COMMONWEALTH OF VIRGINIA. VIRGINIA DEPARTMENT OF CORRECTIONS LOCAL FACILITIES JAIL INSPECTION REPORT Facility: BRRJA - Lynchburg Current Inmate Population: 454 (75 females, 379 males) Address: 510 9" Street Lynchburg, Virginia 24504 Sheriff: N/A 13,2019 Date(s) of Inspection: (POA Verification) Last inspection (date) November 8, 2018 Last audit (year): May 14-16, 2019 Male Female INMATE INFO. # on HEM: # on Work Release: # of inmates floor sleeping: STATISTICS FOR YEAR: Escapes: # Apprehended: Erroneous releases: Hostage situations: Discharge of firearms Fires w/inmate evacuation: Deaths: Fee for inmate keep: $ Suicides: FACILITY PERSONNEL # of Jail Deputies/Swom Staff: # of Civilian Staff Assigned to Control Posts: # of Kitchen Staff: Viewinia Department of Comesions ‘oeal Facilites ‘Year Built: ‘Operational Cay | 429 Facility Admin/ | Timothy Trent, Superintendent b Major Raymond Espinoza Contact Persom: | Cain Tunmy Hodges Vida Parker, Acorediaton Manager DOC Inspector: ‘Tawana M. Ferguson Deficient Standards: 100% (POA Verification) Deficient Standards: 900, 1050, 1140, 1160 # OF BEDS Total # of Beds: Rew. 6/13@ Jail Inspection Report Commonwealth of Virginia Virginia Department of Corrections Local Facilities Qo | ‘OBSERVATIONS DOCUMENTATION shall maintain a current copy of the agreement, unless employed by the facility LIFE, HEALTH, SAFETY STANDARD COMPLIANCE ‘OF COMPLIANCE No_NA ‘@VACIS-40-150. Inmate Exercise Written policy, procedure, | X | ‘Review writien policy and procedures and practice shall provide that all inmates have access to physical | Review exercise documentation. exercise. Facilities with specified exercise areas shall provide Review documentation of exceptions inmate exercise a minimum of one hour per week. Facilities pana igh tosaiy-biirnentatl without specified exercise areas shall provide equipment or an ino area within the dayroom for inmates to exercise large muscle aI SOP #22.02 Rec ; s < logs reviewed groups on a daily basis, Shortage of staff shal! not hinder inmate and noted, Rec area observed during access to physical exercise. Exceptions for inclement weather or tour of facility. risk to security shall be documented. | Interview: Vida Parker, Standards and | Compliance Specialist | ‘6VACIS-40-320. Licensed Physician - A licensed physician x “Review current license. Review current shall supervise the facility's medical and health care services. | ‘copy of agreement (if applicable). Facilities that contract with private medical facilities or vendors Interview staff. [BRRJA SOP #18.01, Current License Dr. Kaveh Ofogh, MD Lic 11/30/2020, Dr.Vytas E. Kaziaskas, MD LIC exp 8/31/2020, Dr. Antony Joseph, MD Lie Exp3/31/2020, Dr. | Ricardo J Martinez-Cortines, MD Lie Exp 8231/2020, Dr. Nadeer A. Mobarshar, MD Lie Exp 6/30/2020, De. Abraham Tekiu, MD Lie Exp 3/31/2020 Current agreement | MEDIKO, 10/1/2017-9/30/2020 Interview: Vida Parker, Standards and Compliance Specialist Local Facilites Revised: 72013Commonwealth of Virginia Virginia Department of Corrections Local Facilities “OBSERVATIONS/DOCUMENTATION LIFE, HEALTH, SAFETY STANDARD COMPLIANCE ‘OF COMPLIANCE. ®@ Jail Inspection Report @ y. Health Care Provider and Licensing, Certification and Qualification of Health Care Personnel — for health care provider. Review ach facility shall have a minimum of one licensed or qualified schedule/documentation of health care provider who is accessible to inmates a minimum of | ‘accessibility to inmates. Review current one time per week. Health care personnel shall meet appropriate hii ren -aerar and current licensing, certification, or qualification requirements. ee eaeceene [BRRIA SOP #18.02 Allin house | healthcare personnel licenses are | ccurent URN, 10 LPN's, 2 EMT's Interview: Vide Parker, Standards and Compliance Specialist 6VAC15-40-360. Twenty-Four Hour Emergency Medical Care | X ‘Review written policy and procedure. ~ Written policy, procedure, and practice shall provide 24-hour Review incident reports (if applicable). ‘emergency care medical and mental health care availability. Interview staff. BRRIA SOP 418.03, 24 hour ‘emergency medical care available Facility utilizes Lynchburg