operation of food services, including: • Developing, implementing, and managing a budget for food services. • Establishing, developing, and coordinating appropriate training for staff and incarcerated person workers. • Developing a menu plan that meets all nutrition and portion requirements and can be produced within the available budget. • Developing procedures for food found to be contaminated, expired, showing signs of spoilage, or otherwise not fit for human consumption (15 CCR 1243). 900.4 MENU PLANNING All menus shall be planned, dated, and available for review at least one month in advance of their use. Records of menus and of foods purchased shall be kept on file for one month. Menus shall provide a variety of foods and should consider food flavor, texture, temperature, appearance, and palatability. Menus shall be approved by a registered dietitian or nutritionist before being served to ensure the recommended dietary allowance for basic nutrition meets the needs of the appropriate age group.The dietitian shall ensure that the meals meet the nutritional and hot food requirements of 15 CCR 1240 and 15 CCR 1241(15 CCR 1242). Any changes to the meal schedule, menu, or practices should be carefully evaluated by the food services manager in consultation with the Jail Medical and Services Bureau Commander, dietitian, medical staff, and other professionals, and shall be recorded. All substitutions will be of equal or better nutritional value and meet the caloric requirements set forth in 15 CCR 1241. If any meal Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Food Services-272 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Food Services served varies from the planned menu, the change shall be noted in writing on the menu and/or production sheet. Menus as planned, including changes, shall be evaluated by a registered dietitian at least annually (15 CCR 1242). Copies of menus,foods purchased, and annual reviews should be maintained by the food services manager in accordance with established records retention schedules. 900.5 FOOD SAFETY Temperatures in all food storage areas should be checked and recorded at the beginning of each shift, but shall be checked and recorded at least once daily. Hot food shall be reheated to 165 degrees if it falls below 135 degrees at any time. All reach-in or walk-in refrigerators and cold storage must maintain food temperature as outlined in the Food Storage Policy. Food production shall be stopped immediately if there is any sewage backup in the preparation area or if there is no warm water available for washing hands. Food production shall not resume until these conditions have been corrected (15 CCR 1245(a)). 900.6 MEDICAL DIETS The food services manager shall be responsible for ensuring that all incarcerated persons who have been prescribed medical diets by qualified health care professionals are provided with compliant meals. A medical diet manual, which includes examples of medical diets, shall be maintained in the health services and food services areas for reference and information. More complete information may be found in the Prescribed Medical Diets Policy. Persons who are known to be pregnant or lactating shall be provided a balanced, nutritious diet approved by a physician (15 CCR 1248). 900.7 RELIGIOUS DIETS The food services manager, to the extent reasonably practicable, will provide special diets for incarcerated persons in compliance with the parameters of the Religious Programs Policy and the Religious Land Use and Institutionalized Persons Act (RLUIPA). When religious diets are provided, they shall conform to the nutritional and caloric requirements for non-religious diets (15 CCR 1241). If a medical diet is ordered for an incarcerated person, it shall take precedence over the religious diet. 900.8 FOOD SERVICES REQUIREMENTS All reasonable efforts shall be made to protect incarcerated persons from food-borne illness. Food services staff shall adhere to sanitation and food storage practices (15 CCR 1230). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Food Services-273 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Food Services Food production, storage, and food-handling practices will follow the appropriate federal, state, or local sanitation laws (15 CCR 1246). 900.9 MEAL SERVICE PROCEDURE Incarcerated person meals that are served in a dayroom should be provided in space that allows groups of incarcerated persons to dine together, with a minimum of 15 square feet of space per incarcerated person. A dining area shall not contain toilets or showers in the same room without appropriate visual barriers. Three meals shall be served during each 24-hour period. At least one meal must include hot food. Any deviation from this requirement shall be subject to the review and approval of a registered dietitian to ensure that incarcerated persons receive meals that meet nutritional guidelines. Incarcerated persons must be provided a minimum of 15 minutes dining time for each meal, except for those incarcerated persons on medical diets where a physician has prescribed additional time. If more than 14 hours pass between meals, approved snacks will be provided. Incarcerated persons who miss, or may miss, a regularly scheduled meal must be provided with a beverage and a substitute meal. Approved snacks should be served to incarcerated persons on medical diets in less than the 14-hour period if prescribed by the Responsible Physician or registered dietitian. Incarcerated persons on medical or therapeutic meals who miss their regularly scheduled meal will be provided with their prescribed meal (15 CCR 1240). As the meal time approaches, facility staff should direct the incarcerated persons to get dressed and be ready for meals. Incarcerated persons should be assembled and an incarcerated person count taken, to verify all incarcerated persons in the housing location are present. Meals shall be served under the direct supervision of staff. If an incarcerated person refuses their meal, it shall be documented. Staff should identify incarcerated persons who have prescribed medical or authorized religious diets so those incarcerated people receive their meals accordingly. It shall be the responsibility of the correctional officers to maintain order and enforce rules prohibiting excessive noise and intimidation of other incarcerated persons to relinquish food during mealtime. 900.10 EMERGENCY MEAL SERVICE PLAN The food services manager shall establish and maintain an emergency meal service plan for the facilities (15 CCR 1243(k)). Such a plan should ensure that there is at least a seven-day supply of food maintained in storage for incarcerated persons. In the event of an emergency that precludes the preparation of at least one hot meal per day, a Jail Bureau Commander may declare an "Emergency Suspension of Standards" pursuant to 15 CCR 1012 for the period of time the emergency exists. During an emergency suspension, the food services manager shall assign a registered dietitian to ensure that minimum nutritional and caloric requirements are met(15 CCR 1242).The Jail Medical Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Food Services-274 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Food Services and Services Bureau Commander shall notify the Board of State and Community Corrections (BSCC) in writing in the event the suspension lasts longer than three days. The emergency suspension of food service standards shall not continue more than 15 days without the approval of the chairperson of the BSCC (15 CCR 1012). 900.11 REFERENCE See the following for further guidance: FOOD SERVICES PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Food Services-275 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 10 - Programs for Incarcerated Persons Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Programs for Incarcerated Persons-276 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1000 Custody Policy Manual Programs and Services 1000.1 PURPOSE AND SCOPE The purpose of this policy is to establish the programs and services that are available to incarcerated persons. The programs and services exist to motivate offenders toward positive behavior while they are in custody. The policy identifies the role and responsibilities of the Programs Sergeant, who manages a range of programs and services. 1000.2 POLICY The Fresno County Sheriffs Office will make available to incarcerated persons a variety of programs and services subject to resources and security concerns. Programs and services offered for the benefit of incarcerated persons may include social services, faith-based services, out of cell activities, access to books and reading materials, educational/vocational training, alcohol and drug abuse recovery programs, and leisure time activities (15 CCR 1070). Any change in a scheduled jail program or event shall be made only with the approval of the Jail Administration and Services Bureau Commander or the Watch Commander. 1000.3 PROGRAMS SERGEANT RESPONSIBILITIES The Programs Sergeant is selected by the Administration and Programs Bureau Commander and is responsible for managing the incarcerated person programs and services, including the following: (a) Research, plan, budget, schedule, and coordinate security requirements for all incarcerated person programs and services. (b) Develop or procure programs and services as authorized by the Administration and Programs Bureau Commander (15 CCR 1070). (c) Act as a liaison with other service providers in the community that may offer social or educational programs (e.g., school districts, Department of Social Services, health educators, substance abuse counselors). (d) Develop, maintain, and make available to incarcerated persons the schedule of programs and services. (e) Aid in establishing policy and procedure with rules for the participation of incarcerated persons in the programs and services. (f) Develop and maintain records on the number and type of programs and services offered, as well as incarcerated person attendance at each offering. (g) Establish controls to verify that the content and delivery of programs and services are appropriate for the circumstances. (h) Accumulate data and prepare monthly and annual reports as directed by the Administration and Programs Bureau Commander. (i) Ensure incarcerated persons are not denied access to educational and vocational programs based solely on their indigent status. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Programs and Services-277 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Programs and Services 1000.4 SECURITY All programs and services offered to benefit incarcerated persons shall adhere to the security and classification requirements of these facilities. To the extent practicable, the Programs Sergeant will develop individualized programs and services for incarcerated persons who are housed in high-security or administrative separation. 1000.5 DISCLAIMER Incarcerated person programs are provided at the sole discretion of the Fresno County Sheriffs Office in keeping with security interests, available resources, and best practices. Nothing in this policy is intended to confer a legal right for persons to participate in any program offered other than what is required by law or that which is medically required. 1000.6 REFERENCE See the following for further guidance: PROGRAMS AND SERVICES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Programs and Services-278 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1001 Custody Policy Manual Incarcerated Persons Welfare Fund 1001.1 PURPOSE AND SCOPE The Office is authorized to maintain a fund derived from proceeds from the commissary, telephones, and other incarcerated person-related commerce activities to be used primarily to provide welfare and education programs for the benefit of the incarcerated person population. 1001.2 POLICY It is the policy of the Custody Division to maintain and administer an Incarcerated Persons Welfare Fund that supports programs for incarcerated persons. 1001.3 INCARCERATED PERSONS WELFARE FUND The Administration and Programs Bureau Commander, in cooperation with the County Administrative Office, will establish and maintain an Incarcerated Persons Welfare Fund where proceeds derived from incarcerated person telephones, commissary, and other income intended for the support of incarcerated person programs are deposited. The Incarcerated Persons Welfare Fund is allocated to support a variety of programs, services, and activities benefiting the general incarcerated person population and enhancing incarcerated person activities and programs. This includes capital construction and improvement projects in support of such programs, services, and activities (Penal Code § 4025). 1001.4 INCARCERATED PERSONS WELFARE FUNDING SOURCES Revenues and funding from the following sources shall be deposited into the Incarcerated Person Welfare Fund account: (a) All proceeds from commissary and canteen operations. (b) Proceeds from the operation of incarcerated person telephones. (c) Donations. (d) Interest income earned by the Incarcerated Persons Welfare Fund. 1001.5 EXPENDITURE OF INCARCERATED PERSONS WELFARE FUNDS The Incarcerated Persons Welfare Fund shall be used solely for the welfare and benefit of the incarcerated person population or as otherwise permitted by law. Expenditures permitted from the Incarcerated Persons Welfare Fund include but are not limited to the following: (a) Education programs (b) Recreational goods and services, such as: 1. Recreational equipment, games, and sporting goods. 2. Televisions and media subscriptions, video players, and content media. 3. Library books. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Persons Welfare Fund-279 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons Welfare Fund (c) Salary and benefit costs for personnel while they are employed in positions or are performing activities solely for the benefit of incarcerated persons or to facilitate incarcerated person programs. (d) Welfare packages for indigent incarcerated persons. (e) Alcohol and drug treatment programs. (f) Office facility canteens. (g) Incarcerated person trust accounting system. (h) Envelopes, postage, and personal hygiene items for indigent incarcerated persons. (i) Approved non-prescription, over-the-counter health aids for incarcerated person use. 0) Libraries designated for incarcerated person use. (k) Visiting room equipment, supplies, and services. (1) Incarcerated person activity programs, including: 1. Equipment for television viewing. 2. Visiting music/entertainment groups. 3. Music equipment and supplies. 4. Activities equipment, supplies, and services. 5. Repair of equipment purchased from the Incarcerated Persons Welfare Fund. 6. Food or supplies for special occasions. 7. Incarcerated person awards for the purpose of providing umpires or referees, and maintaining activity equipment and apparel. 8. Incarcerated person tournaments and holiday events. 9. Incarcerated person club activities. 10. Entertainment equipment, cable or satellite subscription services, and other related supplies. 11. Materials for faith-based programs. 1001.5.1 EXPENDITURE FOR REENTRY PROGRAMS Expenditures from the Incarcerated Persons Welfare Fund are also permitted for programs that assist indigent incarcerated persons with the reentry process within 30 days of release. These programs include work placement, counseling, obtaining proper identification, education, and housing (Penal Code § 4025.5). 1001.5.2 PROHIBITED EXPENDITURES OF INCARCERATED PERSONS WELFARE FUND Except as permitted by law, the Incarcerated Persons Welfare Fund shall not be used to fund activities associated with any of the following: Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Persons Welfare Fund-280 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons Welfare Fund (a) Security-related functions, including staff, safety equipment, radios, weapons, or control devices that are specifically designated for use by the custody staff in maintaining the security, safety, and order in the facility. (b) Food service, staff costs, equipment, and supplies. (c) Medical/dental services, staff costs, equipment, and supplies. (d) Maintenance and upkeep of Office facilities not otherwise permitted by law. (e) Janitorial services and supplies. (f) Transportation to court, medical appointments, or other reasons not related to incarcerated person programs. (g) Any other normal operating expenses incurred by the day-to-day operation of the Office. 1001.6 FINANCIAL ACCOUNTING OF INCARCERATED PERSONS WELFARE FUNDS The Administration and Programs Bureau Commander in cooperation with the County Administrative Office shall maintain an accounting system to be used for purchasing goods, supplies, and services that support incarcerated person programs (see Custody Manual Chapter 2 Financial Practices Policy). There shall be an annual written line-item budget for the expenditure of money from the Incarcerated Persons Welfare Fund. The budget shall be approved in advance of each fiscal year by the Sheriff. Purchases made in exception to the approved budget shall only be authorized by the Sheriff. All Incarcerated Persons Welfare-funded equipment shall be inventoried using an asset listing to prevent loss or misuse of equipment belonging to the Incarcerated Persons Welfare Fund. The list shall be maintained by Program staff in accordance with County of Fresno Management Directives 410 and 420. A copy of the Incarcerated Persons Welfare Fund financial activities and status shall be made available to the public upon request by the Fresno County Sheriff's Business Office. 1001.6.1 ANNUAL REPORTING The Administration and Programs Bureau Commander is responsible for ensuring an annual report of expenditures from the Incarcerated Persons Welfare Fund is submitted annually to the County Board of Supervisors (Penal Code § 4025). There shall be an audit of the Incarcerated Persons Welfare Fund on a biennial basis (in even- numbered years).This audit may be completed by the Fresno County Auditor-Controller/Treasure- Tax Collector's Office or other appropriate accounting firm as designated by the Sheriff. 1001.7 RECORDS RETENTION All records pertaining to the Incarcerated Persons Welfare Fund will be retained according to the Sheriff Office's record retention policy which is approved by the Auditor-Controller/Treasurer-Tax Collector's Office. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Persons Welfare Fund-281 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Incarcerated Persons Welfare Fund The destruction of any public record must be done in strict compliance with State law and only after authorization by resolution of the Board of Supervisors. Under Government Code Section 26202, the Board of Supervisors may authorize the destruction of any record which is older than the required retention period if they determine by a four-fifths vote that the retention of such record is no longer necessary or required for County purposes. 1001.8 REFERENCE See the following for further guidance: INCARCERATED PERSONS WELFARE FUND PROCEDURES Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Incarcerated Persons Welfare Fund-282 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1003 Custody Policy Manual Counseling Services 1003.1 PURPOSE AND SCOPE The purpose of this policy is to establish a process for providing counseling and crisis intervention services to incarcerated persons. 1003.2 POLICY It is the policy of this Office to provide counseling and crisis intervention services to any incarcerated person who either requests services or is determined by a health care provider to be in need of counseling or crisis intervention services. 1003.3 PROCEDURE The Jail Medical and Services Bureau Commander shall develop procedures to ensure counseling and crisis intervention services are available to incarcerated persons. These services may be provided by: (a) Medical/mental health staff assigned to the facilities. (b) The chaplain or religious volunteers (see the Religious Programs Policy). The Jail Medical and Services Bureau Commander shall coordinate with the Responsible Physician to develop and confidentially maintain records of counseling and crisis intervention services provided to incarcerated persons and to ensure that those records are retained in accordance with established records retention schedules. Incarcerated persons who are victims of a sexual abuse or harassment incident will be informed of the availability and continuity of counseling (28 CFR 115.82; 28 CFR 115.83). 1003.4 NON-CRISIS COUNSELING The Office shall, when reasonably practicable, make counseling services available to assist incarcerated persons who are being released into the community. 1003.5 REFERENCE Chapter 7: Mental Health Services Chapter 10: Religious Programs Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Counseling Services-283 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1005 Custody Policy Manual Exercise and Out-of-Cell Time 1005.1 PURPOSE AND SCOPE The purpose of this policy is to establish guidelines and procedures ensuring that the Fresno County Sheriff's Office facilities will have sufficiently scheduled exercise and out-of-cell time periods and sufficient space for these activities, as required by law. 1005.1.1 DEFINITIONS Definitions related to this policy include (15 CCR 1006): Exercise - The opportunity for physical exertion. Out-of-cell time-Time spent outside of the sleeping area,where an individual has the opportunity to exercise or participate in recreation. Recreation - An individual's ability to choose from activities that occupy the attention and offer the opportunity for relaxation and may include reading, games, socialization, entertainment, education, and programs. 1005.2 POLICY It is the policy of this Office to provide incarcerated persons with access to exercise opportunities, exercise equipment, and out-of-cell time activities in accordance with state laws or requirements. 1005.3 RESPONSIBILITIES The Jail Operations Bureau Commander or the authorized designee shall be responsible for ensuring there is sufficient secure space allocated for physical exercise and out-of-cell time. The Administration and Programs Bureau Commander or designee will be responsible for ensuring that a schedule is developed to ensure accessibility to both activities for all incarcerated persons. At least three hours per week of exercise opportunities shall be provided and at least seven hours of out-of-cell time distributed over a period of seven days for recreation (15 CCR 1065). 1005.4 ACCESS TO EXERCISE Incarcerated persons shall have access to exercise opportunities and equipment, including access to physical exercise outside the cell and adjacent dayroom areas, and the opportunity to exercise in fresh air or outdoors when weather permits, depending on the facility.An exercise schedule will be maintained and participation or refusal shall be documented. Documentation shall be maintained in accordance with established records retention schedules. 1005.5 ACCESS TO OUT-OF-CELL TIME Each incarcerated person shall have access to the minimum state-required out-of-cell time (leisure-time) activities outside the cell and adjacent dayroom areas (15 CCR 1065). The length of time will be determined by the incarcerated person's classification status, security concerns, and operational schedules that preclude out-of-cell time during a period of time (e.g., mealtimes, searches, Iockdown, court). The staff should ensure that the maximum time possible is provided to the incarcerated persons for this purpose. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Exercise and Out-of-Cell Time-284 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Exercise and Out-of-Cell Time Televisions, newspapers, table games, and other items may also be made available to enhance out-of-cell time. Consideration will be given to the passive or active out-of-cell time needs of older incarcerated persons and incarcerated persons with disabilities. 1005.5.1 USE OF THE INCARCERATED PERSONS WELFARE FUND Monies derived from the Incarcerated Persons Welfare Fund may be used to purchase and maintain equipment and supplies. 1005.6 SECURITY AND SUPERVISION The staff supervising incarcerated persons during exercise and out-of-cell time shall document when each incarcerated person has the opportunity to exercise or recreate, and when each incarcerated person actually participates. Staff shall be responsible for inspecting exercise equipment to ensure it appears safe for use. Broken equipment or equipment that is in an unsafe condition shall not be used. Incarcerated persons will not be permitted to use equipment without supervision. All equipment shall be accounted for before incarcerated persons are returned to their housing unit. The supervising staff may terminate the exercise or out-of-cell time period and escort back to the housing unit any incarcerated person who continues to act in an aggressive or disorderly manner after being ordered to stop by the staff. Whenever an exercise or out-of-cell time period is involuntarily terminated, the staff will document the incident and rationale for terminating the exercise period. The Watch Commander will determine whether disciplinary action is warranted. 1005.7 EXERCISE SPACE Exercise areas, as specified by federal, state, and/or local laws or requirements, should be sufficient to allow each incarcerated person the required minimum amount of exercise. Use of outdoor exercise is preferred but weather conditions may require the use of covered/enclosed space. Dayroom space is not considered exercise space. Incarcerated persons on separation status shall have access to the same facilities as other incarcerated persons unless security or safety considerations dictate otherwise. When incarcerated persons on separation status are excluded from use of regular facilities, the alternative area for exercise use shall be documented. 1005.8 INABILITY TO MEET REQUIREMENTS In the event that the incarcerated person population exceeds the ability of the facilities to meet the exercise and out-of-cell time requirements, the Custody Division should notify the governing body about the deficiency in space for exercise, that it may violate the law and/or the requirements, and request funds to remedy the situation. The Custody Division should document all actions taken to try to remedy the situation, including funding requests, population reduction requests, and all responses to those requests. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Exercise and Out-of-Cell Time-285 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Exercise and Out-of-Cell Time 1005.9 AIR QUALITY INDEX (AQI) AND HEAT CONSIDERATIONS Custody staff and incarcerated persons will have access to information concerning air quality and heat-related disorders. Incarcerated persons will be notified of the daily AQI so that they can make informed decisions regarding their outdoor activity. The Office will implement specific procedures to manage exposure of incarcerated persons to extreme heat and air pollutants, and ensure adequate identification of incarcerated persons at risk of developing heat-related illness due to prescribed medications. 1005.10 REFERENCE See the following procedure and attachment for further guidance: EXERCISE AND OUT-OF-CELL TIME PROCEDURES AQI Chart Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Exercise and Out-of-Cell Time-286 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1006 Custody Policy Manual Education, Vocation, and Rehabilitation 1006.1 PURPOSE AND SCOPE This Office provides educational and vocational programs that are designed to help incarcerated persons improve personal skills,assist in their social development,and improve employability after release. The ability of the Office to offer educational programs is dictated by available funding, incarcerated person classification, and other required incarcerated person programs and routines. 1006.2 POLICY It is the policy of this Office to provide educational and vocational programs to all eligible incarcerated persons subject to schedule, space, personnel, and other resource constraints. 1006.3 PROGRAM REQUIREMENTS Designated space for incarcerated person education and vocational programs will, whenever practicable, be designed with input from educational/vocational service providers. Adequate funding is required. If the funding source reduces or eliminates funding in these areas, educational and/or vocational programs may be reduced or eliminated. While the housing classification of an incarcerated person has the potential to pose security issues, every effort, to the extent reasonably practicable, will be made to provide individualized educational opportunities (15 CCR 1061). 1006.4 PROGRAMS SERGEANT The Programs Sergeant shall be appointed by the Sheriff or the authorized designee and shall be responsible for managing all aspects of the educational and vocational program. Those duties include but are not limited to: (a) Conducting an annual needs assessment to determine the type of programs needed to serve the incarcerated person population. (b) Developing the program plans. (c) Developing or directing the curricula for each educational, vocational, and testing component. (d) Developing and implementing individualized programs for high-risk or administrative incarcerated persons, as needed. (e) Coordinating with corrections staff regarding the security issues associated with these programs. (f) Developing and maintaining records of all needs assessments, all training offered, all incarcerated person attendees, testing records, and class evaluations. (g) Forecasting the annual cost of the program and coordinating with the business office to secure funding. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Education, Vocation,and Rehabilitation-287 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Education, Vocation, and Rehabilitation 1006.5 COURSE OFFERINGS Course offerings will be subject to need, available resources, security concerns, available space, and incarcerated person classification, and may include the following: (a) Basic education, preparation for a high school equivalency credential (b) English as a second language (ESL) (c) Basic literacy (d) Substance abuse and healthy lifestyles education (e) Parenting courses (f) Basic computer instruction (g) Basic life skills (h) Vocational skills such as: (a) Cooking and food services (b) Landscaping, horticulture (c) Janitorial skills (d) Basic commercial laundry skills (e) Basic office skills (i) Other courses as deemed appropriate by the Programs Sergeant 1006.6 OUTREACH Information about educational opportunities should be included in the general incarcerated person orientation. At a minimum, incarcerated persons should receive instruction on how to request participation in the incarcerated person education programs, along with eligibility requirements and rules for participation. 1006.7 ELIGIBILITY REQUIREMENTS Educational/vocational programming (other than televised courses) may be offered to sentenced and pretrial persons. The Sheriff shall ensure that there is equal opportunity for participation for incarcerated persons of each gender. 1006.8 INCARCERATED PERSON REQUESTS Incarcerated persons should be given a form to request participation in the education program. Incarcerated person requests will be forwarded to the Programs Unit. The Programs Unit will notify the incarcerated person whether they have been approved for an education program. Incarcerated persons may also contact the Programs Unit at any time and request information regarding educational opportunities by completing and submitting a Request Form. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Education, Vocation,and Rehabilitation-288 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Education, Vocation, and Rehabilitation Incarcerated persons have the right to refuse to participate in programs other than work assignments or programs that are required by statute or court order. Educational reading material and reading material concerning community services and resources are available by contacting the Jail Programs Unit, via a Request Form. 1006.9 SELF-STUDY PROGRAM Whenever reasonably feasible, the basic educational program may be presented by self study tutoring, computer tablet applications, and videotape programming. Incarcerated persons admitted into the high-school equivalency preparation program will be issued the necessary books and supplies. Studying will be done throughout the day at scheduled periods when videotape programming is presented on closed-circuit television. Upon completion of a GED self-study program, the incarcerated person may be given the opportunity to take the high school equivalency preparation credential examination. 1006.10 HIGH-SECURITY/ADMINISTRATIVE SEPARATION INCARCERATED PERSONS To the extent reasonably practicable, high-security incarcerated persons and those held in administrative separation may receive individual instruction in the form of a correspondence course. 1006.11 REHABILITATION PROGRAM The Office provides opportunities for rehabilitation programs that are based upon victim and community input and are fashioned in a way that gives the incarcerated person an opportunity to make amends for the harm done. The Sheriff and the Administration and Programs Bureau Commander should work with other justice system partners to create such programs and opportunities. Examples include the following: • Programs designed to deter domestic violence and substance abuse • Paying court fines 1006.12 DISCLAIMER Nothing in this policy is meant to confer a legal right for incarcerated persons to participate in any educational offering. Educational programming is provided at the sole discretion of the Sheriff and the Administration and Programs Bureau Commander. 1006.13 CLASSROOM USE AND DESIGN The demographics of the incarcerated person population should always be considered when developing educational and other programs. Incarcerated person classification and separation requirements also need to be considered. In addition to the traditional classroom approach to educational programming, there are several other delivery methods. These include independent study and computer education programs. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Education, Vocation,and Rehabilitation-289 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Education, Vocation, and Rehabilitation 1006.14 NEW CONSTRUCTION OR RENOVATION Whenever construction of new facilities is considered, inclusion of education specialists during the design phase is recommended to ensure that the needs of education providers are met with regard to security, sound levels, and educational equipment. The Administration and Programs Bureau Commander may seek technical assistance from consultants to school districts that provide education programs in correctional settings. There are also networks of educators who can provide valuable consulting services in order to keep pace with rapidly evolving program and legislative issues that are related to education. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Education, Vocation,and Rehabilitation-290 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1008 Custody Policy Manual Library Services 1008.1 PURPOSE AND SCOPE The purpose of this policy is to establish guidelines for funding of library services and for providing incarcerated persons access to leisure and legal reading materials. 1008.2 POLICY It is the policy of these facilities to operate a library service that provides leisure and legal reading materials to incarcerated persons. 1008.3 RESPONSIBILITIES The Administration and Programs Bureau Commander or the authorized designee is responsible for the administration of the library services and should appoint a capable member to serve as librarian to run the daily library operations. The library services shall include access via paper documents or through electronic media to legal reference materials, current information on community services and resources, and religious, educational, and recreational reading material (15 CCR 1064). The librarian shall ensure that reading materials are provided to the general housing units and that any member assigned to assist with the delivery of library services has received the appropriate training in facility safety and security practices. The quantity and appropriateness of any materials distributed by the Programs Unit staff shall be determined by the Administration and Programs Bureau Commander. 1008.4 LIBRARY FUNDING AND MAINTENANCE The Administration and Programs Bureau Commander should ensure that funding is available to operate the library. The Administration and Programs Bureau Commander may use monies from the Incarcerated Person Welfare Fund to offset the cost of salaries, services, and supplies. The librarian may enlist the assistance of the local public library system and other community organizations to maintain and update the library. Donated books and materials should be screened by the librarian for permissible content and safety prior to being distributed to incarcerated persons. The Office may reject library materials that may compromise the safety, security, and orderly operation of the facilities (see the Mail Policy for examples of materials that may be rejected). The library shall be operated within the physical, budgetary, and security limits of the existing facilities. Books and other reading material should be provided in languages that reflect the population of the facilities. 1008.5 ACCESS TO LIBRARY Access to the incarcerated person library or to library materials shall be based on incarcerated person classification, housing location, and other factors that legitimately relate to maintaining the safety and security of the facilities. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Library Services-291 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Library Services Incarcerated persons in disciplinary separation shall have the same access to reading materials and legal materials as the general population unless a restriction is directed by the court. 1008.6 LEISURE LIBRARY MATERIALS Each incarcerated person is allowed to have no more than five (5) books at any given time. Incarcerated persons with more than five (5) paperback books in their possession may have the paperback books confiscated and/or returned to the library service cart. Existing selections must be returned before new books may be selected by an incarcerated person. Incarcerated persons who destroy or misuse books and library materials will be subject to disciplinary action and may be required to pay for the material. Paperback books are placed on library service carts which are available inside each gymnasium. An incarcerated person may request to put any personal paperback books in their property if the amount exceeds the limit allowed. Religious reading material is available from the Custody Division Religious Services staff, via a Request Form. Educational reading material and reading material concerning community services and resources are available by contacting the Jail Programs Unit, via a Request Form. 1008.7 LEGAL MATERIALS All incarcerated persons shall have reasonable access to the legal system, which may include access to legal reference materials. Pro per incarcerated persons shall have priority regarding access to legal publications. Legal information that may be provided through the library includes but is not limited to: • Criminal code sections. • Copies of criminal and/or civil cases. • Copies of relevant judicial forms. Incarcerated persons desiring access to the library or legal publications shall submit a completed legal information request to the housing correctional officer. Only one request per incarcerated person per week is allowed unless the incarcerated person is a court-ordered pro per. The housing correctional officer will collect completed request forms and deliver them to the librarian. Upon receipt the librarian will log the request and arrange for the incarcerated person to have access to the legal research publications requested. Records of access to legal materials and whether the requests were fulfilled or denied should be documented each day and maintained in the incarcerated person's file in accordance with established records retention schedules. Pro per incarcerated persons may keep minimal supplies for their case in their cells (e.g., paper, letters, reference materials), provided they do not create a fire hazard or other safety or security concern. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Library Services-292 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Library Services 1008.8 ALTERNATE MEANS OF ACCESS TO LEGAL RESOURCES Nothing in this policy shall confer a right to access a law library. Unless it is specified by court order, the Sheriff may provide access to legal resources by a variety of means that may include public or private legal research services (e.g., web-based legal resources). 1008.9 INCARCERATED PERSONS IDENTIFIED AS DISABLED OR ILLITERATE The ADA Coordinator will coordinate with Jail Programs staff to ensure reasonable accommodations are made for incarcerated persons who are illiterate or who are physically incapable of reading,which may include, but is not limited to, enlarged print materials, identification of desired materials, and assistance in reading and scribing forms. All staff members shall assist in completing request forms if such an incarcerated person requests assistance. An audio headset and assortment of audio tapes, including an incarcerated person orientation recording as well as recreational reading tapes, are available from the Jail Programs Unit. A designated staff member will provide the incarcerated person with the audio tape equipment, inform them of the resources available, and explain the process by which the incarcerated person can access the resources. Jail Programs staff will assist in procuring reading materials for non-English and non-Spanish speaking incarcerated persons. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Library Services-293 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1011 Custody Policy Manual Visitation 1011.1 PURPOSE AND SCOPE The purpose of this policy is to establish rules for personal and professional visitation and to provide a process for incarcerated person visits and visitors. Visitation is a privilege and is based on space availability, schedules, and staffing. 1011.1.1 DEFINITIONS Definitions related to this policy include (Penal Code § 4032): Contact Interview - Communication between an incarcerated person and an individual with no physical barriers. Defense Experts -A person with special skills or knowledge representing mastery of a particular subject who is assisting in the preparation of an incarcerated person's legal defense. Exclusion - An administrative action by a Bureau Commander to bar, for cause, a person from entering a facility of the Sheriffs Office,when in the normal conduct of business,that person would otherwise be permitted to enter. In-person visit-An on-site visit that may include barriers. In-person visits include interactions in which an incarcerated person has physical contact with a visitor, the incarcerated person is able to see a visitor through a barrier, or the incarcerated person is otherwise in a room with a visitor without physical contact. "In-person visit" does not include an interaction between an incarcerated person and a visitor through the use of an on-site two-way audio/video terminal. Non-Contact Interviews-Communication between an incarcerated person and an individual with physical barriers in place preventing physical contact. Process Server - Person authorized by law (e.g., the Sheriff) to serve process papers on defendants. Professional Visitor - A person who provides a professional service to an incarcerated person (e.g., attorneys, social workers, law enforcement officials, and other authorized professionals). Social Service Agency - Philanthropic agencies, intended to promote social well-being. Such agencies include, but are not limited to, staff from the Department of Social Services, Salvation Army, Fresno Rescue Mission, Spirit of Women, WestCare, and county and state Health Department investigators. Video visitation- Interaction between an incarcerated person and a member of the public through the means of an audio-visual communication device when the member of the public is located at a local detention facility or at a remote location. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-294 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation 1011.2 POLICY It is the policy of the Fresno County Sheriff's Office to allow incarcerated person visitation, including video visitation when applicable, as required by law. All personal visits shall be non-contact visits. Incarcerated persons shall not be allowed to visit other incarcerated persons while in custody. 