<table><tr><td>SENATE RULES COMMITTEEOffice of Senate Floor Analyses(916) 651-1520 Fax: (916) 327-4478</td><td>SB 1132</td></tr></table><h1><a id="LocationBegin"></a> THIRD READING <a id="LocationEnd"></a> </h1><h1>Bill No:	SB 1132</h1>Author:	Durazo (D), et al.Amended:	4/9/24 Vote:	21 <a id="VotesBegin"></a> <a id="VoteInformation"></a><a id="VotesEnd"></a>SENATE HEALTH COMMITTEE: 8-1, 4/3/24AYES: Roth, Gonzalez, Hurtado, Limón, Menjivar, Rubio, Smallwood-Cuevas, WienerNOES: NguyenNO VOTE RECORDED: Glazer, GroveSENATE PUBLIC SAFETY COMMITTEE: 5-0, 4/23/24AYES: Wahab, Seyarto, Bradford, Skinner, Wiener SUBJECT:	County health officersSOURCE:	California Collaborative for Immigrant JusticeCalifornia Immigrant Policy CenterImmigrant Defense AdvocatesNext Gen California <h2><a id="AnalysisBegin"></a>DIGEST:</h2>	This bill clarifies that “private detention facilities,” as defined, are subject to inspection by local health officers.ANALYSIS: Existing law:<ol><li>Requires each county board of supervisors to appoint a local health officer (LHO). Requires LHOs to enforce and observe orders of the board pertaining to public health and sanitary matters, including regulations prescribed by the California Department of Public Health (CDPH), and statutes relating to public health. [HSC §101000 and §101030]</li><li>Requires LHOs to investigate health and sanitary conditions in every publicly operated detention facility in the county or city (including county and city jails), and all private work furlough facilities and programs, at least annually. Requires private work furlough facilities and programs to pay an annual fee commensurate with the annual cost of investigations. Permits LHOs to make additional investigations of any detention facility as determined necessary. Requires LHOs to submit a report to the Board of State and Community Corrections (BSCC), the person in charge of the jail or detention facility, and to the board of supervisors or city governing board (in the case of a city that has an LHO). [HSC §101045]</li><li>Requires LHOs, whenever requested by the sheriff, the chief of police, local legislative body, or the BSCC, but not more often than twice annually, to investigate health and sanitary conditions in any jail or detention facility, and submit a report to the officer and agency requesting the investigation and to the BSCC. [HSC §101045]</li><li>Requires the investigating LHO to determine if the food, clothing, and bedding is of sufficient quantity and quality that at least equal minimum standards and requirements of the BSCC for the feeding, clothing, and care of prisoners in all local jails and detention facilities, and if the sanitation requirements under the California Retail Food Code (CalCode), have been maintained. [HSC §101045]</li><li>Defines a “detention facility” as a facility in which persons are incarcerated or otherwise involuntarily confined for purposes of execution of a punitive sentence imposed by a court or detention pending a trial hearing or other judicial or administrative proceeding. Defines a “private detention facility” as a detention facility that is operated by a private, nongovernmental, for-profit entity pursuant to a contract or agreement with a governmental entity. Specifies that a “detention facility” does not include:<ol><li>A facility providing rehabilitative, counseling, treatment, mental health, educational, or medical services to a juvenile that is under the jurisdiction of the juvenile court;</li><li>A facility providing evaluation or treatment services to a person who has been detained, or is subject to an order of commitment by a court;</li><li>A facility providing educational, vocational, medical, or other ancillary services to an inmate in the custody of, and under the direct supervision of, the Department of Corrections and Rehabilitation or a county sheriff or other law enforcement agency; </li><li>A residential care facility; </li><li>A school facility used for the disciplinary detention of a pupil;</li><li>A facility used for the quarantine or isolation of persons for public health reasons; or, </li><li>A facility used for the temporary detention of a person detained or arrested by a merchant, private security guard, or other private person. [GOV §7320]</li></ol></li></ol>This bill clarifies that “private detention facilities,” as defined under existing law, are subject to inspection by LHOs.