General HospitaVNocal fire and rescue squad. Incident reports reviewed and noted Inerviows Vida Parker, Standards and Compliance Specialist Local Facilites Revised: 72013@ LIFE, HEALTH, SAFETY STANDARD Local Fac’ ing and Medical Screening of Inmates = Written policy, procedure, and practice shall provide that receiving and medical screening be performed on all inmates upon admission at the facility. The medical screening shall: 1, Specify screening for current illnesses, health problems and conditions, and past history of communicable diseases; Jail Inspection Report Commonwealth of Vi Virginia Department of Corrections ies COMPLIANCE, YES_NO__NA ‘OBSERVATIONS/DOCUMENTATION ‘OF COMPLIANCE feview written policy and procedures. Review medical screening form (all 5 elements must be included on the form). Interview staff BRRIA SOP #1805 All five elements appear tobe listed on medical sereening form. TB testing security staff shall be trained and competent in rendering basic first aid and CPR by a recognized certifying agency. All ‘raining shall be documented, 2. Specify screening for current symptoms regarding the ‘completed with 7 days of admission to inmate’s mental health, dental problems, allergies, present facility. medications, special dictary requirements, and symptoms. ‘of venereal disease; Interview: Vida Parker, Compliance 3. Include inquiry into past and present drug and alcohol and Standards Special abuse, mental health status, depression, suicidal tendencies, and skin condition; and 4. For female inmates, include inquiry into possible pregnancy or gynecological problems. 5. All inmates shall receive a tuberculosis (TB) skin test within seven days of admission to the facility | ‘6VACI5-40-380. Inmate Access to Medical Services - Written |X Review written policy and procedures. policy, procedure, and practice shall be developed whereby Review inmate handbook/orientation. inmates can be informed, at the time of admission to the facility, mera gonneeg of the procedures for gaining access to medical services. aa ee ete Oa ecical Services pe27-32. Orientation cheeklists reviewed and | | noted. Interview: Vida Parker, Compliance [ and Standards Specialist 6VACI5-40-390. Training and Competency of Staff - All x ‘Review current official training records (can be frst ald/CPR cards, class roster or basiclin-service training | curriculum). Interview staf Al security staff certified in First Aid/CPR training, Interview: Vida Parker, Standards and | Compliance Specialist Local Facies Revised: 12013® Jail Inspection Report Commonwealth of Virginia eo Virginia Department of Corrections Local Facilities ‘OBSERVATIONS/DOCUMENTATION LIFE, HEALTH, SAFETY STANDARD COMPLIANCE, ‘OF COMPLIANCE ‘GVACIS-40-393. Universal Precautions - All siaif who have | X “Raview training records. Interview contact with inmates shall be trained, competent, and knowledgeable in the use of universal precautions. All training shall be documented and completed every 12 months, staff. Universal Precautions Training Conducted 6/2019, Prior trai conducted 6/2018, 12/2018. Next training due 6/2020 Interview: Vida Parker, Standards and ‘Compliance Specialist ‘6VAC15-40-395. Management of Sharps - Written policy, x procedure, and practice shall govern the control, storage, and use of sharps including, at a minimum, needles, scalpels, lancets, and dental tools. ‘Review written policy and procedures Review inventory sheets. Observe storage area. Interview staff. BRRJA SOP #25.01 Sharps inventory current. Storage areas observed during tour of medical ‘department. | Interview: Officer DT. Davis, LPN ‘GVACI5-40-400. Management of Pharmaceuticals - Written |X Review written policy and procedures. procedures for the management of pharmaceuticals shall be Review medication administration established and approved by the medical authority or pharmacist, records. Review records for disposal of if applicable. Written policy, procedure, and practice shall provide ueused or expired medications. Review for the proper management of pharmaceuticals, including receipt, loiter oe i a Scanner storage, dispensing and distribution of drugs. These procedures BREIA SOP FIED