Fla. Admin. Code R. 63G-2.022
(2) Behavior Management:
(a) A behavior management system will enhance safety and security as it relates to youth behavior. Each facility shall implement a behavior management system that includes:
1. Fair and consistent consequences,
2. A three level system for rewarding positive behavior,
3. A process for youth to move up or down the level system; and,
4. Extra incentives tailored specifically for facility youth as they move up the levels.
(3) Behavioral Confinement:
(b) All youth placed in confinement shall be provided:
1. Three meals per day and an evening snack;
2. Access to medical care as needed;
3. Access to mental health care as needed;
4. Daily shower;
5. Clean clothing daily;
6. Hygiene items such as toothbrush, toothpaste, deodorant and feminine hygiene products;
7. Mattress;
8. Education materials provded through education staff; and
9. Notice of the youth’s right to grieve a confinement placement.
(c) Youth shall be removed from confinement as soon as the youth is not a continued threat to safety or security. Supervision and documentation of confinement shall consist of the following:
1. The officer making the confinement placement shall submit an incident report and a confinement report to the supervisor.
2. Supervision shall be documented on the confinement Visual Observation Report (VOR) Log at a minimum of every five (5) minutes during the first hour in confinement. The youth will be supervised according to how they are classified on the Detention Youth Supervision Matrix (DS 101 August 2020) thereafter.
3. If a physical injury is observed, the youth complains of an injury or illness, the youth has a known chronic health condition (including pregnancy) or the youth experienced a fall, impact, or blow such that injury could reasonably be expected, a health care professional shall be immediately notified for timely assessment and treatment to be documented in the youth individual healthcare record. For a pregnant youth, the documentation shall consist of a report that includes the reason confinement is necessary, the reason less restrictive means are not available, whether a qualified medical professional objects to the placement, and any alternative recommendations or plan of care. When a medical professional is not on site to provide an assessment and determine if there is an objection to the placement of a pregnant youth in confinement, then the on-call practitioner must be contacted. The contact person, date, time and the response from the on-call practitioner shall be documented on the report, which must be given to the pregnant youth within twelve (12) hours.
4. The Supervisor must conduct an initial confinement review with the youth no later than two (2) hours from the incident.
5. Supervisors and staff are expected to personally counsel the youth throughout the placement and document each interaction on the VOR.
6. The Supervisor will conduct additional reviews with the youth at a minimum of every 3 hours following the initial confinement review and document the review in FMS. Each review must include a reason for continued confinement. The reviews shall be done in person and, unless during sleeping hours, shall include a conversation with the youth.
(d) Confinement shall not exceed twenty-four (24) hours for pregnant youth. Confinement for all other youth shall not exceed twenty-four (24) hours except for those rare instances where the youth’s behavior continues to imminently and substantially threaten the physical safety of others or compromises security, at which point the following process for Confinement Review must be initiated:
1. Confinement Reviews will be chaired by the Regional Director or designee and be conducted in person or over the phone. The review must be held a minimum of two (2) hours prior to the end of the twenty-four (24) hour period.
2. The Superintendent or designee must provide the chair with a copy of the youth Confinement Report and all documented review and interviews with the youth.
3. The Superintendent or designee and a member of the facility mental health team must meet with the youth prior to the Review to discuss continued confinement.
4. The chair shall document his or her decision.
a. If the youth’s behavior continues to imminently and substantially threaten the physical safety of others or compromise security, the youth shall be continued in confinement for an additional period up to but not exceeding 24 hours. Mental health staff must see the youth as soon as reasonably possible, and thereafter, regular reviews will be conducted under subparagraph (c)6., above.
b. If the youth’s behavior does not imminently and substantially threaten the physical safety of others or compromise security the youth shall be returned to general population.
c. A copy of the Confinement Review documentation, including the chair’s decision, shall be distributed to the Regional Director and the Assistant Secretary for Detention Services and uploaded into FMS.
5. The youth shall be removed from confinement if, at any point during or after the Confinement Review, the youth’s behavior ceases to imminently and substantially threaten the physical safety of others or compromise security.
(4) Grievances:
Rulemaking Authority 944.241, 985.601(9)(b) FS. Law Implemented 944.241, 985.601(9)(b)8. FS. History–New 8-9-15, Amended 11-22-20.