Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_76-cv-00162/USCOURTS-caed-2_76-cv-00162-28/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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[4624746.1] 1

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

UNITED STATES DISTRICT COURT 

EASTERN DISTRICT OF CALIFORNIA 

SACRAMENTO DIVISION 

DERRIL HEDRICK, DALE ROBINSON, 

KATHY LINDSEY, MARTIN C. CANADA, 

DARRY TYRONE PARKER, individually and 

on behalf of all others similarly situated, 

Plaintiffs, 

v. 

JAMES GRANT, as Sheriff of Yuba County; 

Lieutenant FRED J. ASBY, as Yuba County 

Jailer; JAMES PHARRIS, ROY LANDERMAN, 

DOUG WALTZ, HAROLD J. “SAM” 

SPERBEK, JAMES MARTIN, as members of 

the YUBA COUNTY BOARD OF 

SUPERVISORS, 

Defendants. 

Case No. 2:76-CV-00162-EFB 

STIPULATION AND [PROPOSED] 

ORDER REGARDING 

EXTENSION OF SECOND 

AMENDED CONSENT DECREE 

(“SACD”) AND MONITORING OF 

DEFENDANTS’ COMPLIANCE 

WITH SACD

Judge: Edmund F. Brennan 

Trial Date: None Set 

;u 

__________

__________

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 1 of 43
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[4624746.1] 1

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

On September 13, 2023, United States Magistrate Judge Edmund F. Brennan 

granted final approval to a Second Amended Consent Decree (“SACD”) covering certain 

operations of the Yuba County Jail (the “Jail”). Since then, a third-party monitor 

(“Monitor”) has monitored compliance with the SACD pursuant to Section VIII of the 

SACD. To date, the Monitor has issued three final reports and has circulated a draft of a 

fourth report pursuant to Section VIII.D of the SACD. 

As relevant here, the SACD states that it “shall terminate on January 31, 2025, 

unless prior to December 1, 2024, Plaintiffs file a motion to extend the term of the SACD.” 

ECF No. 289-2 at 42.1

 The SACD further provides that this December 1, 2024 deadline 

shall be extended in the event the Monitor does not issue a fourth report by November 15, 

2024, and that the length of this extension shall be “the number of days by which the 

Monitor’s fourth report exceeds the November 15, 2024 deadline.” Id. The Parties agree 

that, because the Monitor has not yet finalized and issued a fourth report, the precise 

deadline for a motion to extend the SACD is not yet certain. 

Consistent with the meet-and-confer requirements in section XII of the SACD, as 

modified by the Parties’ stipulations, see ECF Nos. 291 & 293, Plaintiffs notified 

Defendants in writing of the provisions in the SACD that Plaintiffs contend Defendants 

have not substantially complied, and the parties and the Monitor then met and conferred in 

good faith for the purpose of resolving the parties’ disputes about Plaintiffs’ contentions. 

As a result of these discussions, the parties have agreed to extend the term of the 

SACD for eighteen months, until July 31, 2026. In addition, as set forth in Exhibit B, 

which is attached hereto and which the parties intend to become Exhibit B to the SACD, 

the parties have also agreed that the Monitor will no longer monitor Defendants’ 

compliance with certain provisions of the SACD. The Parties agree that the narrowing of 

provisions monitored by the Monitor is reasonable given the Monitor’s findings, in 

monitoring reports issued on September 5 and December 30, 2023, and August 1, 2024, 

1

 All pincites refer to ECF pagination. 

__________

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 2 of 43
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[4624746.1] 2

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

that Defendants have shown substantial compliance with certain provisions of the SACD. 

In addition, the Parties agreed to a Revised Exhibit A, attached hereto, which is a modified 

list of documents that Defendants must produce on a quarterly basis to the Monitor and 

Plaintiffs’ counsel. 

NOW THEREFORE, IT IS HERBY STIPULATED AND AGREED by and 

between the parties to this action, through their undersigned counsel, as follows: 

1. Page 29, lines 8 and 9 of the SACD, are hereby replaced by the following

language: 

The Monitor’s role is to assess and advise the parties and the Court 

concerning whether the Jail is in substantial compliance with the terms and 

conditions of the SACD, consistent with Exhibit B. 

2. Section VIII.A.5 of the SACD is hereby replaced by the following language:

Investigate complaints relating to Defendants’ compliance with the SACD,

consistent with Exhibit B. 

3. The first sentence of Section VIII.D of the SACD is hereby replaced by the

following language: 

Within thirty (30) days of each monitoring tour, the Monitor shall issue a 

draft monitoring report that states his or her opinion as to whether Defendants are in 

substantial compliance with the terms of the SACD and shall, consistent with 

Exhibit B, identify those provisions, if any, with which Defendants are not in 

substantial compliance. 

4. Section VIII.E (Investigation of Complaints) of the SACD is hereby replaced

by the following language: 

The Monitor shall, consistent with Exhibit B, investigate relevant complaints 

or reports relating to Jail conditions related to the SACD received from class 

members or from Class Counsel. Class members may submit complaints or other 

information about conditions at the Jail directly to the Monitor, who shall, 

consistent with Exhibit B, then investigate any relevant issues raised by the class 

__________

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 3 of 43
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[4624746.1] 3

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

member or class members. Defendants shall cooperate in good faith with the 

Monitor’s investigations. The Monitor shall, consistent with Exhibit B, identify the 

resolution of any complaints in the monitoring reports. Nothing in the SACD shall 

be interpreted as precluding Class Counsel from conducting their own 

investigations of complaints related to Defendants’ compliance with the SACD. 

5. The second sentence of Section VIII.G of the SACD is hereby replaced by

the following language: 

Except as otherwise set forth in Exhibit B, nothing in the SACD shall be 

interpreted as limiting Class Counsel’s ability to represent the Class in this matter or 

to monitor Defendants’ compliance with the SACD. 

6. Section XII of the SACD is hereby replaced by the following language:

The SACD shall terminate on July 31, 2026, unless prior to June 1, 2026,

Plaintiffs file a motion to extend the term of the SACD, in which case the SACD 

shall remain in place until the Court rules on Plaintiffs’ motion. If the Monitor does 

not file its seventh monitoring report by May 15, 2024, then Plaintiffs’ deadline for 

filing a motion to extend the term of the SACD shall be extended by the number of 

days by which the Monitor’s seventh report exceeds the May 15, 2024 deadline. 

By no later than February 1, 2026, the parties shall meet and confer 

regarding whether Defendants are not in substantial compliance with all or part of 

the SACD. Prior to the meet and confer, Plaintiffs shall, in writing, provide 

Defendants with notice of any provisions of the SACD with which Plaintiffs 

contend Defendants are not in substantial compliance. At the meet and confer, the 

parties shall in good faith attempt to resolve any disputes about compliance. The 

Monitor shall attend and participate in the meet and confer. If the parties are unable 

to reach agreement, the parties shall also meet and confer regarding a discovery 

plan in connection with a motion to extend the term of the SACD. 

Except as set forth in Exhibit B, nothing in this Second Amended Consent 

Decree shall limit the parties’ rights to challenge or appeal any finding as to 

__________

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 4 of 43
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[4624746.1] 4

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

whether Defendants are not in substantial compliance with the Second Amended 

Consent Decree or consequent orders entered by the District Court. 

7. The first paragraph of Section VIII.C of the SACD is hereby replaced by the

following language: 

The Monitor has already conducted four monitoring tours. The Monitor 

shall conduct the fifth monitoring tour by no later than February 15, 2025, shall 

conduct the sixth monitoring tour by no later than August 15, 2025, and the seventh 

monitoring tour by no later than February 15, 2026. 

8. The second paragraph of Section VIII.D of the SACD is hereby replaced by

the following language: 

The Monitor shall issue a minimum of seven (7) monitoring reports. The 

Monitor has already issued three monitoring reports and, on November 14, 2024, 

provided the parties with a draft of the fourth monitoring report. The Monitor shall 

issue the fifth monitoring report by no later than May 15, 2025, shall issue the sixth 

monitoring report by no later than November 15, 2025, and shall issue the seventh 

monitoring report by no later than May 15, 2026. 

9. Exhibit A to the SACD is hereby replaced by the attached Revised

Exhibit A. In addition, all references to Exhibit A in the SACD shall be replaced by 

references to Revised Exhibit A. 

10. Exhibit B, attached hereto, is now Exhibit B to the SACD.

11. The parties agree that this Stipulation and Proposed Order shall, pursuant to

Section XII of the SACD, have the same effect as if Plaintiffs had filed a motion to extend 

the terms of the SACD, such that the SACD will remain in place until the Court rules on 

this Stipulation and [Proposed] Order. If the Court does not enter the order but provides 

the parties with an opportunity to submit a revised stipulation or a motion, the parties agree 

that (1) the SACD will remain in place until any deadline for submitting a revised 

/ / / 

/ / / 

_________

_______

_______

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 5 of 43

V0LFKDHO)UHHGPDQ

V&DUWHU:KLWH

___

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 6 of 43
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[4624746.1] 6

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

[PROPOSED] ORDER 

Pursuant to the foregoing stipulation of the parties, IT IS SO ORDERED: 

1. Page 29, lines 8 and 9 of the SACD, are hereby replaced by the following

language: 

The Monitor’s role is to assess and advise the parties and the Court 

concerning whether the Jail is in substantial compliance with the terms and 

conditions of the SACD, consistent with Exhibit B. 

2. Section VIII.A.5 of the SACD is hereby replaced by the following language:

Investigate complaints relating to Defendants’ compliance with the SACD,

consistent with Exhibit B. 

3. The first sentence of Section VIII.D of the SACD is hereby replaced by the

following language: 

Within thirty (30) days of each monitoring tour, the Monitor shall issue a 

draft monitoring report that states his or her opinion as to whether Defendants are in 

substantial compliance with the terms of the SACD and shall, consistent with 

Exhibit B, identify those provisions, if any, with which Defendants are not in 

substantial compliance. 