<h2>Comments</h2>Author’s statement. According to the author, the ability of LHOs to enter and inspect private detention facilities is not clearly addressed under current California law. As it stands the relevant statutes empower LHOs to enter public detention facilities and private work furlough facilities. The lack of clarity on oversight of private detention facilities poses a unique and critical public health challenge. Conditions in these facilities not only affect the lives of those detained, but also impacts the surrounding communities. During the COVID-19 pandemic, an outbreak at Otay Mesa Detention Facility resulted in more than 300 staff and detained individuals becoming infected. In order to ensure public health regulations and standards are upheld in private detention facilities for the health and safety of people detained and working in these facilities, this bill clarifies that LHOs have authority to inspect private detention facilities as deemed necessary.Background<ol><li>The federal government contracts with private detention facilities across the country to house federal inmates and immigration detainees. According to information provided by the sponsor of this bill, there are currently six private detention facilities operating in California:<ol><li>San Bernardino County: Adelanto ICE Processing Center (capacity 1,940) and Desert View Annex (capacity 750);</li><li>Kern County: Golden State Annex (700 capacity) and Mesa Verde ICE Processing Center (capacity 400); </li><li>San Diego County: Otay Mesa Detention Center (1,994 capacity); and,</li><li>Imperial County: Imperial Regional Detention Facility (704 capacity). </li></ol></li></ol>According to a July 2022 California Department of Justice (DOJ) report on immigration detention in California; federal, state, and local laws (including county public health orders) govern all immigration detention facilities operating in California. Facilities that contract to hold detained noncitizens are also bound by national detention standards, which establish requirements for emergency planning, security protocols, detainee classification, discipline, medical care, food service, activities and programming, detainee grievances, and access to legal services. The standards set the expectation that the Center for Disease Control and Prevention (CDC) guidelines “for the prevention and control of infectious and communicable diseases shall be followed,” and directs that each facility have written plans that “address the management of infectious and communicable diseases.” The standards also require “written plans that address the management of infectious and communicable diseases, including, but not limited to, testing, isolation, prevention, and education” as well as “reporting and collaboration with local or state health departments in accordance with state and local laws and recommendations. <ol><li>Reports of confusion over jurisdiction during COVID pandemic. According to the CDC, communicable disease can easily spread in congregate living facilities (such as detention facilities, emergency/homeless shelters, dormitories, group homes, and nursing homes) or other housing where people who are not related reside in close proximity and share at least one common room, such as a sleeping room, kitchen, bathroom, or living room. Federal and state government officials convened working groups and issued guidance to public health officials and facility administrators on how to minimize outbreaks of COVID-19. However, according to a February 22, 2021 CalMatters article, throughout the pandemic there was confusion about the role state and local health authorities play within federal detention facilities, which lead to problems with COVID testing and vaccine distribution. For example, immigrant rights organizations sent a letter to public health officials in Kern County asking about LHO oversight, including how it planned to ensure detainees were being tested for COVID. In response, the county’s director of public health services said they did not have jurisdiction over the center. According to the article, there were similar instances of confusion over jurisdiction in other counties.</li><li>LHO inspections of detention facilities in California. LHOs serve a number of public health functions at the local level, including to implement infectious disease control, emergency preparedness and response, and maternal, child, and adolescent health, through 61 legally-appointed physician LHOs in California (one from each of the 58 counties and the three cities of Berkeley, Long Beach, and Pasadena). Annual inspections of health and sanitary conditions in a county jail (or in the case of a city jail, where there is a city health officer) and publicly operated detention facilities, inspection checklists for minimum standards are determined by the Title 15 California Code of Regulations and CalCode. The checklists are divided by Adult Court and Temporary Holding Facilities, Adult Jail Facilities, and Juvenile Facilities; and, into three sections: environmental, nutritional, and medical/mental health. All three sections must be completed at each inspection. The BSCC follows up on items of noncompliance, as LHOs have no enforcement duties. The BSCC publicly posts the inspection reports, and existing law (Penal Code 6031.2) also requires the BSCC to submit a report to the Legislature showing results of its biennial facility inspections and monitoring of compliance with training standards (including