shall be reviewed every 12 months by the medical authority or Pormacanicale raviawed and pharmacist. Such reviews shall be documented. | approved by Dr. Qing Liu May 1, 2019. Prior 12-month administrative review conducted by Dr. Abraham ‘Tekly, MD May 2, 2018. Next 12-month review due May 2020. Interview: Vida Parker, Standards and ‘Compliance Specialist ‘6VACIS-40-405. Automated External Defibrillator (AED)— | X Roview current offical training ‘There shall be a minimam of one AED unit available in the records. Observation. facility. All security staff shall receive training in the operation of ‘AED training records noted the unit ! ‘Local Facies Revised: 72013Jail Inspection Report Commonwealth of Virginia Virginia Department of Corrections Local Fasilities LIFE, HEALTH, SAFETY STANDARD COMPLIANCE Yes" NO- NA | CVACTS-40-420. Transfer of Summaries of Medical Record— | X ] Medical record summaries shall be transferred to the same facility to which the inmate is being transferred. Required information shall include: vital signs, current medications, current | | medical/dental problems, mental health screening, mental health problems, TB skin test date and results, special inmate needs/accommodations, pending medical appointments, medical dispositions, overall comments, health care provider/personnel signature and date, and any additional pertinent medical information such as lab work, x-rays, etc. | ‘OBSERVATIONS/DOCUMENTATION ‘OF COMPLIANCE ‘Review medical record summary sheets. ‘Medical transfer summaries reviewed and noted, Interview: Vida Parker, Standards and Compliance Specialist 6VACI5-40-430. Medical or Pharmaceutical Testing for x Experimental or Research Purposes - Written policy and | practice shall prohibit medical or pharmaceutical testing for experimental or research purposes. Review written policy. Interview staffinmates. BRRIA SOP #18.12 a physician shall be pursuant to a written protocot or order. Protocols or orders shall be reviewed and signed by the supervising physician every 12 months. ‘6VACI5-40-440. Medical Care Provided by Personnel Other | X ‘Review written protocol or order. than Physician - Medical care performed by personnel other than ‘Review documentation of 12 month review and approval by physician Interview staff ‘Written protocol or order reviewed and approved by Dr. Qing Liv, MD May 1, 2019. Prior 12-month review ‘conducted by Dr. Abrahan Teklu, MD May 2, 2018, Next 12-month administrative review due May 2020. Interview: Vida Parker, Standards and Compliance Speciali Local Facilites Revises: 72013Jail Inspection Report @® ‘Commonwealth of Virginia @ Virginia Department of Corrections Local Facilities “OBSERVATIONSIDOCUMENTATION LIFE, HEALTH, SAFETY STANDARD COMPLIANCE ‘OF COMPLIANCE YES_NO_ NA GVACIS-40-480, Suicide Prevention and Intervention Plan— | X Reve vr suicide prevention and ‘There shall be a written suicide prevention and intervention plan, intervention plan. Review approval by These procedures shaill be reviewed and documented by an medical or mental health authority. appropriate medical or mental health authority prior to Review documentation of 12 month implementation and every three years thereafter. These procedures ean eoreeiS ean shall be reviewed every 12 months by staff having contact with prevention and ‘tiesrontion. lan inmates, Such reviews shall be documented. Teviewed and approved by Dr. Oing Liu April 25,2019. Prior 3-year administrative review conducted by Dry Teklu, MD May 2, 2016, 12- ‘month staff reviews conducted June 2019. Prior 12-month staff reviews conducted June 2018, October 2018, December 2018. Next 12-month staff review due June 2022. Next 3-year | administrative review due April 2022 | Interview: Vide Parker, Standards and Compliance Specialist GVACI5-40-540, Standards for Food Service Equipment and | X ‘Review writien policy and procedures. Personnel - Written policy, procedure, and practice shall ensure Review VDH inspection reports. that the facility’s food service equipment and personnel meet the Review license/permit. oo established safety and protection standards and requirements as set BRRJA SOP #20.01 Health inspection forth by the