4. Section VIII.E (Investigation of Complaints) of the SACD is hereby replaced

by the following language: 

The Monitor shall, consistent with Exhibit B, investigate relevant complaints 

or reports relating to Jail conditions related to the SACD received from class 

members or from Class Counsel. Class members may submit complaints or other 

information about conditions at the Jail directly to the Monitor, who shall, 

consistent with Exhibit B, then investigate any relevant issues raised by the class 

member or class members. Defendants shall cooperate in good faith with the 

Monitor’s investigations. The Monitor shall, consistent with Exhibit B, identify the 

resolution of any complaints in the monitoring reports. Nothing in the SACD shall 

be interpreted as precluding Class Counsel from conducting their own 

__________

__________

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 7 of 43
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[4624746.1] 7

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

investigations of complaints related to Defendants’ compliance with the SACD. 

5. The second sentence of Section VIII.G of the SACD is hereby replaced by

the following language: 

Except as otherwise set forth in Exhibit B, nothing in the SACD shall be 

interpreted as limiting Class Counsel’s ability to represent the Class in this matter or 

to monitor Defendants’ compliance with the SACD. 

6. Section XII of the SACD is hereby replaced by the following language:

The SACD shall terminate on July 31, 2026, unless prior to June 1, 2026,

Plaintiffs file a motion to extend the term of the SACD, in which case the SACD 

shall remain in place until the Court rules on Plaintiffs’ motion. If the Monitor does 

not file its seventh monitoring report by May 15, 2024, then Plaintiffs’ deadline for 

filing a motion to extend the term of the SACD shall be extended by the number of 

days by which the Monitor’s seventh report exceeds the May 15, 2024 deadline. 

By no later than February 1, 2026, the parties shall meet and confer 

regarding whether Defendants are not in substantial compliance with all or part of 

the SACD. Prior to the meet and confer, Plaintiffs shall, in writing, provide 

Defendants with notice of any provisions of the SACD with which Plaintiffs 

contend Defendants are not in substantial compliance. At the meet and confer, the 

parties shall in good faith attempt to resolve any disputes about compliance. The 

Monitor shall attend and participate in the meet and confer. If the parties are unable 

to reach agreement, the parties shall also meet and confer regarding a discovery 

plan in connection with a motion to extend the term of the SACD. 

Except as set forth in Exhibit B, nothing in this Second Amended Consent 

Decree shall limit the parties’ rights to challenge or appeal any finding as to 

whether Defendants are not in substantial compliance with the Second Amended 

Consent Decree or consequent orders entered by the District Court. 

7. The first paragraph of Section VIII.C of the SACD is hereby replaced by the

following language: 

__________

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 8 of 43
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[4624746.1] 8

STIPULATION AND [PROPOSED] ORDER REGARDING EXTENSION OF SECOND AMENDED CONSENT 

DECREE (“SACD”) AND MONITORING OF DEFENDANTS’ COMPLIANCE WITH SACD 

The Monitor has already conducted four monitoring tours. The Monitor 

shall conduct the fifth monitoring tour by no later than February 15, 2025, shall 

conduct the sixth monitoring tour by no later than August 15, 2025, and the seventh 

monitoring tour by no later than February 15, 2026. 

8. The second paragraph of Section VIII.D of the SACD is hereby replaced by

the following language: 

The Monitor shall issue a minimum of seven (7) monitoring reports. The 

Monitor has already issued three monitoring reports and, on November 14, 2024, 

provided the parties with a draft of the fourth monitoring report. The Monitor shall 

issue the fifth monitoring report by no later than May 15, 2025, shall issue the sixth 

monitoring report by no later than November 15, 2025, and shall issue the seventh 

monitoring report by no later than May 15, 2026. 

9. Exhibit A to the SACD is hereby replaced by the attached Revised

Exhibit A. In addition, all references to Exhibit A in the SACD shall be replaced by 

Revised Exhibit A. 

10. Exhibit B, attached hereto, is now Exhibit B to the SACD.

IT IS SO ORDERED.

DATED: _________________

Edmund F. Brennan 

Chief United States Magistrate Judge 

January 13, 2025

__________

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 9 of 43
5HYLVHG([KLELW$

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 10 of 43
[4624747.1] 1 

Quarterly Document Production 

x A list, generated on the last day of each month in the quarter, of all incarcerated 

people who are on the mental health case load 

x A list, generated on the last day of each month in the quarter, of all incarcerated 

who are prescribed psychotropic medication 

x Check Sheets prepared by the County and Wellpath for following cells: 

Safety/Isolation Cells; Sobering Cells; Holding Cells; Step-Down Cells. This item 

does not require production of checksheets completed by custody staff. 

x All memoranda documenting late safety and security checks on people in safety 

and Step-Down. This item does not require production of memoranda for late 

safety and security checks by custody staff 

x Mental Health Sick Call Logs for the 2d, 5th, 13th, 14th, 18th, 24th, 26th, and 30th 

of each month 

x Quarterly Analysis for QA Meetings that relate to mental health care or any other 

issues covered by the Second Amended Consent Decree. 

x Wellpath Staffing Reports created for the county, if any 

x Random Selection of Monthly Intake Health Screenings consisting of 10% of all 

forms completed each quarter, unless Plaintiffs make a showing that an additional 

number shall be produced for a certain month 

x All non-confidential or non-attorney-client Death in Custody Reports and 

Morbidity & Mortality Reports and meeting minutes 

x All non-confidential or non-attorney-client privileged Quality Assurance and/or 

Quality Improvement documents, if provided to the county, that are related to the 

provision of mental health care or any other issues covered by the Second 

Amended Consent Decree. These may include Wellpath morbidity and mortality 

reports. 

x Quarterly assessment of the timeliness of providing sick call services for mental 

health-related requests 

x Complete set of all County and Wellpath Policies related to mental health care or 

any other issues covered by the Second Amended Consent Decree that were 

updated within the last quarter 

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 11 of 43
[4624747.1] 2 

x Logs of all prisoners found incompetent to stand trial showing how long they have 

been at the Jail 

x A monthly point in time snapshot list of incarcerated people placed in 

Administrative Segregation during the quarter generated on the last day of each 

month in the quarter 

x 25% of Classification Reports during the quarter for incarcerated people placed or 

retained in Administrative Segregation 

x 100% of clearance forms received by Wellpath from Rideout or other local 

hospitals allowing the return of incarcerated people to the jail after emergency 

mental health treatment 

x Referral Forms generated by Wellpath when transferring incarcerated people to an 

inpatient psychiatric or other mental health facility or local hospital for emergency 

or mental health care 

x Documents reflecting the involuntary administration of psychotropic medications 

x 25% of logs documenting Wellpath Mental Health Rounds in Administrative 

Segregation, unless Plaintiffs make a showing that an additional number shall be 

produced for a certain month 

x A list of all incarcerated people referred to tele-psychiatry 

x Update regarding Defendants’ efforts to create and fund a more expansive 

medication-assisted treatment program 

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 12 of 43
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[4624748.1] 

EXHIBIT B TO SACD

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA, SACRAMENTO DIVISION

DERRIL HEDRICK, DALE ROBINSON, 

KATHY LINDSEY, MARTIN C. CANADA, 

DARRY TYRONE PARKER, individually and 

on behalf of all others similarly situated,

Plaintiffs,

v.

JAMES GRANT, as Sheriff of Yuba County; 

Lieutenant FRED J. ASBY, as Yuba County 

Jailer; JAMES PHARRIS, ROY LANDERMAN, 

DOUG WALTZ, HAROLD J. “SAM” SPERBEK, JAMES MARTIN, as members of 

the YUBA COUNTY BOARD OF 

SUPERVISORS,

Defendants.

Case No. 2:76-CV-00162-EFB

EXHIBIT B TO THE SACD

Judge: Edmund F. Brennan

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 13 of 43
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[4624748.1] 2

EXHIBIT B TO SACD

1. Except as otherwise provided in this Exhibit B, the Monitor shall not monitor,

review documents, or otherwise investigate, or reference in any report, or report on

complaints that are solely relevant to:

a. A provision of the SACD with which the Monitor found that Defendants 

were substantially compliant in the first, second and third monitoring 

reports;1 OR

b. A provision of the SACD with which the Monitor found that Defendants 

were substantially compliant in:

i. the third and fourth monitoring reports; AND

ii. in either the first or second monitoring reports;2 OR

c. Section IV.D, paragraph 4; Section V.A, paragraph 1; or Section V.C, 

paragraph 10, as applied to custody staff.3

2. The Monitor shall continue to monitor, review documents, investigate complaints 

related to, and report on compliance with Section III.B and Section IV.B.4, 

paragraph 4, of the SACD, notwithstanding the fact that the requirements of 

1 The provisions of the SACD that meet this requirement are: III.B; IV.A, paragraph 2;

IV.A, paragraph 5; IV.B.1, paragraph 2; IV.B.4, paragraph 4; IV.B.4, paragraph 5; IV.B.5,

paragraph 3; IV.B.5, paragraph 5; IV.B.6, paragraph 4; IV.B.6A, paragraph 2; IV.B.6A,

paragraph 3; IV.B.6A, paragraph 4; IV.B.7, paragraph 3; IV.B.8, paragraph 1; IV.B.8,

paragraph 2; IV.B.8, paragraph 3; IV.B.9, paragraph 1; IV.B.9, paragraph 2; IV.C; V.C,

paragraph 1; V.C, paragraph 2; V.C, paragraph 4; V.C, paragraph 5; V.C, paragraph 8;

V.C, paragraph 11; V.C, paragraph 12; V.C, paragraph 14; V.C, paragraph 15; V.C,

paragraph 16; V.D, paragraph 1; V.D, paragraph 2; V.D, paragraph 6; VII, paragraph 1;

VII, paragraph 2; VII.A, paragraph 2; VII.A, paragraph 4; VII.A, paragraph 5; VII.A,

paragraph 6; VII.A, paragraph 7; VII.A, paragraph 8; VII.A, paragraph 9.

2 Since the Monitor has not yet issued the fourth monitoring report, it is not possible at the 

time the parties entered into this Agreement to specify which provisions of the SACD meet 

this requirement. Once the Monitor issues the fourth monitoring report, the parties will 

meet and confer to identify the provisions of the SACD that meet this requirement. 