1011.3 PROCEDURES The Office shall provide adequate facilities for visiting that include appropriate space for the screening and searching of incarcerated persons and visitors and storage of visitors' personal belongings that are not allowed in the visiting area. The Jail Operations Bureau Commander shall develop written procedures for incarcerated person visiting. They shall provide for as many visits and visitors as facility schedules, space, and number of personnel will reasonably allow, with no fewer than the opportunity to have two 30-minute visits totaling at least one hour, as specified by 15 CCR 1062 per week. The procedures are subject to safety and security requirements and should consider: • The facility schedules. • The space available to accommodate visitors. • Whether an emergency or other conditions justify a limitation in visiting privileges. • Video visitation if applicable (Penal Code § 4032; 15 CCR 1062). The visiting area shall accommodate incarcerated persons and visitors with disabilities. Visitors with disabilities who request special accommodations shall be referred to a supervisor. Reasonable accommodations will be granted to incarcerated persons and disabled visitors to facilitate a visitation period. Visitor records shall be developed and maintained in accordance with established records retention schedules. Court orders granting a special incarcerated person visitation are subject to county legal review and interpretation. 1011.3.1 MEDICAL AND DISABILITY-RELATED ASSISTIVE DEVICES USED BY VISITORS (a) Medical and disability-related assistive devices needed by visitors are permitted inside the Jail facilities, however, they are subject to inspection and search. Visitors who require reasonable accommodation will be asked to notify the ADA Coordinator or on-duty Watch Commander of their needs prior to visiting. Visitors using assistance devices will be provided reasonable accommodation to comply with all security measures. They may be screened using alternative security devices, including use of a hand-held metal detector. (b) Service animals may accompany a visitor into a facility during their visit. 1. Visitors may be asked two questions: (1) is the dog a service animal required because of a disability, and (2) what work or task the dog has been trained to perform. Staff cannot ask about the person's disability, require medical Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-295 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation documentation, require a special identification card ortraining documentation for the dog, or ask that the dog demonstrate its ability to perform the work or task. 2. A visitor with a disability cannot be asked to remove their service animal unless: • The animal is out of control and the animal's owner does not take effective action to control the animal. • The animal is not housebroken. 3. A service animal shall be under the control of its handler. A service animal shall have a harness, leash, or other tether, unless either the handler is unable because of a disability to use a harness, leash, or other tether, or the use of a harness, leash, or other tether would interfere with the service animal's safe, effective performance of work or tasks, in which case the service animal must be otherwise under the handler's control (e.g., voice control, signals, or other effective means). 1011.3.2 VISITOR REGISTRATION AND IDENTIFICATION All visitors must register and produce a valid identification.Adult personal visitors must be listed on the incarcerated person's visiting list. Each incarcerated person may have up to 5 visitors listed. Identification will be considered valid for 90 days after expiration, provided the visitor has renewed the ID and has proof of the renewal. 1. The registration must include the visitor's name, address, and the relationship to the incarcerated person. 2. A valid identification shall include the following: (a) A photograph of the person (b) A physical description of the person 3. Acceptable forms of identification are limited to: (a) DMV or other state-issued Driver's License or Identification Card (b) United States Armed Forces identification card (c) Passport (d) Foreign consulate identification card (e.g., Matricula Consular de altaSeguridad (MCAS) issued by the Mexican Consulate). (e) Identification card issued by the United States Department of Justice or the U.S. Citizenship & Immigration Services (includes Permanent Resident Cards— formerly known as Alien Registration or"Green" Card). 4. A professional visitor shall present proof of professional capacity. For example, attorney license/Supreme Court card, law enforcement identification, or a business card/letterhead of the business with the visitor's name. Failure or refusal to provide a valid identification is reason to deny a visit. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-296 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation 1011.3.3 VIDEO VISITATION NOT TO REPLACE IN-PERSON VISITATION The Office may not substitute video visitation for in-person visitation to meet the requirements of 15 CCR 1062. 1011.4 AUTHORIZATION TO SEARCH VISITORS Individuals who enter the secure perimeter of these facilities are subject to search if there is reasonable cause to believe the visitor has violated the law, is wanted by a law enforcement agency, or is attempting to bring contraband onto a facility property or into a facility. All searches shall be made in accordance with current legal statutes and case law. All visiting areas are equipped with a metal detector, and all visitors must pass through the metal detector prior to entrance into the facility. Processing may require the removal of shoes, jackets, sweaters, suspenders, belts, jewelry, or other accessories for closer inspection or separate processing. The area designated for a visitor to be searched prior to visiting with an incarcerated person shall have a notice posted indicating that any cellular telephone,wireless communication device, or any component thereof shall be confiscated for the period of the visitation and returned to the visitor upon departure from the facility (Penal Code § 4576(b)(3)). 1011.4.1 RELIGIOUS GARMENT VISITOR SEARCHES The Fresno County Sheriff's Office respects individuals' rights to religious expression.Visitors may wear religious clothing, but safety and security remain our top priority. (a) If a visitor cannot successfully pass through the metal detector, the visitor will be rescreened using a handheld scanner. If the alarm is still unresolved, the visitor shall be given the choice to leave the facility or submit to extra screening. 1. The individual will be given the opportunity to remove the religious head covering in a private screening area before an officer of the same gender to clear security. 2. At no time will the individual be required to have the religious head covering off while publicly visible or visible to people of the opposite gender. (b) Religious, cultural, or ceremonial items that pose a risk to the safety of staff or the security of the facilities, such as religious knives, swords, etc., are not permitted inside the facility. 1011.5 VISITING SCHEDULE The Jail Operations Bureau Commander shall designate a person to develop a schedule for incarcerated person visitation that includes daytime, evening, and weekend hours. The visiting week begins on Saturday and ends on Friday. The visitation schedule shall be posted in the housing areas and in each facility lobby. Visiting will be conducted according to schedule, between the hours of 8:00 a.m. and 10:00 p.m.,with the last visits beginning no Iaterthan 9:15 p.m. Exceptions to the normal visiting hours may be granted by the Watch Commander. The visiting schedule is also available via the Fresno County Sheriff's website. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-297 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation Incarcerated people will be allowed two (2) 30-minute personal visits each week, totaling one hour per week. They may receive a single one-hour visit each week which may be granted at the discretion of the officer overseeing the visiting area, based upon the volume of visiting. Pod and Floor Incarcerated workers will be eligible for one (1)additional 30-minute visit, for a total of three (3) 30-minute visits. Laundry and outside/facility Incarcerated workers will be eligible for two (2) additional 30-minute visits, for a total of four (4) 30-minute visits each week. Incarcerated people are responsible for notifying their visitors of the times of their scheduled daily activities (e.g., gym and yard)so that their visitors may visit at other times. Individuals who are out of their housing units at activities will not be removed from the activity for a personal visit. Visitors who attempt to visit an incarcerated person who is out of their cell at an activity will be advised that the individual is not available to visit and offered the opportunity to wait. Incarcerated people who miss a scheduled activity while they are at a visit will not be afforded the opportunity to "make up" the missed attendance. 1011.6 DENIAL OR TERMINATION OF VISITING PRIVILEGES The Jail Operations Bureau Commander or the authorized designee is responsible for defining, in writing, the conditions under which visits may be denied. An incarcerated person may have their ability to visit restricted or suspended only under the following circumstances: (a) Temporarily with approval of the Watch Commander (b) 24-hour Lockdown (c) As a punitive action for rule violations (d) Administrative Action Visitation may be denied or terminated by a supervisor if the visitor poses a danger to the security of the facility or there is other good cause (15 CCR 1062). Danger to the security of the facility or other good cause includes but is not limited to the following: (a) The visitor appears to be under the influence of drugs and/or alcoholic beverages. (b) The visitor refuses to submit to being searched. (c) The visitor or incarcerated person violates facility rules or posted visiting rules. (d) The visitor fails to supervise and maintain control of any minors accompanying the visitor into the facility. (e) Visitors attempting to enter this facility with contraband will be denied a visit and may face criminal charges. Any person found to have a cell phone in their possession will be banned from visiting for ninety (90) days. A subsequent violation may result in criminal prosecution and permanent expulsion. Visitors not approved for a visit or having a visit terminated will be told the reason for the denial/ termination of the visit. Requests to appeal the denial or termination will be directed to the supervisor. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-298 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation Any visitation that is denied or terminated early, on the reasonable grounds that the visit may endanger the security of the facility, shall have the actions and reasons documented in an incident report. The supervisor may suspend the visiting privileges of an individual member of the public for up to ninety (90) days. Violations deemed serious or criminal in nature may be referred to the on-duty Watch Commander. Visitors may appeal a ban on visiting privileges in writing to the Jail Operations Bureau Commander. All decisions on visiting appeals are final. A copy of the documentation will be placed into the incarcerated person's file and another copy will be forwarded to the Jail Operations Bureau Commander (15 CCR 1062). 1011.7 GENERAL VISITATION RULES All visitors and incarcerated persons will be required to observe the following general rules during visitation: (a) A maximum of two adults (or one adult and one child) will be permitted to visit an incarcerated person at any one time. Visitors under 18 years of age must be accompanied by an adult visitor. Adults must control minors while they are waiting to visit and during the visit. 1. A minor legal spouse of an incarcerated person may visit the individual as an adult if they present a certified copy of the marriage certificate. 2. An emancipated minor may visit as an adult but must provide a certified copy of the court order granting emancipation. (b) An incarcerated person may refuse to visit with a particular individual. (c) Those incarcerated persons who are named as the restrained person in any restraining or other valid court order shall not be allowed visits from persons who are protected by the order. (d) Visitors must be appropriately attired prior to entry into the visitor's area of the jail. See Addendum H. 1. Inappropriate clothing, such as transparent clothing, halter-tops, excessively tight or revealing clothing, hats and bandanas, or any other clothes associated with a criminal gang or otherwise deemed by the staff to be unacceptable, will not be permitted. 2. All visitors must have footwear. (e) Visitors will leave all personal items outside of the secure area, with the exception of: 1. Keys 2. Identification 3. Sunglasses 4. One blanket, diaper, wipes, bottle, and pacifier may be brought with an infant. 5. One toy (for a child). It may not be motorized, electrical, or a weapon facsimile (e.g., knife, gun, grenade, etc.). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-299 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation (f) Visitors who enter the jail with handbags, packages, or other personal items will be instructed to lock the items in a vehicle or locker or return at another time without the items. The jail is not responsible for lost or stolen items. (g) Food or drink is not permitted in the visiting area. (h) Visitors who do not abide by the visiting rules or who are rude, disruptive, or disrespectful to staff may be subject to having their ability to visit denied, terminated, or suspended. (i) Incarcerated people and visitors shall not sit on the visiting table. Q) Incarcerated people and visitors shall not undress or expose body parts (or encourage others to do so). Although nursing mothers have the right to breastfeed in public, they are expected to use discretion in opting to breastfeed their infants in the visiting areas. If the breastfeeding is conducted in a manner that is disruptive to other incarcerated people or visitors, the supervisor shall be notified to tactfully address the situation. (k) Incarcerated persons may be permitted to sign legal documents, vehicle release forms, or any other items, except for the serving of legal papers, authorized by the Watch Commander. Transactions of this nature will not constitute a regular visit. 1011.7.1 VISITING RESTRICTIONS WITH MINORS (a) When an incarcerated person is sentenced to prison for violation of Penal Code Section 261, 264.1, 266c, 285, 286, 287, 288, 288.5 or 289, or former Section 288a, and the victim is a child under the age of 18 years, visitation with the child victim shall be prohibited (except as authorized by an order of the juvenile court pursuant to W&I Code 362.6). The restriction applies only to the victim(s). (b) When an incarcerated person has been arrested, but not convicted, of any crime involving a minor victim, the incarcerated person's visiting status shall remain unrestricted. 1011.8 SPECIAL VISITS The Watch Commander may authorize special visitation privileges, taking into consideration the following factors: (a) Excessive Distance: The visitor has traveled a distance of 100 miles or more, and is unaware of the visiting schedule or process(e.g., has not visited before).The individual must be able to provide proper identification showing an out-of-town address. This provision is to be used on an exception basis only. The accommodation should be noted on the incarcerated person's visitor list. (b) Disabled: A disabled visitor who must rely on special transportation to the facility (and is unable to be transported during the scheduled visiting hours). (c) Family Emergencies: When death, serious illness or injury occurs to an incarcerated person's immediate family. Clergy or another individual may visit the incarcerated person to inform them of the occurrence. (d) Social workers bringing in an incarcerated person's minor child to visit. The visit shall be documented as a non-contact visit and not counted as a regular visit. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-300 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation (e) A list of pre-approved local clergy members is maintained in SharePoint. These individuals will NOT have Jail identification cards but are allowed to perform an unlimited number of non-contact personal visits with incarcerated people. Such visits shall be restricted to thirty (30) minutes and scheduled as a non-contact interview event. Whenever a special visit is denied, it shall be documented by the Watch Commander. The entry will include the requesting visitor's name and the reason why the visit was denied. 1011.9 HOSPITAL VISITS (a) Generally, hospitalized incarcerated people will not be allowed to have personal visits. Exceptions may only be granted with the approval of the Watch Commander. (b) Visits may be arranged for those incarcerated people who experience hospital stays in excess of seven (7)days duration, have given birth, orforthose having life-threatening or critical injuries or illnesses. Visits are restricted to immediate family members. Exceptions are subject to the approval of the Watch Commander. (c) Pregnant incarcerated people may request to have a support person present during labor and childbirth. The approval for the support person will be made on a case-by- case review by the Compliance Lieutenant (or on-duty Watch Commander in cases of emergency). (d) Incarcerated people admitted to a clinical treatment facility for psychiatric treatment or evaluation are afforded additional rights that cannot be taken away without "good cause." Psychiatric patients have the right to see visitors each day in accordance with the psychiatric facility's visiting policy. 1011.10 MEDIA ACCESS TO INCARCERATED PEOPLE News media representatives have no greater right of access to detention facilities or incarcerated people than any other member of the public. A visit by news media personnel shall be considered a social visit, not a professional visit. 1011.11 PROFESSIONAL VISITS 1011.11.1 FACILITY ACCESS REQUEST (a) All persons seeking approval for admission into the Jail facilities shall complete an Application for Authorization to Enter the Fresno County Detention Facility(J-154)form to include personal information, job duties, the reason necessary for Jail clearance, and an admonishment that the person agrees to an investigation into their background. Applicants must: 1. Agree and submit to fingerprinting for the purpose of obtaining a criminal history check unless applying for a Red pass. Red Jail identification card applicants are exempt from fingerprinting. 2. Agree to have their photograph taken for purposes of producing an identification card and reference database file. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-301 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation 3. Pay the fingerprint and background processing fees. The fees are non- refundable and will not be returned if the application is denied. (Fingerprinting is not required for those applying for a Red Jail identification card, therefore no fee will be expected.) (b) With the exception of medical and mental health staff, all applicants are required to submit a letter from their employer with their application, to include the name, signature, and telephone number of their immediate supervisor. The staff member assigned to process identification cards shall be responsible to verify the authenticity of the employer's letter. (c) Licensed private investigators and self-employed owners of businesses must furnish a copy of their current license at the time of their application. The copy of the license shall be retained on file with the application. (d) When a Defense Expert needs consultation accommodations in order to assist in the preparation of an incarcerated person's legal defense, the person's attorney shall contact the Watch Commander in advance by letter. (e) All applicants shall be approved prior to their entrance into a facility. (f) Individuals approved for Jail clearance from select groups (e.g., medical staff, mental health staff, food services staff, program facilitators, volunteers, work crew leaders) shall be required to attend a mandatory "Non-sworn Personnel Security Orientation and Training" class prior to their admittance into any Jail facility. The orientation shall include a discussion of the facility/incarcerated person rules pertaining to contact, contraband, and security. (g) If any attorney or other individual presents a court order to any correctional officer which orders someone access into any Jail facility, and there is no prior Watch Commander or Bureau Commander approval for their admittance, the officer shall advise the individual that there is a standing order not to follow such orders, on the advice of County Counsel. The staff member shall contact the Watch Commander for direction. (h) Psychiatrists and psychologists appointed by the court who are ordered to conduct psychiatric or psychological testing on behalf of the court shall present a copy of the court order and show proper identification. A letter from the incarcerated person's attorney is not required. [This differs from the previously discussed court order in that this court order is being performed at the behest of the court, not another individual (e.g., attorney).] (i) Any person (including any attorney, peace officer,or probation officer)who is approved to conduct contact interviews with incarcerated people and who is later found not to meet the criteria under any of the above listed reasons, is subject to have their interview privileges restricted or revoked by the Jail Operations Bureau Commander. Q) The appeals process available to persons who have had their access revoked or restricted is described below. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-302 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation 1011.11.2 THE APPROVAL PROCESS (a) Each application shall be reviewed by either the Jail Operations Bureau Commander or designee for recommendation for approval or disapproval. They will also recommend the appropriate level of contact the person shall receive. (b) Should an individual be disapproved or have their access restricted, they and/or their employer shall be notified in writing of the disapproval, the reasons for the disapproval or restriction, (including, if applicable, all criminal history information), and notification of their right to appeal. 1011.11.3 THE APPEAL PROCESS (a) If an applicant is disapproved or has their access permanently or temporarily restricted and they wish to appeal the finding,they or their employer may respond in writing to the Jail Operations Bureau Commander within five(5)working days.The written response shall include reasons for the appeal and any documentation in support of the appeal. (b) If an appeal is filed, the Jail Operations Bureau Commander may meet with the applicant, and if appropriate, the applicant's employer. (c) The Jail Operations Bureau Commander will consider the appeals and any documentation provided concerning the approval, restriction, or appeal. The review shall be completed within twenty (20) working days following receipt of the written appeal and/or the meeting. The written notice of the results of the appeal will be mailed to the appellant. (d) Should an applicant be disapproved or have their access permanently or temporarily restricted and that action is sustained by the Jail Operations Bureau Commander after their appeal, the applicant may feel that surrounding circumstances mitigating the basis for their disapproval have changed. In such cases, the applicant may present such changed or mitigating circumstances to the Sheriff for his/her consideration. The applicant's reasons shall be in writing. (e) In addition, the applicant may request to meet personally with the Sheriff to discuss their application. Upon review of the circumstances, the Sheriff may, at his/her discretion, determine that the applicant be approved or that the restriction remain in place. 1011.11.4 LEVELS OF CONTACT AND ACCESS (a) Professional visitors who are allowed facility and incarcerated person access without being subjected to the background screening process include, but are not limited to: peace officers,federal investigators, and attorneys.A full listing of persons who do not require background screening can be found in Addendum A - Own ID. 1. Consular officials and persons classified as "law enforcement" or "peace officers" are required to display either their departmental identification or a Jail Visitor's Pass in a conspicuous place while inside the facility. 2. Attorneys must provide positive proof of identity(i.e., photo ID)and current active registry with the State Bar Association (i.e., a bar card) in order to interview an incarcerated person. A Visitor's Pass will be exchanged for their photographic Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-303 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation identification card, which must be worn in a conspicuous place while inside the facility. (b) Professional visitors who are issued GREEN Jail identification cards are permitted contact interviews. This category includes County and contract service personnel (e.g., medical staff, chaplains, JPS, etc.). A full listing can be found in Addendum B. (c) Employees from organizations that have been contracted to provide services for the incarcerated people, and employees of public, private or government agencies who require incarcerated person access to perform their duties are issued BLUE Jail identification cards. Persons in this category are allowed direct contact with the incarcerated people in designated program and interview areas within the Detention Facilities. They are NOT allowed access to the housing units. This category includes Public Defender Investigators, U.S. Pre-Trial Services Officers, paralegals, and licensed private investigators. A full listing can be found in Addendum C. (d) Professional visitors who are issued PINK Jail identification cards are NOT permitted contact interviews unless they are accompanying another person with incarcerated person contact clearance (e.g., the incarcerated person's attorney, a doctor performing court ordered evaluations, a correctional officer, etc.). If they are not accompanied by another person with incarcerated person contact clearance, they are restricted to interviewing in the non-contact interview areas. This category includes: law students, interpreters, clerks, unlicensed investigators, process servers (who are not employed by the Sheriff or the District Attorney) and notaries. A full listing can be found in Addendum D. (e) Program facilitators and educators who meet with incarcerated people in group settings are issued GRAY Jail identification cards. Such persons must have a bona fide reason for entering the facility and are prohibited from communicating with incarcerated people at times other than those designated for meetings. (Refer to Addendum E.) (f) Religious and AA/NA volunteers who meet with incarcerated people in group settings are also issued GRAY Jail identification cards. However, these persons may provide additional non-contact AA/NA sponsor or pastoral care visits. Individual visits shall be limited to thirty-minutes and be documented via OffenderTrak. 1. An INTERVIEW event shall be initiated for all non-contact interviews. 2. The full name of the volunteer and their affiliation shall be noted in the DESCRIPTION field. (g) Social service agency employees are issued RED Jail identification cards. Their interviews are limited to non-contact interview areas. Exceptions to the non-contact policy may be made for select individuals whose particular duties require physical contact with incarcerated people. Exceptions will be minimal and the numbers of interviewers who are allowed contact will be determined by the Jail Operations Bureau Commander. (Refer to Addendum F.) (h) On-duty, uniformed contract workers and repairmen whose access is restricted to the Main Jail 2nd floor (i.e., administrative and medical areas) are not issued Jail identification cards. Their professional identification shall be verified by the officer Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-304 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation who allows them entry into the facility. This category includes U.S. Postal Carriers, equipment repairmen and medical suppliers. (Refer to Addendum G.) (i) Prospective employees and visitors must exchange their personal identification for a Jail Visitor's pass. Q) The ORANGE colored identification badges issued to persons for entry into the courthouse are NOT acceptable clearance for entry into the Jail facilities. 1011.11.5 PROPER IDENTIFICATION (a) Any allowable form of identification which does not contain a picture of the individual seeking admission (i.e., bar card, police badge) shall require a verification of the individual's identification by the presentation of some other form of pictured identification. (b) Acceptable forms of identification are limited to those listed above in 1011.3.2 (c). (c) Persons who do not possess proper identification who insist upon being allowed entry shall be promptly referred to a supervisor. If the supervisor is not able to resolve the problem, a Watch Commander shall be notified for resolution of the situation. (d) All forms of identification (e.g., Jail-issued identification card, Jail Visitor's pass, or other accepted identification card or badge) must be worn in a conspicuous place while inside the facility. 1011.11.6 FACILITY ACCESS (a) All professional visitors not employed by the Sheriffs Office are required to enter and leave the Jail through the facility lobbies. (b) All County and contract service providers (e.g., commissary and food services) are required to enter and leave the Jail through the facility lobbies or through the designated staff entrances (e.g., the back entrances into the North and Main Jails). 1. No other entrances shall be utilized. This precludes the use of the bailiff entrance,the South Annex'M'Street Visitor's entrance,the maintenance loading dock, or any secured emergency door. 2. The only exception shall be made for Building Maintenance personnel when working in an assigned area, or when entering or exiting the South Annex Maintenance shop. (c) The tunnels shall not be utilized by Jail identification card holders to move between Jail facilities, with the exception of individuals who possess either a GREEN or GRAY Jail identification card. 1011.11.7 FACILITY RULES FOR PROFESSIONAL VISITORS (a) Any violation of the following rules may subject the interviewer's access to be immediately terminated and their future access to the facility restricted based on the circumstances. Those who have been disqualified shall only be allowed the privilege of interviews within the facility with the prior written approval of the Jail Operations Bureau Commander. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-305 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation 1. Interviews with incarcerated people must be for legitimate purposes. A professional visitor who has a pre-existing relationship with an incarcerated person shall be required to utilize the Jail's visiting process in order to contact them. Professional visitors shall not utilize their access privileges to the Jail for the purpose of contacting relatives and/or personal acquaintances. 2. It is prohibited to communicate with or interview incarcerated people other than those for whom contact has been granted. 3. Professional visitors must be dressed appropriately. Visitation will not be permitted if the visitor is dressed in a manner that violates the visitor's dress code (refer to Addendum H). 4. Professional visitors may not use their cellular telephones or other personal electronic devices within the secure areas of the facility, nor allow incarcerated people to use them. 5. Unnecessary physical contact with incarcerated people is prohibited. Professional visitors may offer a handshake as a way of greeting or saying goodbye to an incarcerated person but shall refrain from kissing, hugging, holding hands, etc. 6. Professional visitors are restricted to those areas of the facility necessary to complete their interviews. 7. Professional visitors shall follow the directions of correctional officers at all times. 8. Professional visitors shall show respect to all staff members. 9. Professional visitors shall not provide incarcerated people with anything other than written or printed legal material that has been previously presented to correctional staff for inspection. 10. Professional visitors are responsible for the proper care and retention of their Jail-issued identification cards. The cards shall not be altered in any way. The loss of the card shall be immediately reported to the Jail Operations Bureau Commander or their designee. 11. Professional visitors shall not damage or remove any County property from the facility. 12. Professional visitors shall not institute, aid, or encourage any violation of law or facility rules by incarcerated people or others who enter the facility. 13. Professional visitors shall not solicit money or favors from correctional officers, incarcerated people, or their families. 14. Professional visitors shall not aid in the escape or attempted escape of any incarcerated person from custody. 15. Professional visitors shall not provide weapons or information concerning weapons to incarcerated people. 16. Professional visitors shall not engage in any activity considered to be a threat to staff, incarcerated persons, public safety, or institutional security. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-306 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation 17. Professional visitors under the influence of alcoholic beverages, narcotics, or other drugs, or exhibiting irrational behavior for any reason will not be allowed to visit or remain on County property. (b) Non-contact interviewers who require an incarcerated person's signature on legal material are encouraged to utilize the U.S. Postal Service or the incarcerated person's attorney for such purposes. Exceptions may be made only with the prior approval of the Watch Commander. 1011.11.8 ABUSE OF RULES LEADING TO REVOCATION OF ACCESS (a) All persons covered by this policy are subject to having their access to the Jail facilities revoked or restricted based upon the results of their background investigation or for violating any Jail rule or regulation. (b) When a Custody Division staff member has reasonable suspicion to believe that a professional visitor has violated any rules of the institution, they shall bring it to the attention of a supervisor. (c) The supervisor may meet with the observing Custody Division staff member and the professional visitor to determine the accuracy of the allegation and refer their findings to the Watch Commander. (d) If the Watch Commander finds sufficient cause to sustain the allegation, the person may be temporarily barred from access to the facility. The Watch Commander may order a temporary exclusion pending investigation or verification of information leading to such conclusions and/or pending an appeals process initiated by the person or their employer. (e) The Watch Commander shall prepare a written report of the incident and the reasons for the allegation and forward a copy to the Jail Operations Bureau Commander. (f) The Jail Operations Bureau Commander may take administrative action to restrict the professional visitor from the facility. 1. The term exclusion as used in this section describes an administrative action by the Jail Operations Bureau Commander to bar, for cause, a person from entering a facility of the Sheriff's Office,when in the normal conduct of business, that person would otherwise be permitted to enter. Persons subject to being barred for cause include but are not limited to an incarcerated person's attorney, representatives acting on behalf of an attorney, representatives of the news media, delivery persons, and employees of the Sheriff's Office and other County component agencies. 2. An order for exclusion from an institution or other facilities of the Sheriff's Office shall be based upon a determination by the Jail Operations Bureau Commander on one or more of the following: • The person's presence in the facility presents a serious threat to security. • The person is charged with a felony. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-307 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation • The person is under investigation for a felony committed on facility property. • The person's purpose for entering the facility is no longer valid or has been lawfully terminated. • The person has committed an act that jeopardizes the life of a person, or violates the security of the facility. • The person has participated in sexual activity inside the facility. (g) If the exclusion order affects an incarcerated person's attorney, an immediate telephone notification will be made to the Assistant Sheriff. (h) The accused interviewer shall have five (5) days to respond, in writing, to the Jail Operations Bureau Commander. The Jail Operations Bureau Commander shall reply within an additional twenty(20)working days to either affirm or reject the finding of the rule violation. In reviewing the allegation(s) and response, the Jail Operations Bureau Commander may conduct their own investigation. (i) The right to appeal and the rules to be applied are delineated in Section IV of this policy. 1011.11.9 LOST, MISPLACED, OR STOLEN IDENTIFICATION CARDS (a) All persons issued Jail identification cards are responsible for the proper care and retention of their ID cards. 1. Identification cards shall not be altered in any way. 2. The loss of an identification card shall be immediately reported to the Jail Operations Bureau Commander or their designee. (b) In order to facilitate the replacement of a lost, stolen, or misplaced identification card, a letter from the person's employer is required (including the telephone number and signature of the supervisor). 1. The office assistant assigned to process identification cards shall be responsible for verifying the authenticity of the employer's letter (i.e., confirming that the employee is, in fact, still employed). 2. The letter shall be scanned into the person's database file. 1011.11.10 RENEWAL PROCESS (a) The Sheriff's Office does not send expiration reminder notices. It is each individual's responsibility to renew their Jail identification card prior to expiration. (b) Jail identification cards normally have a two-year expiration date. Prior to the expiration of the pass, and as part of the renewal process,the individual must submit a new letter from their employer, confirming their continued employment. 1. The letter shall include the name, signature, and telephone number of the employer. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-308 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation 2. Self-employed professionals must furnish a copy of their current license at the time of renewal. 3. A copy of the letter and/or license shall be retained on file with the application. 4. The office assistant assigned to process the applications shall be responsible for performing a local warrant check prior to renewing the identification card. (c) If the identification card expired more than six (6) months prior, the applicant must reapply for a new identification card. A new application must be completed and the individual must pay a processing fee. 1011.11.11 REVOCATION OF CLEARANCE (a) It is the employer's responsibility to retrieve the employee's Jail identification card at the time of employment severance. The employer shall advise the Jail Operations Bureau Commander in writing of the change in employment, and return the Jail-issued identification card to the office assistant assigned to process identification cards. (b) The office assistant shall be responsible to: 1. Complete a No Longer Interested Form to be forwarded to the Department of Justice. 2. Transfer the folder to the "Inactive" file. 3. Modify the person's data entry screen. 1011.12 CONSULAR VISITS The Jail Operations Bureau Commander or the authorized designee should facilitate visitor access between a detained foreign national and a consular officer when requested by the detainee or consular officer. Additionally, access should also be facilitated when a consular officer requests to visit with a detained foreign national in cases where the detainee does not want a visit. A foreign national should be allowed to visit with a consular officer in a private interview room. Members should not interfere with, suspend, or cancel official consular visits except in circumstances where the safety, security, or good order of the jail is compromised. 1011.13 MONITORING VISITS "Privileged communication" is a conversation that takes place within the context of a protected relationship. Visits between an incarcerated person and their attorney, religious advisor, or physician are considered privileged communications and will not be monitored or recorded without a warrant. Conversations between incarcerated people and their visitors are not considered to be privileged communications and may be randomly monitored and recorded. 1011.14 PROCEDURE See the following procedure for further guidance: RELIGIOUS PROGRAM PROCEDURES - EMERGENCY CALLS Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-309 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Visitation FOREIGN NATIONALS AND DIPLOMATS VISITATION PROCEDURES Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation-310 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1012 Custody Policy Manual Resources for Released Persons 1012.1 PURPOSE AND SCOPE The purpose of this policy is to establish the process of providing community resource information to any incarcerated person who is due for release in order to assist with the transition back into the community. 1012.2 POLICY It is the policy of this Office that all incarcerated persons, upon request, shall be provided with an information packet containing community resources prior to their release. 1012.3 COMMUNITY RESOURCES The information packet with community resources should contain, at a minimum, the contact information for the following organizations and resources: • Community health centers • Employment centers • Registry office to obtain an identification card • Substance abuse and mental health providers • Housing agencies • Education agencies Subject to the approval of the Sheriff or the Administration and Programs Bureau Commander, the staff or community providers may offer classes within the facility that are related to these community services. Upon request, the Office will provide the verification needed for a replacement California identification card, if applicable (Vehicle Code § 14902(g)). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Resources for Released Persons-311 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1017 Custody Policy Manual Religious Programs 1017.1 PURPOSE AND SCOPE This policy provides guidance regarding the right of incarcerated persons to exercise their religion and for evaluating accommodation requests for faith-based religious practices of incarcerated persons (15 CCR 1072). 1017.1.1 DEFINITIONS Definitions related to this policy include: Compelling government interest-A method for determining the constitutionality of a policy that restricts the practice of a fundamental right. In order for such a policy to be valid, there must be a compelling government interest, which is necessary or crucial to the mission of the Office, as opposed to something merely preferred, that can be furthered only by the policy under review. Emergency - A death, serious illness/injury/ hospitalization, or accident involving an immediate family member or significant other. Immediate Family Members - Legal spouse; registered domestic partner; natural, adoptive, step, or foster parents; grandparents; natural, step, or foster brothers or sisters; the incarcerated person's natural, adoptive, or legal stepchildren; and grandchildren. Aunts, uncles, and cousins are not immediate family members unless a verified foster relationship exists. Least restrictive means - A standard imposed by the courts when considering the validity of policies that touch upon constitutional interests. If the Office adopts a policy that restricts a fundamental religious liberty, it must employ the least restrictive measures possible to achieve its goal. Religious exercise - Any exercise of religion, whether or not it is compelled by, or central to, a system of religious belief. The key is not what a faith requires but whether the practice is included in the incarcerated person's sincerely held religious beliefs. Substantial burden - For the purposes of this policy, substantial burden means either of the following: • A restriction or requirement imposed by the Office that places an incarcerated person in a position of having to choose between following the precepts of the person's religion and forfeiting benefits otherwise generally available to other incarcerated persons, or having to abandon one of the precepts of their religion in order to receive a benefit. • The Office puts considerable pressure on an incarcerated person to substantially modify the person's behavior in violation of their beliefs. 