"Prea Audit - Pre-audit Questionnaire Form - Juvenile Facilities" - Florida

Prea Audit - Pre-audit Questionnaire Form - Juvenile Facilities is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on August 19, 2014;
  • The latest edition currently provided by the Florida Department of Juvenile Justice;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

ADVERTISEMENT
ADVERTISEMENT

Download "Prea Audit - Pre-audit Questionnaire Form - Juvenile Facilities" - Florida

Download PDF

Fill PDF online

Rate (4.4 / 5) 32 votes
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE
JUVENILE FACILITIES
Original Date Completed:
Dates Revised:
Completed by:
Title:
Date of Last Agency PREA
Review (if applicable)
Date of Last Facility PREA review
(if applicable):
AGENCY INFORMATION (IF APPLICABLE)
Name of Agency:
Florida Department of Juvenile Justice - OR- Provider Information
Governing Authority
or Parent Agency:
(if
applicable)
Physical Address:
Mailing Address:
(if
different from above)
Telephone Number:
Military
County
Federal
The Agency is:
Private for profit
Municipal
State
Private not for profit
Upload Attachment
Agency Mission:
(attach additional pages if necessary)
Agency Chief Executive Officer
Name:
Title:
Telephone
Email Address:
Number:
Agency Wide PREA Coordinator
Name:
Title:
Telephone
Email Address:
Number:
PREA Coordinator Reports to:
Number of Compliance Managers who
report to PREA Coordinator:
Agency website with PREA information:
Either link to DJJ- OR- Provider website with PREA info
Is the agency accredited by any other organization?
Yes
No
DRAFT 8/19/2014
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE – JUVENILE FACILITIES
1
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE
JUVENILE FACILITIES
Original Date Completed:
Dates Revised:
Completed by:
Title:
Date of Last Agency PREA
Review (if applicable)
Date of Last Facility PREA review
(if applicable):
AGENCY INFORMATION (IF APPLICABLE)
Name of Agency:
Florida Department of Juvenile Justice - OR- Provider Information
Governing Authority
or Parent Agency:
(if
applicable)
Physical Address:
Mailing Address:
(if
different from above)
Telephone Number:
Military
County
Federal
The Agency is:
Private for profit
Municipal
State
Private not for profit
Upload Attachment
Agency Mission:
(attach additional pages if necessary)
Agency Chief Executive Officer
Name:
Title:
Telephone
Email Address:
Number:
Agency Wide PREA Coordinator
Name:
Title:
Telephone
Email Address:
Number:
PREA Coordinator Reports to:
Number of Compliance Managers who
report to PREA Coordinator:
Agency website with PREA information:
Either link to DJJ- OR- Provider website with PREA info
Is the agency accredited by any other organization?
Yes
No
DRAFT 8/19/2014
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE – JUVENILE FACILITIES
1
FACILITY INFORMATION
Name of Facility:
Physical Address:
Mailing Address:
(if different
from above)
Telephone Number:
Private for profit
County
State
The Facility is:
Private not for profit
Municipal
Detention
Correction
Intake
Other:
Facility Type:
Facility Mission:
(attach
Upload Attachment
additional pages if necessary)
Facility website with PREA information:
Is the facility accredited by any other organization?
Yes
No
Warden/Superintendent
Name of
Title:
Warden/Superintendent
Telephone
Email Address:
Number:
Facility PREA Compliance Manager
Name of PREA
Title:
Compliance Manager:
Telephone
Email Address:
Number:
Facility Health Service Administrator
Name of Health Service
Title:
Administrator:
Telephone
Email Address:
Number:
Facility Characteristics
UPLOAD DAILY POPULATION
REPORT FOR THE 1
ST
, 10
TH
,
Designed Facility Capacity:
Current Population of Facility:
AND 20
th
DAY OF THE MONTH
FOR THE PAST 12 MONTHS
Number of residents admitted to facility in the past 12 months:
Number of residents admitted to facility during the past 12 months whose length of stay in the facility was for 10
days or more:
Number of residents admitted to facility during the past 12 months whose length of stay in the facility was for 72
hours or more:
Number of residents on date of audit who were admitted to facility prior to August 20,
2012:
Age Range of Population:
(range)
Average Length of Stay or Time Under Supervision:
Facility Security Level:
Resident Custody Levels:
Number of staff currently employed at who may have contact with residents:
Number of staff hired by the facility during the past 12 months who may have contact with residents:
Number of contracts in past 12 months for services with contractors who may have contact with residents:
Physical Plant
The number of single cell
Number of buildings:
housing units:
Number of Multiple Occupancy Cell Housing Units:
Number of Open Bay/Dorm Housing Units:
DRAFT 8/19/2014