Attachment 1, attached hereto, reflects the parties’ understanding of the Monitor’s 

compliance findings in the first, second, and third monitoring reports.

3 The parties agree that the term “review” in Section V.C, paragraph 10, does not require 

all three disciplines (medical, mental health, and custody) to physically “meet” and/or 

“discuss” every 13 hours whether it is appropriate for an incarcerated person to remain in a 

safety cell.

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[4624748.1] 3

EXHIBIT B TO SACD

Paragraph 1.a of this Exhibit B are satisfied with respect to those provisions.

3. If Plaintiffs have a good faith basis to contend that Defendants are systemically 

non-compliant with a provision that has been removed from monitoring pursuant to 

paragraph 1 of this Exhibit B, Plaintiffs shall notify Defendants in writing. Within 

21 days of receiving written notice, the Parties shall meet and confer regarding the 

issues raised in the notice. If the dispute remains unresolved, within 14 days of the 

last meet and confer regarding the dispute, Plaintiffs may file a motion with The 

Honorable Kendall J. Newman, Ret., who will sit as an arbitrator regarding the 

dispute.4 Within 10 days of that filing, Defendants shall provide the arbitrator with 

a written response. Either party can request a hearing before the arbitrator. Within 

30 days of a hearing, or the last filing before the arbitrator, the arbitrator will issue a 

written decision regarding whether there is systematic non-compliance with the

disputed provision. If the arbitrator finds systematic non-compliance with the 

provision, that provision shall no longer be subject to the limitations in Paragraph 1

of this Exhibit B on investigating, and monitoring; the Monitor shall resume 

monitoring and reporting on Defendants’ compliance with the provision; and 

Defendants shall, if applicable, be required to produce on a quarterly basis those 

documents removed from former Exhibit A that are now relevant to those 

provisions on which monitoring has been restarted. The arbitrator’s decision shall 

be final, binding, and not appealable. Defendants shall bear all costs for the 

arbitration. 

4. Nothing in this Agreement shall be construed to limit the authority granted to the 

Monitor by the SACD to investigate, monitor, and/or report on the whether 

Defendants provide timely access to inpatient and outpatient mental health care as 

4 In the unlikely event that Judge Newman informs the Parties he is unavailable to arbitrate 

the matter due to unforeseen circumstances and/or a conflict lasting 30 days or more, the

Parties shall mutually agree upon a one-time alternate arbitrator to resolve the dispute.

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 15 of 43
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[4624748.1] 4

EXHIBIT B TO SACD

needed, as required by Section IV.B.6 of the SACD.

5. Class Counsel shall not affirmatively monitor Defendants’ compliance with 

provisions that meet the requirements of paragraph 1 of this Exhibit B and that are 

not listed in paragraph 2 of this Exhibit B. However, nothing in this Agreement 

shall be construed to limit the authority granted to Plaintiffs by the SACD or any 

other law to investigate Defendants’ compliance or lack thereof with any provision 

in the SACD, including the authority to request relevant documents and information 

from Defendants. Any time, expenses, costs incurred by Class Counsel to 

investigate Defendants’ compliance with any provision of the SACD shall be 

considered time, expenses, or costs incurred “representing the Class,” as that term is 

used in Section X of the SACD.

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 16 of 43
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Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 17 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

3 Staffing

3.A

Health 

Personnel

A Physician, NP, PA, and/or RN must be physically present at the 

Jail twenty-four (24) hours per day, seven (7) days per week. SC SC PC

3.B Psychiatrists

The Jail shall employ a psychiatrist or psychiatrists to provide 

mental health services at the Jail. Psychiatry services will be 

available three (3) days per week, eight (8) hours per day. 

a)The three (3) days of psychiatry services shall not be provided 

on three (3) consecutive days (e.g., Monday, Tuesday, 

Wednesday). 

b)The Jail may use a telepsychiatry program or an on-site 

psychiatrist to provide these services, provided Defendants’ use 

of telepsychiatry is consistent with this SACD and the 

telepsychiatry protocol entitled Wellpath Yuba County California 

Policies & Procedures 80874 and dated July 15, 2020. SC SC SC

3.C.1

Employment 

of LCSW, 

LMFT, LPCC, 

AMFT, ACSW, 

APCC

The Jail shall employ:

a)Licensed Clinical Social Workers (“LCSWs”), 

b)Licensed Marriage and Family Therapists (“LMFTs”), 

c)Licensed Professional Clinical Counselors (“LPCCs”), 

d)Associate Marriage and Family Therapists (“AMFTs”), 

e)Associate Clinical Social Workers (“ACSWs”), and/or 

f)Associate Professional Clinical Counselors (“APCCs”). 

The Jail shall employ LCSWs, LMFTs, LPCCs, AMFTs, ASWs, and/or 

APCCs for a total of eighty (80) hours per week and at least eight 

(8) hours per day. 

At least forty (40) of the eighty (80) hours per week shall be 

provided by LCSWs, LMFTs, and LPCCs. SC PC SC

Index of Monitor's Reports' Compliance Ratings

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 18 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

3.C.2

Duties of 

LCSW, LMFT, 

LPCC, AMFT, 

ACSW, APCC

Individuals in these positions must be able to provide mental 

health screenings for those identified as possibly needing mental 

health services, conduct psychosocial assessments to include a 

mental status examination and diagnosis, conduct suicide risk 

assessments, develop treatment plans, provide psychosocial 

therapy as clinically indicated with the intent of coordinating 

care beyond the walls of the Jail and into the community upon 

release, refer incarcerated persons for psychiatric evaluation to 

determine if psychotropic medication is needed, conduct 

mental health evaluations to determine whether an incarcerated

person should be placed in or removed from a safety cell or 

transferred to a psychiatric hospital, and coordinate care with 

custody and medical staff as necessary. 

a)An AMFT, ASW, or APCC shall not approve the removal of an 

incarcerated person from a safety or step-down cell unless the 

AMFT, ASW, or APCC first confers with a psychiatrist, LMFT, LCSW, 

or LPCC who approves the decision. 

b)A psychiatrist, LMFT, LSW, or LPCC must be available for such 

conferences at all times during which an AMFT, ASW, or APCC is 

working in the Jail. 

c)Any conference between an AMFT, ASW, or APCC and a 

psychiatrist, LMFT, LSW, or LPCC regarding removing someone 

from a safety or step-down cell shall be documented in the 

incarcerated person’s medical record. PC PC PC

4 MH Care

4.A.1

Booking 

Screening for 

MH needs

Defendants’ Intake and Booking Screening Plan shall include 

standards and timelines to ensure that arriving incarcerated 

persons are promptly screened for urgent and emergent mental 

health needs by a PA, NP, or RN in an area that provides for 

confidentiality.

Translators and interpreters will be used whenever necessary to 

ensure effective communication. SC SC PC

4.A.2

Need for 

Referral to 

Acute Facility

As part of the intake process, the PA/NP/RN shall assess whether 

an arriving

incarcerated person must be excluded from the Jail and sent for 

mental health evaluation and treatment to Rideout Hospital, 

Sutter-Yuba Behavioral Health Services, or to comparable 

facilities.

The PA/NP/RN shall also review the Jails’ medical records to 

determine if the person has a history of mental illness and/or 

substance abuse. SC SC SC

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Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.A.3

Screening for 

Withdrawal

The PA/NP/RN must also assess whether an arriving incarcerated 

person is intoxicated and/or suffering from withdrawal or is at high 

risk for withdrawal from alcohol or other drugs.

a)Only after the examining PA/NP/RN certifies that the new 

arrestee is fit for incarceration may the arrestee be incarcerated. 

b)Incarcerated persons who display signs of non-acute alcohol 

or drug intoxication or withdrawal will be accepted into the Jail 

and will be treated in accordance with Wellpath’s policy, entitled 

HCD-110_F-04 Medically Supervised Withdrawal and Treatment, 

Policy #77029, and dated February 17, 2021. PC PC PC

4.A.4 MAT

Defendants shall continue treating newly-booked incarcerated 

people with medication-assisted treatment (“MAT”) if medical 

staff determine MAT is medically necessary for the person (e.g., 

pregnant women who are taking MAT upon booking).

Defendants shall explore ways to create and fund a program to 

initiate MAT for

incarcerated people and to continue MAT for people booked 

into the Jail who were

receiving MAT in the community but for whom MAT is not 

medically necessary.

Defendants shall provide an update to Plaintiffs on a quarterly 

basis regarding its efforts to create and fund this more expansive 

MAT program. The update shall be included in the quarterly 

document production. PC PC PC

4.A.5

Documentati

on of 

clearance 

from MH 

facility

The mental health condition of a new arrestee found fit for 

incarceration by an

examining health care professional, but requiring mental health 

care, shall be considered when making housing decisions. SC SC SC

4.A.6

Housing and 

MH condition

The mental health condition of a new arrestee found fit for 

incarceration by an

examining health care professional, but requiring mental health 

care, shall be considered when making housing decisions. SC PC PC

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Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.A.7

Suicide Risk 

Assessment - 

Urgency of 

Assessments

Any new arrestee who states that he or she has a mental illness or 

who the medical booking staff identifies as having a mental 

illness or knows is receiving care from the Sutter-Yuba Behavioral 

Health Services, or other similar provider of behavioral healthcare 

services, must be seen by a Qualified Mental Health Professional 

within policy timeframes:

a)emergent referrals are addressed immediately.

b)urgent referrals are addressed within twenty-four (24) hours.

c)routine referrals are addressed within seven (7) days). 