1017.2 POLICY It is the policy of this Office to permit incarcerated persons to engage in the lawful practices and observances of their sincerely held religious beliefs consistent with the legitimate governmental objectives of the Office. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-312 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs 1017.3 STAFF RESPONSIBILITIES Members shall not show favoritism or preference to any religion and will not discriminate or retaliate against any incarcerated person for participating or not participating in any religion or religious practice. Incarcerated persons are not required to participate in religious programs or activities. Facility staff will not allow their personal religious beliefs to influence them in the daily management of the incarcerated person population, particularly as it relates to religious practices. 1017.4 VOLUNTEER SERVICES COORDINATOR The Sheriff shall appoint an individual to serve as the Volunteer Services Coordinator(VSC)for the facilities. The VSC shall be responsible for assisting the Jail Programs Sergeant with supervising, planning, directing, and coordinating religious programs. The VSC may be responsible for duties including but not limited to: (a) Coordinating religious services. (b) Pastoral care and crisis intervention counseling. (c) Conducting religious studies for incarcerated persons in groups, or individually. (d) Assisting the volunteers as needed to help meet the spiritual needs of the incarcerated persons. (e) Maintaining a list of accepted religious practices that have been approved by the Jail Administration and Programs Bureau and ensuring the current list is available to the staff. (f) Reviewing requests for religious accommodations. (g) Providing or arranging for grief counseling for incarcerated persons. (h) Distributing a variety of religious texts. (i) Developing and maintaining a liaison with a variety of religious faiths in the community. Q) Making reasonable efforts to enlist religious leaders from outside the community as necessary. (k) Seeking donations for religious programs from the community, when appropriate. (1) Working with incarcerated persons'families when requested. (m) Providing guidance to the Administration and Programs Sergeant on issues related to religious observance. (n) Notifying an incarcerated person in the event of a personal family emergency or death. (o) In-custody marriages 1017.5 CHAPLAIN The Jail Chaplains receive a monthly stipend paid from the Incarcerated Person Welfare Fund. Persons selected to the position of Jail Chaplain must be open to working with all faiths and Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-313 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs respectful to those of different cultural, ethnic, and religious beliefs. They shall be able to minister in a caring and helpful way to those of other faiths and religious traditions. Jail Chaplains are available upon request to provide pastoral care and counseling to incarcerated persons through group programs and individual services. If a Jail Chaplain is unable to represent or provide faith-based services to an incarcerated person, a religious leader or other volunteer from the community will be sought to help provide services. Pastoral care and counseling from representatives in the community are available. Chaplains shall work directly under the direction of the Programs Sergeant and have physical access to all areas of the facilities. Chaplains shall adhere to all policies and rules of the Sheriffs Office and learn those rules that affect the roles and duties of religious volunteers. Work hours shall be agreed upon by the Programs Sergeant and each Chaplain. (a) Jail Chaplains shall, upon request of the Programs Sergeant, maintain a daily presence in the jail facilities from 0800-1600 hours to assist in religious volunteer supervision and respond to emergency situations. (b) Jail Chaplains shall periodically be available to respond to emergency situations after normal business hours. (c) Time-off and vacation notifications shall be forwarded to the VSC at least ten (10)days prior to departure. Stipends will continue to be paid during vacations and days off in a reasonable number as determined by the Jail Programs Sergeant. Chaplains are prohibited from retrieving items from an incarcerated person's property or having incarcerated persons sign legal documents, checks, or other items. Any such inquiry shall be referred to the Watch Commander or appropriate staff for processing, as per policy. 1017.5.1 ASSOCIATE CHAPLAINS Associate Chaplains are area clergy who volunteer to provide spiritual care to incarcerated individuals and must meet the same qualifications as Jail Chaplains. After completing the background screening process,they are issued a Jail ID card, granting them facility access and the ability to provide individual counseling. Associate Chaplains are required to commit to at least one to three days each month to assist with visitation and provide on-call coverage for the jail facilities. These positions are strictly voluntary, and Associate Chaplains are not provided a stipend. 1017.5.2 RELIGIOUS VOLUNTEERS The Sheriff's Office relies upon the assistance of volunteers from local churches, ministries, and faith groups to conduct worship services that reflect the Fresno County Jail's culturally diverse incarcerated person population. Volunteers who provide worship services are issued Jail ID cards, in accordance with the Visitation policy. These volunteers are permitted group contact after completing the background screening process. As part of the application process, religious volunteers must: Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-314 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs (a) Be committed members of their church or organization for at least one year prior to being permitted entry into the facilities. (b) Present a letter of recommendation from the clergy of the church or organization that they represent to the VSC. Religious volunteers are also able to provide non-contact pastoral care visits. (a) Such visits will ordinarily take place during regularvisiting hours but will not be counted as personal visits. Upon request, the visit may occur in a private visiting area (i.e., non-contact Bond Room), if available. (b) Individual visits are limited to 30 minutes and documented via an INTERVIEW event. Male volunteers are restricted to those housing areas containing male incarcerated persons. Female volunteers are restricted to those housing areas containing female incarcerated persons. 1017.6 RELIGIOUS BELIEFS AND ACCOMMODATION REQUESTS Incarcerated persons may receive pastoral care and faith-based counseling including reasonable access to clergy members and spiritual advisers, volunteer religious organizations, faith-based programs, and other secular volunteer programs. Such visits will ordinarily take place as non- contact visits during regular visiting hours but will not be counted as personal visits. Upon request, the visit may occur in a private visiting area (i.e., non-contact Bond Room), if available. If an incarcerated person's faith is not represented through one of the active ministries, the VSC or a Jail Chaplain will contact the clergy or a faith leader from the incarcerated person's religious community (including non-fundamentalist faiths and "unconventional" religious groups such as Satanism, Odinism, Wicca, etc.) to meet with the incarcerated person individually. Incarcerated persons are not required to identify or express a religious belief. An incarcerated person may designate any belief, or no belief, during the intake process and may change a designation at any time by declaring the person's religious belief in writing to the chaplain. Incarcerated persons seeking accommodations to engage in religious practices must submit a request form to the Jail Programs Unit. The request must be submitted by the incarcerated person and cannot be made by others on the incarcerated person's behalf (e.g., family priest, parents, etc.). Every reasonable effort will be made to ensure that all practicable requests are reasonably accommodated. Requests to engage in practices that are on the facility's list of accepted practices should be granted. Requests to engage in religious practices that are not on the approved list shall be processed as provided in this policy. All requests for accommodation of religious practices shall be treated equally, regardless of the religion that is involved. Equal and consistent treatment of all religions and religious beliefs shall not always require that all incarcerated persons of the same religion receive the same accommodations. Requests for accommodation of religious practices shall be submitted to the VSC. In determining whether to grant or deny a request for accommodation of a religious practice, the VSC will determine the sincerity of the religious claim of an incarcerated person. Requests should be denied only if the denial or reason for denial would further a compelling interest of the Office and is the least restrictive means of furthering that compelling interest. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-315 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs The Volunteer Services Coordinator who does not grant the accommodation, either in part or in full, should promptly forward the request to the Programs Sergeant, who,will forward up the chain of command as applicable. After consultation with legal counsel as appropriate, should make a determination regarding the request within 10 days following the incarcerated person's request. The Administration and Programs Bureau Commander who does not grant an accommodation, either in part or in full, should forward the request to the Sheriff or authorized designee with the basis for the denial within 14 days of the incarcerated person's original request being made. The Sheriff orthe authorized designee will review the denial and respond to the requesting incarcerated person as soon as reasonably practicable. The Administration and Programs Bureau Commander and the Sheriff shall be informed of all approved accommodations. The chaplain should make any necessary notifications to staff as necessary to meet an approved accommodation. All incarcerated person requests for religious accommodations and related determinations shall be fully documented in the person's record. 1017.6.1 SUSPENSION OR REVOCATION OF ACCOMMODATIONS In an emergency or extended disruption of normal facility operations, the Jail Administration and Programs Bureau Lieutenant may suspend any religious accommodation. The Jail Administration and Programs Bureau Lieutenant may also revoke or modify an approved religious accommodation if the accommodated incarcerated person violates the terms or conditions under which the accommodation was granted. 1017.6.2 APPEALS OF SUSPENSION OR REVOCATION OF ACCOMMODATIONS Incarcerated persons may appeal the Jail Administration and Programs Bureau Lieutenant's denial, suspension, or revocation of an accommodation through the grievance process. 1017.6.3 ACCOMMODATION REQUESTS REGARDING GROOMING, RELIGIOUS CLOTHING, AND HEADWEAR Individuals in custody have the right to a religious accommodation with respect to grooming, religious clothing, and headwear in observance of their sincerely held religious belief, at all times and throughout the jail, except if in furtherance of a compelling governmental interest regarding security that may impact the jail, staff, the individual, or others in custody. Religious grooming, clothing, and headwear accommodations shall only be denied when doing so would be the least restrictive means of furthering these governmental interests (Penal Code § 2607). (See the Reception Policy.) 1017.7 DIETS AND MEAL SERVICE An incarcerated person who desires a religious diet must submit a Religious Diet Program Request Form to the Jail Programs Unit and explain the diet requested. The Programs Sergeant should provide incarcerated persons requesting a religious diet, including fasting and/or hour of dining, a reasonable and equitable opportunity to observe their religious dietary practice. This should be done within budgetary constraints and be consistent with the security and orderly management of Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-316 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs the facilities. The Programs Sergeant shall create an ALERT which advises that an incarcerated persons authorized to receive religious diets to the food services manager. The food services manager shall establish a process for managing religious meal accommodations. If a medical diet is ordered for an incarcerated person, it shall take precedence over the religious diet. 1017.8 HAIRSTYLES AND GROOMING Unless it is necessary for the health and sanitation of the facilities, incarcerated persons who wear head and facial hair in the observance of their religion will generally not be required to shave or cut their hair. To the extent reasonably practicable, alternative housing may be considered to accommodate the need for religious hair and grooming, while meeting the health and sanitation needs of the facilities (Penal Code § 2607). Any incarcerated person whose appearance is substantially altered due to changes in facial hair or hair length may be required to submit to additional identification photographs. 1017.9 RELIGIOUS TEXTS Religious texts should be provided to the requesting incarcerated person, if the texts available do not pose a threat to the safety, security, and orderly management of the facilities. The Jail Programs Unit maintains a stock of donated religious texts. Religious texts are provided to the requesting incarcerated person, as available. Religious reading material is available from the Religious Services staff, via a Request Form. Softbound religious materials may be accepted for distribution from religious organizations or purchased for the incarcerated person by a third party. The items must be mailed directly from legitimate, verifiable publishers, book distributors, online bookstores, or a religious organization, and the text must not pose a threat to the safety, security, or orderly management of the facilities. 1017.10 UNAUTHORIZED PRACTICES OR MATERIAL The following list, which is not intended to be exhaustive, includes materials or practices that shall not be authorized: (a) Animal sacrifice (b) Language or behaviors that could reasonably be construed as presenting a threat to facility safety or security (c) Self-mutilation (d) Use, display, or possession of weapons (e) Self-defense or military training (f) Disparagement of other religions (g) Nudity or sexual acts (h) Profanity (i) Use of illegal substances or controlled substances without a prescription Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-317 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs 0) Otherwise, legal substances, such as alcohol, may be permitted in religious rituals with the priorwritten approval of the Jail Administration and Programs Bureau Commander. For example, Catholic priests may be allowed to bring in no more than two (2) ounces of sacramental wine to be utilized by the priest during Mass. However, under NO circumstances are the incarcerated persons allowed to share the sacramental wine. 1017.11 GROUP RELIGIOUS SERVICES Group religious services may be allowed after due consideration of the incarcerated person's classification or other concerns that may adversely affect the order, safety, and security of the facilities. Alternatives to attendance of group religious services may include but are not limited to: • The provision of religious books and reading materials. • Access to religious counselors. • Recorded religious media (e.g., DVDs, CDs, video tapes). 1017.12 RELIGIOUS SYMBOLS AND IMPLEMENTS Religious symbols and implements used in the exercise of religion should generally be allowed unless the symbol or implement poses a threat to the safety and security of the facilities. Alternatives to the provision of religious symbols and implements may be considered when security, safety, or efficient operations may be jeopardized (e.g., substitution of a towel in lieu of a prayer rug). Any issued alternatives should be documented in Offendertrak as an ALERT. 1017.13 RELIGIOUS GARMENTS AND CLOTHING Incarcerated persons who practice a religion that requires particular modes of dress, garments, headgear, etc., other than standard-issue clothing, should generally be accommodated subject to the need to identify incarcerated persons and maintain security (Penal Code § 2607). (See the Reception Policy for additional guidance.) Head coverings shall be searched before being worn in the housing areas of the facilities and shall be subject to random searches for contraband. Personal head coverings should be exchanged in favor of Office-supplied head coverings when available and appropriate. If an incarcerated person requests a religious head covering and was not booked with one, they may submit a Request Form to the Programs Unit.An incarcerated person may request to have their Jail-issued religious head covering exchanged and/or laundered and shall be allowed to exchange the religious head covering in a private setting out of the view of the opposite gender. Requests should be submitted to the Jail Programs Unit. Incarcerated persons wearing headscarves or other approved coverings shall not be required to remove them while in the presence of or while visible to the opposite gender, if they so desire. Religious garments that substantially cover the person's head and face shall be temporarily removed during the taking of booking and identification photographs. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-318 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs To the extent reasonably practicable, alternative housing may be considered to accommodate an incarcerated person's need for religious attire, while meeting the security needs of the facilities. Incarcerated persons are authorized two (2) items of religious headwear. The approval of an incarcerated person's religious head covering shall be documented as an ALERT (i.e., "Religious Item"). 1017.14 SEARCHES REGARDING RELIGIOUS CLOTHING AND HEADWEAR Unless exigent circumstances exist, when a person in custody is wearing religious clothing or headwear, a correctional officer shall offer to conduct searches of the individual using a correctional officer of the same gender and offer the search to be out of view of members of a different gender (Penal Code § 2607). Following a search, any religious clothing or headwear purchased, accessed, or retained shall be returned unless there is a reason to confiscate the item due to a security risk. If the item is not returned, the reason shall be documented (Penal Code § 2607). 1017.15 FAITH-AND MORALS-BASED COUNSELING The Programs Sergeant shall be responsible for establishing a plan for incarcerated persons to receive faith-and morals-based counseling from the chaplain or religious volunteers. Incarcerated persons should be reasonably accommodated, including reasonable access to clergy members and spiritual advisers, volunteer religious organizations, faith- and morals-based programs, and other secular volunteer programs. No incarcerated person shall be required to participate in any such program. 1017.16 SPACE AND EQUIPMENT FOR RELIGIOUS OBSERVANCES The Jail Administration and Programs Bureau Lieutenant shall ensure that there are sufficient facilities and resources for the chaplain to serve the incarcerated person population, including providing access to areas of the facilities. Space for group worship will be dictated by the availability of secure areas and the classification status of the incarcerated persons to be served. All recognized religious groups should have equal access to the space, equipment, and services which the Custody Division normally provides for religious purposes. Due to limited space and scheduling constraints, requests to consider accommodations for a new group worship service require a minimum of six(6) participants. Requirements pertaining to group size are necessary due to limited jail resources and are not intended to prevent incarcerated persons from continuing to exercise their religious beliefs. Alternatives to attendance of group religious services may include, but are not limited to: (a) The provision of religious books and reading materials. Incarcerated persons may keep religious literature in their cells and study on their own. (b) Access to religious counselors. Incarcerated persons may receive individual visits with a religious adviser. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-319 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Religious Programs (c) Incarcerated persons may correspond with members of the religious group with which they identify. 1017.17 COMMUNITY RESOURCES The chaplain may minister their particularfaith and any other similar faiths to incarcerated persons but should also establish contacts with clergy of other faiths who can provide services to persons of other religious denominations. Whenever the chaplain is unable to represent or provide faith-based services to an incarcerated person, a religious leader or other volunteer from the community, credentialed by the particular faith, should be sought to help provide services. All individuals providing faith-based services should be supervised by the VSC. All efforts to contact faith-based representatives should be documented and retained in accordance with established records retention schedules. Volunteers are another valuable resource that could be utilized extensively in the delivery of the religious program (see the Volunteer Program Policy). A volunteer could ensure that religious personnel who provide programming in the facilities possess the required credentials and have the security clearance to enter. The VSC, in cooperation with the Programs Sergeant shall develop and maintain communication with faith communities. The VSC shall review and coordinate with the Programs Sergeant regarding offers to donate equipment or materials for use in the religious programs. All communication efforts and donations should be documented and retained in accordance with established records retention schedules. 1017.18 TRAINING The Office shall provide training in safety and security to the VSC. The VSC shall approve and train clergy and religious volunteers. This includes the preparation of a training curriculum, as well as the development and maintenance of training records. 1017.19 REFERENCE See the following for further guidance: RELIGIOUS PROGRAM PROCEDURES FOOD SERVICES PROCEDURES See Chapter 10: Visitation Policy Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Religious Programs-320 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1018 Custody Policy Manual In-Custody Marriages 1018.1 PURPOSE AND SCOPE The purpose of this policy is to establish and maintain a procedure for incarcerated people to be married while in-custody,which maintains facility security, as well as staff and incarcerated people safety. 1018.2 POLICY It is the policy of the Fresno County Sheriffs Office Custody Division to permit incarcerated people to be married while in-custody. 1018.3 PRELIMINARY PROCESSING FOR IN-CUSTODY MARRIAGE It shall be the responsibility of the person the incarcerated person plans to marry to initiate and complete the legal process for obtaining a marriage license. As such, marriages between two incarcerated people are not performed (one individual needs to be out of custody in order to file all of the necessary paperwork). The incarcerated person's intended spouse must go to the County Clerk's Office to begin the marriage application process. A designated Jail Programs staff member will be responsible to pick up the marriage applications from the County Clerk's Office. The Jail Programs Sergeant will review the request to ensure there are no legal restrictions or legitimate penological reasons that would cause the marriage to be denied (e.g., an existing restraining order that prevents contact with the intended spouse).The decision will be documented on a Marriage Request Review form. If the marriage request involves a pretrial federal incarcerated person, staff shall forward the form to the U.S. Marshals Service (USMS) to advise of the marriage request and to request USMS review and recommendation. If there are no restrictions or conflict (or the conflict is resolved), and the ceremony will not compromise the safety and security of the facility, staff, or incarcerated people, the marriage application shall be approved. The designated Jail Programs staff member will confirm the incarcerated person's identity and notarize the incarcerated person's signature on the application. The form will then be returned to the County Clerk's Office and the incarcerated person's intended spouse will be contacted to complete the process and pay the applicable fee. 1018.4 IN-CUSTODY MARRIAGE CEREMONY The County Clerk's Office will coordinate with Jail Programs staff and provide the names of incarcerated people who have completed the marriage application process and are ready to be married. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. In-Custody Marriages-321 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual In-Custody Marriages Marriage ceremonies will be scheduled to take place during regular business hours. It is the responsibility of Jail Programs staff to initiate an Event in OffenderTrak for each incarcerated person to be married. Unless otherwise specified, the event will normally be set for Thursday at 0800 hours. A notation shall be made regarding where to send the incarcerated person. The performance of the ceremony will be administered by an Jail Programs staff member who has been deputized by the County Clerk's Office to perform marriage ceremonies. Only the principal person involved in the ceremony will be allowed to enter the Jail facility and participate in the ceremony. (a) An exception shall be made if an interpreter is necessary for translation of the service. The interpreter may be chosen by the couple and accompany the principal person into the facility. (b) "Confidential Marriage Licenses" do not require that a witness be present or sign the marriage license. (c) "Public Marriage Licenses" require at least one witness be present at the ceremony.A Custody Division staff member will serve as the witness and sign the official marriage license. All in-custody marriage ceremonies will be non-contact and take place in a facility bond room, with the incarcerated person confined on the secure side of the room and their marriage partner on the public side. (a) Flowers or other ceremonial decorations are not permitted. (b) Exchanges of rings or other symbolic exchanges are not permitted. (c) Cameras, audio, or video recording equipment are not permitted. (d) Only jail clothing is allowed for the incarcerated person getting married. The participants in the marriage ceremony will be promptly removed from the bond room at the conclusion of the ceremony. If a visit is desired, regular visiting procedures must be followed. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. In-Custody Marriages-322 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1020 Custody Policy Manual Legal Research Access 1020.1 PURPOSE AND SCOPE The purpose of this policy is to establish a method to provide legal research material to incarcerated persons who are serving as their own attorney and actively defending themselves against the criminal charges that are currently holding them in custody. LexisNexis provides access to legal research material and may also be made available to incarcerated persons who are serving as their own attorney and are challenging the conditions of their confinement, or are challenging an order of commitment or criminal conviction. 1020.2 POLICY It is the policy of the Fresno County Sheriff's Office Custody Division to provide access to legal research materials to incarcerated individuals who are officially designated by the court as serving as their own attorney and are actively defending themselves against the criminal charges holding them in custody, challenging the conditions of their confinement, or challenging an order of commitment or criminal conviction. 1020.3 ACCESS TO LEXISNEXIS All incarcerated people who have access to a tablet or kiosk in the pod have access to LexisNexis. Incarcerated persons who are acting as their own attorney (in propria persona — or "pro per") on a criminal matter pursuant to court order, and can produce written documentation of such, will be afforded up to ten (10) hours per week access to LexisNexis for legal research, if they so request. (a) Sentenced incarcerated persons have the right to challenge their convictions or sentences by filing a Petition for Writ of Habeas Corpus (MC 275 form). Incarcerated persons unrepresented by counsel who produce the court order granting "pro per" status and who can produce the court's ruling on their petition (such as an Order to Show Cause a request for an informal response) may request access to LexisNexis. Such incarcerated persons will be provided a minimum of four (4) hours per week access, if they so request, based upon availability. (b) Any incarcerated person may challenge their conditions of confinement, however,they must first "exhaust administrative remedies" by filing a grievance and appeal prior to filing the Petition for Writ of Habeas Corpus. Incarcerated persons who produce the court order granting "pro per" status and who can produce the court's ruling on their petition (such as an Order to Show Cause or request for an informal response) may request access to LexisNexis. Such incarcerated persons will be provided a minimum of four (4) hours per week access, if they so request, based upon availability. Incarcerated persons who choose to proceed as their own attorney in other civil matters not related to jail conditions (e.g., dissolution of marriage, child custody issues, contracts, and torts) are not eligible to receive minimum access to LexisNexis. NOTE: Public defenders are appointed specifically to represent the incarcerated person in their criminal case and rarely provide any form of access to the courts to address civil matters involving claims against the Jail. The incarcerated person may ask the court to appoint an attorney to Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Legal Research Access-323 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Legal Research Access assist in the habeas proceeding, however, incarcerated persons have no right to a court-appointed attorney unless the court issues an Order to Show Cause (OSC). If the court issues an OSC, the court will appoint counsel for any incarcerated person who desires but cannot afford to hire one. Incarcerated persons who are represented by counsel must contact their attorney and/or public defender with their request for criminal legal material. Incarcerated persons who are represented by counsel will not be provided minimum access to LexisNexis, but may request resource materials. 1020.4 RESTRICTED ACCESS TO LEXISNEXIS Incarcerated persons observed by staff to engage in non-legal work, act in a disruptive manner while using LexisNexis, damage the kiosk/tablet, damage the assigned room, or assault staff, shall receive a rule violation. The presiding judge will be notified by Jail Programs staff. A copy of the notification shall be scanned into the incarcerated person's file. Disciplinary action for an incarcerated person who is found to be guilty of a serious rule violation specifically pertaining to legal research resources may be subjected to restricted access to kiosks/ tablets. Incarcerated persons may be temporarily suspended from physical access to LexisNexis for up to three (3) days (72-hours) pending investigation of any serious rule violation or when directly locked down under administrative action. 1020.5 KIOSK USE If the Wi-Fi for the tablets is inaccessible, mobile LexisNexis kiosks shall be utilized. Jail Programs staff will be responsible to schedule incarcerated persons who meet the criteria to use the LexisNexis Kiosks utilizing the OffenderTrak system. The schedule is subject to the approval of the Jail Administration and Programs Bureau Commander. 1020.6 RESOURCE MATERIALS PROVIDED BY THE LAW LIBRARIAN (a) Incarcerated persons may submit a Request Form, and specify up to three (3) items per day to Legal Research. The Law Librarian will provide referrals or resource materials for the following: 1. Petition for Writ of Habeas Corpus and other printed forms required by State and Federal courts for initiating or maintaining a court action. 2. The Board of State and Community Corrections (BSCC) minimum standards for local detention facilities as found in Title 15 of the California Code of Regulations. 3. Facility rules and procedures affecting incarcerated persons as specified in Section 1045 of Title 15 (e.g., visiting, correspondence, access to telephones, etc.). 4. DMV information. 5. Voter Registration forms. 6. Addresses of government agencies. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Legal Research Access-324 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Legal Research Access (b) The Law Librarian will photocopy legal documents for pro per incarcerated persons, as well as those who are challenging an order of commitment or criminal conviction, or are challenging the conditions of their confinement (e.g., Petition for Writ of Habeas Corpus). The incarcerated person will be limited to one photocopy of each document (unless the incarcerated person demonstrates that more than one copy must be submitted to court). The legal document to be duplicated, including all exhibits and attachments, shall be limited to the maximum number of pages needed for the filing, not to exceed fifty (50) pages in total length, except when necessary to advance litigation. The incarcerated person shall provide a written explanation of the need for excess document length. (c) The following are considered legal documents for the purpose of providing copy service to the incarcerated persons: 1. Writs — habeas corpus, mandate, etc. 2. Civil rights complaints 3. Civil complaints or answers 4. Petitions for hearings 5. Motions to proceed "in forma pauperis" (without funds to hire counsel) 6. Exhibits, including slip opinions of the California Court of Appeals, when attached to petitions for hearing in the State Supreme Court. (d) The following documents will not be photocopied, except as noted: 1. Law book pages 2. Law review articles 3. Court transcripts 4. Correspondence with attorneys or public officials 5. Slip opinions, except as noted above. (e) Exceptions to any of the limitations specified in this section may be made if the incarcerated person can provide evidence that litigation is in progress and legal due dates are imminent. (f) Photocopies are not provided for incarcerated persons represented by counsel, including those being assisted by pro per incarcerated persons (with the exception of those who are challenging an order of commitment or criminal conviction, or are challenging the conditions of their confinement). 1020.7 COURT-ORDERED TELEPHONE CALLS (a) All calls related to preparation of the incarcerated person's criminal case will be made from the telephone in the incarcerated person's housing area. (b) The incarcerated person is required to provide the Services Unit with the contact name and telephone number of the person verified as assisting in the incarcerated person's criminal defense(e.g.,the incarcerated person's court-approved investigator, Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Legal Research Access-325 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Legal Research Access paralegal, legal runner, or other person verified as assisting in the preparation of the incarcerated person's criminal defense). 1. Upon receipt of the contact name and number, the Services Unit shall be responsible to call the number provided and verify both the telephone number and the contact individual. 2. If the staff member is uncertain that the contact name or number is legitimately assisting in the preparation of the incarcerated person's criminal defense, the staff member will notify both the Jail Medical and Services Bureau Commander and the clerk of the court where the incarcerated person's criminal case is assigned. (c) The Services Unit shall enter the number(s) into the telephone system as "privileged" to prevent the calls from being monitored/recorded. 1020.8 JAILHOUSE LAWYERS In the simplest of terms, a "jailhouse lawyer" is an incarcerated person who assists other incarcerated persons with litigation. While incarcerated persons may assist other incarcerated persons with legal matters, a jailhouse lawyer does not have a free-standing First Amendment right to provide legal assistance to another incarcerated person, and assistance can be restricted by regulations that are reasonably related to legitimate penological interests. Pro per incarcerated persons may perform legal assistance for other incarcerated persons, however, they cannot seek or receive compensation for providing legal assistance. Communications between incarcerated persons will not be given greater protection simply because they include legal advice. There are no privileged communications between incarcerated person and an incarcerated person jailhouse lawyer. 1020.9 INCARCERATED PERSONS IDENTIFIED AS DISABLED OR ILLITERATE Jail Programs staff will assist illiterate or non-English speaking incarcerated persons or those physically incapable of reading or preparing forms adopted under rules of the United States courts and the Judicial Council of California for petitions for habeas corpus if such an incarcerated person requests assistance. Reasonable accommodations may include, but are not limited to, identification of legal research materials, and assistance in reading and scribing forms. Staff will not provide any type of legal advice, explanation, opinion, or recommendation to an inmate about possible legal rights, remedies, defenses, options, selection of forms, or strategies. 1020.10 LEGAL MATERIAL Only designated "pro per" incarcerated persons will be provided with the following materials by the Jail Programs Unit upon initial use of LexisNexis: 1. Training materials explaining how to use the law library 2. Legal pad Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Legal Research Access-326 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Legal Research Access 3. Pencils 4. Pleading paper 5. Blank Motion sheets Legal material in the possession of an incarcerated person (or contained in an incarcerated person's housing area)shall not exceed an amount which measures 8'/2"x 14"x 24". If the amount of legal material exceeds that amount, the extra legal material shall be properly identified and placed into the incarcerated person's personal property, as per policy. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Legal Research Access-327 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1022 Custody Policy Manual Electronic Tablet and Kiosk Program 1022.1 PURPOSE AND SCOPE The Fresno County Sheriff's Office has implemented an Electronic Tablet & Kiosk Program that offers tablet and kiosk use by the incarcerated person population for the purposes of providing services and general information. The services and information provided on the tablets/kiosks may include but are not limited to jail rules and regulations (i.e., Jail Handbook), law library services, commissary ordering, educational services, and Prison Rape Elimination Act (PREA) information and reporting. The purpose of this policy is to provide guidelines and procedures for use, management, and security of tablets/kiosks used by the incarcerated population. 1022.2 POLICY It is the policy of this office to provide eligible incarcerated persons with use of electronic tablets and kiosks for educational and rehabilitative programs, activities, and services. Incarcerated person access to tablets is a privilege and may be suspended, limited, or revoked. Tablet and kiosk use are subject to availability and may be canceled at any time due the safety and security of the facility or at the discretion of the facility sergeant. 1022.3 RESPONSIBILITY It is the responsibility of correctional staff to ensure that tablets and kiosks are properly maintained which includes total quantity accounting, charging of tablets, and inspection of all tablets and kiosks for any software issues and/or visible damage. Correctional staff shall immediately report any unresolvable issues, including the discovery of missing units,to theirfacility sergeant.Any missing tablet(s)or visible damage to any tablet or kiosk will require a written incident report and notification to the Jail Services Unit. It is the responsibility of the Jail Services Unit to identify the nature of the issue once a tablet or kiosk has been deemed inoperable or missing. Any inoperable tablet will be removed from the pod until the Services Unit can collect and assess the issue(s). 1022.4 AVAILABILITY OF TABLETS Correctional staff will ensure tablets are made available in applicable housing units unless such activity is canceled due to safety and security concerns. Correctional staff will complete an inspection of each tablet at the beginning of the shift, prior to issuing the tablets, and at end of the day to ensure they are fully intact and free of damage or tampering attempts. A count of tablets at issuance and collection shall be documented in the safety check system. Tablets are to have no physical damage (i.e., cracked or dented screens, discoloration, missing pieces, graffiti, stickers, etc.) and must turn on with a properly functioning screen. Correctional staff will ensure all tablets are placed on the charging stations daily to properly charge for use. Tablets are to be left on while stored/charging to ensure the software updates are downloaded successfully to the devices. Any technical malfunction or equipment damage will be reported the Jail Services Unit. Distribution procedure is as follows: Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Electronic Tablet and Kiosk Program-328 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Electronic Tablet and Kiosk Program (a) Once a tablet count and inspection has been completed, correctional staff will issue them. The number of tablets issued shall be documented in a safety check system. (b) Correctional staff will verify and document the total number of tablets at the end of the day and report any missing tablets to their facility sergeant. Correctional staff will ensure all tablets are returned to charging cabinets and plugged in to allow ample recharging time for their next use. Tablets may only be used inside the cell, dayroom, or other communal living spaces. The tablets are not to be removed from the housing unit. Incarcerated people are required to surrender the tablet to correctional staff (or return to the tablet cabinet) anytime they leave their housing unit for an appointment or activity (e.g., visiting, court, medical, recreation, etc.). The officer will be responsible to store the tablet for safekeeping. Correctional staff will return the tablet to the incarcerated person when they return to the housing unit. 1022.5 ADMINISTRATIVE SEPARATION LOCKDOWN HOUSING In a dual effort to combat the adverse effects of isolation while also increasing access to educational resources, tablets will be made available to those housed in administrative separation lockdown cells. All incarcerated people assigned to administrative separation lockdown housing units will be allowed to participate in the tablet program on a voluntary basis, unless they are on administrative action, disciplinary status, or has been previously found guilty of a rule violation for destruction or misuse involving a tablet. Correctional staff will issue and retrieve the tablets on a daily basis, according to schedule and will be responsible to: (a) Inspect each tablet prior to issue, ensuring that there are no defects or damage and the tablet is in working order. (b) Ensure that the incarcerated person immediately logs onto the system at the time of issuance. (c) Assist the incarcerated person with login and password help, if needed. (d) Upon return, inspect each tablet, ensuring that it is free of damage and in working order. (e) Recharge the tablets after collection. 