non-compliance items from LHO investigations). </li></ol>Related/Prior Legislation AB 263 (Arambula, Chapter 294, Statutes of 2021) requires a private detention facility operator to comply with, and adhere to, all local and state public health orders and occupational safety and health regulations.FISCAL EFFECT:	Appropriation:	No	Fiscal Com.:	No	Local:	NoSUPPORT:	(Verified 4/23/24)California Collaborative for Immigrant Justice (co-source)California Immigrant Policy Center (co-source)Immigrant Defense Advocates (co-source)Next Gen California (co-source)Alliance for Boys and Men of ColorAmerican Civil Liberties Union California ActionAmnesty International USAAPLA HealthAsian Americans Advancing Justice Southern CaliforniaBuen VecinoCalifornia Coalition for Women PrisonersCalifornia Public Defenders AssociationCenter for Gender &amp; Refugee StudiesCommunities United for Restorative Youth JusticeCourage CaliforniaDisability Rights CaliforniaElla Baker Center for Human RightsFriends Committee on Legislation of CaliforniaHealth Officers Association of CaliforniaIndivisible California: StatestrongInitiate JusticeInland Coalition for Immigrant JusticeJustice &amp; Diversity Center of the Bar Association of San FranciscoLawyers’ Committee for Civil Rights of the San Francisco Bay AreaNorCal ResistOakland PrivacyORALE: Organizing Rooted in Abolition, Liberation, and EmpowermentPublic CounselSan Francisco Marin Medical SocietySecure JusticeOne individualOPPOSITION:	(Verified	4/23/24)None receivedARGUMENTS IN SUPPORT: The sponsors of this bill write that detention facilities can pose a public health risk to individuals held inside, as well as those who work, visit, or live near these sites. In the past, the majority of private detention facilities in California operated pursuant to joint contracts with counties, but have since shifted to direct contracts with the federal government. According to their federal contracts, these private facilities remain subject to California state and local public health oversight. However, advocates have documented a lack of clarity with respect to how these facilities are viewed by public health officials. All public detention facilities have mechanisms to review poor health and safety outcomes. However, oversight of health conditions in private detention facilities is limited. The federal government contracts with the Nakamoto Group Inc. to conduct annual inspections of private civil facilities in California, while the Office of Detention Oversight inspects facilities every three years. A recent report by the Department of Homeland Security (DHS) Office of Inspector General stated that Nakamoto’s inspections “do not fully examine actual conditions or identify all compliance deficiencies,” while the Office of Detention Oversight inspections are “too infrequent to ensure the facilities implement all corrections.” Poor health conditions in these facilities have been widely documented, with reports by Disability Rights noting that the Adelanto Detention facility, “... has an inadequate mental health care and medical care system, made worse by the facility’s harsh and counter-therapeutic practices.” This bill’s sponsors state that private detention facilities continue to pose challenges with respect to health, safety, and sanitary conditions. Detained individuals in these facilities continue to file numerous grievances in private facilities, which primarily revolve around detainees facing challenges in accessing timely medical attention, enduring prolonged waits for treatment of persistent conditions—stretching to months—and encountering difficulties in obtaining essential medications. One specific detainee recounted losing multiple teeth due to a two-year delay in receiving dental cavity fillings. During inspections, a prison dentist reportedly proposed that detainees could improve their dental hygiene by using strings from their shoes for flossing their teeth. The sponsors write that the goal of this bill is to ensure that county health officials have the ability to enter these facilities when necessary. The bill does not impose an annual inspection requirement to county health officials, but empowers them to ensure that these private facilities adhere to public health orders and guidelines that are necessary to keep our state safe.Prepared by:	Melanie Moreno / HEALTH / (916) 651-41114/24/24 11:16:20**** END ****