As part of the intake screening, medical staff shall review the 

incarcerated person’s Jail medical record to determine if records 

from any prior incarcerations in the Jail reflect issues related

a)Medical staff shall consider any relevant information 

gathered from the medical record review when determining if 

and how quickly a new arrestee shall be seen by Qualified 

Mental Health Professional. SC PC PC

4.A.8

Suicide Risk 

Assessment - 

Staff 

Performing 

Assessments

Any new arrestee accepted into the Jail who the booking 

medical staff identifies as

having any current suicidality shall have a risk assessment 

completed as soon as possible.

a)Only Qualified Mental Health Professionals, PAs, NPs, or RNs 

who have been trained regarding how to conduct a suicide risk 

assessment shall conduct such assessments. urgent referrals are 

addressed within twenty-four (24) hours 

b)A suicide risk assessment shall be conducted by a Qualified 

Mental Health Professional if one is on-site at the jail.

c)A suicide risk assessment may be conducted by a PA, NP, or 

RN if no Qualified Mental Health Professional is on-site at the Jail 

or there is no Qualified Mental Health Professional available to 

timely complete the assessment due to servicing the urgent 

needs of other incarcerated persons.

d)If the PA, NP or RN conducts the risk assessment, within two (2) 

hours after administering a suicide risk assessment, the staff 

member who conducted the assessment must consult with a 

Qualified Mental Health Professional (either on-site or by phone) 

to determine an appropriate plan of treatment and the 

appropriate level, if any, of suicide precaution. If the person is 

placed on suicide watch, safety cell protocol will be followed.

e)If the suicide risk assessment establishes that the incarcerated 

person is at risk of suicide, the incarcerated person will, at 

minimum, be placed on the next psychiatrist sick call.

f)The Qualified Mental Health Professional who conducts the 

suicide risk assessment or with whom the PA, NP, or RN who 

conducted the assessment consults, can, if necessary, consult 

with an on-site (if available) or on-call psychiatrist at any time, 

refer the incarcerated person to be seen by a psychiatrist before 

the next psychiatrist sick call, or cause the incarcerated person to 

be transferred to a hospital for evaluation. SC SC PC

4.B

Access to 

MH Care

4.B.1

Initial MH 

Assessment

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 21 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.1.1

MH 

Assessment 

Conucted 

Within 14 

Days

As part of the initial health assessment required by Title 15 that 

must be conducted within fourteen (14) days of booking, the Jail 

shall conduct a mental health assessment of all newlyincarcerated persons, unless an earlier assessment has been 

conducted by a Qualified Mental Health Professional pursuant to 

Section IV.A.

a)If, during the 14-day mental health assessment, the 

incarcerated person states that he or she has a mental illness or is 

taking psychiatric medications, or if the medical booking staff 

otherwise identifies the person as having a mental illness or knows 

the person is receiving care from the Sutter-Yuba Behavioral 

Health Services or other similar provider of behavioral healthcare 

services, then the Jail will see the person at the next mental 

health sick call.

b)As part of the initial health assessment, medical staff shall 

conduct a full review of the incarcerated person’s Jail mental 

health records to determine if records from any prior 

incarcerations in the Jail reflect issues related to mental health.

c)Medical staff shall consider any relevant information 

gathered from the medical record review when determining if 

and how quickly a new arrestee shall be referred for mental 

health services. SC PC PC

4.B.1.2

Medical Files 

Open at 

Assessment

A medical file must be opened for each incarcerated person at 

the time of assessment.

a)Incarcerated persons must be advised at the 

commencement of the mental health assessment that they have 

a right to such an assessment but that they also have a right to 

refuse all or any portion of the assessment.

b)The health assessment must also include an oral explanation 

of the health services available. 

c)Provision shall be made to communicate this information to 

non-English speaking incarcerated persons and to incarcerated 

persons with disabilities.

d)The incarcerated person shall also be informed that detailed 

mental health education information is available in pamphlet 

form. SC SC SC

4.B.2.1

MH Care 

System

Defendants shall maintain a system of mental health care to 

provide services that resemble what is provided in the 

community, including developing treatment plans and providing 

therapy in confidential settings as clinically indicated, with 

appropriate language interpretation services, with the intent of 

coordinating care beyond the walls of the Jail and into the 

community upon release. PC PC PC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 22 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.3.1

Tx for Chronic 

MH 

Conditions

Defendants shall maintain systems for managing patient’s with 

chronic mental health

conditions through screening, identifying, monitoring, and 

providing treatment to these patient’s while detained at the Jail. 

Any patient whose chronic mental health condition cannot be 

managed at the Jail will be transferred offsite for appropriate 

treatment and care. PC PC PC

4.B.4.1

Continuity of 

CommunityPrescribed 

MH Meds - 

Continuation

Continuation and bridging of all medications begun prior to 

incarceration is essential to the health and well-being of 

incarcerated persons. The Jail shall make its best effort to ensure 

that incarcerated persons will not miss any medications. SC SC PC

4.B.4.2

Continuity of 

CommunityPrescribed 

MH Meds - 

Review of 

Meds

All incarcerated persons who, at the time of booking, are 

prescribed mental health medications in the community, and it is 

verified those medication are currently being

taken, 

a)shall be timely continued on those medications, or prescribed 

comparable appropriate medication, unless a physician, NP, PA, 

or psychiatrist makes a clinical determination, via a face-to-face 

assessment (which includes use of tele psychiatrist under 

appropriate standards and policies), 

b)that the medications are not necessary for treatment, 

c)and documents the clinical justification for discontinuing a 

community-prescribed medication. 

d)Defendants shall not discontinue community-prescribed 

psychiatric medications based solely on an incarcerated 

person’s history of substance abuse. SC SC PC

4.B.4.3

Continuity of 

CommunityPrescribed 

MH Meds - 

Unverified 

Meds

Any incarcerated person who, at the time of booking, reports to 

Defendants that he or she is taking medications in the community 

but his or her medications cannot be verified, 

a)shall be timely assessed by a physician, PA, NP, or psychiatrist 

b)and timely prescribed medications necessary to treat his or 

her mental health needs, to ensure continuity of care. 

c)If there is a question regarding the propriety of a medication, 

a physician, PA, NP, or psychiatrist must be contacted before the 

prescription medication is denied. SC PC PC

4.B.4.4

Continuity of 

CommunityPrescribed 

MH Meds - 

Request for 

Meds

At the time of booking, if an arrestee reports that he or she needs 

certain psychiatric

medications, that person shall be seen at the next psychiatrist sick

call, unless it is

determined that the person cannot wait until then, in which case 

the person shall be sent promptly to an appropriate off-site 

facility for evaluation and treatment. SC SC SC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 23 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.4.5

Continuity of 

CommunityPrescribed 

MH Meds - 

Monitoring of 

Meds

Incarcerated persons who are prescribed psychiatric medication 

by a physician, PA, NP, or psychiatrist, or who are continued on 

community-prescribed psychiatric mediation, 

a)will be re-evaluated by a psychiatrist every thirty (30) days 

until the condition is stable,

b)then every thirty (30) to ninety (90) days at the clinical 

discretion of the psychiatrist.

c)More frequent evaluations will be scheduled as determined 

by the incarcerated person’s health care provider. SC SC SC

4.B.5.1

Med 

Assistance 

for 

Intoxicated 

Incarcerated 

Persons - 

Assessment

If there is reasonable cause to believe that a person is 

experiencing or will soon be experiencing symptoms of 

withdrawal from a controlled substance or alcohol, the 

incarcerated person must be timely assessed and, if indicated, 

treated by a Qualified Medical Professional at the Jail or 

transported immediately to an appropriate hospital facility, such 

as Rideout Memorial Hospital. SC PC PC

4.B.5.2

Med 

Assistance 

for 

Intoxicated 

Incarcerated 

Persons - 

Procedures

Detoxification from alcohol, opiates, hypnotics, other stimulants, 

and sedative hypnotic drugs, when performed in this facility, will 

be done under medical supervision in accordance with the Thirdparty Medical Provider’s policies and protocols. MAT for 

withdrawal will be considered. SC SC PC

4.B.5.3

Med 

Assistance 

for 

Intoxicated 

Incarcerated 

Persons - 

Checks

Custody staff shall conduct health and safety checks for those 

incarcerated persons

placed in a sobering cell. 

a)Health and safety checks shall occur every 30 minutes at 

irregular and unpredictable intervals or more frequently if 

medical or mental health staff believe more frequent checks are 

necessary to protect the health and safety of an incarcerated 

person. SC SC SC

4.B.5.4

Med 

Assistance 

for 

Intoxicated 

Incarcerated 

Persons - 

QMP Evals

A Qualified Medical Professional shall evaluate incarcerated 

persons in sobering cells upon admission and then every six (6) 

hours thereafter or sooner if requested by custody staff. 

a)Defendants shall keep complete, accurate, and 

contemporaneous logs of each health and safety check and 

shall review such logs for compliance. 

b)Sufficient custody staffing must also be maintained to allow 

medical staff to enter the sobering cells to make vital checks. PC PC PC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 24 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.5.5

Med 

Assistance 

for 

Intoxicated 

Incarcerated 

Persons - 

Transfers to 

Outside 

Facilities

Incarcerated persons experiencing severe, life-threatening 

intoxication (an overdose) or withdrawal which cannot be 

addressed in the Jail by available medical staff, shall be 

transferred under appropriate security conditions to a hospital or 

other facility where specialized care is available. SC SC SC

4.B.6.1

MH Services - 

Minimum Tx

The Jail will ensure that incarcerated persons are provided timely 

access to inpatient, and outpatient mental health care as 

needed. Mental health services at the Jail shall include, at a 

minimum, 

a)mental health screenings and evaluations, suicide risk 

assessments, diagnosis, and treatment – including psychosocial 

therapy, and psychotropic medications as needed, and referral 

services. 

b)While incarcerated persons are entitled to assessment and 

treatment, they must be informed that they are also entitled to 

refuse such treatment. Incarcerated persons requiring services 

beyond the on-site capability of the Jail shall be referred to 

appropriate off-site providers. PC PC PC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 25 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.6.2

MH Services - 

Suicide Risk 

Assessment

Any incarcerated person who, either during the booking process 

or at any time during their incarceration in the Jail, is identified as 

having any current suicidality shall have a suicide risk assessment 

completed within four (4) hours of the identification of current 

suicidality. 

a)Only Qualified Mental Health Professionals, PAs, NPs, or RNs 

who have been trained regarding how to conduct a suicide risk 

assessment shall conduct such assessments.

b)A suicide risk assessment shall be conducted by a Qualified 

Mental Health Professional if one is on-site at the Jail. 