1022.6 DAMAGE, DESTRUCTION, AND INVENTORY Prior to the end and/or start of each shift, correctional staff shall be responsible for ensuring all tablets are accounted for and on the charging stations. Correctional staff will examine all tablets and kiosks at that the beginning and end of shift to ensure they are undamaged and in working order. Any missing tablet(s) or visible damage to any tablet or kiosk will require the following: (a) Notify the facility sergeant (b) A written Jail Incident Report (including photos if applicable) (c) Notify the Jail Services Unit Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Electronic Tablet and Kiosk Program-329 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Electronic Tablet and Kiosk Program (d) If specific incarcerated people are identified as being responsible for damage to a kiosk or tablet, a rule violation shall be written as well. Correctional staff will take any damaged tablet out of service for the Jail Services Unit to collect.Jail staff will make every effort to identify incarcerated person(s)responsible for damage or destruction of any tablet and/or kiosk and take appropriate disciplinary action. 1022.7 COMPLETION OF ONLINE PROGRAMS Successful completion of programs on the tablets is documented. Incarcerated persons may request educational certificates from the tablet. Please ensure that the following steps are followed when certificates are requested: (a) The incarcerated person shall submit a Request Form to Jail Programs stating they would like printed certificates for courses they have completed. (b) The incarcerated person MUST specify what certificates that they want printed. (c) Jail Programs will only print 15 certificates per incarcerated person per week. (d) All requested certificates must be from courses completed within the last 30 calendar days. Incarcerated people should allow 10 days for Jail Programs to process requests and return certificates. If any incarcerated person is having difficulty accessing the application to request educational certificates on the tablets or kiosks, they should submit a Request Form to Jail Programs to reset the incarcerated person's credentials. Copyright Lexipol,LLC 2025/06/30,all Rights Reserved. Electronic Tablet and Kiosk Program-330 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Chapter 11 - Facility Design Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Facility Design-331 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1101 Custody Policy Manual Smoking, Tobacco, and Nicotine Use 1101.1 PURPOSE AND SCOPE This policy establishes limitations on the use of tobacco/nicotine products by members and others while on-duty or while in Fresno County Sheriff's Office facilities or vehicles. For the purposes of this policy, smoking and tobacco use includes but is not limited to any tobacco product, such as cigarettes, cigars, pipe tobacco, snuff, tobacco pouches, and chewing tobacco, as well as any device intended to simulate smoking such as an electronic cigarette or personal vaporizer. 1101.2 POLICY The Fresno County Sheriffs Office recognizes that tobacco use is a health risk and can be offensive to others. Smoking and tobacco use are prohibited by members, incarcerated persons, and visitors in all Office facilities, and vehicles, and as is further outlined in this policy. 1101.3 SMOKING AND TOBACCO USE Smoking and the use of other tobacco products is not permitted inside Office facilities or any Office vehicles, or any other county building (Labor Code § 6404.5). It shall be the responsibility of each employee to ensure that no person under their supervision smokes or uses any tobacco product inside county facilities and vehicles. Staff members may not use any tobacco product or E-cigarette except in the designated smoking areas outside of the facilities and only during designated and approved break periods. When off-duty and in uniform, staff members who wish to use any tobacco product or E-cigarette will continue to be restricted to the designated smoking areas. The designated smoking areas are as follows: (a) The loading dock on the west side of the Main Jail (south of West Annex Jail). (b) The Main Jail booking sallyport area. 1101.4 ADDITIONAL PROHIBITIONS No person shall smoke tobacco products within 20 feet of a main entrance, exit, or operable window of any public building, including any Office facility or a building on the campuses of the University of California, California State University and the California community colleges,whether present for training or any other purpose (Government Code § 7596 et seq.). 1101.4.1 NOTICE The Jail Operations Bureau Commander or the authorized designee should ensure that proper signage regarding smoking and tobacco use prohibitions is posted at each entrance to the facility (Labor Code § 6404.5). Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Smoking, Tobacco,and Nicotine Use-332 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Policy Manual Smoking, Tobacco, and Nicotine Use 1101.5 FACILITY VISITOR SMOKING Persons with clearance to enter into the secure areas of the facilities shall be subject to the same rules as Custody Division staff. Persons with clearance to enter into the secure areas of the facilities who refuse to cooperate with this policy shall be escorted from the facility and the Administrative Sergeant notified. Repeated failure to comply with this policy may subject the visitor to having their facility entry and clearance withdrawn. 1101.6 INCARCERATED PERSON SMOKING Smoking or the use of any other tobacco product or E-cigarette by any incarcerated person while in custody is prohibited. Tobacco products, E-cigarettes, matches, or lighters will not be made available from incarcerated person commissary. Any incarcerated person who feels that they are suffering the symptoms of nicotine withdrawal, and/or requires assistance to cope with a tobacco-free environment may seek assistance by submitting a request form to Jail Medical Services. Any tobacco product, E-cigarette, matches, or lighter found in the possession of an arrestee at the time of booking will be inventoried and stored in their property envelope until they are released. Any tobacco product, E-cigarette, matches, or lighter discovered on an incarcerated person's person or in their housing area will be considered contraband, and confiscated. If applicable, a rule violation report will be written. 1101.7 CLEANLINESS Staff members shall be responsible for the proper disposal of all their smoking, tobacco, and nictotine materials. Cigarette butts, matches, and other traces of litter or tobacco shall not be left on the ground or anywhere else. Tobacco and nicotine waste, including pouches and chewing tobacco, shall be disposed of in designated containers. Staff shall not discard tobacco products or waste where incarcerated persons may access them. Failure to comply may result in disciplinary action. Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Smoking, Tobacco,and Nicotine Use-333 Published with permission by Fresno County Sheriff's Office Policy Fresno County Sheriff's Office 1102 Custody Policy Manual Control Center 1102.1 PURPOSE AND SCOPE The purpose of this policy is to establish guidelines for control centers in monitoring and coordinating facility security, safety, and communications. 1102.2 POLICY It is the policy of this Office to maintain a control center, designated as Central Control, for each facility. Each Central Control, shall be secure and staffed 24 hours each day to monitor and coordinate security, safety, and communications. 1102.3 COMMUNICATIONS AND MONITORING CAPABILITIES Central Control shall have multiple means of direct communication capabilities with all security stations in incarcerated person housing areas, including telephone, intercom, and radio, within their respective facilities. Central Control staff shall be responsible for monitoring fire, smoke, and panic alarms and shall have the means to summon assistance in the event of an emergency. All panic, smoke, and fire alarm activations will be handled as emergency situations that will interrupt normal facility operations. Officers will be dispatched to all alarms to assist in resolving the emergency. 1102.4 SECURITY Access into Central Control should be through a sallyport entrance controlled by the staff inside the Central Control. At no time should incarcerated persons be allowed to enter any Central Control. 1102.5 REFERENCE Facility Emergencies Procedure Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Control Center-334 Published with permission by Fresno County Sheriff's Office Fresno County Sheriffs Office Custody Policy Manual Custody Policy Manual Attachments Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Attachments-335 Published with permission by Fresno County Sheriff's Office Attachment Fresno County Sheriffs Office Custody Policy Manual AQI Chart (1 ).pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. AQI Chart(1).pdf-336 Published with permission by Fresno County Sheriff's Office Fresno County Sheriffs Office-Custody Division Addendum 1004—Exercise and Out of Cell Time—Air Quality Index AIR QUALITY INDEX AQ1 VALUES HEALTH CAUTIONARY STATEMENT Good 0-50 No limitations (green) Moderate 51-100 Unusually sensitive people should CONSIDER (yellow) LIMITING prolonged or heavy exertion. Ic Hazardous Everyone should avoid outdoor activities and - • IIIIIII �!I I� �w� �w ��N �w • � • • illl I� 1 11 remain indoors. All outdoor recreation will be cancelled. NO: 1004—Exercise and Out of Cell Time—Air Quality Index Page 1 of 1 Attachment Fresno County Sheriffs Office Custody Policy Manual Canines - Equipment Issue - Addendum A.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Canines-Equipment Issue-Addendum A.pdf Published with permission by Fresno County Sheriff's Office -338 Fresno County Sheriff's Office Custody Division Policies and Procedures Addendum A-Canine Unit Equipment Issue The following uniform and equipment shall be issued and maintained by the canine handler: 1. One (1) portable kennel 2. One (1) grooming brush and comb 3. Two (2) metal feed dishes 4. One (1) Class "G" uniform, tactical utility pant and shirt The following equipment may be issued by the Sheriff's Office and maintained by the canine handler: 1. One (1) 6'x6'x12' chain link kennel with cement pad. Canines—Equipment Issue- Addendum A Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum D2 - Contractor.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum D2-Contractor.pdf-344 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Division Policies and Procedures PREA-Addendum D2-Policy Acknowledgement-Contractor eta G x FRESNO COUNTY SHERIFF'S OFFICE POLICY ACKNOWLEDGEMENT '., PREA—SEXUAL MISCONDUCT AND ABUSE As part of the National Standards to Prevent, Detect, and Respond to Prison Rape, the Sheriff's Office is required to ensure that all employees, contractors, and volunteers who have contact with incarcerated people are aware of their responsibilities under the Sheriff's Office sexual abuse prevention, detection, and response policy and procedure. ZERO-TOLERANCE The Fresno County Sheriff's Office maintains a ZERO-TOLERANCE policy regarding sexual abuse and sexual harassment. Not only does this include incarcerated person-on-incarcerated person sexual assault, but also sexual abuse, sexual misconduct, and sexual harassment of an incarcerated person by a staff member, contractor, or volunteer. SEXUAL ABUSE - IMMEDIATE RESPONSE If the incarcerated person was sexually abused within a time period that still allows for the collection of physical evidence, request that the victim not take any actions that could destroy the evidence (e.g., showering, brushing teeth, changing clothes, using the restroom, eating, drinking), and then immediately notify correctional staff. REPORTING ALLEGATIONS An incarcerated person may report sexual abuse* to any employee, volunteer, or contractor. If the incarcerated person reports the sexual abuse to you, you are required to immediately notify your supervisor and report the information to the on-duty Jail Watch Commander (600-8440). *Incarcerated people may report any aspect of sexual abuse, sexual misconduct, and sexual harassment; retaliation by other incarcerated people or staff for reporting sexual abuse and sexual harassment; and staff neglect or violation of responsibilities that may have contributed to an incident of sexual abuse. Any allegation is a very serious situation and shall be treated with discretion and confidentiality. Apart from reporting to your supervisor and the Jail Watch Commander, do not reveal any information related to the sexual abuse to anyone other than those who "need to know" (i.e., those who need to make treatment, investigation, and other security and management decisions). SENSITIVITY Victims of sexual abuse may be seriously traumatized both physically and mentally. You are expected to be sensitive to the incarcerated person during your interactions with them. SEXUAL DISORDERLY CONDUCT By choosing to work in a jail environment, you have accepted the possibility that you may face inappropriate and socially deviant behavior. While it is not possible to stop all obscene comments and conduct by incarcerated people, neither shall it be accepted; acts of indecent exposure, sexual disorderly conduct and exhibitionist masturbation will not be tolerated. Any incarcerated person who engages in indecent exposure or sexual disorderly conduct shall be reported immediately to correctional staff, with a follow-up advisement to your supervisor. Sexually hostile conduct shall not be ignored. If you have any questions, please contact Please sign and return the attached Policy Acknowledgement form to your supervisor. PREA Addendum D2 Page 1 of 2 Fresno County Sheriff's Office Custody Division Policies and Procedures PREA-Addendum D2-Policy Acknowledgement-Contractor FRESNO COUNTY SHERIFFS OFFICE JAIL DIVISION POLICY ACKNOWLEDGEMENT PREA - SEXUAL MISCONDUCT AND ABUSE I hereby acknowledge that I received a copy of the Sexual Misconduct and Abuse policy for the Custody Division of the Fresno County Sheriff's Office and that I have read it, understand its meaning, and agree to conduct myself in accordance with it. Signed: Date: Print Name: Name of Employer: Name of Supervisor: PREA Addendum D2 Page 2 of 2 Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum B - Flowchart.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum B-Flowchart.pdf-345 Published with permission by Fresno County Sheriff's Office Sheri SEXUAL ASSAULT RESPONSE y Fresno Bunts ndPr Procedures Custody Division Policies and Procedures PREA Addendum 8-Flowchart FLOWCHART Responding Officer Separate victim and abuser Preserve and protect the crime scene Advise victim to preserve evidence Attempt to identify suspect/witness(es) Document the incident Facility Sergeant Health Services > PC 293(a) advisement > Suicide Risk Assessment Monitor mental health Watch Crisis Intervention Commander Treatment plan/referral Dispatch/ Rape Crisis Center Communications Victim Advocate Hospital Deputy or Bureau > Victim Support Persons Crimes Commander Person District Attorney Internal Affairs SAFE SANE (if involves staff) Forensic Exam PREA Coordinator Follow-up testing STI/HIV Emergency Contraception Keep victim informed Monitor for retaliation PREA—Addendum B Page 1 of 1 Attachment Fresno County Sheriffs Office Custody Policy Manual UOF REVIEW FLOW CHART.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. UOF REVIEW FLOW CHART.pdf-350 Published with permission by Fresno County Sheriff's Office � T N C N O w U U y > u] O U •'OCO C 'SO� a Q 3 Ypl OE 3 3 W N O'O N �• C d N f R O d o d N y N L N W RU p 3 W y`•C o d a d•« c p a E > � me v° E mwy c•u O 11 9 y « 3 N p 3 o d d• a d EEr« i £ A U°c Ec33 s E O V a a c s 'p' E u d 3 d a d 33 30 30 ` d'd C G N d O E 3Spp y C F C S £7 O C ° w R d N d 0 3 d C d a 0 £= d O d d !� C O O y ME C d V C«w R r 0 y C S a N T 3 N d a O N C ° d N d N d W O Y d y a ° N 9 d d 0 9 d.�a O £H O O U d W £ N d R U T £ d £ 3 y d d g C N 0 " d O j £ E•d d O S U q C y a r d a d d � .o N E 'o £ Q dd E 0. 0 C C£ OU d dJ a p LL O £Nd «dC dd rU dd>9> a;y E O mom CdO E Q d £ 0 W db OU b £> d d IdL 6 i d d N d d e U) b'j d Y•_ N d U d £ d d C N N C d N f°7 C qdp E d U O g 2 6 0 d b N r a r d E N g y d cc R d O O r r d a " U U> d d C d d .LL a d d d d d 9 O Q C 9 p C G V R C g N 9 E aY 6 N 6 C > C C ° 6 d d p d £ d K d 1° j i a C Q N .O O '°O C a d ° d N £ d 6 a q y'O'~ d N C N £ a•> C o C b E E c� C d £ y o a O a p, d d O p D 9 y d q O d C « d U U 9 £ D y T O S d d e > >r £ R y d U N N y £ nH d s TU a £ S d S £ d d O d a t> > 3 3 d y > U N d £•-• C p C U y S C r E ° >>d £ d a d d O O r d 6 D y d C d U T£ r £Y C d 0 C R 0 0 Attachment Fresno County Sheriffs Office Custody Policy Manual Visitation Policy - Addendum H - Dress Code.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Visitation Policy-Addendum H-Dress Published with permission by Fresno County Sheriff's Office Code.pdf-351 Fresno County Sheriff's Office Custody Division Policies and Procedures Visitation Policy Addendum A- Visitor Dress Code VISITOR DRESS CODE Visitors are expected to dress appropriately. Inappropriate attire will be reason to deny a visit. Visitor dress rules apply equally to male and female visitors. Visitors shall remain fully clothed when visiting. Appropriate attire includes undergarments; a dress or blouse/shirt with skirt/pants or shorts; and shoes or sandals. Visitors shall adhere to the following dress standards: • Shoes or sandals shall be worn at all times. • Buttons, snaps, and zippers shall remain fastened. • All shorts, skirts, and dresses, including slits in the garment, shall not expose more than three (3) inches above the knee when standing. This applies to all visitors regardless of age. PROHIBITED ATTIRE Sleepwear and bedroom slippers Swimwear Clothing that: • Exposes the breast/chest area, genitals, or buttocks. Tops must cover the entire trunk of the body. Anyone wearing clothing considered to be too revealing will not be allowed to visit. This includes bodybuilding tank tops, halter tops, belly shirts or crop tops, racer or backless tops, strapless or "spaghetti" strap tops, wide armhole sleeveless tops, and low necklines. • By design, or by the manner in which it is worn, allows the anatomical detail of body parts to be clearly viewed (e.g., Spandex, Lycra, clothes with holes in inappropriate places, or excessively tight clothing). • Are sheer or transparent (including see-through lace and mesh materials). • Attire or accessories displaying obscene/offensive language, drawings, or objects. • Promotes violence, hate, drug use, sex acts or gangs. Includes any attire or accessories displaying any type of gang insignia, gang artwork, or any affiliation with gangs. Any other clothing, garment, or accessory that when compared to the expressly specified standards above would warrant disapproval. Fresno County Sheriff's Office Custody Division Policies and Procedures Visitation Policy Addendum H- Visitor Dress Code VISITOR DRESS CODE Visitors are expected to dress appropriately. Inappropriate attire will be reason to deny a visit. Visitor dress rules apply equally to male and female visitors. Visitors shall remain fully clothed when visiting. Appropriate attire includes undergarments; a dress or blouse/shirt with skirt/pants or shorts; and shoes or sandals. Visitors shall adhere to the following dress standards: • Shoes or sandals shall be worn at all times. • Buttons, snaps, and zippers shall remain fastened. • All shorts, skirts, and dresses, including slits in the garment, shall not expose more than three (3) inches above the knee when standing. This applies to all visitors regardless of age. PROHIBITED ATTIRE Sleepwear and bedroom slippers Swimwear Clothing that: • Exposes the breast/chest area, genitals, or buttocks. Tops must cover the entire trunk of the body. Anyone wearing clothing considered to be too revealing will not be allowed to visit. This includes bodybuilding tank tops, halter tops, belly shirts or crop tops, racer or backless tops, strapless or "spaghetti" strap tops, wide armhole sleeveless tops, and low necklines. • By design, or by the manner in which it is worn, allows the anatomical detail of body parts to be clearly viewed (e.g., Spandex, Lycra, clothes with holes in inappropriate places, or excessively tight clothing). • Are sheer or transparent (including see-through lace and mesh materials). • Attire or accessories displaying obscene/offensive language, drawings, or objects. • Promotes violence, hate, drug use, sex acts or gangs. Includes any attire or accessories displaying any type of gang insignia, gang artwork, or any affiliation with gangs. Any other clothing, garment, or accessory that when compared to the expressly specified standards above would warrant disapproval. Attachment Fresno County Sheriffs Office Custody Policy Manual Pregnancy Services Pamphlet - Addendum A.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. 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L.L LL C" = W (n = = u- J > _ N GO >� •� cp M > "t3 — s • • • • • • • • • • • • _ O U a Ua � ° Qv) a s Attachment Fresno County Sheriffs Office Custody Policy Manual Lactation Program Addendum B.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Lactation Program Addendum B.pdf-353 Published with permission by Fresno County Sheriff's Office INCARCERATED PERSON LACTATION PROGRAM PUMPING INSTRUCTIONS AND DESIGNATION OF RECIPIENT Incarcerated Person's Name JID Number Incarcerated Person's Signature Date Name of Person Authorized to Pick Up Milk Relation (if any) Name of Person Authorized to Pick Up Milk Relation (if any) Name of Person Authorized to Pick Up Milk Relation (if any) You are permitted to provide your own breast milk for your baby during incarceration by expressing the breast milk and having the breast milk picked up and delivered to your baby. You must follow the instructions in order to safely and effectively collect and store your breast milk. PUMPING YOUR BREAST MILK • Before you pump, wash your hands with soap and water. Make sure the area where you are pumping and your pump parts and bags are clean. You do not need to wash your breasts and nipples before pumping. • If you need help to get your milk to start flowing without your baby there, you can: • Think about the things you love about your baby. Look at a photo of your baby. • Apply a warm, moist cloth to your breasts. • Gently massage your breasts. • Gently rub your nipples. • Visualize the milk flowing down. • Sit quietly and think of a relaxing setting. • Expression of breast milk should be continued at each pumping until breasts are soft and milk flow stops. CLEANING PUMP KIT • Rinse with cool water to remove milk residue. • Wash with soap and warm water. • Rinse thoroughly. • Drip dry on a paper towel. Allow to air-dry thoroughly before storing to help prevent germs or mold from growing. Once completely dry, the items should be stored in the clean container. BREAST MILK STORAGE AND TRANSPORTATION • Your breast milk will be stored in disposable plastic bags that have been pre-labeled with your name and JID number. Write the date and time that the milk was pumped on the label. • Notify correctional staff(or Medical staff, if available). Although the milk can remain at room temperature for several hours,the expressed milk should be placed in an insulated cooler pack or refrigerator as soon as possible. Correctional staff will put the breast milk into a refrigerator. Medical staff will retrieve and store your breast milk in the medical unit freezer. • You are responsible to notify a designee to pick up the milk. The individual will need to report to the Main Jail Lobby between the hours of 6:00 am and 10:00 pm. It is recommended that they bring a clean ice chest or insulated cooler bag containing frozen gel packs (to ensure the milk remains frozen during transport). The individual will be required to show identification and sign a receipt for the breast milk. Instructions for handling the breast milk will be provided. • Breast milk that is not picked up within seven (7) days of pumping will be discarded. Original—Jail Records(input ALERT"Breast Milk Recipient'and scan) Canary—Medical Records Pink—Incarcerated Person copy Lactation Program Addendum 8 Attachment Fresno County Sheriffs Office Custody Policy Manual INCARCERATED PERSON GRIEVANCE FLOWCHART.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. INCARCERATED PERSON GRIEVANCE Published with permission by Fresno County Sheriff's Office FLOWCHART.pdf-356 INCARCERATED PERSON GRIEVANCE FLOWCHART w w^ Ills�II�IIII�I�Illlllllii I I � IIIIII�iIIIII,WI�` M W N W luu VI / .1111 Ioo��II�IIIUlmlll�ll�ulull�IL�II I�Iplll�l�llll����I1Gi�Ip IIIIIIIIIhIII�III�III��.��141�11�11�. I�I� VI III I I III IUII �I . I�III wl i II I III I�III w° � w w.w i w i � Illlli� J o�i�00000000000oo��or00000000000000�oi000000000000o���������a00000000000r000000000000000r0000000i i aaa O v i i i i > 1 I I j I I�I/ J) J O / / r i , f / p / / 1 �liu a INi Ni lu ��I� u n Inol I I i o 1 m Attachment Fresno County Sheriffs Office Custody Policy Manual 528 Body Scanner Policy - Addendum A.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. 528 Body Scanner Policy-Addendum A.pdf- Published with permission by Fresno County Sheriff's Office 359 Fresno County Sheriffs Office Custody Division Policies and Procedures Body Scanner Policy Addendum A The body scanner emits a very low dose , rill, of radiation. CJ °' The effective dose from one screening is less than 0.76 �tSv (microSieverts). The radiation dose from one screening is roughly equivalent to that received from natural sources during 12 minutes of a typical flight at 30,000 feet (0.8 �Sv). .�.�. "°� "'�� You would need to be scanned SIX times to receive the same exposure emitted in a single Dental X-Ray (5.0 �tSv) The screening complies with the ANSI/HPS consensus standard N43.17 (Radiation Safety for Personnel Security Screening Systems Using X-Ray or Gamma Radiation). The standard is published by the Health Physics Society and a copy may be purchased at gl bal.ihs.c m. Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum D3 - Employee.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum D3-Employee.pdf-360 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Division Policies and Procedures PREA-Addendum D3-Policy Acknowledgement-Employee � s"u � FRESNO COUNTY SHERIFFS OFFICE . ..,.f X POLICY ACKNOWLEDGEMENT PREA—SEXUAL MISCONDUCT AND ABUSE As part of the National Standards to Prevent, Detect, and Respond to Prison Rape, the Sheriff's Office is required to ensure that all employees who have contact with incarcerated people are aware of their responsibilities under the Sheriff's Office sexual abuse prevention, detection, and response policy and procedure. The Fresno County Sheriff's Office maintains a ZERO-TOLERANCE policy regarding sexual abuse and sexual harassment. Not only does this include incarcerated person- on-incarcerated person sexual assault, but also sexual abuse, sexual misconduct, and sexual harassment of an incarcerated person by a staff member, contractor, or volunteer. Every employee is required to read and become familiar with the Custody Division policy addressing "Sexual Misconduct and Abuse" as it relates to the Prison Rape Elimination Act (PREA). Any questions regarding the policy or procedures should be directed to a supervisor. Please sign the Policy Acknowledgement to confirm receipt of the policy. Failure to sign the form does not relieve an employee of the responsibility to understand and adhere to the provisions of the policy. A copy of the signed form will be placed in your Bureau and Personnel files. SIGNATURE DATE PRINT NAME COMPUTER ID# Original—Human Resource Unit Copy—Bureau File Copy-Employee PREA Addendum D3 Page 1 of 1 Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum D1 - Volunteer.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum D1 -Volunteer.pdf-361 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Custody Division Policies and Procedures PREA-Addendum D1-Policy Acknowledgement-Volunteer eta G x FRESNO COUNTY SHERIFF'S OFFICE POLICY ACKNOWLEDGEMENT PREA—SEXUAL MISCONDUCT AND ABUSE As part of the National Standards to Prevent, Detect, and Respond to Prison Rape, the Sheriff's Office is required to ensure that all volunteers who have contact with incarcerated people are aware of their responsibilities under the Sheriff's Office sexual abuse prevention, detection, and response policy and procedure. ZERO-TOLERANCE The Fresno County Sheriff's Office maintains a ZERO-TOLERANCE policy regarding sexual abuse and sexual harassment. Not only does this include incarcerated person-on-incarcerated person sexual assault, but also sexual abuse, sexual misconduct, and sexual harassment of an incarcerated person by a staff member, contractor, or volunteer. SEXUAL ABUSE - IMMEDIATE RESPONSE If the incarcerated person was sexually abused within a time period that still allows for the collection of physical evidence, request that the victim not take any actions that could destroy the evidence (e.g., showering, brushing teeth, changing clothes, using the restroom, eating, drinking), and then immediately notify correctional staff. REPORTING ALLEGATIONS An incarcerated person may report sexual abuse* to any employee, volunteer, or contractor. If the incarcerated person reports the sexual abuse to you, you are required to immediately notify your supervisor and report the information to the on-duty Jail Watch Commander (600-8440). *Incarcerated people may report any aspect of sexual abuse, sexual misconduct, and sexual harassment; retaliation by other incarcerated people or staff for reporting sexual abuse and sexual harassment; and staff neglect or violation of responsibilities that may have contributed to an incident of sexual abuse. Any allegation is a very serious situation and shall be treated with discretion and confidentiality. Apart from reporting to your supervisor and the Watch Commander, do not reveal any information related to the sexual abuse to anyone other than those who "need to know" (i.e., those who need to make treatment, investigation, and other security and management decisions). SENSITIVITY Victims of sexual abuse may be seriously traumatized both physically and mentally. You are expected to be sensitive to the incarcerated person during your interactions with them. SEXUAL DISORDERLY CONDUCT By choosing to volunteer in a jail environment, you have accepted the possibility that you may face inappropriate and socially deviant behavior. While it is not possible to stop all obscene comments and conduct by incarcerated people, neither shall it be accepted; acts of indecent exposure, sexual disorderly conduct and exhibitionist masturbation will not be tolerated. Any incarcerated person who engages in indecent exposure or sexual disorderly conduct shall be reported immediately to correctional staff, with a follow-up advisement to your supervisor. Sexually hostile conduct shall not be ignored. If you have any questions, please contact your supervisor. Please sign and return the attached Policy Acknowledgement form. PREA Addendum D1 Page 1 of 2 Fresno County Sheriff's Office Custody Division Policies and Procedures PREA-Addendum D1-Policy Acknowledgement-Volunteer FRESNO COUNTY SHERIFFS OFFICE JAIL PROGRAMS & SERVICES BUREAU POLICY ACKNOWLEDGEMENT PREA - SEXUAL MISCONDUCT AND ABUSE I hereby acknowledge that I received a copy of the Sexual Misconduct and Abuse policy for the Custody Division of the Fresno County Sheriff's Office and that I have read it, understand its meaning, and agree to conduct myself in accordance with it. Signed: Date: Print Name: PREA Addendum D1 Page 2 of 2 Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum C3 - Sexual Assault Poster - Hmong 2015.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum C3-Sexual Assault Poster- Published with permission by Fresno County Sheriffs Office Hmong 2015.pdf-362 > o a � __ = E o r x �' x � � c cu Ricu cu _ ccui R R cn > E cn E E m Q �m cn � cu �� cuO ca _ >, O CU O Ri y i �' 0 co cu co QCD E :3 cn. Q o CO C s m CC = O � c6N � O- cCi � 0 ii , o CU Y d U - c I ca o .tn > �' Y K ctt G� s a 0 +_+ x N 00 3 O 2 � N .ice � � 3 L V t/1 > c > is � = co cO y O 0 V L o Ri 0 . N a O z a)i z E o CU Q 00 . 0 r-- a) X d z }' L G1 p °� QN 3 �cu > U) N > x d Lu cu > W U Cl) cn mp s- U .�.+ a'O cn ca +.' a) N O N c y- rn ca E = `n o E cn V .0 co o C%A tl— > o U O �_ O O M N N _ 0- � c=4 (n can D.;a (m m o N a O �cO E cNn o T) i � N 3 E � U � Loi co � � � = ma co >� cn -� O O 0 C LL O Q io0 � OQrn � i E cn OQN > O Q � O O z Q. (n0 � : prn O c400 O CU U � O z_ _. i p N � p O CL G1 = cE6 _ Q. LLNLL U r00 1- 0 � Z8 cn O x O p Ri o y R Q.w+ CD CL 0 • •� �_ O cu X cn • y 3 �, v, o - — c, • a) .Q a, X cn 3: .Q > O }' �+ ,Q U O cn �� r r r/ iia 'o 00 Attachment Fresno County Sheriffs Office Custody Policy Manual E-490C - Acknowledgment of Receipt of Breast Milk and Handling Instructions.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. E-490C-Acknowledgment of Receipt of Published with permission by Fresno County Sheriffs Office Breast Milk and Handling Instructions.pdf-363 ACKNOWLEDGMENT OF RECEIPT OF BREAST MILK AND HANDLING INSTRUCTIONS The following guidelines are for healthy, full-term babies. If the baby is in a neonatal intensive care unit or special care ward, the hospital may have stricter recommendations. TRANSPORTING • It is recommended that you use frozen gel cooler packs and an insulated cooler bag or ice chest to transport the milk home. STORING MILK • Store frozen milk in the back of the freezer where the temperature is most constant. Do not store on the shelf of the freezer door, so that it doesn't start to thaw out. • Breast milk can be stored in the freezer for up to 6-12 months. Milk stored at 0°F or colder is safe for longer durations, but the quality of the milk might not be as high. THAWING AND WARMING UP MILK • Thaw the oldest breast milk first. • Breast milk does not need to be warmed. Some people prefer to serve it at room temperature. Some people serve it cold. • Thaw the bag of frozen milk by putting it in the refrigerator overnight. • If you decide to warm the breast milk: • Keep the container sealed while warming. • Hold it under warm, not hot, running water, or set it in a container of water that is warm, not hot. • NEVER put a bottle or bag of breast milk in the microwave. Microwaving creates hot spots that could burn the baby and damage the milk. • Test the temperature before feeding it to the baby by dropping some on your wrist. The milk should feel warm, not hot. • Swirl the milk to mix the fat, which may have separated. Do not shake the milk. • Use breast milk within 24 hours of thawing it in the refrigerator. This means 24 hours from when the breast milk is no longer frozen, not from when you take it out of the freezer. • Once breast milk is thawed to room temperature or warmed after being in the refrigerator or freezer, use it within 2 hours. If you have any leftover milk when the baby is finished feeding, be sure to throw it out within 2 hours. • Do not refreeze breast milk after it has been thawed. GUIDE TO STORING THAWED BREAST MILK • Room temperature (up to 77°F)— 1 to 2 hours • Refrigerator (40°F)—Up to 1 day (24 hours) • Freezer—DO NOT REFREEZE Source:www.womensheedth.govlt.aresstfeecdinglpumpirarg..and..storuarg bresstmilk#6 WHY DOES THE BREAST MILK SMELL ODD? The color of the milk may change and look different from one day to the next. You may notice that the defrosted milk sometimes smells different. This is because an enzyme called lipase breaks down fats and releases fatty acids—a process that helps prevent the growth of harmful bacteria. If the safe-storage guidelines have been followed, the milk should still be perfectly fine to use. If you think the milk looks bad or smells funny you can call the Fresno EOC WIC Breastfeeding help-line at (559)263-1380 (M-F 8:30-5:30). Mother's Name JID Number Name of Receiving Person Identification Confirmed by Lobby Officer Signature of Receiving Person Number of Bags Received Medical Staff Member's Name Date Original—Jail Records(scan) Canary—Medical Records Pink—Recipient's copy FCSO Jail Division Policy E-490 Addendum C 12/2019 Attachment Fresno County Sheriffs Office Custody Policy Manual G-105A - Medication Pass Logistics.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. G-105A-Medication Pass Logistics.pdf-364 Published with permission by Fresno County Sheriff's Office Fresno County Sheriff's Office Jail Division Policies and Procedures Addendum G-105A Medication Pass Inmate Location Officer Location Nurse Location Outpatient Housing Unit(2nd Floor) Officer to accompany the nurse to the cell door. Officer to open door or feed hatch,as applicable. Nurse to administer through door or hatch,as applicable. General population and protective Inside the housing unit next to the hatch. Outside the hatch in the sallyport area. custody housing units Door closed. Nurse will push the cart into the pod, Administrative segregation lockdown escorted by the officer. housing units(3A,4A,5A,6A and 6F), Inside the housing unit,accompanying the Lower tier: the cart will be pushed discipline(4F),and during admin nurse to each individual cell. from door-to-door. actions* Upper tier:Nurse to prepackage pill envelopes to administer door-to-door. *Admin action(alternative,if inmates ti Inside the housing unit next to the hatch. Main are able to commingle in the dayroom Door closed. Outside the hatch in the sallyport area. Jail in compatible groups) Single cell(FF)and safety cells Officer to accompany the nurse to the cell door. Officer to open feed hatch and nurse to administer through hatch. Inside the gym/classroom with the door Outside the open door. Gymnasium and classrooms(officer open,or discretion) Officer to accompany the nurse inside the gym or classroom. Visiting and attorney interview rooms Outside the room with the door open. Outside the open door. Yard Officer needed to accompany the nurse to the yard to deliver essential medications. Nurse to administer through the hatch. TTM Officer to accompany the nurse to the TTM. Medication administered through the TTM hatch. All pods Inside the housing unit next to the hatch. Outside the hatch in the sallyport area. Door closed. Attorney interview rooms Open the door and stand by. Outside the open door. North Inside the gym/classroom with the door Annex Gymnasium and classrooms(officer open,or Outside the open door. discretion) Officer to accompany the nurse inside the gym or classroom. Visiting and attorney interview rooms Outside the room with the door open. Outside the open door. Single cell(2D) Officer to accompany the nurse to the cell door. Officer to open feed hatch and nurse to administer through hatch. Linear housing units(2F/2G and 3F/3G) Officer to accompany the nurse down the F/G hallway. Inmates to approach the dayroom hatch,one at a time. Unaffected inmates to remain in bunk areas. AJ 3re general population housing pods Inside the housing unit with the door open. Outside the open door. (3A,3C,3D) Administrative segregation lockdown Pre-packaged pill envelopes to housing unit(313)and other pods during Inside the housing unit,accompanying the administer cell-to-cell(through bars). admin actions nurse to each individual cell. [Cart will not fit.] South AJ 4th(all) Inside the housing unit. Door closed. Outside in the hallway. Medication passed through the bars. Annex Open the outer vestibule door and stand by Gymnasium with the nurse inside the vestibule. Inside the gymnasium vestibule. Classroom(non-TTM) Inside the classroom with the door open. Outside the open door. Classroom(TTM in use) Officer to accompany the nurse inside the classroom. Medication administered through the TTM hatch. N/A. Inmates to notify a housing officer N/A. Medical staff will be notified upon Visiting,attorney interview rooms,and upon their return. The housing officer will inmate's return to the housing floor. Yard#2 notify the Charge Nurse. Medication to be delivered based on location. Yard#1 Inside the yard with the door open. Outside the open door. NO: G-105A Page 1 of 1 Attachment Fresno County Sheriffs Office Custody Policy Manual E-490B - Inmate Lactation Program - Pumping Instructions and Designation of Recipient.pdf E-490B- Inmate Lactation Program-Pumping Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Instructions and Designation of Reclplent.pdf- Published with permission by Fresno County Sheriff's Office 365 INMATE LACTATION PROGRAM PUMPING INSTRUCTIONS AND DESIGNATION OF RECIPIENT Inmate's Name JID Number Signature of Inmate Date Name of Person Authorized to Pick Up Milk Relation (if any) Name of Person Authorized to Pick Up Milk Relation (if any) Name of Person Authorized to Pick Up Milk Relation (if any) You are permitted to provide your own breast milk for your baby during incarceration by expressing the breast milk and having the breast milk picked up and delivered to your baby. You must follow the instructions in order to safely and effectively collect and store your breast milk. PUMPING YOUR BREAST MILK • Before you pump, wash your hands with soap and water. Make sure the area where you are pumping and your pump parts and bags are clean. You do not need to wash your breasts and nipples before pumping. • If you need help to get your milk to start flowing without your baby there, you can: • Think about the things you love about your baby. Look at a photo of your baby. • Apply a warm, moist cloth to your breasts. • Gently massage your breasts. • Gently rub your nipples. • Visualize the milk flowing down. • Sit quietly and think of a relaxing setting. • Expression of breast milk should be continued at each pumping until breasts are soft and milk flow stops. CLEANING PUMP KIT • Rinse with cool water to remove milk residue. • Wash with soap and warm water. • Rinse thoroughly. • Drip dry on a paper towel. Allow to air-dry thoroughly before storing to help prevent germs or mold from growing. Once completely dry, the items should be stored in the clean container. BREAST MILK STORAGE AND TRANSPORTATION • Your breast milk will be stored in disposable plastic bags that have been pre-labeled with your name and JID number. Write the date and time that the milk was pumped on the label. • Notify correctional staff(or Medical staff, if available). Although the milk can remain at room temperature for several hours, the expressed milk should be placed in an insulated cooler pack or refrigerator as soon as possible. Correctional staff will put the breast milk into a refrigerator. Medical staff will retrieve and store your breast milk in the medical unit freezer. • You are responsible to notify a designee to pick up the milk. The individual will need to report to the Main Jail Lobby between the hours of 6:00 am and 10:00 pm. It is recommended that they bring a clean ice chest or insulated cooler bag containing frozen gel packs (to ensure the milk remains frozen during transport). The individual will be required to show identification and sign a receipt for the breast milk. Instructions for handling the breast milk will be provided. • Breast milk that is not picked up within seven (7)days of pumping will be discarded. Original—Jail Records(input ALERT"Breast Milk Recipient"and scan) Canary—Medical Records Pink—Inmate copy FCSO Jail Division Policy E-490 Addendum B 12/2019 Attachment Fresno County Sheriffs Office Custody Policy Manual G-120A Intake Flowchart.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. G-120A Intake Flowchart.pdf-366 Published with permission by Fresno County Sheriff's Office Fresno County Sheriffs Office Jail Division Policies and Procedures Addendum G-120A Intake Flowchart Booking Fit for Confinement Not fit for Confinement CRMC CRMC Discharges Inmate from ER Fit for Confinement Not fit for Confinement Accepts Inmate � U M.D./Psych M.D. Rejects Inmate ' II�I'lllllllllllllllll IIIIIIIIIIII Immediate Transport via CRMC Site ER Transfer Process NO: G-120A Page 1 of 1 Attachment Fresno County Sheriffs Office Custody Policy Manual Classification Addendum H - Custody Reassessment Scale.