State Board of Health’s Food Regulations. The condveted February 1, 2019 no facility shall have a Virginia Department of Health (VDH) teacniney tant f ay 14, 2018 - No inspection conducted every 12 months. Written reports of the Violations noted. ext inspeeton due DH inspections shall be on file with the facility administrator. February 2020, Permit exp. December 31,2018. Interview: Vida Parker, Standards Compliance Specialist Local Facilities Revised: 72013,Inspection Report ® Commonwealth of Virginia @ Virginia Department of Corrections Local Facilities ‘OBSERVATIONS DOCUMENTATION LiFb, HEALTH, SAFETY STANDARD COMPLIANCE, ‘OF COMPLIANCE ‘GVACIS-40-545. Standards for Inmate Food Service Workers | X | = Written policy, procedure, and practice shall ensure that a visual ‘medical examination of each inmate assigned to food service ‘cours no more than 30 days prior to assignment and quarterly thereafter. Each inmate shall be given a TB skin test prior to food service assignment. Such tests shall be documented, If an inmate tests positive for’TB, that inmate shall not be granted assignment to food service, ‘Review written policy and procedures. Review documentation of visual medical examination and TB skin test of inmates assigned to food service. BRRJA SOP #30.01 ‘Memorandum dated July 3, 2019 from ‘Westbury Pharmacy - shortage of ‘Aplisol used to make PPD tubercetin antigens for use in. performing tuberculin skin tests. Anticipated release date August 31, 2019, Tomate kitchen medically sereened. Quarterly medical visual examinations : Officer D.T. Davis, LPN ‘GVACIS-40-550. Food Service Program - Written policy, x procedure, and practice shall ensure a food service program that ‘meets the following: 1. The menu meets the dietary allowances as stated in the Recommended Dietary Aliowances (RDA), National Academy of Sciences; 2. There is at least a one-week advance menu preparation; 3. Modifications in menus are based on inmates’ medical or reasonable religious requirements. Medical or dental diets shall be prescribed by the facility's medical authority. 4. RDA evaluation of facility menus shall be completed by an independent registered dietitian or certified mutritionist every throe years; and 5. Additional evaluations shall be completed when a substantive change in the menu or food service provider occurs. Review written policy and procedures. Review all menus. Review ment modifications for medical and religious diets (if applicable). Review RDA evaluation of facility menus. Review license/certfication of dietician or rutritionist. Review additional menu evaluations (if applicable). Interview staff BRRJA SOP #20.01 4-week repeating ‘menus reviewed and approved by Jennifer Sowers, RD Lic exp 8312019 ‘Nutritional statement 1/1/2017 Interview: Vida Parker, Accreditation Manager 6VACI5-40-560. Meals Prepared, Delivered, and Served x | ‘Under Direct Supervision of Staff — Written policy, procedure, and practice shall ensure meals are prepared, delivered, and served under the direct supervision of staff. Review writen policy and procedures. Observation, Interview stafVinmates BBRIA SOP #20.01 Meals prepared, delivered, and served under direct supervision of staff. Observed during tour of facility. ‘6VACI5-40-580. Food Services Program Not a Disci ‘Measure - Written policy, procedure, and practice shall ensure food is not used as disciplinary measure. ‘Review written policy and procedures. Review documentation of alternate ‘meal usage (if applicable). Interview staffinmates. BRRIA SOP #20.01 Local Facilites Revised: 72013Commonwealth of Virgini Virginia Department of Corrections oS Oo ‘Towels — Written policy, procedure, and practice shall provide that a record is kept to show that clean linens and towels are supplied once a week, a clean change of clothing is provided twice per week, and inmates shall be held accountable for their use. shall maintain a designated post, staffed 24 hours a day, that controls activities and flow of people in and out of the secure area of the jail. Main facility control posts may be staffed by civilian personinel who have been provided on-the-job training in facil security procedures, emergency