c)A suicide risk assessment may be conducted by a PA, NP, or 

RN if no Qualified Mental Health Professional is on-site at the Jail 

or there is no Qualified Mental Health Professional available to 

timely complete the assessment due to servicing the urgent 

needs of other incarcerated persons. 

d)If the PA, NP, or RN conducts the risk assessment, within two 

(2) hours after administering the risk assessment the staff member 

who conducted the assessment must consult with a Qualified 

Mental Health Professional (either on-site or by phone) to 

determine an appropriate plan of treatment and the appropriate

level, if any, of suicide precaution. 

e)If the person is placed on suicide watch, safety cell protocol 

will be followed. If the suicide risk assessment establishes that the 

incarcerated person is at risk of suicide, the incarcerated person 

will, at a minimum, be placed on the next psychiatrist sick call. 

f)The Qualified Mental Health Professional who conducts the 

suicide risk assessment or with whom the PA, NP, or RN who 

conducted the assessment consults, can, if necessary, consult 

with an on-site (if available) or on-call psychiatrist at any time, 

refer the incarcerated person to be seen by a psychiatrist before 

the next psychiatrist sick call, or cause the incarcerated person to 

be transferred to a hospital for evaluation. SC PC SC

4.B.6.3

MH Serices - 

Transfers to 

Outside 

Facilities 

Qualified Mental Health Professionals shall evaluate whether an 

incarcerated person’s mental illness or risk of suicide requires that 

he or she be sent to Sutter-Yuba Behavioral Health Services or an 

inpatient setting for evaluation and treatment, up to and 

including psychiatric hospitalization where warranted, and shall 

issue all suicide precaution orders including placement in or 

removal from housing for incarcerated persons at risk of suicide, 

and confidential follow-up assessments at clinically appropriate 

intervals. SC PC SC

4.B.6.4

MH Services - 

Med & 

Custody Staff 

Conferenc

On a weekly basis a Qualified Mental Health Professional shall 

consult with Correctional Officers to exchange information with 

respect to the mental health of the incarcerated persons. The 

Qualified Mental Health Professional must respect the 

confidential nature of communications to him or her, but has an 

obligation to take steps to assure the safety of an incarcerated 

person who indicates that he or she may attempt to commit 

suicide or harm another. SC SC SC

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Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.6.5

MH Services - 

Release 

Care

Whenever possible, custody staff shall provide medical staff with 

advanced notice of an incarcerated person’s release from the 

Jail.

a)If medical staff receive sufficient notice of an incarcerated 

person’s release, medical staff shall provide medical discharge 

planning to the person, including providing written instructions for 

continuity of essential care, 

b)the name and contact information for community providers 

for follow-up appointments, 

c)and a 28-day prescription for any chronic care or 

psychotropic medications the person was receiving at the time of 

release. 

d)Defendants shall call the 28-day prescription into a local 

pharmacy and pay for seven (7) days of the medication(s). PC PC PC

4.B.6A.1

Telepsych - 

WellPath 

Policies

Defendants shall adhere to the telepsychiatry protocol entitled 

Wellpath Yuba County California Policies & Procedures 80874 

and dated July 15, 2020. Defendants shall provide at least 30-

days’ notice to Plaintiffs’ counsel prior to implementing any 

changes to this protocol. If Plaintiffs object to the changes the 

parties shall meet and confer before the changes go into effect. SC SC N/A

4.B.6A.2

Telepsych - 

Determing 

Appropriaten

ess 

Telepsychiatry can be used to provide psychiatry services unless 

it is determined, prior to or during a telepsychiatry visit, that 

telepsychiatry services are not appropriate for the incarcerated 

person. In determining whether telepsychiatry is appropriate, the 

following will be considered: 

a)the incarcerated person’s acuity and severity of mental illness, 

including whether the person’s mental illness affects their ability 

to communicate effectively with the psychiatrist by video; 

b)whether the incarcerated person has any disabilities that 

would make communicating with the psychiatrist by video 

difficult; 

c)whether any language barriers would render communication 

with the psychiatrist by video ineffective; 

d)whether the person has refused to be seen by the 

telepsychiatrist because the psychiatry services are not being 

provided in person; 

e)and any other considerations relevant to whether 

telepsychiatry is appropriate for the incarcerated person. 

f)If the Qualified Mental Health Professional determines that 

telepsychiatry services are not appropriate for the incarcerated 

person, the incarcerated person must be seen expeditiously by a 

psychiatrist in person. SC SC SC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 27 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.6A.3

Telepsych - 

Referral to 

Psych

If a tele psychiatrist determines during a telepsychiatry visit that 

telepsychiatry services are not appropriate for the incarcerated 

person:

a)the psychiatrist shall note that finding in the medical record. 

b)and Defendants shall then ensure that the incarcerated 

person is seen expeditiously by a psychiatrist in person.

c)Reasonable efforts shall be made to ensure continuity of care 

so that incarcerated persons are seen by same psychiatrist 

throughout the duration of their incarceration. SC SC SC

4.B.6A.4

Telepsych - 

Overview of 

Jail

Before a psychiatrist provides telepsychiatry services to 

incarcerated people in the Jail,

a)Defendants shall provide the tele psychiatrist with a briefing 

regarding the mental health and suicide prevention programs at 

the Jail, 

b)the available options if a person experiences a mental health 

emergency or otherwise requires care at a level not capable of 

being provided at the Jail, and any other information necessary 

to treat people in the Jail. 

c)The briefing shall also include an in-person or virtual tour of 

the Jail’s safety and stepdown cells 

d)and, once completed, the new building constructed with SB 

863 funding. SC SC SC

4.B.7.1

Sick Calls - 

Providing 

and 

Processing 

Slips

Daily sick call must be provided by an RN/PA/NP to all 

incarcerated persons requesting mental health attention. All 

incarcerated persons experiencing mental health issues must be 

permitted to fill out a sick call request form. 

a)Sick call request forms shall be readily available to 

incarcerated persons, 

b)and Correctional Officers shall promptly provide these forms 

to incarcerated persons upon request. 

c)Sick calls slips that raise issues relating to mental health shall 

be triaged within twenty-four (24) hours. 

d)If it is unclear from the language on a sick call slip whether or 

how quickly a person needs to be evaluated by a Qualified 

Mental Health Professional, the PA, NP, or RN shall meet with the 

person and attempt to clarify the person’s request for care within 

twenty-four (24) hours of receipt. SC SC PC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 28 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.7.2

Sick Calls - 

MH Referrals

If while triaging a sick call slip or other request relating to mental 

health care the PA, NP, or RN determines that the incarcerated 

person should see a Qualified Mental Health Professional, or other 

mental health specialist, the PA, NP, or RN shall make an 

appropriate referral. 

a)For emergent requests, a Qualified Mental Health Professional 

shall see the person immediately or Defendants shall transfer the 

person to an outside facility for immediate assessment. 

b)For urgent request, a Qualified Mental Health Professional 

shall see the person within twenty-four (24) hours. 

c)For routine requests, a Qualified Mental Health Professional 

shall see the person within seven (7) days. 

d)Correctional Officers shall ensure that the incarcerated 

person is transported to the proper person or facility. SC SC PC

4.B.7.3

Sick Calls - 

Med 

Referrals

If a healthcare professional or Qualified Mental Health 

Professional believes that tests, evaluation, or treatment by a 

mental health specialist are medically indicated, the healthcare 

professional or Qualified Mental Health Professional shall fill out a 

referral slip for the test, evaluation, or treatment. SC SC SC

4.B.7.4

Sick Calls - 

Tracking Slips

Defendants shall develop and implement a process to track and 

assess the timeliness of providing sick call services for mental 

health-related requests. 

Defendants shall review and assess that information on a 

quarterly basis, at a minimum. 

Defendants shall produce documentation of these quarterly 

assessments of mental health sick call timeliness as part of the 

quarterly production of documents to Class Counsel and the 

appointed Monitor. 

The mental health staff shall, on a monthly basis, 

a)meet to discuss the provision of mental health care services in 

the Jail, 

b)including addressing the timeliness of sick calls and 

prescription renewals, 

c)identification of causes of systematic delays 

d)or other impediments to providing timely access to mental 

health care, and develop protocols and practices to address 

such issues. 

e)If the cause of any ongoing delays or issues that last for three 

(3) months or more is related to insufficient mental health staffing, 

the Jail shall take all reasonable steps to revise their mental 

health staffing plan and obtain funding to retain any additional 

positions deemed to be necessary. PC PC PC

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Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

4.B.8.1

ER Care & 

Hospitalizatio

n - Access to 

Care

Emergency psychiatric care must be available twenty-four (24) 

hours per day, seven

(7) days a week. In an emergency mental health situation, or at 

the request of health care personnel, an incarcerated person 

must be transported to the appropriate hospital for treatment 

and evaluation. Security requirements and concerns cannot 

unreasonably delay the incarcerated person’s transportation. SC SC SC

4.B.8.2

ER Care & 

Hospitalizatio

n - ER Psych 

Care

For individuals who are in acute psychiatric distress and in need 

of urgent inpatient

psychiatric care that cannot be provided at the Jail, whether or 

not awaiting transfer to a state hospital pursuant to court order, 

the Jail shall comply with the following plan:

1. The incarcerated person will be taken to Rideout Hospital, 

where Sutter Yuba Behavioral Health (SYBH) has staff on site, or 

similar facility.

2. The purpose of taking the incarcerated person to Rideout or 

similar facility is to determine whether the incarcerated person 

requires care that cannot be provided at the Jail.

(a) If a determination is made in writing that the person does not 

require psychiatric care that cannot be provided at the Jail, that 

person will be returned to the Jail with instructions for further 

evaluation and care, if any.

(b) If a determination is made that the person does require 

psychiatric care that cannot be provided at the Jail, the 

expectation is that SYBH, or similar facility will care for that 

individual (either at Rideout or its psychiatric care facility) or 

locate bed space at another facility.