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification Addendum H -Custody Published with permission by Fresno County Sheriff's Office Reassessment Scale.pdf-367 CUSTODY REASSESSMENT SCALE Fresno County Sheriff's Office — Custody Division I. IDENTIFICATION Name (Last, First, MI) AD# Booking# CII # Reassessment Date Classification Officer II. CUSTODY EVALUATION 1. SEVERITY OF CURRENT CHARGES/CONVICTIONS (Use the Severity of Offense Scale. Rate the most serious charge/conviction, including any detainers/warrants.) o Low 0 o Moderate 1 o High 4 o Highest 6 2. SEVERITY OF INSTITUTIONAL BEHAVIOR o None 0 o Minor- Nuisance Behavior/24-hour lockdown in last 12 months 1 o Moderate- Disruptive Behavior in last 12 months 2 o Major-Aggressive/Destructive Behavior in the last 24 months 5 o Serious Major-Violent/Predatory Behavior in the last 36 months 6 SUBTOTAL(Sum of items 1 and 2.) With a score of 9 or higher, assign to Level 3 security. 3. SERIOUS OFFENSE HISTORY (Use the Severity of Offense Scale and rate the most Subtotal serious prior conviction during the last 15 years. Exclude if current charge.) o None or Low 0 o Moderate 1 o High 3 o Highest 5 4. INSTITUTIONAL DISCIPLINARY HISTORY (Total number of rule violations and 24-hour lockdowns within the past 12 months.) o None 0 o One 1 o Two 2 o Three or more 4 S. PRIOR INCARCERATION TIME (Total number of years incarcerated in correctional institutions. Include County Jail, State Prison, State Hospital, and Federal Prison.) 0 0 to 2 years 0 0 2.01 to 8 years 1 0 8.01 to 15 years 2 0 15.01 or more 3 6. GANG INVOLVEMENT o None or Denies 0 o Previously Documented/Jail Culture 1 o Ex-Member, Ex-Associate, or Dropout 2 o Full or Associate Member 4 CUSTODY REASSESSMENT SCALE Fresno County Sheriff's Office — Custody Division 7. CURRENT AGE o Age 46 or older 0 o Age 32 -45 1 o Age 23 -31 2 o Age 18-22 3 COMPREHENSIVE CUSTODY SCORE (Items 1-7) Total Score III. SCALE SUMMARY AND RECOMMENDATIONS A. CUSTODY LEVEL INDICATED BY SCALE 0-8 points on items 1 -7 ..............................................................Level 1 9 - 15 points on items 1 -7.................................................................. Level 2 Yes,the points are 16 or more points on items 1 -7 Level 3 different than the Initial Class form 9 or more points on items 1 and 2............................................Level 3 Indicated Level B. FACTORS WHICH MAY WARRANT LEVEL OVERRIDE ❑x Known management problem ❑x PREA-related incident ❑x Other: C. OVERRIDE OF SCALE CUSTODY LEVEL IS RECOMMENDED No 0 Yes If yes, provide rationale (required): Override D. RECOMMENDED CUSTODY LEVEL 0, Level 1 t','', Level 2 0 Level 3 E. FACTORS AFFECTING HOUSING (Check all that apply) Recommended Level-Staff 0 Gang Affiliation: 0 Informant/Witness 0 Gang Dropout 0 Law Enforcement 0 LBGTI/Gender-related issue 0 Civil 0 Charges 0 Mental Health Concerns 0 Known management problem 0 Suicide Risk 0 Escape risk 0 Other: F. RECOMMENDED TYPE OF HOUSING GP 0 PC OAS Recommended Type of Housing-Staff IV. SUPERVISOR APPROVAL OF OVERRIDE A. REVIEW OF RECOMMENDED CUSTODY LEVEL AND HOUSING TYPE Approved or Not Approved " Approved 4;)Not Approved—Must complete Sections B, C, and D B. FINAL CUSTODY LEVEL 4:;1111 Level 1 0 Level 2 0 Level 3 Final Level C. FINAL TYPE OF HOUSING 0,GP 0PC OAS D. RATIONALE FOR FINAL CUSTODY LEVEL AND/OR TYPE OF HOUSING Type of Housing Supervisor Signature Date Attachment Fresno County Sheriffs Office Custody Policy Manual Classification Addendum E2 - ADA Housing Units.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification Addendum E2-ADA Housing Published with permission by Fresno County Sheriff's Office Units.pdf-368 Fresno County Sheriffs Office Custody Division Policies and Procedures Classification Addendum E-ADA Housing Units ADA HOUSING UNITS AND ACCESSIBLE FEATURES TOILET SHOWER SINK PATHWAY MAIN JAIL NO Wheelchair FEED Grab Height No Grab Shower 60" Lower Bottom STAIRS and Walker HATCH CELL C"�ti Bar 17-19" Curb Bar Seat Radius Nozzle Clear Accessible 2A1 X X X X 2A2 X X X X 2A3 X X X X 2A4 4 X 20" X X X X X X X X 2A5 X Low X X X X X 2A6 4 X X X 2A7 4 X X X 2A8 4 X X X 2A9 X X X X X 2A 10 4 X X X 2131 4 X X X 2132 X X X X X 2133t 4 X X X X X X X X X X 2134t % X X X X X X X X X X 2C1 X X X X X 2C2 11 X X X X X *Not fully ADA-compliant(e.g.,while grab bars might be present,they still don't meet minimum length requirements) t Renovated and fully ADA-compliant Attachment Fresno County Sheriffs Office Custody Policy Manual G-130A Intake Flowchart.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. G-130A Intake Flowchart.pdf-373 Published with permission by Fresno County Sheriff's Office Fresno County Sheriffs Office Jail Division Policies and Procedures Addendum G-130A Intake Flowchart B[Af?king Fix for Confinement Unfit for Confinement CIRMC CRMC Discharge Fit for Confinement Unfit for m Acce Pts lincaacerated Rer Rejects Ilncsrc.er.t. IRena Ilninnedli'.mte Tna�nspcne mSfite ER CRMC T. fen Praces NO: G-130A Page 1 of 1 Attachment Fresno County Sheriffs Office Custody Policy Manual E-490A - Pregnancy Services Pamphlet.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. 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W p O O c +, M t n o o �n co .— c p ns v v +� C O v '+� O W Ln C1 C L Cn f0 � L a O M L c Q O f0 L C ++ U ++ C1 L L ++ U O a) Q {n C O ++ Q ° _ � C {n Q 7 {n O o ° C E `° c o v > c E E m *' v 0 � = LL 30 L N LA Q •� O p >, p O O L t E L to L to ++ (n N — O N "a ns — C1 ° '+� +' S C1 O �n E co +� C1 0 7 C1 c Q ,q "O h.0 L U h.0 �~ L Q f0 OCr t +� E v t E U t > ns +� � m +� p C1 n OL ++ •U ++ a ++ a f6 O i C .L a +' ++ C1 O C1 O C1 ~ f0 V Q >, ° Q "' -0 = �' C h.0 +�+ �' m W > b.0 C L L ++ t L L b.0 C1 L C1 T CL C1 C ++ Q o m C N ++ L w f0 +' '� Ln 00 N f0 L ++ .� C1 E N f0 ++ ° i -a ° f6 LE w 0 C w V C -a 6 N 7 CL ++ C1 Cr O r-I L ++ O "a w "a ,> .� ,� w C O c0 �., C ++ , (6 "a Q C C ++ Cr (O •++ +, � C1 C1 m C1 N N f0 f0 N f0 L ° 'u C1 C C1 C1 •� C1 �n C1 t C f0 L N "a "a_ +�+ Q f0 (/1 M -a N O Ca N E L O � •� Z L +�+ t U •� Q) L U 7 C1 — ?�. r-I p > O C b.0 O ++ C -a N 'a O O ns Q >, .++ CO O U OL O N N N N C1 C Q L "a Q O "a C -a p,p Q p = �n .� �, ns ns 0 a>, Q = C J C to — 0 Ql C "a 0 C C 0 (O `� t Ql C U B (E E Q) E f6 E Q 0- cLo L m •E t a, n a E ns O +� E L > co u L E E a m +' E m a m o •`-' o o H E o c a; E ° ~ E ° `o °1a ° o o c C1 0 N W y 0 .E Q O O t `� 7 0 C1 j ns C N N c0 v� S CL 3 S 2 S M u �' 3 : o — .E ° Q 3 3 C° .S a U 2 c cn co a 0 c LO n p v m 7 w n0 a L O a 7 Cr E O -0C1 U 0 -le -a O 'a a f0 b C U a) > 4 O CL yJ m a0 >� t 0 E O V b.0 C E L1 C CL t C1 Z 7 CL L �, Z O C i ~ C1 fC O C1 N 0 a c W L c f�6 r f�6 f6 a O f6 p '— > C1 fC Q N. C >� V h0 7 O Z t c r f6 M � Y C C O Q) of W zp > 3 3 c CO t m N -0 E v v > LO u 0 E t w L C w *' L `1 u 4- CL C1 W 0 `1 m C ++ .0 N ++ C1 m Q > O U M "a "a Z ° u w aaul) o f O U v O v O m = E ` M C 'U .O E >Q a 2 O E O E O � E — > o E o0 oZ n E c o o oO m CL co ul ° c CL Q C N c co L ° YO o° � L cov o o O CLt n ° o E a ut oE vE 3 4- - o c 0o o O 0a u o O E > O O 0 +c� o v +� ° 3 v 3 C E E - - C C L > �n 7 C1 L C1 +'CL 0 O O +' C1 O L ++ = Ql _ > Q CL LL Li- U S W (n 2 S LL 0 LE L X O CL > E E c i • • • • • • • • • • • • p C a E C a 0 C a ° ° a Attachment Fresno County Sheriffs Office Custody Policy Manual Medical Policies Combined.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Medical Policies Combined.pdf-375 Published with permission by Fresno County Sheriff's Office FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL EFFECTIVE DATE: 01-01-93 REVISED: 12-25-94, 02-01-98, 01-01-00, 06-15-18 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Assistant Sheriff T. Gattie REFERENCE: Penal Code Sections 3407, 3440, 4011, 4011.2, 4011.5, 4015, 4023, 4023.5, 4023.6, and 4028; Government Code Sections 26605 and 26605.5; Health and Safety Code Section 123462; California Code of Regulations, Title 15, Sections 1041, 1058.57 12027 12037 12047 12057 12067 12077 1207.57 12087 1208.57 12107 12117 12137 12147 12157 12167 1240, and 1248; Prison Rape Elimination Act of 2003 (42 USC 15601); 28 CFR 115.327 115.357 115.817 115.827 115.83; 45 CFR 164.512; Estelle v. Gamble, 420 U.S. 97 (1976); and Hall v. County of Fresno, E.D. Cal. No: 1:11-CV-02047-LJO-BAM (2015). PURPOSE: The provision of adequate health services in a custody setting is a constitutional right afforded to all inmates. The purpose of this policy is to establish guidelines for the adequate medical health care of inmates housed in the Fresno County Sheriff's Office Detention Facilities. POLICY: It is the policy of the Fresno County Sheriffs Office Jail Division to provide necessary, adequate, and timely medical care to all inmates in custody in a manner consistent with all applicable standards of medical care and in accordance with applicable federal, state, and local laws, codes, regulations, directives, and court orders. The Fresno Sheriff's Office is responsible for the on-site and off-site medical health care services for the inmates at the Fresno County Jail. With the approval of the Fresno County Board of Supervisors, such services may be contracted to a private service provider. The service provider shall operate a medical health care program that meets the local community standards of care and supply all services under the terms of the negotiated contract. Page 1 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL PROCEDURES: I. MEDICAL HEALTH STAFF A. Health care staff shall be appropriately credentialed according to the licensure, certification, and registration requirements for the state of California. B. The Jail Medical Director shall be Board Certified or Board eligible in Internal Medicine or Family Practice. C. Health care performed by personnel other than a physician shall be performed pursuant to written protocol or order of the responsible health care staff. Assessment and treatment shall be performed by either licensed health personnel or by persons operating under the authority and/or direction of licensed health personnel. D. Medical health staff will coordinate with mental health staff to ensure that health care is appropriately integrated, and that medical and mental health needs are met for all inmates. E. Medical staff will coordinate with correctional staff so that inmates receive safe and timely access to care and medications. II. HEALTH CARE RESPONSIBILITIES The medical services provider/contractor has the responsibility for the overall administration of the medical clinics in the Jail facilities. A. Specific medical services provided on-site at each facility shall include, but may not be limited to: 1. Health care intake screening 2. Health appraisals/behavioral health assessments 3. Sick call 4. On-call emergency coverage 24/7 5. Psychiatric crisis intervention 6. Physician services Page 2 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL 7. Pharmaceuticals (and pharmacist consulting services) 8. Pharmaceutical distribution/monitoring 9. Chronic conditions care (i.e., chronic disease management program) 10. Infectious diseases prevention (i.e., Infection Prevention Plan) 11. X-ray and EKG services 12. Laboratory services 13. Communicable disease control 14. First aid and emergency response / minor trauma capabilities (e.g., sutures) 15. Outpatient Housing Unit 16. Dental services 17. Medical and dental prosthetic devices and durable medical equipment 18. Optometric and optician services (including glasses) 19. Prenatal, pregnancy, postpartum, counseling, and obstetrical care 20. Health education 21. Physical therapy 22. Suicide prevention program 23. Chemical dependency/ substance abuse / detoxification 24. Medical diets 25. Nursing Encounter Protocol/Tools that are appropriate to the level of skill and preparation of the nursing personnel who will carry them out and comply with the relevant state practice acts. 26. Health care maintenance for inmates undergoing prolonged incarceration B. Complete and accurate medical health, behavioral health, optometry and dental records shall be maintained. C. The County will provide an adequate number of clinic examination rooms to deliver adequate health care. Page 3 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL D. Medical equipment and medical exam rooms/clinics are to be maintained in a hygienic and adequate manner. Clinic rooms shall have standardized equipment and par levels of supplies in a standardized presentation. E. The quality and adequacy of health care and pharmaceutical services are to be audited and assessed annually. A written report on health care and pharmaceutical services delivered shall be provided to the Sheriff on an annual basis. F. With the exception of elective abortions, the medical services provider shall not be responsible for elective medical care. Elective medical care is defined as medical care, which, if not provided would not (in the reasonable medical opinion of the contractor's medical director) cause the inmate's health to deteriorate or cause definite harm to the inmate's well-being. Examples of such elective medical care includes: breast reduction, gastric bypass, or facelift surgery. III. INITIAL HEALTH CARE SCREENING FOR ARRESTEES A. All arrestees shall be screened by the Booking Nurse (i.e., registered nurse or nurse practitioner) prior to their acceptance for booking. B. All inmates shall receive a thorough nursing intake screening to include, but not be limited to, medical and mental health problems, developmental disabilities, tuberculosis and other communicable diseases, vital signs, capillary blood glucose testing for persons with diabetes, peak expiratory flow rate for persons with asthma, and oxygen saturation for persons with emphysema. 1. The Intake/Receiving Screening Form includes questions on the history of HIV/AIDS, tuberculosis, kidney disease, legal and illegal drug use (e.g., type, time of last use, and quantities), as well as questions regarding history of mental health problems or treatment, hospitalizations, and current or previous thoughts of self-harm. 2. Tuberculosis screening shall include the following: a. Screenings provided in accord with Centers for Disease Control and Prevention guidelines. Page 4 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL b. Inmates shall receive either Mantoux skin testing or Interferon- gamma release assays (IGRAs) within five (5) days of intake. c. Inmates who present with an initial positive tuberculosis screening result shall receive a chest radiograph. 3. Inmates identified as having developmental disabilities, mental retardation, and/or learning disabilities will be referred to mental health staff for assessment. Mental health staff will be responsible to contact the Central Valley Regional Center for the purpose of diagnosis and/or treatment within twenty-four (24) hours of such determination, excluding holidays and weekends. 4. Inmates displaying signs of suicide risk at intake screening will be referred for mental health evaluation. C. The Booking Nurse may recommend that any arrestee who is in need of obvious acute medical attention not be accepted into custody. (The screening shall be fully completed, so that all detectable medical needs can be addressed prior to acceptance.) 1. The recommendation will be reviewed and approved by the Watch Commander. 2. The arresting/transporting officer shall be responsible to transport the arrestee to Community Regional Medical Center (CRMC) or other medical facility so that his or her medical needs can be addressed prior to booking into the Jail. The transporting officer will be required to provide a copy of the CRMC medical clearance paperwork, upon return. 3. If the Booking Nurse again finds the arrestee not fit for confinement, the nurse shall consult with the on-duty (or on-call) physician (or psychiatrist, as applicable). 4. If the physician/psychiatrist concurs with the Booking Nurse and rejects the arrestee, the Watch Commander will "override" the decision and accept the arrestee into custody. 5. The Watch Commander will coordinate with Medical/Mental Health to transport the inmate back to CRMC via the site Emergency Room transfer process to address the inmate's medical care and fitness for confinement needs. Page 5 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL 6. The contracted medical provider will be responsible to coordinate with CRMC regarding subsequent care of the inmate, to ensure their fitness for confinement upon discharge from the Emergency Room, as necessary. [See flowchart on Addendum A.] D. If the arrestee is found fit for incarceration but requires further medical attention, he/she shall be treated by the jail medical staff. If the arrestee requires psychiatric treatment, he/she shall be provided a mental health evaluation by health services staff, who shall consult with Population Management staff regarding appropriate housing for the inmate. IV. SPECIAL MENTAL DISORDER ASSESSMENT An additional mental health screening will be performed on women who have given birth within the past year and are charged with murder or attempted murder of their infants. Such screening will be performed at intake and, if the assessment indicates postpartum psychosis, a referral for further evaluation will be made. V. ACCESS TO MEDICAL TREATMENT A. Access to medical care may be accomplished through various methods- 1. Licensed health care initiated appointments. Access to care includes planned health care encounters, scheduled and initiated as part of ongoing treatment planning and care management to address health care needs. 2. Inmate request for services. Access to care also includes episodic encounters requested by inmates either through written request, or verbal report/demonstration of urgent/emergent health care needs. 3. Emergency care. Inmates with life-threatening medical symptoms shall receive immediate medical attention. 4. Urgent care. Inmates with urgent medical symptoms will be scheduled for a same day face-to-face visit with appropriate health care staff as indicated by symptoms. Page 6 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL B. Medical service requests for non-emergent illnesses and injuries are to be made in writing, utilizing a Health Services Request Form. Exceptions will be made when the request involves the need for immediate medical attention, or involves the personal safety of staff, inmates, or the public. 1. Supplies of blank request forms should be available inside the housing unit, or will be provided by correctional staff, upon request. Only health care staff shall collect completed health service request forms. 2. Inmates are to place the completed forms in the locked boxes located inside each pod. Health Service Request Forms will be collected by health care staff during medication passes at least twice a day. Health care staff will pick up completed health service request forms directly from inmates in lockdown units during medication passes twice a day. 3. Any inmate requesting medical attention shall be given such attention. C. Any inmate who attempts to submit an emergency medical request to staff shall be interviewed in person by the floor officer (or present medical staff) to determine the seriousness, nature, and validity of the request. 1. In the event the request for emergency medical treatment appears to be valid, or the floor officer cannot determine whether the request constitutes an emergency, the on-duty Charge Nurse (or present medical staff) shall be immediately notified. 2. In the event the request is clearly not an emergency (e.g., if an inmate attempts to expedite a routine request by misrepresenting it as an emergency), the request form shall be submitted via normal channels to medical staff. D. The Charge Nurse shall review and triage each request prior to placement of the inmate's name on the sick call list and/or scheduling an appointment. 1. Completed health service request forms will be triaged at least twice a day to determine the urgency based on the complaint. Page 7 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL 2. All inmates with emergent issues shall be seen immediately, urgent issues within 24 hours, and routine requests shall be scheduled within 72 hours. 3. All inmates experiencing symptoms shall have vital signs taken during their face-to-face evaluations. 4. Nurses shall review the charts of the inmates being evaluated during all triages. E. When a nurse determines clinician follow-up is necessary for diagnosis and treatment of an inmate's condition, the inmate shall be referred to a physician, physician's assistant, or nurse practitioner for a face-to-face evaluation that takes place immediately for emergent concerns, within 24 hours for urgent concerns, and within 14 days for non-emergent or non-urgent concerns. F. Medical problems which are cosmetic, elective or long standing, and are not a threat to the inmate's overall health condition may not be treated. VI. SICK CALL A. Sick call is conducted on a daily basis by qualified medical staff. B. All nursing sick call encounters shall occur in a room with an examination table, sink, proper lighting, proper equipment, and with a medical record. C. Sick call is conducted in as much privacy as security concerns will allow. (Refer to section XV/Privacy.) D. A confidential and accurate medical record shall be kept on each inmate assessed during sick call. Inmate medical records shall be kept separate from all other Jail Division and Sheriffs Office records. E. Inmates scheduled for sick call and a court appearance on the same day will be sent to the Main Jail 2nd floor to be seen by medical staff before court, or upon their return from court, whenever possible. Page 8 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL F. If an inmate refuses to attend scheduled sick call, an officer assigned to the inmate's housing floor shall cancel the event via Offendertrak (Miscellaneous4Scheduling) and notify medical staff. The inmate should be escorted to the sick call area to refuse in person and to sign a refusal form. If the inmate refuses to sign, the refusal must be witnessed by a second person (usually the floor officer). Medical staff will make an appropriate notation in the inmate's medical chart/record. VII. HEALTH SERVICES CO-PAYMENT A. Inmates are required to reasonably contribute to the cost of providing their health care. Inmates who have $5 or more in their personal accounts are charged $3 for inmate-initiated medical and dental visits. The co-payment fees are billed to their accounts within thirty (30) days of their medical appointments. If an inmate does not have any money at the time of the appointment, but money is later added to the inmate's account, the co-payment fee will be subtracted from the inmate's account within the 30-day billing cycle period. B. Exceptions to the co-payment are as follows: 1. Services for emergencies or life-threatening conditions (i.e., to prevent death, severe or permanent disability, or to alleviate or lessen objectively apparent and disabling pain). 2. Follow-up or referral visits made by the health services staff. 3. Communicable disease testing or treatment. 4. Any and all services related to pregnancy, including testing. 5. The visit was for the initial booking/screening of the inmate. Vill. OUTPATIENT HOUSING UNIT (OHU) A. Only those inmates who are currently receiving medical care or treatment are to be assigned to the Outpatient Housing Unit (OHU) located on the Main Jail 2nd floor. An exception shall only apply if there is no other housing location where the inmate can be reasonably accommodated. Page 9 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL B. The following procedures for inmates housed in the OHU for medical treatment shall be followed- 1. Physicians, nurse practitioners, or physician's assistants shall sign an admittance order for inmates housed in the OHU. This shall be followed by a complete history and exam within 72 hours. 2. Inmates admitted to the OHU shall receive daily checks to include review of symptoms and vital signs by RNs. This shall be documented in the inmate's medical record. 3. Physicians shall examine inmates who have been admitted to the OHU no less frequently than every 14 days. 4. Correctional officers shall notify medical staff immediately if an inmate in the OHU requests medical assistance. IX. SAFETY CELL A. A medical assessment shall be completed prior to the initial placement (absent exigent circumstances) but no later than a maximum of two (2) hours from the time of initial placement. Inmates shall be medically cleared by qualified medical staff for continued retention every four (4) hours thereafter. B. The inmate must be reviewed for continued retention in the safety cell a minimum of every four (4) hours by the on-duty Watch Commander. However, nothing shall preclude correctional, medical, or mental health staff from recommending removal prior to that time. C. Whenever health care staff members wish to recommend either the placement of an inmate into a safety cell, or the removal of an inmate from a safety cell, they shall contact the Watch Commander. The Watch Commander will then approve or refuse safety cell placement or removal and ensure all subsequent custody notifications are made. D. Health care staff shall use Crisis Management Plan forms (commonly referred to as "Restriction forms") to document inmate safety cell placement and removal and to indicate if an inmate requires to be placed on any restrictions (e.g., full restriction, "no sharps" restriction, etc.) following the safety cell removal. Crisis Management Plan forms shall be submitted to the Watch Commander for approval/signature and Page 10 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL the signed forms are then delivered (by the mental health staff) to Population Management staff. Upon safety cell removal, Population Management will house the inmate accordingly. E. Inmates will not be housed in safety cells for medical reasons. X. DETOXIFICATION A. Detoxification shall occur only under medical supervision in accordance with local, state, and federal laws. B. Detoxification from alcohol, opiates, hypnotics, other stimulants, and sedative hypnotic drugs shall be conducted under medical supervision when performed at the detention facility. C. Inmates being detoxified shall be monitored by a physician. D. Specific guidelines shall be followed for the treatment and observation of inmates manifesting mild or moderate symptoms of intoxication or withdrawal from alcohol and other drugs. E. Monitoring shall be structured and documented in accordance with the Clinical Institute Withdrawal Assessment (CIWA) or the Clinical Opiate Withdrawal Scale (COWS). F. Inmates arrested for PC647(f) and/or those who appear to be inebriated on alcohol or drugs will be placed into the sobering units on the Main Jail 1st floor. They shall be checked by a member of the medical staff a minimum of once every two (2) hours. If inmates are held in sobering units more than six (6) hours, they shall receive a recorded medical examination by a medical staff member to determine if they have urgent medical problems. G. Inmates experiencing severe, life threatening intoxication (an overdose) or withdrawal shall be transferred under appropriate security conditions to a facility where specialized care is available. Page 11 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL XI. PHARMACY AND MEDICATION DISTRIBUTION A. Prescription medications shall only be prescribed by licensed physicians, physician's assistants, or nurse practitioners, within the scope of their licensures. B. Continuity of medications shall occur within twenty-four (24) hours for inmates with chronic illness, unless there are extenuating circumstances that prevent the prescription of such medications, in which case the inmate shall be evaluated by a physician or mid-level practitioner within twenty-four (24) hours to determine an alternative treatment plan. C. Medications shall be distributed to the inmates twice a day, seven (7) days a week at designated times by a medication nurse. Inmates who require more frequent dosing (or alternative medication schedules) will be routed to the Main Jail 2nd floor to receive their medications, or housed in the Outpatient Housing Unit (OHU), as appropriate. [Refer to policy G-105/Medication Pass (FILE: MEDICATION PASS) for procedures.] D. All hygiene practices while dispensing and administering medications shall conform to nationally accepted professional standards. E. All methadone treatment services for inmates shall conform with state and federal regulations. F. Access to pharmacy keys shall be limited only to health care staff assigned to work in the pharmacy and the Director of Nursing. The pharmacy door shall remain closed and locked when pharmacy staff is not present. All medication cabinets shall remain locked at all times. Nursing Supervisors and the Director of Nursing shall monitor control of the pharmacy daily by direct observation. XII. INFORMED CONSENT A. General consent for medical treatment is explained to each inmate at the time of intake in a language understood by them. Page 12 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL B. Inmates are provided information necessary to give informed consent before a treatment, examination, or procedure. 1. Written consent is not required in every instance, but information is presented to allow the inmate to make an informed decision. 2. For invasive procedures or any treatment where there is some risk to the inmate, informed consent is documented on a written form containing the signatures of the inmate and health services staff witness. C. Consents for off-site procedures are obtained by and are the responsibility of the off-site provider. D. In the event of an emergency where informed consent cannot be immediately obtained and the inmate's life is in danger, informed consent will be implied and consent to treatment will be obtained from the Watch Commander. XIII. RIGHT TO REFUSE A mentally competent inmate has the constitutional right to refuse medical treatment. A. Health care treatment, including medications, shall not be forced over the objections of a mentally competent inmate, except when permitted by law (e.g., to prevent infectious disease). A court order is required before involuntary medical treatment can be administered to an inmate. B. Inmates who refuse an essential medication will be required to refuse directly to the medication nurse and to sign a refusal form. The inmate should be escorted to the medication pass area to refuse in person. Any deviation will require the refusal form to be signed by both the nurse and the officer. XIV. RESTRAINTS A. Restraints shall not be used for medical purposes or during any medical procedures. Page 13 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL B. Medical staff shall not participate in decisions to initiate use of restraints by correctional staff. C. Medical staff shall take all necessary measures to maintain proper peripheral circulation during the use of restraints. D. A registered nurse (RN) or LVN under the supervision of an RN shall document vital signs, mental status, sensation of limbs, and check for injuries incurred during the restraining application within the first hour of placement. Medical staff shall check all restraints to ensure the inmate has proper circulation and document vital signs, mental status, and sensation of limbs at least once every sixty (60) minutes thereafter. XV. PRIVACY A. Health care encounters and discussions, including medical and mental health interviews, examinations, and procedures, are to be conducted in a setting that respects the inmate's privacy. To the degree permitted by security considerations, clinical encounters are conducted in private, without being observed or overheard. 1. Officers are to remain in close proximity only if the urgent or emergent nature of the clinical encounter warrants such, or the inmate poses a probable risk to the safety of the health care provider or others. 2. If the officer is satisfied that the safety of medical staff will not be jeopardized, the officer may permit an inmate who requires escort to be consulted, examined, and/or treated outside of the officer's view. The officer is to remain outside the curtain/door or in close proximity to the place of treatment at all times. 3. Officers shall stand-by anytime an inmate deemed to be high security (i.e., wearing a yellow jumpsuit) is not fully restrained in shackles, handcuffs and/or belly chain. B. Any information overheard during a health encounter shall remain confidential, unless the information is necessary to preserve the health and safety of the inmate, other inmates, volunteers, visitors, contracted employees, or correctional staff. Information provided to correctional Page 14 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL staff addresses only the medical needs of the inmate as it relates to housing, program placement, security and transport. C. If the exam requires the inmate to disrobe and/or expose the buttocks or genitalia (or breasts, if female), and the health provider is the opposite sex of the inmate, a witness of the same sex shall be present. The witness may be another health care staff member. XVI. INMATE INJURIES AND EMERGENCY MEDICAL CARE A. When an officer becomes aware that an inmate has sustained an injury, the officer's first concern should be to secure the scene and obtain treatment for the inmate's injuries. B. Verbal inmate reports involving a medical emergency shall be immediately investigated by staff for appropriate action. C. In the event the verbal request for medical treatment appears to be valid, medical staff shall be immediately notified. If the request does not appear to be an emergency, the inmate will be advised to submit a Health Service Request Form. Written inmate requests will be reviewed by the Charge Nurse. D. In the event of any serious emergency illness or injury, discovering correctional staff should call (via radio) for a medical emergency, and depending on the severity, may request an ambulance to respond. Responding medical staff will evaluate the situation and may also recommend (to the Watch Commander) that the inmate be transported to CRMC for further treatment. E. An incident report shall be written by the correctional officer in ALL cases where an inmate is provided with immediate medical attention/sent to Main Jail 2nd floor unless the medical attention is provided during inmate's scheduled sick call. XVII. PRIVATE MEDICAL TREATMENT A. When an inmate desires to be attended by his/her private physician and/or at a hospital other than one normally utilized by the Fresno County Sheriff's Office, he/she will need to obtain a court order. Page 15 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL B. In the event an inmate elects to decline treatment by medical staff and is willing to provide medical treatment at his/her own expense, the inmate may be transported from the jail to a privately owned and operated medical facility or hospital that is located in the County and approved by a judge of the Superior Court for such treatment. C. The inmate shall be liable for the costs incurred by the County in providing the necessary transportation and security of the inmate only to the extent that such costs exceed the costs which would have been incurred by the County in providing such custody and security if it had provided treatment for the inmate. D. The inmate shall at all times remain in the location specified by the court and will not be permitted to be housed, treated, or detained at any facility other than that designated. E. The private physician shall coordinate with the Watch Commander when an inmate is to be moved from the jail to any medical facility. F. The inmate's private physician may choose to examine and treat the inmate at the jail. Appointment time should be arranged with a Charge Nurse. The inmate and/or his/her family shall be responsible for all charges incurred. The physician shall be required to provide proper photo identification before being permitted to enter the jail. XVIII. INDIVIDUALIZED TREATMENT PLANS A. For each inmate treated for health conditions for which additional treatment, special accommodations and/or a schedule of follow-up care is/are needed during the period of incarceration, medical staff shall develop a treatment plan. Custody staff shall be informed of the treatment plan when necessary, to ensure coordination and cooperation in the ongoing care of the inmate. B. Treatment plans may include medical, dental, or mental health referrals, initiation of treatment, and any recommendations regarding housing, work, or program participation. 1. Development and implementation of a treatment plan shall be done within the scope of state licensure. Page 16 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL 2. Only practitioners licensed to diagnose may diagnose. C. The minimum time period between intake screening and the first history and physical examination shall be specified and based on acuity (not to exceed 14 days for all inmates). D. The minimum time period between physician evaluations shall be specified based on acuity. XIX. SUICIDE PREVENTION A. All arrestees and inmates are medically screened at the time of intake by the Booking Nurse for possible signs and symptoms of suicidal behavior. B. Inmates displaying signs of suicide risk are referred to a mental health clinician for an evaluation. C. Mental health clinicians are responsible to complete a comprehensive suicide risk assessment form for all inmates who display signs of suicide risk to determine if the inmate presents a low, moderate, or high risk of suicide. (Refer also to policy D-260/Suicide Prevention [FILE: SUICIDE].) XX. SERIOUS MENTAL ILLNESS Serious mental illness (SMI) is defined as any mental disorder that results in comparatively severe impairment in major areas of functioning, such as cognitive capabilities or disruption in normal developmental processes and requires significant mental health treatment. The term is synonymous with "severe mental illness." A. Mental health staff shall create an "SMI" Alert in Offendertrak for all SMI inmates. B. SMI inmates shall receive an evaluation from health care staff (i.e., an LMFT or RN) prior to their release to the community. The LMFT/RN will review the discharge plan with the inmate and ensure that any medication order is called in for the inmate by the appropriate personnel. (Refer also to policy G-130/Mental Health Services [FILE: MENTAL].) Page 17 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL XXI. LOCKDOWN INMATES Medical staff shall complete health checks on all inmates in any locked down administrative segregation or disciplinary housing unit in the Jail system at least three (3) times a week and document the checks to include any verbal exchange allowing inmates to report any health or mental health needs or concerns. XXII. SEXUAL ABUSE VICTIMS A. If an inmate indicates during intake screening that they have experienced prior sexual victimization, whether it occurred in an institutional setting or in the community, the inmate shall be offered a follow-up meeting with a medical or mental health practitioner to take place within fourteen (14) days of the intake screening. B. If an inmate is a victim of sexual assault that occurs while in-custody, the inmate/victim must be provided with timely, unimpeded access to emergency medical treatment and crisis intervention services. C. Medical staff shall assess the inmate's acute medical needs. 1. If any life-threatening injuries exist, response may include the need to request emergency transportation (i.e., ambulance). When the call is made to request an ambulance, the dispatcher should be informed that the injured inmate is the victim of sexual assault. 2. Medical staff shall be cognizant to maintain intact any physical evidence which may be found on the victim's person or clothing. 3. Inmates shall be offered timely information about and timely access to emergency contraception and sexually transmitted infections prophylaxis, in accordance with professionally accepted standards of care, where medically appropriate. D. The ongoing evaluation and treatment of such victims shall include, as appropriate, follow-up services, treatment plans, and when necessary, referrals for continued care. Page 18 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL E. If the alleged sexual assault is reported or discovered more than seventy-two (72) hours after the incident, a medical opinion shall be obtained to determine whether the victim is to be taken for a forensic examination. (Refer also to D-360/Sexual Misconduct and Abuse [FILE: SEXUAL ABUSE].) XXIII. MEDICAL DIETS A. Medical diets are special diets ordered for temporary or permanent health conditions that restrict the types, preparation, and/or amounts of food. Medical diets do not include special diets ordered for religious or security reasons. Medically necessary diets shall be made available to inmates. B. The medical diets shall be planned, prepared, and served with consultation from a registered dietitian. The medical diet manual, which includes sample menus of medical diets, shall be available in both the medical unit and the food service office for reference and information. C. A registered dietitian shall review, and the responsible physician shall approve, the diet manual on an annual basis. XXIV. CHRONIC CONDITIONS CARE Medical staff is responsible for consistency of care for inmates with chronic conditions (e.g., diabetes, epilepsy, asthma, etc.). A. Health care services shall include a chronic disease management program. B. The chronic disease management program shall conform to contemporary standards of care such as the National Health Lung and Blood Institute; asthma, hypertension, and lipid guidelines; and American Diabetes Association guidelines. C. All inmates with chronic illness shall be tracked on a chronic illness roster by medical staff. D. The chronic disease management program shall measure the number of inmates with chronic illness who receive their medication within a day of incarceration. Page 19 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL XXV. INFECTIOUS DISEASES PREVENTION Medical staff is responsible for consistency of care and prevention for inmates with infectious diseases. A. The Infection Prevention Plan shall include procedures for identification, treatment, isolation, surveillance, immunization (when applicable), prevention, education, and follow-up related to infectious diseases. B. All tuberculosis screening and management shall be conducted in accordance with the American Correctional Association (ACA) and the National Commission on Correctional Health Care (NCCHC), "Standards for Health Services," as endorsed under recommendations of the Center for Disease Control (CDC) guidelines. XXVI. DENTAL CARE Dental staff is responsible to provide timely access to adequate dental care. A. Routine dental services are available Monday through Friday, and some Saturdays. Emergency care is available on a 24-hour, seven (7) days per week basis. B. Emergency and medically required dental care shall be provided to each inmate, upon request, under the direction and supervision of a dentist licensed in the state. C. In order to receive dental care, inmates must complete a Health Services Request Form. D. A qualified or appropriately trained clinician shall triage dental care requests to identify emergent or urgent issues that require treatment of pain or infection. XXVII. VISION CARE Health staff is responsible to provide timely access to adequate vision care. A. All inmates are screened for vision problems at the time of the initial health assessment, and may again be screened at the time of the periodic health assessment. Inmates who are: Page 20 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL 1. Aged 65 and older will be referred to the optometry clinic annually. 2. Aged 40-64 will be referred to the optometry clinic every 2-4 years. 3. Aged 18-39 will be referred to the optometry clinic as clinically indicated. 4. Diabetic will receive a dilated exam annually. 5. Designated by the optometrist as having a higher risk for glaucoma will receive a dilated exam every two (2) years. B. Inmates who complain that they are having difficulty with visual acuity will be advised to submit a Health Services Request Form to obtain a Snellen vision screening. Inmates may request vision screening annually. XXVIII. CARE OF PREGNANT INMATES A. Upon identification of a pregnant inmate by pregnancy test, the inmate will be seen by medical staff within twenty-four (24) to forty-eight (48) hours of arrival, or within seventy-two (72) hours if incarcerated over the weekend. A list of all pregnant inmates and their disposition, including their release, will be maintained by medical staff. 1. Upon confirmation of an inmate's pregnancy, the inmate must be advised orally or in writing of the standards and policies governing pregnant inmates. The Pregnancy Services pamphlet contains the required information and should be given to all pregnant inmates. 