plans, and communications. Such training shall be documented in writing with the same frequency as required by standards for all facility employees. Civilian personne] assigned to the control posts shall not be assigned to other posts requiring direct inmate contact and supervision. Local Facilities ‘OBSERVATIONSDOCUMENTATION LIFE, HEALTH, SAFETY STANDARD ‘COMPLIANCE ‘OF COMPLIANCE, YES _NO__NA ‘GVACI5-40-740. Requirements for Clothing, Linen and x ‘Review writien poli and procedures GVACI5-40-840, Post to Control Security of Jail The facility | X Review laundry records. Interview staffiamates. (Clothing mus be ‘offered on two separate days.) BRRIA SOP #19.01 Laundry records reviewed and noted. Laundry area ‘observed during tour of fac Interview: Vida Parker, Standards and Compliance Specialist ‘Review raining records for lian personnel. Review post orders or job ‘description (refer to BVACIS-40-960). Review restrictions on inmate access f0 control centers. Observation. Interview taf. Per Vida Parker, Standards and Compliance Specialist, only sworn security staffs assigned to contol post. Post orders reviewed and noted. 6VACIS5-40-870. Security and Storage of Security Devi Written policy, procedure, and practice shall govern the security, storage, and use of firearms, ammunition, chemical agents, and related security devices that are stored in and assigned to the facility to ensure that: 1. The facility shall provide secure storage for firearms, ‘ammunition, chemical agents and related security devices accessible to authorized personnel only and located outside the security perimeter or the inmate housing and activity areas; 2. Personnel who carry firearms and ammunition are assigned positions that are inaccessible to inmates (with the exception of emergencies); and 3. Personnel who discharge firearms or use chemical agents other than for training purposes, submit written reports to the facility administrator or designee no later than the conclusion of the shift during which same are discharged or used. Review written policy and procedures, Review training records pertaining 10 firearms and use of chemical agents. Review master Inventory sheets. Review writien reports (if applicable) Observe storage areas (gun boxes, armory, ete). Interview staff BRRIA SOP #12.04 Firearms training Records reviewed and noted. [No reports of accidental firearm. discharge. Master inventory/issuance logs reviewed and noted. Use of ‘chemical agents reports reviewed and noted. Incident reports reviewed and noted. Interview: Vida Parker, Standards Compliance Specialist Local Failies| Revised: 12013® — LIFE, HEALTH, SAFETY STANDARD. COMPLIANCE YES NO NA. ee ‘OF COMPLIANCE ‘SVACIS5-40-900, Examination and Maintenance of Security Devices - Written policy, procedure, and practice shall specify that, at least once daily, a careful examination is made of security devices and that maintenance is routinely performed to ensure their proper operation. x ‘Review writien poliey and procedures. Review daily security device checks. Review maintenance logs. Interview Staff (Minimum requirements for security devices: locks, bars/doors, and windows.) BRRJA SOP #12.08 security devioe logs noted. Maintenance logs reviewed and noted. Deficiency was addressed during 2019 Triennial audit Lights in Housing Unit B were repaired. Plan of Action verified but ‘not completed. superintendent, assistant admi discuss the plan of action to complete maintenance work orders. Interview: Major Raymond Espinoza ‘GVACI5-40-910, Searches of Facility and Inmates — Wi policy, procedure, and practice provide for searches of facilities ‘and inmates to control contraband and provide for the disposition of contraband. A schedule of searches shall be developed to ensure all housing areas of the facility have been searched on a random, but atleast quarterly, basis. These procedures are not made available to inmates. Review written policy and procedures, Review documemation of query foclty and inmate searches. Review disposition records, Interview staff. BRRJA SOP #12.09 Quarterly search and disposition records reviewed and noted Interview: Vida Parker, Standards Compliance