3. Jail staff shall, as needed, cooperate with Sutter-Yuba 

Behavioral Health to

locate appropriate bed space at another facility. SC SC SC

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Section Subject SACD Text

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4.B.8.3

ER Care & 

Hospitalizatio

n - Continuity 

of Care 

During 

Transfers

The Jail shall not, for security reasons, unreasonably deny or delay 

in providing transportation for emergency psychiatric 

hospitalization which is medically indicated.

The Jail shall provide incarcerated persons with adequate care 

when they are awaiting transfer to and have returned from such 

facilities. 

All incarcerated person returning from emergency psychiatric 

treatment at an outside facility will be 

(a) screened at intake for continuity of care (which will include, if 

necessary, consultation with a physician or psychiatrist for 

continuity of prescribed medications) and to ensure that the Jail 

has all relevant records, labs, and orders from the incarcerated 

person’s treatment at an outside facility; 

(b) seen at the next sick call by a Qualified Mental Health 

Professional for incarcerated person returning from mental health 

treatment; and (c) seen at the next available sick call conducted 

by a psychiatrist. SC SC SC

4.B.9.1

Recordkeepi

ng - MH 

Records

Qualified Medical and Mental Health Professionals must maintain 

complete, current, and accurate records regarding an 

incarcerated person’s mental health care treatment and 

prescription drug use. 

a)An individual record (hereinafter referred to as the “Jail 

medical record”) must be kept for each incarcerated person, 

b)and a copy of this record must be kept in a separate file in 

the Jail or in an electronic database. 

c)These records must be standardized so as to facilitate 

communication among staff. 

d)Provision in the records must be made to allow entry of the 

following information: history, complaints, treatment plan, and 

progress notes. 

e)All entries must be dated and the time noted. 

f)In addition, Qualified Medical and Mental Health Professionals 

must record the fact that a drug or other prescribed treatment 

was administered, at what time, in what dosage, and by whom 

on the form available for that purpose. SC SC SC

4.B.9.2

Recordkeepi

ng - 

Documentin

g MH 

Symptoms

All clinical contacts, diagnoses, and treatments by Qualified 

Medical and Mental Health Professionals must be entered in the 

Jail record. 

a)All Qualified Medical and Mental Health Professionals shall be 

trained to recognize the common side effects associated with 

use of psychotropic medications. 

b)If a nurse observes that an incarcerated person is 

experiencing any of these side effects, they will document their 

observations in the medical record and schedule the patient to 

see a medical provider at the next available sick call. SC SC SC

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Section Subject SACD Text

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4.B.9.3

Recordkeepi

ng - 

Documentin

g MH Med 

Refusals

If a prescribed substance is refused or withheld for 3 consecutive 

day the prescribing medical provider shall be notified after three 

consecutive refusals. SC SC PC

4.B.9.4

Recordkeepi

ng - 

Documentin

g Med 

Reactions

Following the medication administrations, the nursing staff shall 

also notify the physician promptly of the following: 

(a) Any adverse reaction or response by a patient to a 

medication; and/or 

(b) Any error in the administration of a medication to a patient. SC SC PC

4.C

MH Training 

For 

Correctional 

Officers

Defendants shall ensure that all Correctional Officers receive 

annual training regarding the provisions of this SACD and the 

requirements of Title 15 related to mental health and suicide 

prevention. SC SC SC

4.D.1

Suicide 

Prevention - 

QMHP Eval

Qualified Mental Health Professionals shall be available on-site 

seven (7) days per week and on-call as necessary to evaluate 

whether an incarcerated person’s risk of suicide requires that he 

or she be sent out of the Jail for evaluation and treatment, up to 

and including psychiatric hospitalization where warranted, and 

shall issue all suicide precaution orders, including placement in 

or removal from housing for incarcerated person at risk of 

suicide, and confidential follow-up assessments at clinically 

appropriate intervals. SC PC SC

4.D.2

Suicide 

Prevention - 

Staff Training

Custody and health services staff shall be trained and alerted to 

the need and continuously monitor incarcerated person 

behavior for suicide potential during incarceration. SC PC SC

4.D.3

Suicide 

Prevention - 

Communicat

ion Among 

Staff

Custody, mental health staff shall maintain open lines of 

communication to ensure that all parties are kept apprised of 

suicide potential; suicide precaution placement, retention, and 

release status; monitoring findings including general status 

reporting through time of event and end-of-shift reporting and on 

call contacts to ensure appropriate continuity of care and followup. PC PC SC

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Section Subject SACD Text

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4.D.4

Suicide 

Prevention - 

Training

All custody and health care staff shall receive suicide awareness, 

preventions, and emergency response training during new 

employee orientation, and at least annually.

a)All such training shall be provided by or in collaboration with 

a Qualified Mental Health Professional, or other person qualified 

to provide training in an area of suicide risk, having expertise in 

correctional suicide prevention and the use of a suicide risk 

assessment form. 

b)Regularly scheduled training for all custody and health care 

staff shall include, at a minimum, identification and management 

of suicidal behavior in a jail setting including high-risk periods of 

incarceration, suicidal risk profiles, and recognition of verbal and 

behavioral cues that indicate potential suicide.

The Jail shall undertake a mortality-morbidity review for every 

incarcerated person who dies from suicide while in custody of 

Defendants, regardless of whether the incarcerated person dies 

in the Jail or in a hospital or other facilities after being transferred 

from the Jail. PC PC PC

4.D.5

Suicide 

Prevention - 

Mortality/Mor

bidity Review

The Jail shall undertake a mortality-morbidity review for every 

incarcerated person who dies from suicide while in custody of 

Defendants, regardless of whether the incarcerated person dies 

in the Jail or in a hospital or other facilities after being transferred 

from the Jail. NC NC PC

5.A.1

Suicide 

Hazards - 

Experts

Defendants shall retained James Sida and Richard Bryce to 

conduct evaluations of suicide hazards at the jail. SC SC NA

5.A.2

Suicide 

Hazards - 

Biannual 

Safety 

Reviews

For as long as this SACD is in effect, Defendants shall have a 

qualified consultant

conduct a follow up safety assessment of the Jail every two (2) 

years, at a minimum.

a)The first evaluation shall be completed by no later than May 

31, 2024. The Monitor can conduct the follow-up safety 

assessment if qualified to do so. SC PC NA

5.A.3

Suicide 

Hazards - 

Physical 

Plant 

Changes

If any of the changes to the physical plant at the Jail that 

Defendants made in response to the reports issued by Mr. Sida or 

Mr. Bryce is damaged, breaks, or otherwise becomes inoperable 

or ineffective, Defendants shall immediately replace or repair the 

element. SC PC NA

5.B.1

Housing 

Mentally Ill 

People At 

Risk of 

Suicide - 

Classification

An incarcerated person’s serious mental illness and suicide risk will

be considered when deciding where to house the incarcerated 

person. Housing decisions for incarcerated persons with serious 

mental illness shall take into account that availability of sufficient 

structured and unstructured out-of-cell time and increased 

observation and supervision commensurate with the 

incarcerated person’s risk of suicide, as well as the risk posed by 

suicide hazards in various parts of the Jail. PC PC PC

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Section Subject SACD Text

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3d Rprt Compliance 

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5.B.2

Housing 

Mentally Ill 

People At 

Risk of 

Suicide - 

Suicide 

Watch 

Procedures

Defendants shall maintain suicide watch and suicide precaution 

procedures to ensure that incarcerated persons who pose a risk 

of suicide are not placed in punitive, unsanitary, and dangerous 

conditions. 

a)Where clinically warranted as decided by a medical or 

mental health care professional, an acutely suicidal incarcerated 

person shall be placed on suicide watch under constant 

observation until such time as a Qualified Mental Health 

Professional determines that the incarcerated person is no longer 

at risk of self-harm.

b)Health and safety checks shall also be conducted every 15 

minutes in locations where incarcerated persons are housed who 

pose a high suicide risk,

c)and every 30 minutes in locations where incarcerated persons 

are housed who pose a moderate suicide risk. 

d)Whether a person poses a high, moderate, or low risk of 

suicide shall be determined by a Qualified Mental Health 

Professional. 

e)If it is determined a suicidal incarcerated person cannot be 

safely monitored and cared for within the Jail, the incarcerated 

person shall be transferred to the hospital for inpatient psychiatric 

care. 

f)All steps taken to expeditiously transfer such incarcerated 

persons shall be documented. SC PC SC

5.B.3

Housing 

Mentally Ill 

People At 

Risk of 

Suicide - Seg 

Housing

Defendants shall limit the use of Segregated Housing, including 

Administrative Segregation and safety cells, for incarcerated 

persons with serious mental illness or who present a serious suicide 

risk, and shall have procedures to mitigate the impact of

Segregated Housing on persons with mental illness. 

a)Custody staff shall conduct health and safety checks for 

incarcerated person who are at risk of suicide in a manner that 

allows staff to personally view the incarcerated person to assure 

his or her well-being and security. 

b)Health and safety checks shall require visual observation and, 

if necessary to determine the incarcerated person’s well-being, 

verbal interaction with the incarcerated person. 

c)Custody staff shall conduct the checks at irregular and 

unpredictable intervals to minimize incarcerated persons’ ability 

to plan around anticipated checks, and shall document their 

checks in a format that does not have pre-printed times. 

d)Video surveillance may not be used as an alternative to 

rounds by custody staff. 

e)Defendants shall keep complete, accurate, and 

contemporaneous logs of each health and safety check and 

develop measures to ensure review of such logs for compliance. PC PC PC

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Section Subject SACD Text

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5.C.1

Safety Cells - 

Policy

Defendant shall maintain a Safety Cell Policy. As set forth in that 

policy, an incarcerated person shall only be placed in a safety 

cell if the incarcerated person is identified as an imminent threat 

to himself/herself or others, and then only as a temporary 

measure until the incarcerated person is able to be transferred to 

different housing or, where clinically warranted, to a hospital or 

inpatient facility.

