Policy Text
Procedure Number: L9
Issued: 08/04
Revised: 10/05
Revised: 02/16
Reviewed: 11/17
1 DEATH
AUTHORITY
Title 15 Regulation:
Section 1341 Death and Serious Illness or Injury of a Youth While Detained
California Government Code (GOV):
Section 12525
Section 27491
Related Probation Department Policy:
IV23 Officer -Involved Critical Incident Protocol
If a youth dies in custody of a Juvenile Detention F acility (JDF) , the Supervising Deputy
Probation Officer – Institutions (SDPO (I)) or shift supervisor shall:
Notify dispatch ( 9-911) for an ambulance.
Attempt immediate First Aid/CPR and continu e trying to revive the youth until the
ambulance arrives.
Cut the victim down and begin First Aid/CPR , if by hanging .
Secure all youth in sleeping room s, if possible. If a roommate is with the victim, an
alternative location may be more appropriate than a sleeping room.
Record the time the youth was discovered and the phone call to dispatch in the logbook.
Notify the Assistant Superintendent, Superintendent , and the Chief Probation Officer.
Make all required phone calls .
As soon as possible , get the stateme nts of all staff on duty regarding the incident.
Have e very DPO (I) on duty prepare a detailed , accurate SIR , or supplemental SIR ,
regarding their knowledge and involvement . This should include:
1. All times Room Safety C hecks were made.
2. All efforts mad e to revive the youth .
3. Circumstances leading up to the death.
4. Notification of resource people.
The El Dorado County Sheriff’s Office, Coroner Unit , per Section 27491 of the Government
Code, shall investigate the circumstances and conditions surround ing the death.
The Supervisor should discuss with the Sheriff/Coroner investigators whether the Officer -
Involved Critical Incident Protocol is applicable , and invoke when appropriate.
REQUIRED TELEPHONE CALLS
Once a death has been discovered, the shift s upervisor shall immediately notify by telephone the
following:
El Dorado County Sheriff’s Office, Coroner Unit .
Facility Assistant Superintendent and Superintendent .
Chief Probation Officer .
Procedure Number: L9
2 THE CHIEF PROBATION OFFICER OR THEIR DESIGNEE SHALL NOTIFY THE
FOLLOWING
The youth’s parents, next of kin, or appropriate other person.
The presiding Superior Court Judge and Juvenile Court Judge .
County Chief Administrative Officer.
County Counsel.
Chairman of Board of Supervisors.
Risk Management.
El Dorado County Di strict Attorney.
Board of State and Community Corrections.
California Attorney General's Office.
Note: Only the Chief Probation Officer or their designee shall discuss or give a statement to the
press in regard to an incident of a youth ’s death.
REQUIRE D WRITTEN REPORTS – SUPERINTENDENT
Within 10 days, a written report must be submitted to the California Department of Justice,
Bureau of Criminal Statistics, Statistical Data Center, P.O. Box 903427, Sacramento, CA 94203 -
4270 .
A written report must also b e submitted to the Attorney General of the State of California
pursuant to Government Code Section 12525 within 10 calendar days. Within 10 days, a copy of
the report to the Attorney General must also be submitted to the Board of State and Community
Correc tions Title 15 Section 1341.
The reports shall consist of the following:
A form letter for youth’ s death reporting.
All departments and investigating department reports.
Coroner's autopsy report.
SCENE MANAGER'S (SHIFT SUPERVISOR'S) RESPONSIBILITY
The Sc ene Manager, being the highest -ranking officer at the time, shall preserve the scene and
direct other officers as the need arises. Once the immediate emergency is defused, the entire area
shall be secured. No individual shall change, alter or move any obje ct, item, clothing, furniture,
etc. until cleared to do so by the El Dorado County Sheriff’s Office, Coroner Unit . Once the
body has been removed from the facility, and it has been determined that the scene can b e
returned to normal, staff may proceed with their routine duties.
POST TRAUMA COUNSELING
Counseling will be provided upon request, through Mental Health staff, Risk Management , and
other resources as needed, to both staff and youth affected by a death within the facility
MEDICAL AND OPERATIONAL R EVIEW
In addition to any criminal or Coroner investigations, the facility Superintendent and the
designated Health Administrator will assemble a team to review all medical and operational
aspects surrounding every in custody death of a youth. The review te am shall include the
Superintendent, the Health Administrator, the responsible physician, and any other health care
and supervising staff related to the incident.