Specialist GVACIS5-40-930. Key and Door Control — Written policy, procedure, and practice shall govern key and door control, Perimeter security door keys shall not be issued to staff unless authorized as per the approved emergency plans. ‘Review written policy and procedares. Review master key inventory. Review issuance log. Observe set of emergency keys. Observe storage area and use. | Interview staff | BRRIA SOP #12.10 “Master key inventory and issuance logs reviewed and noted. Emergency keys are maintained at Lynchburg Police Station. Keys observed during tour. of facility August 13, 2019. Interview: Vida Parker, Standards ‘Compliance Specialist Local Fails Revised: 120139) Jail Inspection Report Commonwealth of Virginia Virginia Department of Corrections Local Facilities ° LIFE, HEALTH, SAFETY STANDARD COMPLIANCE. YES _NO_ NA ‘OBSERVATIONS/DOCUMENTATION ‘OF COMPLIANCE. GVACIS-40-940. Culinary Hems- Written policy, procedure, and practice shall govern the control and use of culinary items. GVACIS-40-945. Tools - Written policy, procedure, and practice shall govern the control and use of tools. ‘6VACI5-40-950. Flammable, Toxic and Caustic Materials - Written policy, procedure, and practice shall specify the control and storage of cleaning equipment and use of all flammable, toxic and caustic materials. Inmate access shall be limited and closely supervised. x “Review writion policy and procedures. | Review master inventory sheet or shadow board. Review issuance Iog/accountability procedures. Observation, Interview staff BRRIA SOP #20.01 Culinary items inventoryissuance reviewed and noted. Kitchen Area observed during tour of facility. Interview: Captain Tammy Hodses ‘Review writien policy and procedures. Review master inventory sheet or shadow board. Review issuance Togiaccountablity procedures. Observation. Interview staff. BRRIA SOP #12.11 Tool shadow boards observed during tour of facility. Master too! inventory and issuance logs reviewed and noted. Review written policy and procedures. Review masier inventory of all chemicals stored within the facili. Review Material Safety Data Sheets (MSDS) for all chemicals stored within the facility. Observe secure storage ‘area. Observe flammable materials stored in an approved fire proof storage cabinet or outside the facility. Interview staf. BRRJA SOP #12.12. Flammable, toxic and caustic materials stored in secured area, Master inventory and issuance logs reviewed and noted, Interview: Cagtain Tammy Hodses ‘GVACIS-40-970. Restrictions of Physical Force - Written policy, procedure, and practice shall restrict the use of physical force to instances of justifiable self-defense, protection of others, protection of property, orderly operation of the facility and prevention of escapes. In no event is physical force justifiable as punishment. A written report shall be prepared following all such incidents described above and shall be submitted to the facility administrator, or designee, for review and justification. Review written policy and procedures Review use offorce reports. Interview staff BRRJA SOP #12.13 Use of foree reports reviewed and noted. Interview: Vida Parker, Standards and Compliance Specialist 10 Local Facilities Revised: 72013® Jail Inspection Report Commonwealth of Vi Virginia Department of Corrections Local Facilities ‘OBSERVATIONS/DOCUMENTATION LIFE, HRALTH, SAFETY STANDARD COMPLIANCE. ‘OF COMPLIANCE YES NO. NA ‘GVACI5-40-1010, Mental Health Inmates - Written policy, x “Review written policy and procedures. Review current writen agreemend procedure, and practice shall specify the handling of mental health inmates, including a current agreement to utilize mental health services from either a private contractor or the community services board. ‘contract. Review inmate records (if applicable) Interview staff. [BRRJA SOP #18.17 Current mental health agreement MEDIKO 10/1/2017-9/30/2020 Interview: Vida Parker, Standards Compliance Specialist ‘6VACIS-40-1030, Assessment of Inmates in Disciplinary | X Detention or Administrative Segregation ~ Written policy, procedure, and practice shall require that a documented assessment by medical personnel that shall include a Review written policy and procedures. Review documented evaluation (not 10 exceed 15 days). Review documented refusals (if applicable). Interview staff personal interview and medical evaluation of vital signs, pees ie ‘conducted when an inmate remains in disciplinary detention oie or administrative segregation for 15 days and every 15 days Interview: Vida Parker, Standards and thereafter. If an inmate refuses to be evaluated, such refusal compliance specialist shall be documented. ‘6VAC15-40-1040. Staff Training — The facility shall provide for | X ‘Review training records. 