2. Pregnant inmates with a recent history of opiate, methadone, buprenorphine, or similar drugs will be reported to the physician on site or the on-call physician is called if no physician is on-site for appropriate treatment which may include referral to the BAART Opioid Treatment Program (OTP). B. Pregnant inmates will receive timely and appropriate prenatal care, postpartum care, counseling, and specialized obstetrical services when indicated, to include: 1. Initial and regular prenatal exams Page 21 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL 2. Laboratory and diagnostic testing, including syphilis testing 3. Immunizations, including TDAP (Tetanus, Diphtheria, and Pertussis) 4. Management of high risk pregnancies 5. Management of obstetrical emergencies 6. Drug and alcohol detoxification 7. Opioid Treatment Program (OTP) 8. Prenatal diet, vitamins, and exercise 9. Abortion 10. Postnatal care, including accommodation for lactating women 11. Monitoring for postpartum depression 12. Initiation of contraception as needed 13. Perinatal education C. Pregnant inmates will be provided with educational classes/pregnancy management services that include: self-care, nutrition, parenting skills, medications, pregnancy testing, immunizations, routine and high-risk prenatal care, labor and delivery, postnatal care, identification of postpartum depression, and counseling. D. Pregnant inmates shall be provided a balanced, nutritious diet approved by a doctor. E. Pregnant inmates will be transported to Community Regional Medical Center (CRMC) for labor and delivery whenever possible. Pregnant inmates who require transport due to imminent delivery or other emergent condition will be taken to the nearest emergency department with obstetrical services. (Refer also to D-230/Use of Restraint Devices [FILE: RESTRAINTS] for the use of restraints on pregnant inmates.) F. Sterilization for the purpose of birth control, including, but not limited to, during labor and delivery is prohibited. Page 22 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL XXIX. SPECIALTY CARE A. Specialty care appointments (to include pulmonology and ophthalmology) shall be tracked in a log that identifies the referral date, the date the referral was sent to the clinic, the date the appointment was confirmed, and, if the appointment was rescheduled or canceled, the reason it was rescheduled or canceled. B. Inmates whose specialty appointment exceeds three (3) months should be examined by a physician, physician's assistant, or nurse practitioner monthly and evaluated to determine if urgent evaluation is indicated. XXX. HEALTH CARE RECORDS A. Medical staff shall maintain accurate records on each individual inmate, in compliance with state statute and IMQ/CMA accreditation guidelines. Complete and dated health records shall include, but not be limited to: 1. Receiving form/history. 2. Health evaluation reports. 3. Complaints of illness or injury. 4. Names of personnel who treat, prescribe, and/or administer/deliver prescription medication. 5. Location where treated. 6. Medication records. 7. Diagnostic studies. 8. Individual treatment plans. 9. Records of services provided by the various mental health staff members in sufficient detail to make possible an evaluation of services, and contain all the data necessary in reporting to the state, including records of inmate interviews and progress notes. B. Health care record and health information, both oral and documented, is confidential protected health information. The minimum necessary health information is to be disclosed to health care staff providing health care or to jail authorities when necessary for the protection of the Page 23 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL welfare of the inmate or others, management of the jail, or maintenance of jail security and order. C. All health care records must comply with state and federal regulations pertaining to access, disclosure, and/or use of health information. D. Each inmate's health care record (paper or electronic) shall be maintained separately from and in no way be part of the inmate's other jail records. E. Correctional staff shall not have access to the completed intake screening form. XXXI. TRAINING A. All health care staff shall receive structured orientation and training specific to providing health services in a correctional setting. B. All health care staff shall receive training regarding suicide prevention during new employee orientation, and updated training annually. The training shall be provided by a licensed clinician having expertise in correctional suicide prevention and the use of a suicide risk assessment form. C. All full- and part-time medical care practitioners shall be trained in how to detect and assess signs, preserve physical evidence, respond effectively, and report allegations or suspicions of sexual abuse and sexual harassment. D. Mock fire drills are conducted by the Jail Division at least twice a year to ensure all staff members are familiar with safety procedures and evacuation methods. Health care staff shall participate in the fire drills at least once each year. XXXII. STAFF ACCESS TO MEDICAL SERVICES A. All jail medical areas are off limits to jail personnel with the exception of jail staff members specifically assigned to work in that area. B. Medical staff shall not provide medical services, including drugs or any other medication to employees, except in emergency situations. Page 24 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICAL HEALTH SERVICES NO: G-120 FILE: MEDICAL C. In the event of an emergency, the first concern shall be to have the jail staff member evaluated and first aid provided, if indicated. Subsequently, the following reports shall be completed and forwarded to the Watch Commander: 1. An incident report detailing the circumstances of the illness/injury. 2. A Supervisor's Investigation Report (S I R). D. A Worker's Compensation Package shall be provided to the staff member and a receipt for same shall be signed by the injured employee and forwarded to the Watch Commander. Page 25 of 25 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS EFFECTIVE DATE: 07-25-17 REVISED: 01-27-22 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Assistant Sheriff S. McComas REFERENCE: California Code of Regulations, Title 15, Sections 1206, 1214, and 1216. Hall v. County of Fresno, E.D. Cal. No. 1:11-CV-02047-LJO-BAM (2015); 45 CFR 164.512(k)(5); and Fresno County Administrative Officer's Management Directives, Subject 112.3. PURPOSE: The purpose of this policy is to establish guidelines for security and control during medication pass in the detention facilities. POLICY: It is the policy of the Fresno County Sheriffs Office Jail Division that custody staff shall be present during medication pass to directly observe the medication process, maintain order, and provide assistance, if necessary. It is the policy of the Fresno County Sheriffs Office Jail Division that non-medical staff (inmates and correctional officers) are prohibited from administering medications. At no time shall medication be withheld from an inmate as a punitive action. PROCEDURES: I. DEFINITIONS ADMINISTERING MEDICATION — the act in which a single dose of medication is given to an inmate. CHEEKING — Hiding medications inside the mouth rather than swallowing them. DIRECTLY OBSERVED THERAPY (DOT) - Dose-by-dose administration of medications by licensed nurse which includes observation of ingestion of the medication by the nurse. Page 1 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS ESSENTIAL MEDICATIONS—Medications that are essential to the safety or well- being of the inmate and could result in a health problem if a dose is eliminated (e.g., insulin, chronic disease, etc.). KEEP-ON-PERSON (KOP) MEDICATIONS — Medications that have been designated by the Medical Director as safe for the inmate to self-administer (e.g., inhalers, nitroglycerin, commissary medications). II. GENERAL PROCEDURES A. Routine medication passes are conducted in every housing unit, twice a day, seven (7) days a week. Additional medication passes and diabetic checks are conducted several times each day to ensure that inmates who require more frequent dosing (or have alternative medication schedules) are provided their medications as prescribed. B. Medical staff will identify the medication pass call times designated for the administration of medications to inmates in the housing units. 1. The times will be established by the Health Services Administrator (HSA) in coordination with jail management. 2. Any modifications to the prescheduled time shall be sent to the Watch Commander and the Compliance Lieutenant two (2) weeks in advance. 3. Due to circumstances in the facility, an urgent event (planned or unplanned) or an emergency may occur and alter the schedule. This shall be communicated between the Watch Commander and the Charge Nurse to ensure medication is administered as soon as practical. C. Security officers are to announce medication pass in such a fashion so as to alert all inmates in the housing units. The lights shall be turned on inside the OHU and administrative segregation lockdown cells in order for nursing staff to observe the inmates ingest their medications. (The light in an OHU cell may remain off if medically necessary.) D. An officer shall accompany the medication nurse and be present during medication pass to directly observe the medication process, maintain order, and provide assistance, if necessary. Page 2 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS 1. Whenever possible, the accompanying officer will position themselves inside the housing unit or other location (e.g., gymnasium, classroom, etc.), as applicable. [Refer to Addendum A for the Medication Pass Logistics chart.] 2. When not possible, practical or safe to be inside the housing unit, the accompanying officer will position themselves so as to view the inmate and when necessary, provide access by opening the associated feed hatch. The officer shall remain in direct proximity in order to provide safety and security for the nurse and the medication cart. E. If there is an emergency call or urgent need of the officer elsewhere, medication pass will cease until an officer becomes available to assist. III. INMATE RESPONSIBILITY A. It is the inmate's responsibility to be present for their medication and to follow any instructions during medication pass. If an inmate's medication is ordered for a specific time (for example, each morning after breakfast), that is the time that the medication will be made available. If the inmate oversleeps or chooses not to get up, they will not be offered the medication later in the day. B. General population and protective custody inmates who are scheduled to receive medications are to form an orderly line. Green lines in the dayrooms and other common areas have been added to create space for privacy. Inmates are expected to remain behind the green line until called upon to move forward. C. Inmates are expected to be dressed, show their ID wristbands and have a cup of water with them. Without doing these things, the nurse will not give the inmate their medication and the inmate will be asked to comply and return to the end of the line. 1. The medication nurse will provide water and cups for inmates who receive their medications outside of their housing unit. 2. The medication nurse may provide certain medications mixed with water ("crush and float") when prescribed. Page 3 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS D. With the exception of self-administered medications, the inmate will be required to swallow their medication in front of the nurse. Inmates in locked cells will be expected to bring a cup of water and come to the cell front to be clearly visible. The officer shall ensure that the cell light has been turned on and has not been covered. IV. OFFICER RESPONSIBILITY An officer shall accompany the medication nurse and be present during medication pass to directly observe the medication process, maintain order, and provide assistance, if necessary. A. The accompanying officer shall not engage in any activity that distracts him/her from concentrating on the medication pass process. B. It is the responsibility of the accompanying officer to ensure that the inmates obey the medication pass rules. 1. Only one inmate at a time is to approach the medication nurse. 2. Inmates are to have legible wristbands. Wristbands shall be replaced, if necessary. [Refer to C-110/Identification Wristband (FILE:WRISTBANDS).] 3. Inmates are to conduct themselves in an appropriate manner and not be disrespectful towards the nurse. Any inmate who fails to follow the rules and/or becomes abusive towards the nurse should receive a rule violation for failure to comply. At no time shall medication be withheld from an inmate as a punitive action. C. Officers shall assist the nurse in supervising the inmates and ensuring they have swallowed their medication. With the exception of Keep-on- Person medications, all medications are to be taken immediately and in front of the medication nurse and officer. (Refer to Section V, as follows.) V. DIRECTLY OBSERVED THERAPY (DOT) A. Nursing staff shall observe inmates taking medications. All medications administered by the nurse shall be considered and treated as DOT medications. Page 4 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS 1. The medication nurse will advise the officer if an inmate is suspected of cheeking, hoarding, and/or selling medication. 2. Officers will assist the medication nurses in doing a thorough check for ingestion of a medication. This may include, but is not limited to, the direct visualization of an inmate's open mouth while lifting his/her tongue, checking the contents of the inmate's drinking cup, as well as the inmate showing the nurse/officer his/her open hands. B. Any inmate suspected of not swallowing their DOT medication shall be isolated from other inmates. The officer should request assistance to isolate and search the inmate. Until the assisting officer arrives, the medication pass will be halted. The medication nurse should make an entry into the inmate's medical record noting the inmate's attempt to hoard medication. C. Officers shall notify medical staff if it is later discovered that an inmate hoards, cheeks, sells, or fails to swallow their medication. The discovering officer shall document their discovery in a rule violation report. VI. MISSED MEDICATIONS A. At the conclusion of the medication line, the medication nurse will identify any inmates who did not present to the medication line to receive their medications. B. The medication nurse will advise the officer if an inmate who is prescribed an essential medication has missed medication pass. The officer will determine if the inmate is unaware (e.g., asleep, or not expecting the medication), or otherwise unavailable (i.e., attending an event outside of the housing unit), and ensure the inmate is notified. 1. Upon request by the nurse, the officer shall check on the welfare and/or provide escort into the cell of any inmate who fails to respond for medication. 2. The refusal of the offered medication shall be done with the nurse present (at the medication pass area) whenever possible. A refusal form should only be completed when an inmate expressly refuses their medication. (Refer to Section VII, as follows.) Page 5 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS C. If an inmate misses medication pass due to attending an event outside of the housing unit, the inmate will be located and the medication provided in accordance with the Medication Pass Logistics chart (refer to Addendum A). D. If an inmate is out of the facility at the time of a medication pass, the inmate should receive their medication upon return. The medication nurse (or Charge Nurse) is to be advised of the inmate's return, and the inmate will be routed to the Main Jail 2nd floor to receive their medication. VII. RIGHT TO REFUSE A. Health care treatment, including medications, shall not be forced over the objections of a mentally competent inmate, except when permitted by law (e.g., to prevent infectious disease). 1. Any inmate who has not been adjudicated to be incompetent may refuse non-emergency medical and mental health care. Absent informed consent in non-emergency situations, a court order is required before involuntary medical treatment can be administered to an inmate.* *Medication can be administered for up to 72 hours without a court order if the inmate has been determined by a psychiatrist or psychologist to have a serious mental disorder, and as a result of that mental disorder is gravely disabled or a danger to self or others. [Refer to Penal Code 2603 and policy G-180/Involuntary Medication Administration(FILE: INVOLUNTARY MEDICATION).] 2. Psychotropic medications may be administered involuntarily to inmates in compliance with law and policy. [Refer to policy G-180/Involuntary Medication Administration (FILE: INVOLUNTARY MEDICATION)for the conditions under which psychotropic medications may be administered involuntarily to inmates.] B. Inmates who refuse an essential medication will be required to refuse directly to the medication nurse and to sign a refusal form. 1. The inmate should be escorted to the medication pass area to refuse in person. 2. Any deviation to this directive will require the refusal form to be signed by both the nurse and the officer. The officer shall print their name and computer identification number on the form in a legible manner. Page 6 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS Vill. INJECTABLE MEDICATIONS Injectable medications shall not be administered through the feed hatches or cell bars. If an injectable medication needs to be administered, the officer shall escort the inmate to a clinic where the health care staff can safely administer the medication. IX. COURT MEDICATION PASS A. Medical staff will print an Offendertrak report that lists all inmates attending court for the day. B. Designated medical staff will provide medications to inmates scheduled for morning court in the following locations and manner- 1. Main Jail — inmates scheduled for early morning transportation will be routed to the Main Jail 2nd floor to receive their medications prior to proceeding to court. Medical staff will administer the medication at the elevator door. 2. Annex Jails—designated medical staff will go to the housing floors and administer medications prior to the inmates leaving the floor. X. KEEP-ON-PERSON (KOP) PROGRAM Inmates may self-administer medications in limited circumstances (e.g., KOP medications and medications purchased from commissary). The Keep-on- Person (KOP) program allows inmates to maintain designated and approved medications under their control. A. The KOP program is limited to medications that have been approved by the Site Medical Director and do not have a recognized abuse potential or security problem (e.g., nitroglycerin, rescue inhalers). B. Any medications used in the KOP program must be in the inmate's possession at all times or provisions must be made for the secure storage of medication when it is not on the inmate's person. C. Health care and custody staff are to communicate with each other regarding any violation of rules regarding self-administration medications. Medication issues that involve a security or safety issue (e.g., hoarding medications) shall be documented in a rule violation report. The Watch Commander shall notify the Charge Nurse. Page 7 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICATION PASS NO: G-105 FILE: MEDICATION PASS 1. The medications may be removed from the inmate's possession and/or the inmate may be referred to medical staff for assessment and modification to the medication regimen (such as discontinuing medication, or DOT), as appropriate. 2. Custody shall turn over any medication to medical staff and properly document and photograph the medication for later identification and/or auditing. XI. EXCEPTIONS Although this policy addresses the vast majority of inmates who require medication, it will occasionally be necessary for inmates to report to the Main Jail 2nd floor for their medication. Any exception/special circumstances will be dealt with on a case-by-case basis between the medical provider and custody staff. Page 8 of 8 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH EFFECTIVE DATE: 12-25-94 REVISED: 05-05-95, 05-01-98, 06-15-18, 01-24-23 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Assistant Sheriff S. McComas REFERENCE: Penal Code Sections 4011, 4011.6, 4011.8 and 4023. Welfare and Institutions Code Section 5150; California Code of Regulations, Title 15, Sections 1052, 1203, 1205, 1207, 1207.5, 1208, 1209, 1210, 1211, and 1216; 45 CFR 164.512; Prison Rape Elimination Act of 2003 (42 USC 15601) 28 CFR 115; and Hall v. County of Fresno, E.D. Cal. No: 1:11-CV-02047-LJO-BAM (2015). PURPOSE: The purpose of this policy is to establish guidelines for the mental health care of incarcerated people housed in the Fresno County Sheriff's Office Detention Facilities. POLICY: It is the policy of the Fresno County Sheriffs Office Jail Division that adequate and timely mental health care shall be provided to any incarcerated person in custody who demonstrates the need, or is determined to need, mental health care. This care shall be in a manner consistent with all applicable standards of mental health care and in compliance with all applicable Federal, State, and local laws, codes, regulations, directives, and all applicable State and Federal court orders. The Fresno Sheriff's Office is responsible for the on-site and off-site mental health care services for the incarcerated people at the Fresno County Jail. With the approval of the Fresno County Board of Supervisors, such services may be contracted to a private service provider. The service provider shall operate a mental health care program that meets the local community standards of care, and supply all services under the terms of the negotiated contract. PROCEDURES: I. MENTAL HEALTH STAFF A. Clinical decisions, diagnoses, and treatment plans shall only be made by licensed mental health clinicians (psychiatrists, psychologists, Page 1 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH therapists, clinical social workers, psychiatric nurses). Licensed mental health clinicians shall review and cosign record entries made by Licensed Psychiatric Technicians (LPTs) and Licensed Vocational Nurses (LVNs) when LVNs and LPTs are providing behavioral health services. B. Mental health staff shall be appropriately credentialed according to the licensure, certification, and registration requirements for the State of California. C. Mental health staff shall be assigned to work in the jail and to evaluate, monitor, and treat incarcerated people who show signs of mental, rather than physical problems. Mental health staff shall assist correctional officers in dealing with incarcerated people who show signs of emotional or mental problems. II. MENTAL HEALTH SERVICES A. Mental health staff shall be responsible to provide the following services- 1. Mental health evaluations and assessment of treatment needs of incarcerated people who require (or appear to require) mental health services (e.g., incarcerated people with suicidal ideations, incarcerated people in behavioral crisis, incarcerated people who currently participate in a methadone treatment program, incarcerated people who reported alcohol and drug abuse, or who disclosed prior sexual victimization, etc.). 2. Mental health treatment programs provided by qualified staff, including the use of telehealth. 3. Crisis intervention services. 4. Basic mental health services as clinically indicated. 5. Psychiatric medication support services (e.g., access to medications, monitoring the effects of the medications prescribed by the psychiatrist, etc.). 6. Suicide prevention services (completing suicide risk assessments and monitoring incarcerated people assessed to be low, moderate, and high risk). Page 2 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH 7. Safety cell checks, evaluations, and follow-up. 8. Short-term individual and/or psycho-educational or psychotherapy group sessions. 9. Monitoring of SMI incarcerated people housed in administrative separation lockdown and disciplinary housing. Development and implementation of individualized treatment plans (e.g., Behavioral Management Plans [BMP's]to modify problematic behaviors). 10. Evaluations for and documentation of the need for involuntary acute hospitalization pursuant to Welfare and Institutions Code 5150. 11. Continuity of care from admission to transfer or discharge from the facility, including referral to community-based providers, when indicated. B. Mental health staff may make recommendations to Population Management staff regarding incarcerated person housing assignment locations and/or changes, as appropriate. Mental health staff will provide a reason for such recommendation. C. Mental health staff will coordinate with medical staff to ensure that care is appropriately integrated, medical and mental health needs are met, and the impact of any condition on each other is adequately addressed. D. Mental health staff will collaborate with the Department of Behavioral Health (DBH)to provide continuity of care with psychiatric medications and referrals to DBH services. Mental health staff shall have access to the DBH computerized information database to facilitate such care. III. INITIAL HEALTH CARE SCREENING FOR ARRESTEES A. All arrestees shall be screened by the Booking Nurse (i.e., registered nurse or nurse practioner) prior to acceptance for booking. B. Health care intake screening shall include, but not be limited to, medical and mental health problems, developmental disabilities, tuberculosis and other communicable diseases. Page 3 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH 1. The Intake/Receiving Screening Form includes questions regarding history of mental health problems or treatment, hospitalizations, and/or current or previous thoughts of self-harm. 2. Incarcerated people identified as having developmental disabilities, mental retardation, and/or learning disabilities will be referred to mental health staff for assessment. Mental health staff shall contact the Central Valley Regional Center for the purposes of diagnosis and/or treatment within 24 hours of such determination, excluding holidays and weekends. 3. Incarcerated people displaying signs of suicide risk at intake screening will be referred for an immediate mental health evaluation. C. The Booking Nurse may recommend that any arrestee who is in need of obvious acute medical attention not be accepted into custody. (The screening shall be fully completed, so that all detectable medical needs can be addressed prior to acceptance.) 1. The recommendation will be reviewed and approved by the Watch Commander. 2. The arresting/transporting officer shall be responsible to transport the arrestee to Community Regional Medical Center (CRMC) or other medical facility so that his or her medical needs can be addressed prior to booking into the Jail. The transporting officer will be required to provide a copy of the CRMC medical clearance paperwork, upon return. 3. If the Booking Nurse again finds the arrestee not fit for confinement, the nurse shall consult with the on-duty (or on-call) physician (or psychiatrist, as applicable). 4. If the physician/psychiatrist concurs with the Booking Nurse and rejects the arrestee, the Watch Commander will "override" the decision and accept the arrestee into custody. 5. The Watch Commander will coordinate with Medical/Mental Health to transport the incarcerated person back to CRMC via the site Emergency Room transfer process to address the incarcerated person's medical care and fitness for confinement needs. Page 4 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH 6. The contracted medical provider will be responsible to coordinate with CRMC regarding subsequent care of the incarcerated person, to ensure their fitness for confinement upon discharge from the Emergency Room, as necessary. [See flowchart on Addendum A.] D. If the arrestee is found fit for incarceration but requires further medical attention, he/she shall be treated by jail medical staff. If the arrestee requires psychiatric treatment, he/she shall be provided a mental health evaluation by health services stafff, who shall consult with Population Management staff regarding appropriate housing for the incarcerated person. IV. SPECIAL MENTAL DISORDER ASSESSMENT An additional mental health screening will be performed on women who have given birth within the past year and are charged with murder or attempted murder of their infants. Such screening will be performed at intake and, if the assessment indicates postpartum psychosis, a referral for further evaluation will be made. V. ACCESS TO MENTAL HEALTH TREATMENT A. Mental health service requests are to be made in writing, utilizing a Health Services Request Form. Incarcerated people are to place the completed forms in the locked boxes located inside each pod. Health Services Request Forms will be collected by health care staff during medication passes at least twice a day. Health care staff will pick up completed health service request forms directly from incarcerated people in Iockdown units during medication passes twice a day. The Charge Nurse will review and triage each request prior to placement of the incarcerated person's name on the sick call list and/or scheduling an appointment. B. Mental health staff may receive referrals for mental health evaluations from correctional and medical staff. 1. Population Management Unit staff may refer incarcerated people with documented mental health history (e.g., safety cell placements), incarcerated people who report prior sexual victimization, incarcerated people who are exhibiting mental impairments during classification interviews, and incarcerated people returning from State Hospitals. 2. Correctional and medical staff may refer incarcerated people who Page 5 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH display signs of suicide risk or require other crisis intervention services. (Refer to policies D-260/Suicide Prevention [FILE: SUICIDE] and D-360/ Sexual Misconduct and Abuse[FILE: SEXUAL ABUSE].) 3. If at any time, medical or custody staff is made aware of a mental condition that was not conveyed or detected at the time of booking/screening, the discovering staff member should report that information to the appropriate mental health staff. VI. PSYCHIATRIC MEDICATIONS A. Psychiatric medications, including but not limited to antipsychotic medications, shall be prescribed to incarcerated people with mental illness in accord with nationally accepted professional standards for the treatment of serious mental illness. Prescription medications shall only be prescribed by licensed physicians, physician's assistants, psychiatrists, or nurse practitioners, within the scope of their licensures. B. Physicians shall "bridge" all verified, valid prescriptions for incarcerated people who enter the facility currently on psychiatric medications. 1. Incarcerated people who receive such bridge medications shall receive a face-to-face evaluation with a psychiatrist within seven (7) days of initiation of the medication. 2. Follow-up face-to-face evaluations shall occur as needed, but within thirty (30) days following the initial visit. 3. Subsequent face-to-face evaluations by the psychiatrist shall occur as needed, but at intervals of no more than ninety (90) days. C. Incarcerated people who are prescribed psychiatric medications by the psychiatrist (i.e., not"bridge" medications) shall receive follow-up face- to-face evaluations with a psychiatrist as needed depending on their clinical status, but no later than thirty (30) days following the initial visit. Subsequent visits shall occur as needed, but at intervals of no more than ninety (90) days. D. Medication shall be distributed to the incarcerated people each day at designated times by designated medical staff. Psychotropic medications are excluded from self-administration. Page 6 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH E. Some psychotropic medications can pose a serious health risk during times of extreme heat by impairing the body's ability to regulate temperature. Temperatures in all jail facilities are monitored for the purpose of ensuring that incarcerated people prescribed psychotropic medications are not at risk of heat-related illness from extremely hot conditions (i.e., when the heat index reaches or exceeds 900). Conversely, incarcerated people are provided with extra blankets and/or thermal underclothing as needed in extremely cold conditions (i.e., when the temperature of a housing unit drops below 630F). (Refer to policy B-190/Air Pollutants, Extreme Temperatures and Heat-Risk Medications [FILE: WEATHER RISKS].) VII. SEXUAL ABUSE VICTIMS A. If an incarcerated person indicates during intake screening that they have experienced prior sexual victimization, whether it occurred in an institutional setting or in the community, the incarcerated person shall be offered a follow-up meeting with a medical or mental health practitioner within fourteen (14) days of the intake screening. B. If an incarcerated person is a victim of sexual assault that occurs while in-custody, the incarcerated person/victim must be provided with appropriate mental health services, confidentially, and at no cost, in a manner consistent with the level of care in the community. 1. The incarcerated person will be referred for an urgent suicide risk assessment, and shall be evaluated within one (1) hour of referral. 2. The incarcerated person shall be monitored for suicidal impulses, post-traumatic stress disorder, depression, and other mental health consequences. 3. The incarcerated person shall be offered crisis intervention counseling, appropriate to the needs of the victim. c. The ongoing evaluation and treatment of such victims shall include, as appropriate, follow-up services, treatment plans, and when necessary, referrals for continued care. (Refer to Section xvlvcontinuity of care.) Vill. SUICIDE PREVENTION AND RISK ASSESSMENT A. All arrestees and incarcerated people shall be medically screened at the time of intake by a medical staff member for possible signs and Page 7 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH symptoms of suicidal behavior. B. Incarcerated people displaying signs of suicide risk shall be referred to a mental health clinician for an evaluation. C. Incarcerated people who have been sexually assaulted while in- custody shall be referred for an urgent suicide risk assessment. D. Mental health clinicians shall complete a comprehensive suicide risk assessment form for all incarcerated people who display signs of suicide risk to determine if the incarcerated person presents a low, moderate, or high risk of suicide. Mental health clinicians shall complete a new form if there are indications of any modification of risk factors, including but not limited to any suicide attempts or expressions of suicidal ideation. A comprehensive suicide risk assessment form will also be completed for incarcerated people who appear to be a danger to themselves or others and/or incarcerated people who may be in behavioral crisis. 1. Upon completion of the suicide risk assessment form, mental health staff shall create a corresponding Alert in Offendertrak indicating the suicide risk level (i.e., L-Suicide, M-Suicide, or H- Suicide). 2. Low-risk (L-Suicide) incarcerated people shall be monitored at least monthly by mental health staff and shall be housed with other incarcerated people or, if they cannot be housed with other incarcerated people, in housing where they can be frequently monitored by correctional staff. 3. Moderate-risk (M-Suicide) incarcerated people shall be monitored at least weekly by mental health staff and shall be housed with other incarcerated people unless they pose a safety and security threat to other incarcerated people. Moderate-risk incarcerated people shall be housed in locations that allow custody staff to observe and communicate with these incarcerated people on a daily basis. 4. High-risk (H-Suicide) incarcerated people shall be monitored at least every twenty-four (24) hours by mental health staff. 5. Incarcerated people who are determined to be "low low-risk" do not require follow-up (unless determined necessary based on a subsequent assessment). Page 8 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH E. If an incarcerated person is at moderate risk of attempting self- injurious behavior, but is not in immediate danger, a mental health clinician may recommend that the incarcerated person be placed on Suicide Precaution/"no sharps." 1. The clinician will also complete a Crisis Management Plan that documents their recommendation, and indicates the possessions and clothing items that should be removed or kept. 2. The clinician will be responsible to create an Alert ("Restriction - Mental Health") in Offendertrak. F. Sentenced incarcerated people who have been identified as a moderate or high level of suicide risk shall receive an evaluation by a mental health clinician prior to their release. (Refer to section xvl/Continuity of Care for the complete/detailed requirement.) IX. SERIOUS MENTAL ILLNESS or SEVERE MENTAL ILLNESS (SMI) Serious mental illness is defined as any mental disorder that results in comparatively severe impairment in major areas of functioning, such as cognitive capabilities or disruption in normal developmental processes and requires significant mental health treatment. The term is synonymous with "severe mental illness." A. Mental health staff shall create an "SMI" Alert in Offendertrak for all SMI incarcerated people. B. Mental health staff, with the assistance of correctional staff, shall develop and implement Behavior Management Plans for incarcerated people with serious mental illness who engage in repeated acts of misconduct with the goal of reducing their placements, or shortening the length of time they spend in Iockdown administrative separation housing. 1. Correctional staff assigned to Population Management who are familiar with the housing of incarcerated people with serious mental illness shall be included in administrative meetings where Behavior Management Plans are developed and reviewed. 2. Behavior Management Plan forms shall be scanned into the Incarcerated person Management Plans folder (G/RefMat/Custody/Inmate Management Plans) by the designated Population Management Sergeant. Page 9 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH C. SMI incarcerated people may be assigned to all levels of classification. Population Management works in conjunction with mental health staff to assess the best housing environment that will aid the SMI incarcerated person in maintaining optimum mental health without compromising the safety and security of other incarcerated people and jail staff. D. Incarcerated people with serious mental illness are not housed in any locked down administrative separation or discipline housing unit in the jail system unless those incarcerated people demonstrate a current threat to jail security, incarcerated person and/or officer safety, as documented by correctional staff, that prevents them from being safely housed in less restrictive locations. E. In the event any SMI incarcerated person must be housed in a locked down administrative separation or discipline housing unit, correctional and mental health staff shall ensure those incarcerated people are offered mental health treatments three (3) times per week. 1. SMI incarcerated people who are housed in any lockdown cell for more than 48 hours are to have their cases reviewed by a multidisciplinary team consisting of corrections and mental health staff every two (2) weeks. Decisions for an individual's continued housing in a single cell includes input from a licensed mental health clinician. 2. Out-of-cell structured behavioral health services for SMI incarcerated people housed in any lockdown cell will be offered: a. A minimum of three (3) out-of-cell mental health contacts per week consisting of structured individual or group therapeutic/ educational treatment and programming, each lasting approximately one (1) hour with appropriate duration to be determined by a mental health clinician (or incarcerated person, if the incarcerated person ends the session before the hour is up). b. At a minimum, one (1) one-to-one structured therapeutic contact session will be offered by a mental health clinician. The remaining two (2) contacts per week may either be additional one-to-one structured therapeutic contacts or group therapeutic/ educational contact sessions. Page 10 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH F. Mental health contacts shall be documented indicating type and duration of activity. G. The Sheriff's Office shall review the status of incarcerated people with serious mental illness housed in administrative separation lockdown cells at least once every 30 days to determine if the incarcerated person can be moved to less restrictive housing. Jail mental health staff shall assess SMI incarcerated people' housing requirements, which shall be discussed at monthly administrative meetings with custody and health care staff. H. Sentenced SMI incarcerated people will receive discharge planning from health care staff(i.e., an LMFT or RN) prior to their release to the community. (Refer to Section XVI/Continuity of Care.) X. SAFETY CELLS A. A mental health opinion/consultation with responsible health care staff on placement and retention shall be secured within two (2) hours of placement in a safety cell to determine the incarcerated person's need for mental health services and suitability for retention in the safety cell. This evaluation may be performed by any qualified, licensed health care staff. Licensed mental health staff will evaluate the incarcerated person and perform a clinical assessment within the first twelve (12) hours of placement. (Refer to policy D-210/Safety Cell[FILE: SAFETY CELL].) B. Mental health clinicians shall complete a comprehensive suicide risk assessment form for all incarcerated people who display signs of suicide risk to determine if the incarcerated person presents a low, moderate, or high risk of suicide. This assessment will be indicated on the Crisis Management Plan form. The clinician will be responsible to create a corresponding Alert in Offendertrak. C. The incarcerated person must be reviewed for continued retention in the safety cell a minimum of every four (4) hours by the on-duty Watch Commander. However, nothing shall preclude correctional, medical, or mental health staff from recommending removal prior to that time. D. Whenever health care staff members wish to recommend either the placement of an incarcerated person into a safety cell, or the removal of an incarcerated person from a safety cell, they shall contact the Page 11 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH Watch Commander. Health care staff utilize Crisis Management Plan forms (commonly referred to as "Restriction forms") to document incarcerated person safety cell placement and removal and to indicate their recommendation that an incarcerated person be placed on any restrictions (e.g., "no sharps"). 1. The Crisis Management Plan form is submitted to the Watch Commander for approval and signature. The Watch Commander will then approve or deny safety cell placement, removal, or restrictions, and ensure all subsequent custody notifications are made. 2. The signed form is delivered to Population Management staff by the health care staff member. E. Whenever an incarcerated person's placement in a safety cell is to exceed thirty-six (36) hours, mental health staff shall submit written justification (i.e., a Crisis Management Plan) to the Watch Commander, to recommend one of the following actions: 1. The reasonable extension and temporary continuance of the safety cell housing. 