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE – JUVENILE FACILITIES
2
UPLOAD SCHEMATIC (LAYOUT) OF
Number of Segregation Cells (Administrative and Disciplinary):
FACILITY
Medical
Type of Medical Facility:
Forensic Sexual Assault Medical Exams are Conducted at:
Other
Number of volunteers and contractors, who may have contact with residents, currently authorized to enter the facility:
Number of investigators the agency currently employs for investigating allegations of sexual abuse:
DRAFT 8/19/2014
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE – JUVENILE FACILITIES
3
PREVENTION PLANNING
§115.311 – Zero tolerance of sexual abuse and sexual harassment; PREA coordinator.
The agency has a written policy mandating zero tolerance toward all forms of
Yes
UPLOAD POLICY
115.311 (a)-1
sexual abuse and sexual harassment in facilities it operates directly or under
1919 pg 1,2nd bu
No
Page/Section:
contract.
The facility has a policy outlining how it will implement the agency’s approach
Yes
UPLOAD POLICY
115.311 (a)-2
to preventing, detecting, and responding to sexual abuse and sexual
1919
No
Page/Section:
harassment.
Yes
115.311 (a)-3
The policy includes definitions of prohibited behaviors regarding sexual abuse and sexual harassment.
No
Yes
115.311 (a)-4
The policy includes sanctions for those found to have participated in prohibited behaviors.
No
The policy includes a description of agency strategies and responses to reduce and prevent sexual abuse
Yes
115.311 (a)-5
and sexual harassment of residents.
No
The agency employs or designates an upper-level, agency-wide PREA
Yes
UPLOAD AGENCY
115.311 (b)-1
coordinator.
No
ORGANIZATIONAL CHART
The PREA coordinator has sufficient time and authority to develop, implement, and oversee agency
Yes
115.311 (b)-2
efforts to comply with the PREA standards in all of its facilities.
No
115.311 (b)-3
The position of the PREA Coordinator in the agency’s organizational structure:
Yes
115.311 (c)-1
The facility has designated a PREA Compliance Manager.
No
The PREA Compliance Manager has sufficient time and authority to coordinate the facility’s efforts to
Yes
115.311 (c)-2
comply with the PREA standards.
No
115.311 (c)-3
The position of the PREA Compliance Manager in the agency’s organizational structure:
115.311 (c)-4
The person to whom the PREA Compliance Manager reports:
§115.312 – Contracting with other entities for the confinement of residents.
The agency has entered into or renewed a contract for the confinement of
Yes
115.312 (a)-1
residents on or after August 20, 2012, or since the last PREA audit, whichever is
UPLOAD CONTRACTS
No
later.
Yes
115.312 (a)-2
All of the above contracts require contractors to adopt and comply with PREA Standards.
No
The number of contracts for the confinement of residents that the agency entered into or renewed with
115.312 (a)-3
private entities or other government agencies on or after August 20, 2012 or since the last PREA audit,
whichever is later:
The number of above contracts that DID NOT require contractors to adopt and comply with PREA
115.312 (a)-4
standards:
All of the above contracts require the agency to monitor the contractor’s compliance with PREA
Yes
115.312 (b)-1
Standards.
No
The number of the contracts referenced in 115.312 (a)-3 that DO NOT require the agency to monitor
115.312 (b)-2
contractor’s compliance with PREA Standards:
§115.313 – Supervision and Monitoring
UPLOAD DOCUMENTATION OF
The agency requires each facility it operates to develop, document,
STAFFING PLAN DEVELOPMENT
and make its best efforts to comply on a regular basis with a staffing
Yes
115.313 (a)-1
PROCESS
plan that provides for adequate levels of staffing, and, where
No
applicable, video monitoring, to protect residents against abuse.
UPLOAD STAFFING PLAN
115.313 (a)-2
Since August 20, 2012, or last PREA audit, whichever is later, the average daily number of residents:
Since August 20, 2012, or last PREA audit, whichever is later, the average daily number of residents on
115.313 (a)-3
which the staffing plan was predicated:
Each time the staffing plan is not complied with, the facility
Yes
UPLOAD DOCUMENTATION OF DEVIATIONS
115.313 (b)-1
documents and justifies all deviations from the staffing plan
No
FROM STAFFING PLANS AND WRITTEN
Check NA if no deviations from plan.
NA
JUSTIFICATIONS FOR ALL SUCH DEVIATION
1.
4.
If documented, the six most common reasons for
2.
5.
115.313 (b)-2
deviating from the staffing plan in the past 12
months:
3.
6.
The facility is obligated by law, regulation, or judicial consent decree to maintain staffing ratios of a
Yes
115.313 (c)-1
minimum of 1:8 during resident waking hours and 1:16 during resident sleeping hours.
No
Yes
115.313 (c)-2
The facility maintains staff ratios of a minimum of 1:8 during resident waking hours.