24-hour supervision of all inmates by trained personnel. BRRJA SOP #12.15 In-service training records noted 6VAC15-40-1045. Supervision of Inmates — All inmate housing | X ‘Review documentation of random arcas shall be inspected a minimum of twice per hour at random intervals between inspections. All inspections and unusual incidents shall be documented. No obstructions shall be placed in the bars or windows that would prevent the ability of staff to view {inmates or the entire housing area, checks, Observation of housing areas (inspection means visual observance of all inmates in the housing area including linear, indirect and direct supervision facilities). Interview staffinmates. ‘Twice hourly logs reviewed and noted Inverview: Vida Parker, Standards ‘Compliance pecialist u Local Fails Revised: 12013Jail Inspection Report ®© Commonwealth of Virginia o Virginia Department of Corrections Local Facilities ‘OBSERVATIONSIDOCUMERTATION LIFE, HEALTH, SAFETY STANDARD (COMPLIANCE ‘OF COMPLIANCE GVACIS-40-1080. Emergency Plans and Fire Drills There] X “Review fire prevention practices shall be fire prevention practices and written emergency plans that (maintenance of smoke detection outline duties of staff, procedures and evacuation routes. ‘equipment, fire extinguishers serviced ‘ensuring living areas are hept free of. E jlans shall inch :mergency plans shall include responses in the event of fire, es ee see hhazardous material release, loss of utilities, natural disaster, | hostage situations, riots, disturbances, escapes, bomb threats and poriynehipilancrant all mass arrest. Emergency plans shall be reviewed every 12 months Review documentation of 12 month by all staff. These reviews shall be documented, Each facility shall staffreview. Review docimentaion of conduet and document quarterly fire drills. (quarterly fre drill. Observe posed evacuation routes. Imerview staf BRRJA SOP #24.01, #24.02, #24.03 | |2-mnonth staff reviews conducted ume 2019 Prior 12 month stafFreviews conducted December 2018, June 2018, October 2018. Next 12 month staff review due June 2020. Quarterly fire drills reviewed and noted, Interview: Vida Parker, Complisnce = ‘and Standards Specialist ‘8VACIS5-40-1100. Fire Safety Inspection - The facility shall x |__| Review fire safety inspection reports have a state or local fire safety inspections conducted every Review plan of action forall violations 12 months. Localities that do not enforce the Virginia and documentation of approval by the Siate Fire Marshal's Office or local ‘approved fire marshal. Interview sia. September 27, 2018- Violations noted. Statewide Fire Prevention Code shall have the inspection performed by the State Fire Marshal’s Office. Written repotts of the fire safety inspection shall be on file with the ‘cond fast aminisrator. Sopenbe: 27,2917 Novas noted. Next inspection due September 2019. 6VACIS-40-1120. Mattresses, Pillows and Trash Receptactes - | X ‘Review documentation for mattresses, Mattresses, pillows and trash receptacles present in the secured pillows, and trash receptacles for fire housing shall be of fire retardant materials. retardant material. Observation. ‘Comerstone Institutional products observed during tour of ficlity August 13,2019 Local Facilities 12 evsed: 7203© Jail Inspection Report ‘Commonwealth of Virginia Virginia Department of Corrections Local Facilities “OBSERVATIONS/DOCUMINTATION dry, hazard-free manner. LIFE, HEALTH, SAFETY STANDARD COMPLIANCE ‘OF COMPLIANCE YES NO NA ‘GVACI5-40-1140. Cleanliness - The facility floors, halls, x ‘Dbservation (includes eracksirast im corridors and other walkway areas shall be maintained in a clean, shower stalls and cracks in floors which can result in the build-up of ‘water/dirt that is inaccessible for cleaning, therefore, results in unsanitary conditions). (Floor areas include day areas and individual cells) Observed during tour of facility. Deficiency was addressed during 2019 Triennial Audit. Staff will be meeting with outside contractor to discuss repairing water leaks. Plan of Action verified but not completed. 