2. Discontinuance of the safety cell placement, and/or: a. Evaluate for a transfer to a medical or behavioral health facility for 72-hour treatment and evaluation pursuant to Section 5150 of the Welfare and Institutions Code. b. Recommend direct supervision (managed within the Jail facility). F. Any confinement lasting more than thirty-six (36) hours shall require the written approval of a Bureau Commander or their designee. No incarcerated person shall remain in a safety cell for more than forty- eight (48) continuous hours. G. Within twenty-four (24) hours of safety cell removal, the incarcerated person will be evaluated by mental health staff. The evaluation will be documented via a "24-hr Safety Cell Follow Up" event in Offendertrak. The incarcerated person will receive subsequent mental health evaluations at designated intervals (e.g., 7-days, 14-days, etc.). All Page 12 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH events will be documented via the appropriate entries in Offendertrak (e.g., 7-Day Safety Cell Follow Up," 14-Day Safety Cell Follow Up," etc.). XI. OBSERVATION CELL The observation cell is to be used to separate and protect those incarcerated people who display behavior that indicates they are in a crisis or a danger to themselves or others and require close observation. (Refer to policy D-375/Safety Cell[FILE: OBSERVATION CELL].) A. Placement into an observation cell requires recommendation from a licensed mental health clinician (or in their absence, a registered nurse who has been trained in mental health issues) and approval of the Watch Commander. If an RN performed the initial evaluation, licensed Mental Health staff shall evaluate the incarcerated person and perform a clinical assessment within the first twelve (12) hours of placement B. Any deprivation of rights or privileges withheld from an incarcerated person in an observation cell shall require written documentation by a licensed mental health clinician and the prior approval of the Watch Commander. C. The incarcerated person shall be medically cleared by qualified Medical staff (i.e., RN or provider) for retention every twenty-four (24) hours thereafter. D. The incarcerated person shall be reevaluated for removal or continued retention in the observation cell a minimum of every twenty- four (24) hours by a licensed mental health clinician and the Watch Commander. However, nothing shall preclude correctional, Medical, or Mental Health staff from recommending removal prior to that time. E. Whenever an incarcerated person's placement in an observation cell is to exceed ten (10) days, a mental health assessment from the facility Psychiatrist or facility Medical Director shall be conducted and a written recommendation shall be forwarded to the Watch Commander for the reasonable extension and temporary continuance of the observation cell housing. No incarcerated person shall remain in an observation cell for more than fourteen (14) continuous days. Page 13 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH XII. INDIVIDUAL MENTAL HEALTH TREATMENT PLANS F. For each incarcerated person treated for mental health conditions, custody staff shall be informed of the treatment plan when necessary, to ensure coordination and cooperation in the ongoing care of the incarcerated person. This treatment plan shall include referral to treatment after release from the facility when recommended by mental health staff. [Refer to Section XVI/Continuity of Care.] G. All Behavior Management Plans are scanned into the Inmate Management Plans folder in the G-drive (G/RefMat/Custody/I nm ate Management Plans) by a designated Population Management Sergeant. Crisis Management Plans are also accessible in the Inmate Management Plans folder. H. The Watch Commander will ensure that an email is sent to all Sergeants and Lieutenants, notifying them of any newly effected plan. The affected Facility Sergeant is responsible to- 1. Print all newly enacted Crisis Management Plans, Behavior Management Plans, and Administrative Action Reports, as applicable. Copies of all current/applicable forms are placed into the "Inmate Management Plan" binder located in the security station of the affectecd housing floor. The only exception is the South Annex 2D housing unit, where the plans are immediately accessible outside of each individual cell door. 2. Ensure the affected housing floor officers are notified and aware of any newly effected incarcerated person management plans. 3. Purge the binder of expired forms, as necessary. XIII. TRANSFER TO A MENTAL HEALTH TREATMENT FACILITY A. A mentally disordered incarcerated person who appears to be a danger to himself or others, or to be gravely disabled, and is unable to be cared for adequately within the jail facilities, shall be transferred to an off-site Lanterman Petris Short treatment facility (e.g., Exodus) for diagnosis and treatment of such apparent mental disorder pursuant to Penal Code 4011.6, Penal Code 4011.8, and/or Welfare & Institutions Page 14 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH Code 5150. B. In the event an incarcerated person is housed off-site, but remains in custody, the mental health lead clinician/supervisor will have regular communication with the off-site care provider to assess the incarcerated person's status and ensure continuity of care upon return to the jail facility. The mental health lead clinician/supervisor will also have regular communication with appropriate custody staff regarding the incarcerated person's status. XIV. PRIVATE MENTAL HEALTH TREATMENT If an incarcerated person desires to be attended by their private physician and/or at a hospital other than the one normally utilized by the Fresno County Sheriffs Office Jail Division (i.e., CRMC), they may do so at their own expense. (Refer to policy G-120/Medical Health Services[FILE: MEDICAL]). XV. HEALTH CARE RECORDS A. A confidential record shall be kept on each incarcerated person assessed by mental health staff. The record shall include diagnostic studies, individual treatment plan, and records of services provided by the various mental health staff members in sufficient detail to make possible an evaluation of services, and contain all the data necessary in reporting to the State, including records of incarcerated person interviews and progress notes. Mental health records shall be kept separate from all other Jail Division and Sheriffs Office records. B. Health care record and health information, both oral and documented, is confidential protected health information. The minimum necessary health information is to be disclosed to health care staff providing health care or to jail authorities when necessary for the protection of the welfare of the incarcerated person or others, management of the jail, or maintenance of jail security and order. C. All health care records must comply with State and Federal regulations pertaining to access, disclosure, and/or use of health information. (Refer to policy G-120/Medical Health Services[FILE: MEDICAL].) XVI. CONTINUITY OF CARE Inmates shall be provided with continuity of care from admission to transfer or discharge from the facility, including referral to community-based Page 15 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH providers, when indicated. A. All incarcerated people are provided a Medical Discharge Summary. If the incarcerated person is receiving medications at the time of release, a seven (7) day supply of essential medications (including all psychiatric medications) will be available at a nearby pharmacy. The Medical Discharge Summary provides details concerning the pharmacy, and additional community care services available to the incarcerated person. B. Sentenced incarcerated people who have been identified as a moderate or high level of suicide risk shall receive an evaluation by a mental health clinician prior to their release to the community (or treatment program) for appropriate referrals or initiation of an involuntary psychiatric hold pursuant to Welfare and Institutions Code Section 5150. The same services will be provided to unsentenced incarcerated people provided adequate time is available prior to a legally mandated release. (Refer to policy C-210/Release from Custody [FILE: RELEASES].) C. As appropriate and when necessary, victims of in-custody sexual assaults shall be referred for continued care following their transfer to, or placement in, other facilities, or their release from custody. D. All sentenced SMI incarcerated people shall be provided with discharge planning by health care staff(i.e., LMFT or RN) prior to their release to the community. Discharge planning includes connecting such incarcerated people to community health care providers, community social services, community-based housing, and/or appropriate services per the individual's need. The same services will be provided to unsentenced SMI incarcerated people provided adequate time is available prior to a legally mandated release. (Refer to policy C-210/Release from Custody[FILE: RELEASES].) E. Transportation shall be provided, as necessary, in coordination with outside agencies and applicable community resources for SMI incarcerated people who are released from custody. XVII. TRAINING The training requirements listed below are specific to health care staff working in a jail environment. Refer also to policy A-310/Minimum Training Requirements for Correctional Staff Members[FILE: TRAINING]. Page 16 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MENTAL HEALTH SERVICES NO: G-130 FILE: MENTAL HEALTH A. All health care staff shall receive structured orientation and training specific to providing health services in a correctional setting. B. All health care staff shall receive training regarding suicide prevention during new employee orientation, and updated training annually. The training shall be provided by a licensed clinician having expertise in correctional suicide prevention and the use of a suicide risk assessment form. C. All full- and part-time mental health care staff shall be trained in how to detect and assess signs, preserve physical evidence, respond effectively, and report allegations or suspicions of sexual abuse and sexual harassment. D. Mock fire drills are conducted by the Jail Division at least twice a year to ensure all staff members are familiar with safety procedures and evacuation methods. Health care staff shall participate in one of the fire drills at least once each year. Page 17 of 17 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INVOLUNTARY MEDICATION ADMINISTRATION NO: G-180 FILE: INVOLUNTARY MEDICATION EFFECTIVE DATE: 08-13-21 REVISED: AUTHORITY: Sheriff J. Zanoni APPROVED BY: Assistant Sheriff S. McComas REFERENCE: California Code of Regulations, Title 15, Sections 1200, 1209, 1214 and 1217; Penal Code sections 1367, 1369.1, 1370 et seq. and 2603; Welfare and Institutions Code section 5326.2; Hall, et al. v. County of Fresno, 1-11-CV-02047- LJO-BAM (2015); and Fresno County Board of Supervisors Resolution No. 20-032. PURPOSE: The purpose of this policy is to delineate the conditions under which psychotropic medications may be administered involuntarily to inmates. POLICY: The Fresno County Sheriff's Office is committed to providing voluntary mental health care to all inmates and recognizes the right of a legally competent person to make decisions regarding medication. Any inmate who has not been adjudicated to be incompetent may refuse non-emergency medical and mental health care. Absent informed consent in non- emergency situations, a court order is required before involuntary medical treatment can be administered to an inmate. The Fresno County Jail has been designated as a "treatment facility" to provide prescribed medication to defendants who lack the capacity to give informed consent. Antipsychotic medication may be administered involuntarily on a non-emergency basis as authorized by court order for inmates found to be mentally incompetent. Prior to the administration of involuntary psychiatric medication, the Fresno County Jail shall make a documented attempt to locate an available bed for the inmate in a community-based treatment facility. The jail medical provider shall adhere to a policy which limits the length of time both voluntary and involuntary psychotropic medications may be administered and a plan of monitoring and re-evaluating all inmates receiving psychotropic medications, including a review of all emergency situations. The administration of psychotropic medication shall not be used for disciplinary reasons. Page 1 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INVOLUNTARY MEDICATION ADMINISTRATION NO: G-180 FILE: INVOLUNTARY MEDICATION PROCEDURES: I. AUTHORITY FOR TREATMENT A. Inmates may receive involuntary medication in an effort to restore competency or prevent further decompensation of their mental health. The administration of involuntary medication is only permitted when authorized by law and court order. 1. Inmates who have been adjudicated incompetent to stand trial and are unable to provide informed consent to prescribed medication, may have a court order authorizing the administration of involuntary medication pursuant to Penal Code sections 1370, 2603, or other lawful authority. 2. Inmates who have been ordered subject to a conservatorship by the court may have an order authorizing the conservator, which may be a named person or the Public Guardian, to give consent for medical treatment on behalf of the inmate-conservatee. B. The order shall be valid for no longer than one (1) year and the treatment period shall not exceed six (6) months. C. Once the inmate's confinement ends or they no longer meet the criteria for involuntary medication, the order is no longer valid. II. RESPONSIBILITIES - PLANNING AND COORDINATION A. Upon receipt of a court order that authorizes the involuntary administration of a psychiatric medication, the receiving Jail Records supervisor shall forward a copy of the order to the Jail Division Bureau Commanders. B. The Jail Medical & Services Bureau Commander (or in his/her absence, the Jail Operations Bureau Commander) will be responsible to: 1. Notify the jail medical provider's Health Services Administrator (HSA) and provide a copy of the court order. 2. Ensure that a documented attempt is made to locate an available bed for the inmate in a community-based treatment facility in lieu of seeking to administer involuntary medication. Page 2 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INVOLUNTARY MEDICATION ADMINISTRATION NO: G-180 FILE: INVOLUNTARY MEDICATION 3. Ensure that a sergeant is assigned and designated as the Involuntary Medication Administration Team (IMAT) supervisor. C. The IMAT Sergeant will participate directly in both the planning and supervision of the administration of the medication. 1. The sergeant shall attend the multidisciplinary treatment team meeting and collaborate with health care staff to determine the time, method, manner, specific location, and terms for involuntary administration of the prescribed medication. The safety and well- being of each individual inmate and involved staff will be considered. The discussion will include any specific medical concerns and sites of the body intended for the administration of the medication. The plan will be documented in the treatment team meeting minutes. 2. Psychiatric medication shall not normally be involuntarily administered to an inmate in his/her housing unit. An inmate shall normally be transferred to an infirmary room prior to the administration of the medication. If a psychiatrist determines that the prior transfer of the inmate to such a setting would pose a greater risk to the inmate and staff than the risk involved to the inmate in receiving the medication in a non-medical setting, the medication may be involuntarily administered in the inmate's cell, or other area determined to be appropriate. An alternative location may be determined by the sergeant in consultation with jail medical staff. D. Medical staff will be responsible to develop a written plan to- 1. Provide a minimum level of ongoing monitoring of the inmate following return to facility housing. This monitoring may be performed by custody staff trained to recognize signs of possible medical problems and alert medical staff when indicated. 2. Monitor the inmate's medical condition following the initial involuntary administration of a medication, until the inmate is cleared as a result of an evaluation by, or consultation with, a psychiatrist. 3. Submit a report to the court regarding the progress of the inmate within ninety (90) days. Page 3 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INVOLUNTARY MEDICATION ADMINISTRATION NO: G-180 FILE: INVOLUNTARY MEDICATION III. THE ADMINISTRATION OF INVOLUNTARY MEDICATION A. Correctional staff shall be present to provide safety and security, but in no way shall participate in the actual administration of involuntary medication. B. The IMAT Sergeant shall be responsible to- 1. Review the court order to confirm it is still valid prior to initiating the procedure for the involuntary administration of the psychotropic medication. 2. Notify the affected Facility Sergeant(s) regarding the intent to administer involuntary medication, as well as the location within the facility. 3. Brief staff regarding the plan to enter the cell and secure the inmate. 4. Procure a Pro-Straint Restraint Chair, if necessary. 5. Assign an officer to video record the event. 6. Supervise and direct all actions of correctional staff throughout the involuntary medication administration. C. The full event and administering of medication shall be video recorded. All opportunities given to the inmate to comply with orders shall be recorded. [Refer to policy D-215/Recorded Planned Emergency Responses (FILE: VIDEO RECORDINGS).] D. If extracted, the inmate is to be escorted to an appropriate location where the medication is to be administered. The inmate will be encouraged to voluntarily ambulate. 1. If the inmate refuses to ambulate and it is safe to do so, correctional staff may use calculated force to transfer the inmate to the agreed upon location. A Pro-Straint Restraint chair may be used to transport the inmate. 2. If the transfer poses a significant danger of harm to the inmate or staff, then administration can take place without transfer. Page 4 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INVOLUNTARY MEDICATION ADMINISTRATION NO: G-180 FILE: INVOLUNTARY MEDICATION E. The inmate shall always be given the opportunity to accept the medication voluntarily by the administering health services personnel prior to any involuntary administration. Prior to using any force, the IMAT Sergeant will encourage the inmate to comply with medical staff and voluntarily take the medication. F. If force becomes necessary, officers shall only use that level of force which is objectively reasonable for the involuntary administration of psychotropic medication. [Refer also to Section IV/Use of Restraints When Administering Involuntary Medication.] G. Once the inmate is secure, medical staff will be permitted to enter the area and administer the psychiatric medication. Medical and mental health staff will use clinical judgment when it is safe to administer medications. H. An officer shall be assigned to directly observe the inmate for one (1) hour following the administration of involuntary medication. Medical staff will monitor the inmate's vital signs in accordance with medical protocol. The officer will remain present and provide assistance, if necessary. 1. In the event the inmate develops side effects from the medication, monitoring staff shall notify the designated medical/mental health staff immediately. 2. If a significant adverse reaction to the medication occurs, emergency care shall be given and the inmate shall be immediately transferred to a higher level of care. I. Correctional staff involved in the administration of involuntary medication shall complete an incident report documenting their involvement prior to the end of shift. IV. USE OF RESTRAINTS WHEN ADMINISTERING INVOLUNTARY MEDICATION A. Restraints may be used to protect the safety of the inmate and staff. Medical staff shall not participate in decisions to initiate use of restraints by correctional staff. 1. Before applying restraints, staff shall attempt to gain the inmate's cooperation. Page 5 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INVOLUNTARY MEDICATION ADMINISTRATION NO: G-180 FILE: INVOLUNTARY MEDICATION 2. No form of restraint which places the inmate in a prone (i.e., face down) position shall be used. 3. A Pro-Straint Restraint chair may be used to restrain the inmate during the involuntary administration of medication. B. The inmate shall be removed from restraints as soon as it is determined that safety reasons no longer necessitate the use of restraints. Medical staff shall examine the inmate for injuries immediately after being released from restraints. C. The type of restraint used shall be documented in the incident report. V. EMERGENCY INVOLUNTARY ADMINISTRATION OF MEDICATION A. Psychotropic medication may be administered involuntarily to an inmate in emergency circumstances or as otherwise allowed by law and only with a physician's order. 1. An emergency is a situation in which action to impose treatment over the inmate's objection is immediately necessary for the preservation of life or the prevention of serious bodily harm to the inmate or others, and it is impracticable to first gain consent. 2. The medication administered shall only be what is required to treat the emergency condition and administered for only as long as the emergency continues to exist. B. A court order shall be sought or legal consent shall be obtained if the responsible physician anticipates further dosage will be necessary or beneficial. Page 6 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: DEVELOPMENTALLY DISABLED INMATES NO: G-150 FILE: DISABLED EFFECTIVE DATE: 12-25-94 REVISED: 07-01-99 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Captain R. Wiley REFERENCE: Title 15, Section 1057 and Department of Health Policies and Procedures No. CAR 24.06. PURPOSE: The purpose of this policy is to establish procedures and guidelines for the segregation, diagnosis and/or treatment of developmentally disabled inmates housed in the Fresno County Detention Facilities. POLICY: It is the policy of the Fresno County Sheriffs Department Detention Custody Bureau that all inmates will be screened by medical personnel for the possibility of physical, mental, or developmental handicap prior to their acceptance for booking. All such inmates will be assessed by the appropriate clinician who will devise an individualized treatment and follow-up plan. It is the policy of the Fresno County Sheriffs Department Detention Custody Bureau that all developmentally disabled inmates shall be segregated upon determination that it is necessary for the safety of the inmate. It is the policy of the Fresno County Sheriffs Department Detention Custody Bureau that the Health Center Manager of Jail Medical Services or their designee shall contact the regional center on any inmate suspected or confirmed to be developmentally disabled for the purposes of diagnosis and/or treatment within 24 hours of such determination, excluding holidays and weekends. Page 1 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: DEVELOPMENTALLY DISABLED INMATES NO: G-150 FILE: DISABLED PROCEDURES: I. MEDICAL SCREENING FOR NEW ARRESTEES A. All arrestees shall be screened by Medical staff prior to their acceptance for booking. B. Screening shall include but not be limited to medical and mental health problems, developmental disabilities (epilepsy, mental retardation, autism and cerebral palsy), and communicable diseases. C. Any inmate with a suspected developmental disability (with the exception of epileptics)shall be housed in the infirmary until evaluated by the appropriate clinician or mental health staff. D. Upon evaluation, the Medical staff may consult with Population Management/Classification staff to recommend housing for the inmate. II. DEVELOPMENTAL DISABILITIES A. Autism - absorption in self-centered subjective mental activity (as daydreams, fantasies, delusions, and hallucinations)especially when accompanied by marked withdrawal from reality. B. Cerebral Palsy-a disability resulting from damage to the brain before or during birth and outwardly manifested by muscular incoordination and speech disturbances. C. Epilepsy - any of various disorders marked by disturbed electrical rhythms of the central nervous system and typically manifested by convulsive attacks usually with clouding of consciousness. D. Mental Retardation - less than normal intellectual competence usually characterized by an IQ of less than 70. Page 2 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: DEVELOPMENTALLY DISABLED INMATES NO: G-150 FILE: DISABLED III. STAFF RESPONSIBILITY If an officer suspects that an inmate housed in a general population housing unit is developmentally disabled, they shall notify Medical staff. IV. MEDICAL STAFF RESPONSIBILITY A. If Medical staff determines that further diagnosis and/or treatment is necessary, the Health Center Manager of Jail Medical Services or their designee shall contact the Central Valley Regional Center for Developmentally Disabled. B. If the developmentally disabled inmate was housed in a general population housing unit and Medical staff determines that segregation is necessary for the safety of the inmate, Medical staff shall notify Population Management/Classification with their recommendation. Page 3 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INMATE LACTATION PROGRAM NO: E-490 FILE: LACTATION EFFECTIVE DATE: 12-16-19 REVISED: AUTHORITY: Sheriff J. Zanoni APPROVED BY: Assistant Sheriff T. Gattie REFERENCE: California Code of Regulations, Title 15, Section 1058.5; and Penal Code Sections 3407 and 4002.5. PURPOSE: The purpose of this policy is provide lactation accommodations for inmates who want to provide breast milk for their babies. POLICY: It is the policy of the Fresno County Sheriffs Office Jail Division to allow lactating inmates access to a breast pump for the expression of milk to relieve discomfort, to maintain milk supply, and/or to prevent infection. PROCEDURES: I. BREASTFEEDING EDUCATION AND NOTIFICATION A. Upon confirmation of an inmate's pregnancy, the inmate must be advised orally or in writing of the standards and policies governing pregnant inmates. The required information and supporting laws are contained in the Pregnancy Services pamphlet. [Refer to Addendum A.] The pamphlets are issued by Medical staff, but are also available on the female housing floors. B. Pregnant inmates will be informed of the benefits of breastfeeding by Medical staff. In addition to the benefits, inmates will be educated about breastfeeding with active tuberculosis; Hepatitis B, Hepatitis C, HIV, syphilis, and other infections which can transmit from mother to child; illicit drug use; alcohol, tobacco and marijuana use; and while on certain prescribed medications. C. A copy of this policy shall be posted in all locations in the Jail where medical care is provided. Page 1 of 5 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INMATE LACTATION PROGRAM NO: E-490 FILE: LACTATION II. BREAST PUMP A. After giving birth, inmates will be issued a manual breast pump by the hospital. Manual breast pumps are considered single-user and inmates are not expected to share. B. New arrestees who are currently breastfeeding a child will be encouraged and permitted to continue to pump. Medical staff will either procure a breast pump for the inmate, or consult with correctional staff to determine if a breast pump can be brought from home (meeting necessary security requirements). For a lactating inmate who is detained for less than 24- hours, Medical staff will offer instruction on hand expression to relieve symptoms of engorgement. C. Because consistent pumping is the key to keeping the milk supply steady, inmates will be permitted to retain possession of the breast pump for the duration of need. "Need" considerations include maintaining the milk supply, relieving discomfort, and preventing infection. NOTE: The frequency of pumping is dependent on the age of the infant (and/or feeding patterns at the time of mother's incarceration). Lactation for a young infant will require pumping every 2-3 hours, including during the night. Pumping normally takes approximately 10-20 minutes. D. Medical staff will be responsible to modify the inmate's "Pregnant" ALERT, noting the issuance of the breast pump in the Remark section. Upon cessation of lactation, the breast pump is to be retrieved and the ALERT is to be inactivated. E. Inmates who misuse the device (or storage bags), or otherwise abuse the privilege will not be permitted to retain the pump and will be required to pump in a medical holding cell. III. PRIVACY Due to security considerations, safety concerns, and structural limitations of the Jail, there is no certainty of privacy for an inmate who wishes to express breast milk. Housing officers and Medical staff should assist the inmate in determining the best solution based on the inmate's classification and housing location. If necessary, an extra sheet may be issued to use as a temporary privacy screen when pumping. Page 2 of 5 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INMATE LACTATION PROGRAM NO: E-490 FILE: LACTATION IV. SANITATION A. Before pumping, the inmate's hands should be thoroughly washed with soap and water. If soap and water are not available, an alcohol-based hand sanitizer that has at least 60% alcohol can be used. Breasts and nipples do not need to be washed before pumping. B. The inmate is responsible to clean and maintain the breast pump according to instructions. 1. A small supply of dish soap and paper towels will be provided to the inmate. The pump should be allowed to drip dry on a paper towel, then stored in a clean container (e.g., the packaging box, or issued bag). 2. Breast milk is not a biohazard and it is improbable that washing pump parts in a shared sink will pose a health risk (sanitary or safety issue) to others. V. STORAGE A. The breast milk will be stored in disposable plastic bags that have been pre-labeled with the inmate's name and JID number. The inmate is responsible to indicate the date and time that the milk was pumped on the label. Although the milk can remain at room temperature for several hours, the expressed milk should be placed in a refrigerator as soon as possible. 1. The inmate should notify correctional staff, who will be responsible to transfer the milk to the inmate refrigerator and/or notify available Medical staff. (Breast milk is food, and is completely safe to store alongside other foods in any refrigerator that is appropriate for food storage.) 2. Medical staff will be responsible to retrieve the breast milk at least once each day and store the milk in the Main Jail infirmary freezer. B. Arrangement for the pickup of stored breast milk is the responsibility of the inmate. C. Breast milk that is not picked up within seven (7) days of pumping will be discarded. Page 3 of 5 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INMATE LACTATION PROGRAM NO: E-490 FILE: LACTATION D. The inmate will be responsible to dispose of milk not collected for purpose of breast feeding (i.e., "pump and dump"). The milk may be flushed or poured down any drain. VI. TRANSFER OF BREAST MILK A. To expedite the transfer process, the inmate may predesignate up to three (3) individuals who are authorized to retrieve the breast milk. The designation shall be listed on the Inmate Lactation Program — Pumping Instructions and Designation of Recipient form (Addendum B). 1. The name(s) of the designated individuals will be noted as a "Breast Milk Designee" (under ALERTS in Offendertrak). The document shall be scanned into the inmate's records in Laserfiche (under Pregnant/Lactation). 2. If an individual not previously designated attempts to retrieve the milk, the regular property release process will need to be employed (i.e., a Property Release Authority (J-27) form needs to be initiated, and the release approved by the inmate). [Refer to policy C-450/Inmate Property Release (FILE: PROPERTY-RELEASE)] B. The individual will be required to report to the Main Jail Lobby with valid photo identification. It is recommended that the individual bring a clean ice chest or insulated cooler bag containing frozen gel packs (to ensure the milk remains frozen during transport). C. When the designated person arrives at the facility, Lobby staff shall confirm the person's identity and contact Medical staff to have the milk brought to the lobby. D. Medical staff will complete the Acknowledgment of Receipt of Breast Milk and Handling Instructions form (Addendum C). The identified person picking up the milk must sign the form and will be provided with a copy of the instructions. The original form shall be scanned into the inmate's records as a property release, and a copy retained as part of the inmate's medical record. VII. EXCLUSION FROM PARTICIPATION A. Inmates may be excluded from participating in the lactation program if: 1. The inmate is currently housed in a safety cell. Page 4 of 5 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: INMATE LACTATION PROGRAM NO: E-490 FILE: LACTATION 2. A medical diagnosis has confirmed that providing breast milk would pose a risk to the intended child based on the parent's medical condition or recent use of illicit or certain prescription drugs. B. Inmates who are excluded from providing breast milk to their child due to a medical diagnosis will be notified of their status by Medical staff. C. Inmates who are excluded from providing milk may still be provided access to a breast pump for the purpose of preventing discomfort and/or to prevent infection. Vill. WEANING OR CESSATION OF LACTATION Inmates will be provided medically appropriate support and care related to the cessation of lactation or weaning. Page 5 of 5 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HIV REPORTING AND TESTING REQUIREMENTS NO: G-115 FILE: HIV TESTING EFFECTIVE DATE: 12-18-89 REVISED: 12-25-94, 05-01-98, 08-01-01, 03-01-03 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Captain J. Flores REFERENCE: Penal Code Sections 1524.1, 4018.1 and 7500, et seq; Health and Safety Code Section 121050 through 121070; Management Directive 2600; Departmental Policy Sections 1008 and 1016. PURPOSE: The purpose of this policy is to establish the procedures for the reporting and testing of HIV exposure, in accordance with the Legislature's declaration of a public health crisis in Penal Code §§ 7500, et seq. POLICY: It is the policy of the Fresno County Sheriffs Department Detention Bureau that employees may request and be granted a confidential HIV test of an inmate, if they have reason to believe that they have come into contact with an inmate in a way that could result in HIV infection. The decision to test an inmate shall not suspend or delay treatment of the exposed employee. It is the policy of the Fresno County Sheriffs Department Detention Bureau to permit inmates to file similar requests stemming from contacts with other inmates. PROCEDURES: I. EMPLOYEE EXPOSURE - REPORTING PROCEDURES An employee who believes they have come into contact with bodily fluids of an inmate shall report the incident. The following shall be performed: A. Immediately report the exposure to the Fresno County Communicable Disease Program. 1. Normal business hours, telephone 445-3569. 2. Nights, weekends and holidays, telephone 488-3111 and ask for the on-call Fresno County Emergency Response Team member. B. Complete Section I of a Communicable Disease Exposure Report. The employee's daytime contact telephone number must be included. Page 1 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HIV REPORTING AND TESTING REQUIREMENTS NO: G-115 FILE: HIV TESTING 1. The report shall be FAXed to Fresno County Communicable Disease Outreach at 445-3255. 2. One copy of the report shall be given to the employee, to be provided to the treating physician. The treating physician will complete Section II and return the form to Fresno County Communicable Disease Outreach. 3. The original report shall be filed in the employee's Bureau File. C. A JREP incident report shall be written, including the names of witnesses and persons involved in the incident. D. A State Department of Health Services form DHS-8459 (Report of Request and Decision for HIV Testing) shall be submitted by the end of the shift during which the incident occurred, or if not practicable, as soon as possible, but no longer than two days after the incident (unless waived by the Medical Director). 1. All witnesses and persons involved in the incident should submit reports and/or written statements. 2. The employee may request to have the inmate tested for HIV, and should indicate such a request on the form. 3. The form and all related reports shall be forwarded to the Director of Jail Medical Services. E. A Workers' Compensation packet shall be given to the employee to be completed. F. The Medical Director shall complete and submit a State Department of Health Services form DHS 8479 (Report of Potential HIV Exposure to Law Enforcement Employees). II. PROCEDURE TO DETERMINE TESTING AND RIGHT TO APPEAL A. Within five (5) calendar days of receipt of any form DHS-8459, regardless of whether or not a request for testing was made, the Medical Director shall determine whether or not the involved individual shall be required to submit to HIV testing. Page 2 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HIV REPORTING AND TESTING REQUIREMENTS NO: G-115 FILE: HIV TESTING B. An inmate who is ordered to have an HIV test shall also receive, in conjunction with the Medical Director's written order, the following: 1. A copy of Penal Code Section 3, Title 8. $$ 7500 et seq. 2. A written description of the right to appeal the Medical Director's decision, including the applicable timelines and notification of their right to receive pretest and posttest counseling by HIV counselors. 3. A copy of form DHS-8457 (Report of Request for Appeal for HIV Testing). C. An individual ordered by the Medical Director to submit to HIV testing has three (3) calendar days to appeal such an order by submitting form DHS-8457 (Report of Request for Appeal for HIV Testing). 1. A three-person appeal panel (comprised of physicians) shall be convened pursuant to Penal Code Section 7515 and the appeal shall be heard within thirty (30) calendar days from the date an appeal request is filed. 2. If no appeal is filed in a timely manner, the order of the Medical Director shall become final. D. Any decision made by the appeal panel may be appealed to the Superior Court, which is required to review the matter as expeditiously as possible. E. In the absence of filing a DHS-8459 form, the Medical Director may order a test of an inmate if he concludes there are clinical symptoms of HIV infection or AIDS pursuant to Penal Code Section 7512.5. Any decision made pursuant to this section shall not be appealable to a three-member panel. III. REQUESTS BY INMATES FOR TESTING OF ANOTHER INMATE A. An inmate may request HIV testing of another inmate if they have reason to believe that they have come into contact with body fluids of that inmate. Page 3 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HIV REPORTING AND TESTING REQUIREMENTS NO: G-115 FILE: HIV TESTING B. The inmate must submit the request within two (2) calendar days of the date when the incident causing the request occurred; however the Medical Director may waive this filing period requirement if he finds that good cause exists. C. The inmate shall be provided and complete a State Department of Health Services form DHS-8459 (Report of Request and Decision for HIV Testing). The inmate shall provide names or testimony of witnesses within the limits of their ability to do so. D. The employee who receives the request for testing shall be required to notify the Detention Custody Bureau Commander, via an incident report, within twenty-four (24) hours. E. The Detention Custody Bureau Commander, or their designee, shall forward a copy of the incident report to the Medical Director. The Medical Director shall be responsible to investigate and reach a decision as to mandatory testing, as outlined in Section II of this policy. F. A copy of the Medical Director's decision shall be provided to the inmate making the request, to the subject of the request, and to the Detention Custody Bureau Commander. IV. ADDITIONAL REPORTING REQUIREMENTS A. When an employee observes or is informed (by inmate, officer, or non-sworn staff) of activity in the jail that is classified as causing the transmission of the AIDS virus, they shall immediately take action as appropriate to stop and prevent a reoccurrence of the activity and report this information to the Detention Custody Bureau Commander, via an incident report. B. Reportable activities shall include, but not be limited to the following situations- 1. Sexual activity resulting in the exchange of bodily fluids 2. I.V. drug use 3. Incidents involving injury to inmates or staff in which bodily fluids are exchanged. Page 4 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HIV REPORTING AND TESTING REQUIREMENTS NO: G-115 FILE: HIV TESTING 4. Tampering with medical and food supplies or equipment 5. Tattooing among inmates 6. Inmates who state they are infected or have been exposed to HIV Disease or any other communicable diseases. C. The incident report shall be submitted and forwarded to the Detention Custody Bureau Commander within twenty-four (24) hours after observation or receipt of information. D. The Bureau Commander, or their designee, shall forward a copy of the incident report to the Medical Director. E. The Medical Director may investigate the report, conduct interviews, and determine whether the situation reported could pose a danger to the health and safety of the jail's staff and inmate population. F. If the Medical Director determines HIV testing should occur, the inmate(s) may appeal the decision, as provided in Section II of this policy. V. COUNSELING AND TESTING PROCEDURE A. Counseling shall be provided to any person filing a DHS-8459 report, as well as any potential test subject- 1. At the time the initial report or request for tests is made 2. At the time when tests are ordered 3. At the time when test results are provided 4. And whenever the Medical Director deems advisable B. In the event that an individual is ordered to be tested for HIV, such tests shall consist of a blood sample withdrawn in a medically approved manner by a certified HIV test counselor. VI. REFUSAL TO SUBMIT TO TESTING A. Any person who has been ordered to submit to HIV testing who refuses to submit to such testing shall be subject to revocation of bail, probation or other sentence. Page 5 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HIV REPORTING AND TESTING REQUIREMENTS NO: G-115 FILE: HIV TESTING B. The refusal of any probationer or parolee to submit to required HIV testing shall be considered a violation of probation or parole. VII. FALSE REPORTS Any employee who willfully files a false form DHS-8459 or a false request for HIV testing may be subject to discipline, as well as misdemeanor criminal sanctions. Vill. CONFIDENTIALITY A. Information concerning the condition of any inmate may be disclosed to employees, medical personnel, contract personnel, and volunteers providing services at the facility who have or may have direct contact with an inmate infected by the AIDS virus or other communicable disease. B. Information that may be vital to the health and safety of custodial personnel, peace officers, firefighters and emergency medical personnel who are put at risk in the course of their official duties, may be disclosed in an appropriate manner in order that precautions can be taken to preserve their health and the health of others or that those persons can be relieved from groundless fear of infection. C. Information concerning the health status of an inmate may appear in the REMARKS section of the inmate's JAIL screen, or by inquiring with a health care provider. D. Any person who willfully discloses personal health information to any person who is not authorized to have access by law, is guilty of a misdemeanor and may be subject to disciplinary action. Page 6 of 6 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: RESPIRATORY PROTECTIVE EQUIPMENT NO: G-170 FILE: TB PROTECTIVE EQUIPMENT EFFECTIVE DATE: 01-18-05 REVISED: 05-01-05 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Captain M. Leonardo and Dr. K. Bird REFERENCE: California Code of Regulations, Title 8, Section 5144; Cal-OSHA standards; and 29 CFR Part 1910.134(c). PURPOSE: The purpose of this policy is to establish guidelines for the use of personal respiratory protection by staff to reduce the risk of becoming exposed to tuberculosis (TB). POLICY: It is the policy of the Fresno County Sheriffs Department Detention Bureau to maintain an Infectious Disease Exposure Control Program which is designed to eliminate or minimize employee exposure. The Jail Medical Services Unit will maintain this program. It is the policy of the Fresno County Sheriffs Department Detention Bureau that the prevention and control of TB must be regarded as a priority health issue due to the possibility of airborne transmission of TB infection in the correctional setting. PROCEDURES: I. PREVENTION AND CONTROL A. The physical environment (communal spaces, shared cells, etc.) within correctional facilities is conducive to airborne transmission of infection among inmates, staff and visitors. This factor, coupled with the increasing numbers of HIV-positive and at-risk inmates within jails makes the control of TB essential within the jail facilities. 