No
Yes
115.313 (c)-3
The facility maintains staff ratios of a minimum of 1:16 during resident sleeping hours.
No
In the past 12 months, the number of times the facility deviated from the staffing ratios of 1:8 security
115.313 (c)-4
staff during resident waking hours:
DRAFT 8/19/2014
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE – JUVENILE FACILITIES
4
In the past 12 months, the number of times the facility deviated from the staffing ratios of 1:16 during
115.313 (c)-5
resident sleeping hours:
At least once every year the facility, in collaboration with the agency’s
PREA Coordinator, reviews the staffing plan to see whether
adjustments are needed to:
The staffing plan;
Yes
UPLOAD DOCUMENTATION OF
115.313 (d)-1
Prevailing staffing patterns
No
REVIEWS
The deployment of monitoring technology; or
The allocation of agency or facility resources to commit to
the staffing plan to ensure compliance with the staffing plan.
The facility requires that intermediate-level or higher-level staff
Yes
UPLOAD POLICY OR OTHER
115.313 (e)-1
conduct unannounced rounds to identify and deter staff sexual abuse
No
DOCUMENTATION OF REQUIREMENT
and sexual harassment.
Yes
UPLOAD EVIDENCE THAT ROUNDS
115.313 (e)-2
If YES, the facility documents unannounced rounds.
No
WERE CONDUCTED AND THAT
ROUNDS COVERED ALL SHIFTS
Yes
115.313 (e)-3
If YES, over time the unannounced rounds cover all shifts.
No
Yes
115.313 (e)-4
If YES, the facility prohibits staff from alerting other staff of the conduct of such rounds.
No
§115.315 – Limits to cross-gender viewing and searches.
The facility conducts cross-gender strip or cross-gender visual body
Yes
115.315 (a)-1
UPLOAD POLICY ON SEARCHES
cavity searches of residents.
No
115.315 (a)-2
In the past 12 months, the number of cross-gender strip or cross-gender visual body cavity searches of
residents:
115.315 (a)-3
In the past 12 months, the number of cross-gender strip or cross-gender visual body cavity searches of
residents that did not involve exigent circumstances or were performed by non-medical staff:
Yes
115.315 (b)-1
The facility does not permit cross-gender pat-down searches of residents, absent exigent circumstances.
No
115.315 (b)-2
The number of cross-gender pat-down searches of residents:
115.315 (b)-3
The number of cross-gender pat-down searches of residents that did not involve exigent
circumstance(s):
Yes
Facility policy requires that all cross-gender strip searches and cross-gender visual body cavity searches
115.315 (c)-1
No
be documented and justified.
The facility has implemented policies and procedures that enable
UPLOAD POLICY ON CROSS-GENDER
residents to shower, perform bodily functions, and change clothing
VIEWING
without non-medical staff of the opposite gender viewing their
115.315 (d)-1
Yes
breasts, buttocks, or genitalia, except in exigent circumstances or
UPLOAD LOGS OF EXIGENT
No
when such viewing is incidental to routine cell checks (this includes
CIRCUMSTANCES
viewing via video camera).
Policies and procedures require staff of the opposite gender to announce their presence when entering a
Yes
115.315 (d)-2
resident’s housing unit/areas where residents are likely to be showering, performing bodily functions, or
No
changing clothing.
The facility has a policy prohibiting staff from searching or physically
Yes
115.315 (e)-1
examining a transgender or intersex resident for the sole purpose of
UPLOAD POLICY
No
determining the resident’s genital status.
Yes
115.315 (e)-2
Such searches (described in 115.15(e)-1) occurred in the past 12 months.
No
Percent of all security staff who received training on conducting
UPLOAD TRAINING CURRICULA
cross-gender pat-down searches and searches of transgender and
intersex residents in a professional and respectful manner, consistent
115.315 (f)-1
100%
with security needs:
UPLOAD TRAINING LOGS
(The percentage given does not necessarily indicate compliance or non-
compliance with the Standard.)
§115.316 – Residents with disabilities and residents who are limited English proficient.
UPLOAD POLICY/DOCUMENTATION OF PROCEDURES
UPLOAD CONTRACTS WITH INTERPRETERS OR OTHER
The agency has established procedures to
PROFESSIONALS HIRED TO ENSURE EFFECTIVE COMMUNICATION
provide disabled residents equal opportunity
WITH RESIDENTS WHO ARE LIMITED ENGLISH PROFICENT
to participate in or benefit from all aspects of
Yes
115.316 (a)-1
UPLOAD WRITTEN MATERIALS USED FOR EFFECTIVE
the agency’s efforts to prevent, detect, and
No
COMMUNICATION ABOUT PREA WITH RESIDENTS WITH
respond to sexual abuse and sexual
DISABILITIES OR LIMITED READING SKILLS
harassment.
UPLOAD DOCUMENTATION OF STAFF TRAINING ON PREA
COMPLIANT PRACTICES FOR RESIDENTS WITH DISABILITIES
DRAFT 8/19/2014
PREA AUDIT: PRE-AUDIT QUESTIONNAIRE – JUVENILE FACILITIES
5