6VACI5-40-1170. Water Utilities - All housing areas shall have toilets, showers, drinking water and washbasins with hot and cold running water accessible to inmates. GVACI5-40-1150. Vermin and Pest Control - The facility shall | X | ‘Review contract or license for pest control vermin and pests and shall be serviced at least quarterly by control business/personnel, Review a licensed pest control business or personnel certified by the ucrtaly eee Observation, Virginia Department of Agriculture and Consumer Services, ee es oui bby Bug Busters Pest Control Services. Lie Exp 3312019 Interview: Vida Parker, Standards Compliance Specialist ‘6VACI5-40-1160, Appropriate Lighting and Heating - x Light meter readings. Observation. ‘A. All housing and activity arcas shall provide for appropriate Interview staffinmates. eng wt oer ares seo Atropine ighting sal bea lees 20 foteandles at desk Te Aten gus te Lane sean aoa! Housing Unit B. Plan of action (C. Heat shall be evenly distributed in all rooms so that a verificd but not completed, temperature no less than 65° F is maintained. Air conditioning or ‘mechanical ventilation systems, such as electric fans, shall be provided when the temperature exceeds 85° F. Interview: Major Rayrond Espinoza x Observation. Interview staffinmates. Observed during tour of facility 6VACI5-40-1195, Contact with Juveniles - The facility shall have one ot more employees on duty at all times responsible for auditory and visual contact with each juvenile at least every 30 minutes. Contact shall be at least every 15 minutes when juveniles exhibit self-destructive or violent behavior. Review supervision logs. Observalion Interview staff. Facility is certified to house juveniles. However, no juveniles were housed during the inspection period. 13 Local Failte Revised: 72013Jail Inspection Report ® Commonwealth of Virginia @ Virginia Department of Corrections Local Facilities "OBSERVATIONS/DOCUMENTATION LIFE, HEALTH, SAFETY STANDARD ‘OF COMPLIANCE VACTS-40-1200. Isolation and Segregation of Juveniles ~ TX) Review rolatonlegregation Tos. Isolation cells or segregation within a cellblock shall be utilized omereton house juvenites. only as a protective or disciplinary measure. facility is. to house juveniles. » pinay ‘However, no juveniles were housed l during the inspection period. INSPECTION RESULTS: 100% Deficient Standards: Additi || Comments/Deficiencies Plan of Action 6VAC15-40-1050 Plan of Action verified and completed. Going forward the assistant site administrator will be tasked with reviewing on a daily basis the supervisors inspection reports to ensure compliance and completeness. Regulations governing certification and inspection require that the results of this inspection be reported to the Board of Corrections. Cited non-compliances require a written Plan of Corrective Action, and Board review ‘may change the certification status of the jail. A written plan of corrective action is required by (7 days from date of inspection): All corrections to deficiencies are to be completed by (30 days from date of inspection): Please submit your plan of corrective action to your Local Facilities Manager, utilizing one option below: Mailing Address: ‘Tawana M. Ferguson Local Facilities Manager P. O. Box 26963 6900 Atmore Drive Richmond, VA 23261 Fax: 804-674-3587 Email: Tawana.Ferguson@vadoc, virginia. gov If you need further assistance or have questions, your Local Facilities Manager may be reached by name at (804) 887-8316 Oss}. Exit interview with (signature): itle: Asfistant Site/Administrator ain Tammy Hodges ies Manager/Certification Analyst (signatu Printed Nam ‘Tawana M. Ferguson Local Fails 14 Revised: 72013