1. Qualified medical staff shall screen all incoming inmates for symptoms and history of TB and prior Purified Protein Derivative (PPD) testing during the initial intake screening. Page 1 of 7 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: RESPIRATORY PROTECTIVE EQUIPMENT NO: G-170 FILE: TB PROTECTIVE EQUIPMENT 2. Any inmate with a positive PPD reaction history and inmates with symptoms suggestive of active pulmonary TB shall be scheduled for a chest X-ray and referred to the Medical Director. II. ISOLATING OFFENDERS A. Individuals with suspected or confirmed infectious TB or other significant respiratory infectious disease that requires airborne infection isolation, shall be identified and shall be- 1. Provided with disposable tissues and hand hygiene materials, masked and segregated. Surgical masks will be used to mask inmates. 2. Confirmed cases shall be placed in a Negative Pressure Cell within five (5) hours from the time of identification. 3. The inmate shall be instructed on the rationale and importance for the use of the mask and the isolation cell. B. If a Negative Pressure Cell is not available, the inmate shall be isolated and transported on a priority basis to University Medical Center and placed into a functioning Negative Pressure Room within five (5) hours from the time of identification. III. RESPIRATORY PROTECTION A. The N95 respirators selected for use by the Fresno County Sheriff's Department have been approved by the National Institute for Occupational Safety and Health (NIOSH). 1. The 3M 8210 (Med/Lg) is the most commonly fitted respirator, as it fits approximately 95% of the adult population. 2. The vast majority of the remaining (5%)of the population will fit into the alternative 3M 8210 (Small) respirator. 3. Alternative measures will be taken for those unable to fit into either of the 3M 8210 respirators on a case-by-case basis. B. Respirators are required to be worn when- 1. In the presence of an inmate with suspected or confirmed infectious TB who is unable or unwilling to wear a mask. Page 2 of 7 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: RESPIRATORY PROTECTIVE EQUIPMENT NO: G-170 FILE: TB PROTECTIVE EQUIPMENT 2. Entering a room which has been occupied by an inmate with suspected or confirmed infectious TB, prior to the time required for at least 99% of the airborne contaminants to be removed from the room (approximately one hour). 3. Transporting or accompanying an inmate with suspected or confirmed infectious TB in an elevator or enclosed vehicle (even if the inmate is wearing a mask). C. The respirators will be provided, fit tested and maintained by the Infection Control Nurse or their designee. The N95 respirators are located in the following areas- 1. All medical stations and medical storage areas 2. Main Jail Booking 3. Main Jail 2nd Floor Security 4. North and South Sergeants' Offices 5. Satellite Administrative Office D. Respirators will be made available to any affected visitors, civilian staff, volunteers, repairmen and inmate workers. E. The respirators are not for use with beards or other facial hair that prevents direct contact between the face and the sealing surface of the respirator. IV. FITTING INSTRUCTIONS A. Each time the respirator is worn: 1. Cup the respirator in your hand, with the nosepiece at your fingertips, allowing the headbands to hang freely below your hand. 2. Position the respirator under your chin with the nosepiece up. n-�4 3. While holding the respirator in place, pull the top strap over your head so it rests high on the back of your head above your ears. 4 r Page 3 of 7 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: RESPIRATORY PROTECTIVE EQUIPMENT NO: G-170 FILE: TB PROTECTIVE EQUIPMENT 4. While continuing to hold the respirator firmly in place, pull the bottom strap over your head and position it around your neck, below your ears. Untwist the straps. Position the respiratory°� low on your nose. 5. Place your fingertips from both hands at the top of the metal 11 nosepiece. Using both hands starting at the top, mold the " nosepiece to the shape of your nose by pushing inward while moving your fingertips down both sides of the nosepiece. Note: Always use two hands when molding the nosepiece. Pinching with one hand may result in improper fit and less effective respirator performance. B. A user seal check shall be conducted by the wearer to determine whether the respirator is properly seated to the face. To perform ' the positive pressure fit check, place both hands completely over the respirator, being careful not to disturb the position of the respirator, and exhale. If air leaks around the nose, readjust the nosepiece as described in Step #5 above. If air leaks at the respirator edges, adjust the straps back along the sides of your head, and/or pull and tighten the ends of the elastic bands. Perform fit check again if an adjustment is made. C. If corrective glasses, goggles or other personal protective equipment is worn, ensure that such equipment is worn in a manner that does not interfere with the seal of the facepiece to the face of the user. D. If a proper seal cannot be achieved, do NOT enter the isolation or contaminated area. Notify your supervisor. V. REMOVAL INSTRUCTIONS A. To remove the respirator: 1. Hold the respirator in one hand to maintain the respirator's position on the face. Pull the bottom strap over the head. `' 2. Still holding respirator in position, pull the top strap over the head. 3. Remove respirator from face and store or discard, as applicable. frm4t!4 Page 4 of 7 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: RESPIRATORY PROTECTIVE EQUIPMENT NO: G-170 FILE: TB PROTECTIVE EQUIPMENT VI. REPLACEMENT AND DISPOSAL A. Each respirator is to be inspected prior to each use to assure there are no holes in the breathing zone other than the punctures around staples and no damage has occurred. Enlarged holes resulting from ripped or torn filter material around staple punctures are considered damage. Immediately replace respirator if damaged. (Staple perforations do not affect NIOSH approval.) B. Respirators may be used until damaged, breathing becomes difficult, or contaminated with blood or body fluids. Used respirators are normally disposed of at the end of the duty shift. Non-contaminated respirators may be disposed of in any trash receptacle. C. Respiratory masks will be replaced when they become wet, torn and/or contaminated with blood or other potentially infectious materials. Contaminated masks will be disposed of as bio-hazardous waste. VII. EXPOSURE INCIDENTS A. When a physician or other licensed health care professional determines that an employee has been exposed to a suspected or confirmed infectious TB patient, they shall notify the on-duty Watch Commander and the affected employee as soon as feasible. B. The Watch Commander shall ensure that each employee who has had an exposure incident is notified of his/her exposure. C. Appropriate contact investigation and follow-up will be made by Jail Medical Services staff in coordination with the Department of Community Health Chest Clinic. D. When an exposure incident results in a TB test conversion- 1. The employee shall be placed on medical leave until determined to be noninfectious. 2. A determination shall be made of the drug susceptibility and resistance of the TB strain in the case of TB disease. Page 5 of 7 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: RESPIRATORY PROTECTIVE EQUIPMENT NO: G-170 FILE: TB PROTECTIVE EQUIPMENT E. When an exposure incident or a TB test conversion occurs, the Infection Control Nurse shall investigate and document the circumstances surrounding the exposure incident or conversion (e.g., failure of engineering controls or work practices and events leading to the exposure incident) to determine if changes can be instituted to prevent similar occurrences in the future. F. Any employee who believes they may have experienced an exposure incident may request to receive a Mantoux Test. Vill. WRITTEN OPINION A. The Watch Commander shall obtain and provide the employee with a copy of the written opinion of the physician within 15 days of the completion of all medical evaluations required by this section. The written opinion shall be limited to the following information- 1. The employee's TB test status 2. The employee's infectivity status 3. A statement that the employee has been informed of the results of the medical evaluation 4. A statement that the employee has been told about any medical conditions resulting from exposure to TB that requires further evaluation or treatment 5. Recommendations for medical removal or work restrictions and the physician's opinion regarding the employee's ability to wear a respirator B. All other findings or diagnoses shall remain confidential and shall not be included in the written report. IX. TRAINING Ongoing annual education regarding airborne infectious diseases will be provided to staff and offenders as part of the health education program. All employees subject to occupational exposure shall receive training on airborne infectious diseases at the time of initial assignment, and annually thereafter. The Training Unit shall be responsible to ensure the training is in compliance with OSHA's standards. X. RECORDKEEPING Page 6 of 7 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: RESPIRATORY PROTECTIVE EQUIPMENT NO: G-170 FILE: TB PROTECTIVE EQUIPMENT All medical screening, fit testing and training records shall be maintained in each employee's personnel and training records in compliance with OSHA's standards. Page 7 of 7 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS EFFECTIVE DATE: 12-18-89 REVISED: 12-25-94, 05-01-98, 08-01-01, 03-01-03 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Captain J. Flores REFERENCE: Penal Code Sections 1524.1, 4018.1 and 7500, et seq, Health and Safety Code Section 121050 through 121070; Management Directive 2600; Departmental Policy Sections 1008 and 1016. PURPOSE: The purpose of this policy is to reduce the risk of infection and exposure to communicable diseases by educating personnel in the proper hygienic and precautionary measures advocated by current medical research. POLICY: It is the policy of the Fresno County Sheriffs Department Detention Bureau to treat all human blood and body fluids as if they are known to be infectious. It is the policy of the Fresno County Sheriffs Department Detention Bureau to supply all employees with the necessary equipment and supplies to follow accepted universal bodily fluids precautions. PROCEDURES: I. DEFINITIONS A. AIDS - Acquired Immune Deficiency Syndrome. A disease of the immune system caused by HIV, and characterized by failure of the body's immune system to protect against a multitude of opportunistic infections and certain cancers. B. EXPOSURE — Exposure is the condition of being subjected to a fluid or substance capable of transmitting an infectious agent in a manner that may have a harmful effect. An exposure to a communicable disease may exist when one or more of the following occur: Page 1 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS • Blood and/or body fluid in the eyes, nose, or mouth • Blood and/or body fluid exposed to an open wound • Needle stick or puncture wound (including human bite) • Mouth-to-mouth resuscitation An exposure is NOT just blood or body fluid on or near the skin or clothing, the product has to somehow get inside the body. If the fluid is merely on the skin, near it, or around it, it is NOT considered to be an exposure. C. GASSING - Gassing is defined as intentionally placing or throwing, or causing to be thrown, upon the person of another, any mixture of human excrement and/or other bodily fluids or substances. D. HIV - Human Immunodeficiency Virus. HIV is the virus that causes AIDS, attacking the body's immune system and reducing its ability to fight disease. E. UNIVERSAL PRECAUTIONS-Guidelines established by the Centers for Disease Control that focus on the risk of exposure to blood and body fluids rather than on a diagnosed disease. Universal precautions means that all blood and other potentially infectious body fluids are treated as if they are infected. II. MANAGEMENT OF INMATES WITH COMMUNICABLE DISEASES A. All arrestees are pre-screened by medical staff prior to acceptance into the facility. However, if an inmate discloses to an officer that they have a communicable disease, the officer shall ensure medical staff is aware of the inmate's claim. B. Inmates with communicable diseases should be cautioned not to disclose their diagnosis to fellow inmates for their own protection. C. Pending examination and testing, medical staff may recommend that the inmate be placed into isolation. Such inmates may also be isolated to protect them from potential physical harm from other inmates. 1. Inmates with symptomatic communicable diseases may be managed separately from the general population in regard to visits, transportation and other routine activities, depending on the inmate's condition/diagnosis. Page 2 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS 2. Normal precautions shall be taken to protect both the inmate and staff members. D. If medical staff finds the inmate to have NO evidence of a communicable disease, the inmate shall be placed (or remain) in general population. E. All inmates with communicable diseases will be educated and provided with information regarding the transmission of communicable diseases and risk-reduction strategies. The inmates will be advised of appropriate support services by the Human Services System (HSS) Communicable Disease Outreach staff. III. ISOLATION PROCEDURES - BODY FLUID PRECAUTION A. Cleaning the cell 1. Inmates shall be responsible for the sweeping and general cleaning of their cell. 2. Inmates shall be given a plastic bag for their trash. The trash shall be collected twice daily after meals. a. Officers shall hold open a large, regular plastic bag. b. Inmates shall drop their trash bag into the open bag. C. Officers shall then tie the outer bag and dispose of it with the regular trash. B. Feeding If enteric isolation is ordered, the inmate shall be fed using styrofoam trays and disposable utensils. After use, the inmate shall place the tray, utensils and all leftover food in their plastic trash bag. C. Laundry Inmates shall be given a special water soluble laundry bag,which can be obtained from either the Clothing Room or the Medical Services Unit. 1. Inmates shall place all soiled clothing into the water-soluble bag. 2. Officers shall hold open a large red plastic bag. 3. Inmates shall place the water-soluble bag inside the bag the officer is holding. Page 3 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS 4. Officers shall then tie the bag closed and forward it directly to the Clothing Room. 5. The Clothing Officers shall place the red bag in a clothing cart to be transported to the South Annex Jail for processing. The red bag shall be opened without touching the water-soluble bag; drop the water-soluble bag into the washer. Hot water will dissolve the bag. 6. Contaminated personal clothing will be treated in the same manner, but will be washed in the Main Jail Clothing Room. D. Showers Inmates shall be allowed to use the shower according to the normal cell schedule. No special cleaning of the shower area is required. E. Phone Inmates shall be allowed to use the telephone and visiting phones per the normal cell schedule. However, the inmate shall be given a germicidal hand wipe (which may be obtained from Medical Services)to wipe the visiting telephone receiver after its use. F. Isolation cells are to be scrubbed down using an approved EPA germicide or a 1.100 solution of chlorine bleach (1/4 cup bleach per one gallon of water) immediately upon the release or transfer of an inmate from the isolation area. The person cleaning the cell shall be provided with disposable gloves and eye protection. All soiled cleaning materials and gloves shall be placed in a plastic bag and the end securely tied. G. Isolation inmates shall be allowed to attend all regular activities unless contraindicated by written medical orders. IV. PROTECTION AGAINST POSSIBLE EXPOSURE A. Immunizations are recommended for all personnel involved in public contact as a preventive measure. 1. Tetanus Toxoid (every ten (10) years) 2. Tuberculin Skin Test (yearly) 3. Mumps and Rubella Vaccine (advisable if not received as a child/one-time dose) Page 4 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS 4. Measles Vaccine 5. Hepatitis B Vaccine (Recombivax/Hepavax) B. All open wounds or breaks in the skin shall be thoroughly covered with a bandage which repels liquid. C. Protective apparel (face and body covering) shall be made available in the security stations and maintained in such a manner so as to be accessible to all staff members as needed. Protective apparel may include, but not be limited to: disposable gloves, gown/plastic apron, face masks and/or eye protection. D. Disposable (latex or vinyl) gloves shall be worn when there is a possibility of contact with blood and/or bodily fluids. Care should be taken to avoid touching other items (i.e., pens, books and personal items in general) while wearing the disposable gloves in a potentially contaminated area. After use, gloves shall be removed and disposed of properly. Wash hands immediately, or as soon as possible following the removal of potentially contaminated gloves. Antibacterial soap and warm water or an approved disinfectant shall be used to wash one's hands, paying particular attention to the fingernails. If access to soap and water is limited, germicide towelettes or alcohol may be used until soap and water is available. E. Care needs to be exercised when removing any contaminated article of clothing so that it does not contaminate other articles. Use extra caution when removing gloves to prevent contamination to the skin. Carefully remove the article (remove gloves by pulling them off from the cuff). Turn the contaminated side inside out, place in a plastic bag, tie the end, and dispose of in the trash. V. PRECAUTIONS TO BE USED WHEN HANDLING INMATES A. Basic precautions 1. Consider and treat all contact with body fluids as potentially infectious and take precautions to prevent unnecessary exposure. Treat all drug paraphernalia as if it were contaminated. Page 5 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS 2. Wear gloves whenever there is the possibility of contact with a bodily fluid. 3. All sharps and items that cut or punture (i.e., knives, razors, broken glass and needles) shall be treated cautiously to avoid cutting, stabbing, or puncturing one's self or any other person. If the item is not evidence, touching it with the hands shall be avoided. Rather, use a device (i.e., a broom and a dustpan) to clean up debris. If the material must be hand held, protective gloves must be worn. Never blindly place hands in an area where there may be sharp objects that could cut or puncture the skin. B. Inmate disturbances; Aggressive or violent inmates 1. In circumstances which are not considered life threatening, develop a plan of action and utilize protective apparel. Note: It is suggested and preferred that staff members wear protective apparel in ALL situations when dealing with the possibility of exposure. 2. In cases where an inmate is combative or threatening to staff and blood is present, protective apparel WILL be worn. C. Responses to homicides, suicides and resuscitations Staff members shall, at a minimum,wear disposable gloves. In the event of the need for emergency resuscitation, all staff members are encouraged to utilize eye protection and the mouth-to-mask resuscitators provided by the Department. VI. EXPOSURE TO BODILY FLUIDS - TREATMENT AND CARE A. Prompt intervention following an exposure to blood and/or body fluids will effectively prevent transmission of communicable diseases. Immediately wash any skin that becomes contaminated with blood or bodily fluids with a germicidal/antibacterial hand wipe. A follow-up wash with soap and water should be used in conjunction with the germicide. Page 6 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS B. Any wound inflicted from a human bite, needle stick, or other sharp object should be thoroughly washed with soap and water. Do NOT "milk" the wound. Milking may cause localized tissue trauma, thus opening up more blood vessels to organisms. Seek preventive medical attention as soon as possible. C. Immediately flush eyes with an irrigating solution (e.g., Dacriose, saline, or water) if a splash to eyes occurs. D. Preventive treatment is provided for any exposure defined as invasive contact made with blood and/or body fluids through- 1. Open wound (fresh wound, not yet covered by a scab) 2. Puncture wound, needle stick, or human bite 3. Splash to eyes, nose and/or mouth 4. Unprotected mouth to mouth resuscitation An exposure is NOT just blood or body fluid on or near the skin or clothing; the product has to somehow get inside the body. If the fluid is merely on the skin, near it, or around it, it is NOT considered to be an exposure. E. Preventive treatment for HIV must be provided within the first two (2) hours after the exposure. (Recent information indicates that treatment may be effective up to 24 hours following exposure but is MOST effective in the 2-hour period. Health officials still recommend that HIV treatment begin within 2 hours, but if treatment is definitely indicated, it should not be withheld if it can be given in the first 24 hours.) During normal business hours, contact the HSS/Community Health Communicable Disease Division immediately at 445-3569. After business hours, weekends, holidays or any time Communicable Disease Investigative staff is not immediately available, contact FSO Dispatch at 488-3111 and ask for the Emergency Response Team (ERT) member on-call. If treatment is not readily available, go to the hospital emergency room. F. The exposed employee should consider themselves to be infectious to Page 7 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS others, until appropriate testing proves otherwise, and should protect sexual partners, accordingly. VII. DECONTAMINATION OF EQUIPMENT A. Contaminated equipment (e.g., flashlight, radio, etc.) shall be decontaminated as soon as possible. 1. Porous surfaces (i.e., nylon) shall be brushed and scrubbed with a detergent and hot water, laundered and allowed to dry. 2. Non-porous surfaces (i.e., plastic and metal)shall be brushed and scrubbed with detergent and hot water, sprayed with a bleach solution, rinsed, and allowed to dry. Delicate equipment (i.e., radios) should be brushed and scrubbed very carefully using a minimal amount of EPA approved germicide. 3. While cleaning equipment, pay close attention to handles, controls, radios, corners and other tight spots. B. Contaminated clothing shall be removed as soon as feasible and rinsed in cold water to prevent the setting of bloodstains. Care needs to be exercised that the piece of clothing does not contaminate other articles before it is laundered or dry cleaned. 1. Utilize disposable gloves to protect hands when cleaning contaminated clothing. 2. Remove as much of the soil as reasonably possible by scraping dry, crusted contaminants with a disposable or easily washable item (e.g., a stick or ruler). 3. Wipe or wash wet contaminants with a rag or paper towel which can be thrown away. 4. Clothing should be double bagged until ready to be laundered. a. Clothing may be cleaned in any washing machine (including home washers). b. The dry cleaning process will dilute out the contaminants as Page 8 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: HANDLING INMATES WITH BODY FLUID NO: G-110 PRECAUTIONS FILE: UNIVERSAL PRECAUTIONS well as lift the dirt from the fabric. Wet clothing should be sun-dried prior to dry cleaning. Inform the dry cleaner of the potential contamination. C. Contaminated leather shall be brushed and scrubbed with detergent and hot water. If the contaminant soaked through the leather, the item shall be discarded. D. Walls, floors or other objects shall be scrubbed down using an approved EPA germicide or a 1:100 solution of chlorine bleach (1/4 cup bleach per one gallon of water). Ensure that the person cleaning the area is provided with disposable gloves and eye protection. All soiled cleaning materials and gloves shall be placed in a plastic bag and the end securely tied. Vill. AIDS EDUCATION FOR INMATES A. Education for inmates may be provided by the HSS/Community Health Communicable Disease Outreach program,which includes the basic HIV information, the effect on the immune system, transmission, risk reduction techniques and issues surrounding testing for antibodies to the virus. B. Human Services System (HSS) may also be involved in the education of inmates by providing informational videos for the inmates to view in their housing area on a regular basis. IX. EMPLOYEE'S RESPONSIBILITY TO REPORT EXPOSURE In order to provide appropriate and timely treatment should exposure occur, all employees shall verbally report the exposure to their immediate supervisor and complete a written report as soon as possible following the exposure. Referto Policy and Procedure Section G-115/HIV REPORTING AND TESTING REQUIREMENTS for more complete instructions concerning reporting and testing. Page 9 of 9 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICINAL USE OF MARIJUANA NO: G-160 FILE: MARIJUAN EFFECTIVE DATE: 03-01-97 REVISED: 01-01-00 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Captain R. Wiley REFERENCE: Penal Code Sections 4011, 4023 and 4573.6; Title 15, Sections 1200, 12067 12077 1208 and 1210; Bell v. Wolfish (1979) 441 U.S. 5207 99 S.Ct.; 21 U.S.C. Section 844 and California Proposition 215 (1996). PURPOSE: The purpose of this policy is to establish guidelines for the regulation of marijuana when prescribed for medicinal purposes by an inmate's private physician. POLICY: It is the policy of the Fresno County Sheriffs Department Detention Bureau that marijuana is considered a controlled substance and the mere possession remains illegal contraband within the jail facilities. To allow possession of such contraband within the jail facilities would pose serious threats to jail security as well as staff, inmate and public safety. It is the policy of the Fresno County Sheriffs Department Detention Bureau that in each case whereby a licensed California physician recommends that an inmate be given or allowed to use marijuana for medicinal use, an independent medical evaluation by a jail or County- employed physician shall be made relevant to the inmate's alleged physical condition. PROCEDURES: I. MEDICAL EVALUATION Upon receiving an order or recommendation for the medicinal use of marijuana from an inmate's private physician, an independent medical evaluation shall be made. A. The evaluation shall be performed by a jail or County-employed physician. Page 1 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICINAL USE OF MARIJUANA NO: G-160 FILE: MARIJUAN B. The evaluation shall be: 1. Well-documented. 2. Made relevant to the physical condition alleged. 3. Include a balance test between the right and need of the inmate for medical care versus the needs of the Detention Bureau to prevent the introduction of contraband. 4. Include an opinion as to the efficacy of the recommended marijuana for that medical condition, based on accepted community medical standards. II. OPINION REJECTED A. The responsibility to provide medical care to inmates requires only that the facility administrator provide health care services to all inmates. There is no legal requirement that a particular form of medical treatment be given, only that medical care is provided when indicated and that such care is within generally accepted standards of medical practice. Prohibiting the use of marijuana as a form of medical treatment does not violate the constitutional rights of inmates. B. If a difference of medical opinion results, the medical opinion of the jail medical staff shall be accorded deference on the basis of their statutory duty to provide medical care to the inmate. C. Furthermore, the need of the Detention Bureau to maintain the integrity of its security procedures to prevent the introduction of contraband shall countervail the individual inmate's need for non-traditional medical care. III. OPINION UPHELD Page 2 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: MEDICINAL USE OF MARIJUANA NO: G-160 FILE: MARIJUAN If a concurrence of medical opinion results in the recommendation for approval of marijuana use as a medicinal remedy, the inmate may elect to provide medical care at a privately owned facility at their own expense. A. The inmate may be removed from the jail to a privately owned and operated medical facility or hospital located in the County and approved by a judge of the Superior Court for such treatment. B. The inmate shall be liable for the costs incurred by the County in providing the necessary custody and security only to the extent that such costs exceed the costs which would have been incurred by the County in providing such custody and security if it had provided treatment for the inmate. C. The inmate shall at all times remain in the location specified by the court and at no time be permitted to be housed or detained at any facility other than that designated. Page 3 of 3 Attachment Fresno County Sheriffs Office Custody Policy Manual Grievance Addendurn- Cans and Cannots.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Grievance Addendum-Cans and Cannots.pdf Published with permission by Fresno County Sheriff's Office -376 FRESNO COUNTY JAIL— GRIEVANCE ADDENDUM: What Incarcerated People CAN and CANNOT Grieve IPs HAVE THE RIGHT TO FILE A GRIEVANCE IF ALL OF THE FOLLOWING CRITERIA IS MET- 1. It directly affects THE IP (not someone else). 2. It involves the conditions of confinement, as listed below. 3. The IP is seeking a specific action or remedy to a problem THEY experienced. 4. It occurred within the last 14 calendar days (unless it involves sexual abuse, which has no time limit, or medical issues affecting their health). Grievances Examples of Valid Category Examples That Will Be Rejected Denied access to mobility aids or Asking for accommodations on behalf of ADA/Disability medical devices after submitting a another person or disagreeing with a doctors request conclusion Hearing held late or without Trying to re-argue a hearing result that Disciplinary allowing them to present a already went through appeal statement Maintenance Broken toilet not repaired after Reporting a toilet for flushing too loud multiple requests Money Unexplained deductions from their Complaining about commissary prices account Sexual Abuse Being touched, threatened, or Reporting untrue sexual assault/harassment harassed sexually claims Classification Incorrect housing that puts them at Disliking bunk location without safety risk concerns Food Spoiled, missing, or cold hot trays They don't like the menu repeatedly Delays or denials in seeing a Disagreeing with the type of care provided by Medical nurse or receiving ordered medical professionals medication Officer Conduct Officer used threats, racial slurs, Officer didn't say hello or seemed rude or excessive force Telephone Phone access denied for days Complaints about call cost without explanation Examples of Valid Category Examples That Will Be Rejected Grievances Clothing/Bedding Denied replacement of torn or Requesting extra items beyond what policy missing items allows or desiring excessively large clothing Denied legal mail or access to Requesting materials while represented by Legal Services legal research if they're acting pro an attorney per Mental Health Health Service Request submitted Disagreeing with diagnosis or therapy but no response or evaluation schedule Property Lost or damaged property after Trying to grieve discarded contraband housing move Visiting Visit denied without clear reason Complaints about visitor dress code or time or outside posted rules limits Commissary Items ordered and paid for were IP wanted something restocked but it's out of not received supply Mail Legal mail withheld, delayed, or IP hasn't received mail because no one sent returned without valid reason them any Living area not cleaned after Complaining about the brand of soap Sanitation multiple requests or clear health hazard present provided Problems with housing, out-of-cell Miscellaneous time, program access, or Complaints about state laws, policies, court decisions, or outside agencies discrimination---------------------------------------------------------------------- NOT GRIEVABLE: • Decisions made by courts, parole/probation officers, or arresting agencies • Jail rules they disagree with • Submitting a grievance just to argue about a previous grievance result • Grievances filed on behalf of someone else (unless it involves sexual abuse or verified ADA assistance) T TIME LIMITS: QUESTIONS OR NEED HELP? • 14 days from incident (48 hours for • Ask staff for assistance or interpretation disciplinary matters) help • No time limit for sexual abuse allegations • IPs can request translation or ADA help if • Appeals must be filed within 5 days of needed receiving a grievance response • IPs may ask for a 5-day extension if they need help completing the form Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum E - Vulnerability Assessment form.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum E-Vulnerability Published with permission by Fresno County Sheriff's Office Assessment form.pdf-377 FAC/FLR YEAR FRESNO COUNTY SHERIFF'S CUSTODY DIVISION PREA VULNERABILITY ASSESSMENT IDENTIFICATION OF HIGH RISK AREAS/TIME PERIODS Identify areas within the facility where sexual assaults have occurred or there is a high risk that sexual assault could occur, including time periods they are most likely to occur. Identify high risk areas within each facility/floor and evaluate any associated risk. It is not necessary to address areas to which incarcerated people are not permitted any access. HIGH RISK MONITORED LOCATION/AREA VIA CAMERA SPECIFIC LOCATION COMMENTS REGARDING RISK Y N NA Y N Cells/Dorms/Rooms ❑ ❑ ❑ ❑ ❑ Classrooms ❑ ❑ ❑ ❑ ❑ Elevators ❑ ❑ ❑ ❑ ❑ Gymnasium ❑ ❑ ❑ ❑ ❑ Interview Rooms ❑ ❑ ❑ ❑ ❑ Laundry ❑ ❑ ❑ ❑ ❑ Lockdown Cells/Units ❑ ❑ ❑ ❑ ❑ Medical ❑ ❑ ❑ ❑ ❑ Offices ❑ ❑ ❑ ❑ ❑ Scullery ❑ ❑ ❑ ❑ ❑ Stairwells ❑ ❑ ❑ ❑ ❑ Visiting Area ❑ ❑ ❑ ❑ ❑ Other area not listed ❑ ❑ ❑ ❑ ❑ Other area not listed ❑ ❑ ❑ ❑ ❑ IDENTIFICATION OF BLIND SPOTS Areas may include, but are not limited to,access to any area within a facility by incarcerated people/staff that is not under constant observation (e.g.,corridors, restrooms,cells,showers, man-made barriers within rooms such as stacked boxes, shelving,cabinets,etc.). LOCATION/AREA HIGH RISK SPECIFIC LOCATION/COMMENTS REGARDING RISK Y N NA Blind spots/dark corners ❑ ❑ ❑ Cells/Dorms/Rooms ❑ ❑ ❑ Hallways ❑ ❑ ❑ Infrequently Used Areas ❑ ❑ ❑ Man-Made Barriers ❑ ❑ ❑ Medical Exam Rooms ❑ ❑ ❑ (without clear view into them) LOCATION/AREA HIGH RISK SPECIFIC LOCATION COMMENTS REGARDING RISK Y I N I NA Offices ❑ ❑ ❑ Plumbing Chase(catwalks) ❑ ❑ ❑ Restrooms ❑ ❑ ❑ Shower Areas ❑ ❑ ❑ Stairways/walkways ❑ ❑ ❑ Storage areas(closets) ❑ ❑ ❑ Other area not listed ❑ ❑ ❑ Other area not listed ❑ ❑ ❑ RECOMMENDATIONS AND REMEDIES Recommendations to address risk areas,time periods, blind spots,and weaknesses in policies/procedures identified in previous sections of vulnerability assessment. The information included may be used to direct applicable action plans. REMEDY/ADJUSTMENTS RECOMMENDED SPECIFIC LOCATION Cameras, mirrors,video monitoring systems Changes in process/procedures Enforcing existing policy/procedure Lighting Random,frequent security checks with documentation Rearranging furniture,cabinets,shelves,storage area Re-routing incarcerated person traffic Securable doors(e.g.,in areas that lead to isolated locations) Staffing changes(e.g.,posting of staff in different locations, additional staff,etc.) Training Windows(install in solid doors,removing blinds,etc.) Other strategies considered: Other strategies considered: Name of Person Performing the Assessment Computer ID Number Date Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum C1 - Sexual Assault Poster - English 2025.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum C1 -Sexual Assault Poster- Published with permission by Fresno County Sheriff's Office English 2025.pdf-378 o I— E cmcu cu mcc cc c .� •V a) V cu O O q o O r.+ Ri O 3 U N :,r 0 ao o E to Q to Y ca a >' E a) O to Q'a Q Q o u N cu i O is � � N Ri c co Z Q, a) J _ CO. � � m a, � 0 cv = ° � .� � � co i c c CW moU (3) = 0 a. O O oLN U) cc m .c J C co Ri V i m ' N O mU ctt N DOQrn � L O � � , � O m Coo ,�_ O � _ _ 0) OO � � Ri i i (I3 N v m 00 Z >, i o cc � O o�p 2 co N cu 0 UN U � LLNii Ur LL � O N O r • m L • ' N i M m 0 E O M cu E ♦..� M — U cu �C L= cj) ,/ O o L_ m m ;; ,i 0 Attachment Fresno County Sheriffs Office Custody Policy Manual PREA Addendum C2 - Sexual Assault Poster - Espanol 2015.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. PREA Addendum C2-Sexual Assault Poster- Published with permission by Fresno County Sheriff's Office Espanol 2015.pdf-379 a) O .rO c OU) N � C � O O cv CU N � If r C Zv N U c C -Q ctt O cc Z U) N O � � CL Inc •m c O O) �� C (1) Q- U E a) �t V) La?No 4) Qa) O p QK � Q. �OU, N cc c _cpv o L CU N o O p 'a cc as 0- c C� Co 0 o o _ a) E U O N � o -W C'`) m U cc cc .2L- 70 cQ � 3 o U > o OL Rf L C� c o L O O o 4) ~ o m VEF 0) Cc 70 CU C O _ U QN 0. 0 O o 'a > .2 L � > r coo + O U C) O O °� cts p •� Ri N � � � Sao Q � � � _ ❑ � L m � > s= 0) � aic) N .V (� !n c C_ Q ° N CV Rf O O Co = cn O Co N > U) a) L �C. z U) m U - r- m U -CU a) 70 Q- c- .- > �, E C70 U i R1 o U o m J = v � > �rR rn O0 OU N .0 a) M V- 0ICUJ0 L cu co E — � m v cu t� U N U 'a Rf U cu (on y- C V) L � � OQrn � cn a) 0 Ri Ri � � � coo �+= o � o = m m cv � d O mo 00 � •F E s= .E E c z C O � o � ❑ = Cn cu Cn E c/) In Ri to C -� U o cy o0 - `� cc N p Cn �p - _ Co J .� > J J LL CV U- J C7 _I = W co 0- co 0 Q A (1) v W to H SM Cu m N 0 Cf) 4 O QLM Lm O Cu r C 0 cr cu ♦■■� cu CU 0 Attachment Fresno County Sheriffs Office Custody Policy Manual Classification Addendum I - Notification of Classification Review.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Classification Addendum I -Notification of Published with permission by Fresno County Sheriff's Office Classification Review.pdf-380 FRESNO COUNTY SHERIFF'S OFFICE CUSTODY DIVISION NOTIFICATION OF CLASSIFICATION REVIEW Name(last,first,middle) Booking Number JID Number Housing Location Classification Reviews are conducted by one or more Population Management Officers to determine if an incarcerated person's present classification is appropriate. All incarcerated people shall have their classification status reviewed within thirty(30)days from the date of initial placement, and every ninety (90)days thereafter. An incarcerated person may request a review of their classification status no more often than thirty(30)days from the date of their last review. Those who are transferred to protective custody or administrative separation housing shall have their classification status reviewed, if requested, thirty (30) days from the time of placement, and every ninety (90) days thereafter. Those housed in single cells will be reviewed every thirty (30)days. An incarcerated person's classification status shall be reassessed when warranted due to a referral, request, serious incident, or receipt of additional information that bears on the incarcerated person's risk of victimization or abusiveness. An incarcerated person's classification status shall be reviewed prior to transfer from disciplinary status. Incarcerated people are not required to be present during their classification review. Incarcerated people may appeal any classification action in writing to the Population Management Lieutenant, via the grievance procedure. A review of your present classification and housing assignment has been conducted: ❑ At your request ❑ Upon referral, or as determined by Population Management staff An automatic Classification Review has been scheduled for you on and on that date, this decision will be reevaluated by a member of the Population Management Unit. If you possess information which you believe would warrant a change in your classification status,submit the information prior to that date, in writing, to the Population Management Unit. The information you provide will be examined and considered in the review process. Comments: All pertinent information has been evaluated and reviewed. It has been determined that your present classification is appropriate and will continue unaffected. Classification Officer Computer ID Number Date of Review Incarcerated person is housed in a single cell. Population ❑ Management Lieutenant to be notified and approve any placements that extend beyond one year. Lieutenant Approval Date of Original Placement,if applicable If a change (or lack of change) in your classification or housing affects your mental status in any way, you may request to speak to a mental health professional at any time by submitting a Health Services Request Form. If you possess information which you believe would warrant a change in your current classification status,you may appeal this decision by submitting an Incarcerated Person Grievance Form to the Population Management Lieutenant. Scan original to Incarcerated Person's Record Copy—to Incarcerated Person Rev.07/24 Attachment Fresno County Sheriffs Office Custody Policy Manual Lactation Program Addendum C.pdf Copyright Lexipol,LLC 2025/06/30,All Rights Reserved. Lactation Program Addendum C.pdf-386 Published with permission by Fresno County Sheriff's Office ACKNO LEDGM ENT OF RECEIPT OF BREAST MILK AND ANDLING INSTRUCTIONS The following guidelines are for healthy, full-term babies. If the baby is in a neonatal intensive care unit or special care ward, the hospital may have stricter recommendations. TRANSPORTING • It is recommended that you use frozen gel cooler packs and an insulated cooler bag or ice chest to transport the milk home. STORING MILK • Store frozen milk in the back of the freezer where the temperature is most constant. Do not store on the shelf of the freezer door, so that it doesn't start to thaw out. • Breast milk can be stored in the freezer for up to 6-1 months. Milk stored at 0 F or colder is safe for longer durations, but the quality of the milk might not be as high. T A ING AND ARMING UP MILK • Thaw the oldest breast milk first. • Breast milk does not need to be warmed. Some people prefer to serve it at room temperature. Some people serve it cold. • Thaw the bag of frozen milk by putting it in the refrigerator overnight. • If you decide to warm the breast milk: • Keep the container sealed while warming. • Hold it under warm, not hot, running water, or set it in a container of water that is warm, not hot. • NE ER r r r Microwaving creates hot spots that could burn the baby and damage the milk. • Test the temperature before feeding it to the baby by dropping some on your wrist. The milk should feel warm, not hot. • Swirl the milk to mix the fat, which may have separated. Do not shake the milk. • Use breast milk within hours of thawing it in the refrigerator. This means hours from when the breast milk is no longer frozen, not from when you take it out of the freezer. • Once breast milk is thawed to room temperature or warmed after being in the refrigerator or freezer, use it within hours. If you have any leftover milk when the baby is finished feeding, be sure to throw it out within hours. • Do not refreeze breast milk after it has been thawed. GUIDE TO STORING T A ED BREAST MILK • Room temperature (up to 77 F)— 1 to hours • Refrigerator ( 0 F)— Up to 1 day ( hours) • Freezer—DO NOT REFREEZE ource omen ea t go rea t eeding um ing and toring rea tmi Y DOES T E BREAST MILK SMELL ODD The color of the milk may change and look different from one day to the next. You may notice that the defrosted milk sometimes smells different. This is because an enzyme called lipase breaks down fats and releases fatty acids—a process that helps prevent the growth of harmful bacteria. If the safe-storage guidelines have been followed, the milk should still be perfectly fine to use. If you think the milk looks bad or smells funny you can call the Fresno EOC WIC Breastfeeding help-line at ( ) 6 -1 0 (M-F : 0- : 0). Mother's Name JID Number Name of Receiving Person Identification Confirmed by Lobby Officer Signature of Receiving Person Number of Bags Received Medical Staff Member's Name Date Original—Jail Records(scan) Canary—Medical Records Pink—Recipient's copy Lactation Program Addendum C