a)Custody staff must visually observe each incarcerated person 

who is placed in a

b)safety cell at least twice every thirty (30) minutes

c)The observations must be conducted at irregular and 

unpredictable intervals and must be documented. SC SC SC

5.C.2

Safety Cells - 

Observation

Custody staff must visually observe each incarcerated person 

who is placed in a safety cell at least twice every thirty (30) 

minutes. The observations must be conducted at irregular and 

unpredictable intervals and must be documented. SC SC SC

5.C.3

Safety Cells - 

Med 

Assessment

An incarcerated person must receive a medical assessment by a 

physician, PA, NP,

or RN within one (1) hour (unless unsafe to do so under the 

circumstances of placement into a safety cell), to determine 

whether said placement is appropriate. 

a)The physician, PA, NP, or RN must evaluate whether the 

incarcerated person can safely be housed in a less restrictive 

environment than a safety cell and/or requires transfer to an 

inpatient medical or mental health facility. 

b)If the physician, PA, NP, or RN is unable to conduct a handson assessment of the incarcerated person, including a check of 

vital signs, within six (6) hours of placement in the safety cell, the 

incarcerated person shall immediately be transferred to a 

hospital. PC PC PC

5.C.4

Safety Cells - 

Suicide Risk 

Assessment

If a Qualified Mental Health Professional is on site at the time an 

incarcerated person is placed in a safety cell, the Qualified 

Mental Health Professional shall conduct an evaluation of the 

person, including a suicide risk assessment, as soon as possible 

but no later than within four (4) hours of placement. SC SC SC

5.C.5

Safety Cells - 

Med Staff 

Performing 

Suicide Risk 

Assessment

If a Qualified Mental Health Professional is unable to conduct an 

evaluation within

four (4) hours of placement of a person in a safety cell—either 

because:

a)a Qualified Mental Health Professional is not on site during the 

four (4) hour period 

b)or is on site but is unable to timely evaluate the person 

because he or she is addressing the urgent needs of other 

incarcerated people—then a Physician, PA, NP, or RN shall 

conduct a suicide risk assessment as soon as possible, but no later 

than within four (4) hours of safety cell placement. 

Only Physicians, PAs, NPs, or RNs who have been trained 

regarding how to conduct a suicide risk assessment shall conduct 

such assessments. SC SC SC

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Section Subject SACD Text

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5.C.6

Safety Cells - 

Med Staff 

Confer with 

MH Staff

If a Physician, PA, NP, or RN conducts the suicide risk assessment, 

within two (2) hours after administering the suicide risk assessment,

a)the staff member who conducted the suicide risk assessment 

must consult with a Qualified Mental Health Professional (either 

on-site or by phone) to determine an appropriate plan of 

treatment and the appropriate level, if any, of suicide 

precaution. 

b)In addition, if a Physician, PA, NP, or RN conducts the suicide 

risk assessment, then a Qualified Mental Health Professional must 

evaluate the person as soon as possible but no later than within 

two (2) hours of the start of the next shift of a Qualified Mental 

Health Professional. PC PC SC

5.C.7

Safety Cells - 

Psych Sick 

Call

If the person is placed on suicide watch, safety cell protocol will 

be followed. If the suicide risk assessment established that the 

incarcerated person is at risk of suicide, the incarcerated person 

will, at a minimum, be placed on the next psychiatrist sick call.

a)The Qualified Mental Health Professional who conducts the 

suicide risk assessment or with whom the Physician, PA, NP, or RN 

who conducted the suicide risk assessment consults, can, if 

necessary, consult with a psychiatrist at any time, refer the 

incarcerated person to be seen by a psychiatrist before the next 

psychiatrist sick call, or cause the incarcerated person to be 

transferred to a hospital for evaluation. SC PC SC

5.C.8

Safety Cells - 

Housing

For incarcerated persons who are found to be at risk of suicide, 

the suicide risk assessment shall be used to determine the level of 

suicide precautions necessary in the immediate term (e.g., 

constant observation), and whether the incarcerated person 

needs to be transferred to an in-patient psychiatric facility or 

hospital in lieu of suicide watch/suicide precautions at the Jail. SC SC SC

5.C.9

Safety Cells - 

Rounding

All incarcerated persons placed in safety cells shall be evaluated 

at least once every

seven (7) hours by medical staff and at least once every thirteen 

(13) hours by a Qualified Mental Health Professional. PC PC PC

5.C.10

Safety Cells - 

Consultation 

as to LRH

Defendants recognize that the goal is to have the incarcerated 

person remain in a safety cell for the shortest possible amount of 

time. Every thirteen (13) hours, custody, medical, and mental 

health care staff must review whether it is appropriate to retain 

an incarcerated person in a safety cell or whether the 

incarcerated person can be transferred to a less restrictive 

housing placement. PC SC PC

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Section Subject SACD Text

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5.C.11

Safety Cells - 

Xfer to LRH

An incarcerated person who has been placed in a safety cell for 

twenty-four (24)

consecutive hours or for thirty-six (36) total hours in any onehundred-and–twenty (120) hour period must either be

a)transferred to a less restrictive setting or 

b)transferred to an inpatient mental health facility or to a 

hospital emergency room for assessment and care.

In addition, an incarcerated person may not be placed in a 

safety cell more than two times in any one-hundred-and-twenty 

(120) hour periods. 

If Defendants seek to place an incarcerated person in a safety 

cell for a second time within any one-hundred-and-twenty (120) 

hour period, Jail medical or mental health staff shall consult with 

a psychiatrist regarding that placement. 

An arriving incarcerated person that is unable to care for his/her 

personal needs despite being provided food, clothing, and 

shelter by the Jail, shall not be maintained in a safety cell and 

instead shall be immediately transferred to a hospital for 

treatment. SC SC SC

5.C.12

Safety Cells - 

Release

A Qualified Mental Health Professional may authorize the release 

of an

incarcerated person from a safety cell. 

The order authorizing the release of an incarcerated person from 

a safety cell shall, if appropriate, include instructions regarding 

transitioning the incarcerated person from suicide precautions or 

suicide watch. SC SC SC

5.C.13

Safety Cells - 

MH Follow-Up

An incarcerated person released from a safety cell or a stepdown cell to housing will be seen at the first mental health sick 

call following their release and at least two (2) additional times 

within seven (7) days of their release. PC PC PC

5.C.14

Safety Cells - 

Cleaning of 

Cells

Defendants shall ensure that a safety cell is clean before placing 

a person in it.

a)Defendants shall also ensure than an occupied safety cell is 

cleaned at least twice per day at approximately 8:00 a.m. and 

8:00 p.m., unless it is not possible to do so because of safety 

concerns. 

b)Defendants shall clean a safety cell once a person is 

removed from it. 

c)Defendants shall indicate on the safety cell log when an 

occupied safety cell is cleaned. SC SC SC

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5.C.15

Safety Cells - 

Shutters

Defendants shall not close the shutters to the windows on the 

safety cell doors.

a)Defendants may, upon request of an incarcerated person in 

a safety cell or if circumstances otherwise warrant, cover up to 

half of the window on a safety cell door in order to protect the 

privacy of the incarcerated person in the safety cell or 

incarcerated persons in other parts of the booking area. 

b)If Defendants cover any part of a window on a safety cell 

door,

c)Defendants shall document the reasons on the safety cell 

check sheet. Defendants shall never cover or obstruct the 

windows at the back of the safety cells. SC SC SC

5.C.16

Safety Cells - 

Food

Incarcerated persons held in safety cells shall be offered food at 

least three times within a 24-hour period. Incarcerated persons 

held in safety cells shall be provided water with each meal and 

upon request. Defendants shall record on each incarcerated 

person’s safety cell log each time the incarcerated person is 

provided with or declines an offer of food or water. SC SC SC

5.D.1

Step-Down 

Cells - 

Purpose

Defendants shall maintain a “step-down” cell. The purpose of the 

step-down cell is

to house incarcerated persons who, because of their risk of 

suicide, require increased

monitoring and a suicide-safe environment, but do not require 

housing in a safety cell. 

For purposes of this SACD, the step-down cell is a less restrictive 

setting than a safety cell. The step-down cell shall be free of 

suicide hazards. 

Defendant shall, either by constructing a surface on which 

incarcerated persons can sleep or by providing an alternative 

sleeping surface, ensure that all incarcerated persons placed in 

the step-down cell have a sleeping surface off the ground. Staff 

shall ensure that the step-down cell is clean and sanitized. SC SC SC

5.D.2

Step-Down 

Cells - 

Observation

Custody staff must visually observe each incarcerated persons 

who is placed in the

step-down cell at least once every thirty (30) minutes. The 

observations must be conducted at irregular and unpredictable 

intervals and must be documented SC SC SC

5.D.3

Step-Down 

Cells - 

Evaluation

If a person is placed directly into a step-down cell for mental 

health issues or suicidality, and is not first placed in a safety cell, 

then the requirements set forth in Section V.C regarding timelines 

for initial medical and mental health evaluations and a suicide 

risk assessment shall apply. PC SC SC

5.D.4

Step-Down 

Cells - 

Rounding

All incarcerated persons placed in the step-down cell shall be 

evaluated at least

once every seven (7) hours by medical staff and at least once 

every thirteen (13) hours by a Qualified Mental Health 

Professional. PC PC PC

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Section Subject SACD Text

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5.D.5

Step-Down 

Cells - 

Consultation 

as to LRH

Incarcerated persons may be housed in a step-down cell for 

more than twenty-five

(25) consecutive hours so long as every twenty-five (25) hours a 

Qualified Mental Health Professional, after consulting with the 

psychiatrist, agrees to continued placement in the step-down 

cell. SC PC PC

5.D.6

Step-Down 

Cells - Time 

Limits

If an incarcerated person has been housed for one-hundred-andtwenty (120)

consecutive hours in a combination of safety cells and the stepdown cell cannot be

returned to a setting in the Jail that is less restrictive than the stepdown cell, he or she shall be immediately transferred to an 

inpatient mental health facility or to a hospital emergency room 

for assessment and care. SC SC SC

5.D.7

Step-Down 

Cells - 

Monitor's 

Review of 

Policy

The parties agree that as part of the first monitoring report 

prepared by the Monitor,

the Monitor shall evaluate the policy set forth in the preceding 

paragraph. In advance of the evaluation, the parties shall meet 

with the Monitor to discuss the parameters of the evaluation. In 

the first monitoring report, the Monitor shall provide a 

recommendation regarding whether the policy should remain as 

is and, if not, what alternative policy or policies should be put in 

place. The parties shall then meet and confer regarding the 

recommendation. NR NR NA

6.1

Due Process 

for Mentally 

Ill Persons - 

MH Eval for 

Rule 

Violations

If the Jail Supervisor believes that an incarcerated person’s 

mental illness was a significant factor in causing a rule violation, 

the incarcerated person shall be referred for a mental health 

evaluation and possible treatment. 