<h1>SENATE COMMITTEE ON PUBLIC SAFETY</h1>Senator Aisha Wahab, Chair2023 - 2024 Regular Bill No:	SB 1132		 Hearing Date: April 23, 2024 <table><tr><td>Author:</td><td colspan="3">Durazo</td></tr><tr><td>Version:</td><td colspan="3">April 9, 2024 </td></tr><tr><td>Urgency:</td><td>No</td><td>Fiscal:</td><td>No</td></tr><tr><td>Consultant:</td><td colspan="3">SJ</td></tr></table>Subject: County health officers<h2>HISTORY</h2>Source:	California Collaborative for Immigrant JusticeCalifornia Immigrant Policy Center Immigrant Defense AdvocatesNext Gen CaliforniaPrior Legislation:	SB 334 (Durazo), Ch. 298, Stats. 2021AB 263 (Arambula), Ch. 294, Stats. 2021AB 3228 (Bonta), Ch. 190, Stats. 2020AB 32 (Bonta), Ch. 739, Stats. 2019	AB 1320 (Bonta), vetoed in 2017Support:	ACLU California Action; All Rise Alameda; Alliance for Boys and Men of Color; Amnesty International USA; APLA Health; Asian Americans Advancing Justice-Southern California; Buen Vecino; California Coalition for Women Prisoners; California Pan-Ethnic Health Network; California Public Defenders Association; California Rural Legal Assistance Foundation; Center for Gender &amp; Refugee Studies; Center for Immigration Law and Policy, UCLA Law; Central Valley Immigrant Integration Collaborative; Communities United for Restorative Youth Justice; Courage California; Disability Rights California; Ella Baker Center for Human Rights; Friends Committee on Legislation of California; Human Impact Partners; Immigrant Health Equity and Legal Partnership; Immigrant Legal Defense; Indivisible CA: Statestrong; Initiate Justice; Inland Coalition for Immigrant Justice; Interfaith Movement for Human Integrity; Justice &amp; Diversity Center of the Bar Association of San Francisco; Keck Human Rights Clinic; Kern Welcoming and Extending Solidarity to Immigrant; La Cosecha; Latin Advocacy Network; Lawyers’ Committee for Civil Rights of the San Francisco Bay Area; National Lawyers Guild- SF Bay Area Chapter; NorCal Resist; Oakland Privacy; Orale: Organizing Rooted in Abolition Liberation and Empowerment; Public Counsel; Secure Justice; Southeast Asia Resource Action Center; Voices for ProgressOpposition:	None known	 PURPOSEThe purpose of this bill is to clarify that “private detention facilities” are subject to inspection by local health officers.Existing law requires each county board of supervisors to appoint a local health officer (LHO). Provides that in the unincorporated territory of the county, LHOs are required to enforce and observe orders of the board pertaining to public health and sanitary matters, including regulations prescribed by the California Department of Public Health (CDPH), and statutes relating to public health. (Health &amp; Saf. Code, §§ 101000, 101030.)Existing law requires the LHO to investigate health and sanitary conditions in every county jail, every other publicly operated detention facility in the county, and all private work furlough facilities and programs at least annually. Requires private work furlough facilities and programs to pay an annual fee commensurate with the annual cost of investigations. Authorizes LHOs to make additional investigations of any county jail or other detention facility of the county as determined necessary. Requires LHOs to submit a report to the Board of State and Community Corrections (BSCC), the person in charge of the jail or detention facility, and to the board of supervisors or city governing board. Requires the city LHO to investigate health and sanitary conditions in every city jail and other detention facility at least annually in any city having a health officer. Authorizes the city LHP to make additional investigations of any city jail or detention facility as determined necessary. Requires the city LHO to submit a report to the BSCC, the person in charge of the jail or detention facility, and to the city governing body. (Health &amp; Saf. Code, § 101045.)Existing law requires LHOs, whenever requested by the sheriff, the chief of police, local legislative body, or the BSCC, but not more often than twice annually, to investigate health and sanitary conditions in any jail or detention facility, and submit a report to the officer and agency requesting the investigation and to the BSCC. (Health &amp; Saf. Code, § 101045.)Existing law requires the investigating LHO to determine if the food, clothing, and bedding is of sufficient quantity and quality that at least equal minimum standards and requirements of the BSCC for the feeding, clothing, and care of prisoners in all local jails and detention facilities, and if the sanitation requirements for restaurants have been maintained. (Health &amp; Saf. Code, § 101045.) Existing law requires a private detention facility operator to comply with, and adhere to, the detention standards of care and confinement agreed upon in the facility’s contract for operations. (Gov. Code, § 7320, subd. (a).)Existing law defines a “detention facility” as a facility in which persons are incarcerated or otherwise involuntarily confined for purposes of execution of a punitive sentence imposed by a court or detention pending a trial hearing or other judicial or administrative proceeding. Specifies that a “detention facility” does not include:<ul><li>A facility providing rehabilitative, counseling, treatment, mental health, educational, or medical services to a juvenile that is under the jurisdiction of the juvenile court;</li><li>A facility providing evaluation or treatment services to a person who has been detained, or is subject