Should the Jail Supervisor charge a person determined to have a 

mental illness which caused or contributed to the violation, the 

Jail Supervisor must consult with a Qualified Mental Health 

Professional prior to imposing any sanction in order to determine 

whether the proposed sanction is likely to exacerbate an 

incarcerated person’s mental health symptoms and expose the 

incarcerated person to an increased risk of danger.

If there is a danger that a proposed sanction will exacerbate an 

incarcerated person’s mental illness or expose him to increased 

risk of danger, an alternate sanction shall be imposed, if at all, 

unless safety security reasons dictate otherwise. SC PC PC

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Section Subject SACD Text

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6.2

Due Process 

for Mentally 

Ill Persons - 

Consult with 

QMHP for 

Sanctions

Should the Jail Supervisor charge a person determined to have a 

mental illness which caused or contributed to the violation, the 

Jail Supervisor must consult with a Qualified Mental Health 

Professional prior to imposing any sanction in order to determine 

whether the proposed sanction is likely to exacerbate an 

incarcerated person’s mental health symptoms and expose the 

incarcerated person to an increased risk of danger.

If there is a danger that a proposed sanction will exacerbate an 

incarcerated person’s mental illness or expose him to increased 

risk of danger, an alternate sanction shall be imposed, if at all, 

unless safety security reasons dictate otherwise. SC PC PC

7.1

Ad Seg - 

Classification

Administrative Segregation is a housing classification decision. 

Every assignment of a person to Administrative Segregation shall 

be based on a written report providing an explanation of the 

facts and circumstances requiring the segregation. This report 

shall be written as soon as possible and in no case later than fortyeight (48) hours after the initiation of the assignment to 

Administrative Segregation. Said reports shall be retained. SC SC SC

7.2

Ad Seg - 

Observation

Custody staff shall conduct appropriate health and welfare 

checks on all incarcerated people placed in Segregated 

Housing sufficient to ensure safety and security and minimize the 

risk of suicide. SC SC SC

7.3

Ad Seg - 

Suicide Risk 

Eval

Incarcerated persons moved from the general population to 

Segregated Housing

who either 

(a) have not yet received their 14-day Initial Health Assessment or 

(b) have received their 14-day Initial Health Assessment and are 

on the mental health case load will be screened for suicide risk 

by a Qualified Mental Health Professional as soon as possible but 

no later than forty-eight (48) hours after placement. SC PC PC

7.4

Ad Seg - MH 

Rounds

A Qualified Mental Health Professional shall conduct rounds for 

those in

Segregated Housing four (4) times per week. SC SC PC

7.5

Ad Seg - SMI 

Housing

Defendants shall not house incarcerated persons with serious 

mental illness in Administrative Segregation (A-Pod, S-tank) or the 

medical cells unless those incarcerated persons demonstrate a 

current threat to Jail security, safety of incarcerated persons, or 

officer safety, as documented by custody staff, that prevents 

them from being safely housed in less restrictive locations. 

Incarcerated persons shall not be housed in Administrative 

Segregation solely because they have a mental illness. SC SC PC

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Section Subject SACD Text

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7.A.1

Out-Of-Cell & 

Rec Time in 

Seg Housing - 

Minimum 

Time 

Defendants shall maximize out-of-cell time for incarcerated 

people in Segregated

Housing.

a)Defendants shall offer incarcerated persons in Segregated 

Housing the use of their respective day rooms or equivalent 

indoor recreation space continuously from 6 a.m. to 10 p.m. 

b)All incarcerated persons in Segregated Housing shall be 

offered, at a minimum, one (1) hour out-of-cell time in the day 

room or other indoor area per day. 

c)After each incarcerated person in a Segregated Housing unit 

has been offered one (1) hour out-of-cell time during a given 

day, the remaining hours of day room availability shall be offered 

to the incarcerated persons in the Segregated Housing unit in a 

manner such that the incarcerated persons are offered 

approximately equal additional out-of-cell time measured on a 

weekly basis. 

d)Defendants shall document the time that each incarcerated 

person in Segregated Housing spends out-of-cell. SC PC SC

7.A.2

Out-Of-Cell & 

Rec Time in 

Seg Housing - 

Out-Of-Cell 

Time With 

Others

To the maximum extent possible, Defendants shall offer each 

incarcerated person in Segregated Housing the opportunity for 

out-of-cell time with as many other incarcerated persons as 

possible, so long as concerns over safety and security do not 

prevent the incarcerated person from being placed in the same 

space as other incarcerated persons. 

a)All incarcerated people in Segregated Housing shall be 

offered a minimum of at least fifteen (15) combined hours of 

indoor and outdoor out-of-cell time per week. 

b)In addition, the Jail shall undertake reasonable and good 

faith efforts to provide additional out of cell time. 

c)This may include, but is not limited to, additional day room 

use, additional use of the outdoor recreation yards, programing 

time, or mental health contacts. SC SC SC

7.A.3

Out-Of-Cell & 

Rec Time in 

Seg Housing - 

Treatment

All incarcerated people in Segregated Housing shall be offered a 

minimum of at least fifteen (15) combined hours of indoor and 

outdoor out-of-cell time per week. 

a)In addition, the Jail shall undertake reasonable and good 

faith efforts to provide additional out of cell time. 

b)This may include, but is not limited to, additional day room 

use, additional use of the outdoor recreation yards, programing 

time, or mental health contacts. SC PC SC

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7.A.4

Out-Of-Cell & 

Rec Time in 

Seg Housing - 

Radios

Defendants shall continue to provide radios to incarcerated 

persons in Segregated

Housing. 

a)Issuance of radios is deemed a deterrent to sensory 

deprivation experienced by some incarcerated persons in 

Segregated Housing. 

b)One radio shall be provided per Segregated Housing cell. The 

Jail will maintain a policy regarding use of the radios, which will 

include the right of custody staff to remove the radio from a cell 

and/or an incarcerated person for safety, security or disciplinary 

reasons. SC SC SC

7.A.5

Out-Of-Cell & 

Rec Time in 

Seg Housing - 

Tablets

As of the date of the parties entered into this SACD, the Jail has 

made available a

number of electronic tablets for use by incarcerated persons in 

Segregated Housing and other areas of the Jail. Defendants shall 

continue to permit incarcerated persons in Segregated Housing 

to use the tablets. SC SC SC

7.A.6

Out-Of-Cell &

Rec Time in 

Seg Housing - 

In-Cell Tablet 

Use

As of the date the parties entered into this SACD, persons in 

Segregated Housing

have generally only been able to use the tablets when they are 

outside of their cells.

Defendants shall make reasonable efforts to provide 

incarcerated persons in Segregated Housing with opportunities 

for in-cell access to the tablets, taking into account the number 

of available tablets and the number of incarcerated persons in 

Segregated Housing who are eligible for tablet use. SC SC SC

7.A.7

Out-Of-Cell &

Rec Time in 

Seg Housing - 

Number of 

Tablets 

Available

Defendants shall make reasonable efforts to provide 

incarcerated persons in Segregated Housing with opportunities 

for in-cell access to the tablets, taking into account the number 

of available tablets and the number of incarcerated persons in 

Segregated Housing who are eligible for tablet use. SC SC SC

7.A.8

Out-Of-Cell &

Rec Time in 

Seg Housing - 

Access to 

Tablets

Defendants may deny persons the right to use tablets for safety, 

security or disciplinary reasons. Defendants shall not be required 

to provide tablets to persons in Segregated Housing in 

accordance with the preceding two paragraphs if the cost of 

providing tablets unreasonably increases or the service of 

providing tablets becomes unavailable for all in the jail. SC SC SC

7.A.9

Out-Of-Cell & 

Rec Time in 

Seg Housing - 

Rec 

Equipment

Incarcerated persons in Administrative Segregation shall have 

access to 

a)a telephone, 

b)a television, and 

c)a bicycle exercise machine. 

d)Board games, cards, and other recreation equipment shall 

be maintained and available to administratively segregated 

incarcerated persons upon request. SC SC SC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 42 of 43
Section Subject SACD Text

1st Rprt Compliance 

Rating

2d Rprt Compliance 

Rating

3d Rprt Compliance 

Rating

7.A.10

Out-Of-Cell & 

Rec Time in 

Seg Housing - 

Length of 

Stay in Seg

Defendants shall strive to limit the placement of incarcerated 

persons in Segregated

Housing for prolonged periods of time. 

a)An incarcerated person may request a review of 

classification or placement in Segregated Housing by completing

an incarcerated person request slip. 

b)Classification shall also review the placement of incarcerated 

persons in Segregated Housing at least once a month, though 

more frequently if necessary for certain categories of 

incarcerated persons, such as individuals with serious mental 

illness.

c)Classification shall also consult medical staff concerning each 

incarcerated person’s progress toward the goal of placing the 

incarcerated person in general population. 

d)If other reasonable housing options exist that will provide for 

the safety of the incarcerated person, the incarcerated person 

should be moved out of segregation. In reviewing an alternative 

housing decision, the safety of the incarcerated person shall 

receive the utmost consideration. PC PC PC

7.A.11

Out-Of-Cell &

Rec Time in 

Seg Housing - 

New Jail 

Building

Defendants have broken ground on construction of a new 

building at the Jail using state funding pursuant to SB 863. 

Defendants agree that, once they have begun to plan for the 

manner in which the building will be used, Defendants will meet 

and confer with Plaintiffs regarding the mental health services to 

be offered in the building if the SACD is still in place. SC PC SC

Case 2:76-cv-00162-EFB Document 295 Filed 01/13/25 Page 43 of 43