to an order of commitment by a court;</li><li>A facility providing educational, vocational, medical, or other ancillary services to an inmate in the custody of, and under the direct supervision of, the Department of Corrections and Rehabilitation or a county sheriff or other law enforcement agency; </li><li>A residential care facility; </li><li>A school facility used for the disciplinary detention of a pupil;</li><li>A facility used for the quarantine or isolation of persons for public health reasons; or, </li><li>A facility used for the temporary detention of a person detained or arrested by a merchant, private security guard, or other private person. </li></ul>(Gov. Code, § 7320, subd. (b)(1).)Existing law defines a “private detention facility” as a detention facility that is operated by a private, nongovernmental, for-profit entity pursuant to a contract or agreement with a governmental entity. (Gov. Code, § 7320, subd. (b)(2).)Existing law defines a “private detention facility operator” as any private person, corporation, or business entity that operates a private detention facility. (Gov. Code, § 7320, subd. (b)(3).)This bill adds private detention facility to the statute authorizing the LHO to make additional investigations of a county jail or other detention facility of the county as necessary. This bill provides that “private detention facilities” has the same meaning as it does in the Government Code. COMMENTS<ol><li>Need For This Bill</li></ol>According to the author:The ability of county public health officers to enter and inspect private detention facilities is not clearly addressed under current California law. As it stands the relevant statutes empower county health officials to enter public detention facilities and private work furlough facilities. The lack of clarity on oversight of private detention facilities poses a unique and critical public health challenge. Conditions in these facilities not only affect the lives of those detained, but also impacts the surrounding communities. During the COVID-19 pandemic, an outbreak at Otay Mesa Detention Facility resulted in more than 300 staff and detained individuals becoming infected. In order to ensure public health regulations and standards are upheld in private detention facilities for the health and safety of people detained and working in these facilities, SB 1132 clarifies that county health officers have authority to inspect private detention facilities as deemed necessary.<ol><li>Private Detention Facilities</li></ol>The federal government contracts with private detention facilities across the country to house immigration detainees. There are currently six private detention facilities operating in California in four counties—San Bernardino County, Kern County, San Diego County, and Imperial County.Federal, state, and local laws, including county public health orders, govern all immigration detention facilities operating in California. (California Department of Justice, Immigration Detention in California: A Review of Detention Facilities’ Response to COVID-19 as of Fall 2021 (Jul. 2022), p. 6 available at &lt;https://oag.ca.gov/system/files/media/immigration-detention-2022.pdf?&gt;.) Facilities that contract to hold detained noncitizens are also required to comply with national detention standards, which establish requirements for emergency planning, security protocols, detainee classification, discipline, medical care, food service, activities and programming, detainee grievances, and access to legal services. (Id. at p. 7.) The standards set the expectation that the Centers for Disease Control and Prevention (CDC) guidelines “for the prevention and control of infectious and communicable diseases shall be followed,” and directs each facility have written plans that “address the management of infectious and communicable diseases.” (Ibid.) <ol><li>Inspection of Detention Facilities </li></ol>LHOs serve a number of public health functions at the local level, including managing infectious disease control, implementing emergency preparedness and response, and overseeing public health services. There are 61 appointed physician LHOs in California—one for each of the 58 counties and the cities of Berkeley, Long Beach, and Pasadena. Regulations establish minimum standards for local detention facilities, including standards for the administration and operation of the facilities, medical and mental health care, nutritional quality of food, and environmental standards. Regulations define “local detention facility” to mean “any city, county, city and county, or regional jail, camp, court holding facility, or other correctional facility, whether publicly or privately operated, used for confinement of adults or of both adults and minors, but does not include that portion of a facility for confinement of both adults and minors which is devoted only to the confinement of minors.” (Cal. Code of Regs., tit. 15, § 1006.)County jails, city jails, and other publicly operated detention facilities are subject to biennial inspections by the BSCC. (Pen. Code, § 6031.1.) Those biennial inspections include the annual health and safety inspections that LHOs are required to conduct annually, and which LHOs are authorized to conduct more frequently if necessary. (Pen. Code, § 6031.1, Health &amp; Saf. Code, § 101045.) The BSCC is required to publicly posts the inspection reports as well as submit a report every two years to the Legislature which includes information pertaining to the inspection of those local detention facilities that have not complied with the minimum standards, specifying the areas in which the facility has failed to comply and the estimated cost to the facility in order to comply with the minimum standards. (Pen. Code, §§ 6031.1, 6031.2.) <ol><li>Jurisdiction Over Private Detention Facilities</li></ol>Communicable disease can easily spread in congregate living facilities or other housing where people who are not related reside in close proximity and share at least one common room. (National Center for Immunization and Respiratory Diseases (U.S.), Division of Viral Diseases, COVID-19 Guidance for Shared or Congregate Housing (Aug. 22, 2020), p. 1 available at &lt;https://stacks.cdc.gov/view/cdc/92388&gt;.) During the COVID-19 pandemic, there were reports that there was confusion about the role of state and local health authorities with regard to federal detention facilities, which may have led to delays for vaccine distribution. (Ana Ibarra, Immigration detention centers showcase California’s vaccine chaos (Feb. 22, 2021) available at &lt;https://calmatters.org/health/coronavirus/2021/02/imigrants-detention-centers-vaccine/.&gt;) For example, immigrant rights organizations sent a letter to public health officials in Kern County asking about LHO oversight, including how it planned to ensure detainees were being tested for COVID. (Ibid.) In response, the county’s director of public health services said they did not have jurisdiction over the center. (Ibid.) The article indicated that there were similar instances of confusion over jurisdiction in other counties. (Ibid.)This bill provides that private detention facilities are subject to inspection by local health officers.<ol><li>Argument in Support</li></ol>According to a coalition of organizations, including the co-sponsors of the bill:In the past, the majority of private detention facilities in California operated pursuant to joint contracts with counties, but have since shifted to direct contracts with the federal government. Despite this change, according to their federal contracts, these private facilities remain subject to California state and local public health oversight. While public health oversight laws empower inspections of “publicly operated detention facilities and all private work furlough facilities,” they do not explicitly cover private detention facilities. [See California Code, Health and Safety Code- HSC § 101045].…[A]dvocates have documented a lack of clarity with respect to how these facilities are viewed by public health officials. On Aug. 24, 2020, immigrant rights organizations sent a letter to public health officials in Kern County, home to the Mesa Verde Detention Center, seeking information related to COVID-19 testing. In response, the county’s director of public health services said their department did not have jurisdiction over the center.…All public detention facilities have mechanisms to review poor health and safety outcomes. However, oversight of health conditions in private detention facilities is limited. The federal government contracts with the Nakamoto Group Inc. to conduct annual inspections of private civil facilities in California … A recent report by the Department of Homeland Security Office of Inspector General stated that Nakamoto’s inspections “do not fully examine actual conditions or identify all compliance deficiencies,” while Office of Detention Oversight inspections are “too infrequent to ensure the facilities implement all corrections.”…Private detention facilities continue to pose challenges with respect to health, safety, and sanitary conditions. …The goal of SB 1132 is to ensure that county health officials have the ability to enter these facilities when necessary. The bill does not impose an annual inspection requirement to county health officials, but empowers them to ensure that these private facilities adhere to public health orders and guidelines that are necessary to keep our state safe. -- END --

<h1>SENATE COMMITTEE ON HEALTH</h1>Senator Richard Roth, ChairBILL NO: SB 1132	 <table><tr><td>AUTHOR:</td><td colspan="3">Durazo</td></tr><tr><td>VERSION:</td><td colspan="3">February 13, 2024 </td></tr><tr><td>HEARING DATE:</td><td>April 3, 2024</td><td></td><td></td></tr><tr><td>CONSULTANT:</td><td colspan="3">Melanie Moreno</td></tr></table>SUBJECT: County health officers<h2>SUMMARY:</h2> Clarifies that “private detention facilities,” as defined, are subject to inspection by local health officers.Existing law:<ol><li>Requires each county board of supervisors to appoint a local health officer (LHO). Requires LHOs to enforce and observe orders of the board pertaining to public health and sanitary matters, including regulations prescribed by the California Department of Public Health (CDPH), and statutes relating to public health. [HSC §101000 and §101030]</li><li>Requires LHOs to investigate health and sanitary conditions in every publicly operated detention facility in the county or city (including county and city jails), and all private work furlough facilities and programs, at least annually. Requires private work furlough facilities and programs to pay an annual fee commensurate with the annual cost of investigations. Permits LHOs to make additional investigations of any detention facility as determined necessary. Requires LHOs to submit a report to the Board of State and Community Corrections (BSCC), the person in charge of the jail or detention facility, and to the board of supervisors or city governing board (in the case of a city that has an LHO). [HSC §101045]</li><li>Requires LHOs, whenever requested by the sheriff, the chief of police, local legislative body, or the BSCC, but not more often than twice annually, to investigate health and sanitary conditions in any jail or detention facility, and submit a report to the officer and agency requesting the investigation and to the BSCC. [HSC §101045]</li><li>Requires the investigating LHO to determine if the food, clothing, and bedding is of sufficient quantity and quality that at least equal minimum standards and requirements of the BSCC for the feeding, clothing, and care of prisoners in all local jails and detention facilities, and if the sanitation requirements under the California Retail Food Code (CalCode), have been maintained. [HSC §101045]</li><li>Defines a “detention facility” as a facility in which persons are incarcerated or otherwise involuntarily confined for purposes of execution of a punitive sentence imposed by a court or detention pending a trial hearing or other judicial or administrative proceeding. Defines a “private detention facility” as a detention facility that is operated by a private, nongovernmental, for-profit entity pursuant to a contract or agreement with a governmental entity. Specifies that a “detention facility” does not include:<ol><li>A facility providing rehabilitative, counseling, treatment, mental health, educational, or medical services to a juvenile that is under the jurisdiction of the juvenile court;</li><li>A facility providing evaluation or treatment services to a person who has been detained, or is subject to an order of commitment by a court;</li><li>A facility providing educational, vocational, medical, or other ancillary services to an inmate in the custody of, and under the direct supervision of, the Department of Corrections and Rehabilitation or a county sheriff or other law enforcement agency; </li><li>A residential care facility; </li><li>A school facility used for the disciplinary detention of a pupil;</li><li>A facility used for the quarantine or isolation of persons for public health reasons; or, </li><li>A facility used for the temporary detention of a person detained or arrested by a merchant, private security guard, or other private person. [GOV §7320]</li></ol></li></ol>This bill: Clarifies that “private detention facilities,” as defined under existing law, are subject to inspection by LHOs.<h2>FISCAL EFFECT:</h2> This bill has not been analyzed by a fiscal committee.<h2>COMMENTS:</h2><ol><li>Author’s statement. According to the author, the ability of LHOs to enter and inspect private detention facilities is not clearly addressed under current California law. As it stands the relevant statutes empower LHOs to enter public detention facilities and private work furlough facilities. The lack of clarity on oversight of private detention facilities poses a unique and critical public health challenge. Conditions in these facilities not only affect the lives of those detained, but also impacts the surrounding communities. During the COVID-19 pandemic, an outbreak at Otay Mesa Detention Facility resulted in more than 300 staff and detained individuals becoming infected. In order to ensure public health regulations and standards are upheld in private detention facilities for the health and safety of people detained and working in these facilities, this bill clarifies that LHOs have authority to inspect private detention facilities as deemed necessary.</li><li>Background. The federal government contracts with private detention facilities across the country to house federal inmates and immigration detainees. According to information provided by the sponsor of this bill, there are currently six private detention facilities operating in California:<ol><li>San Bernardino County: Adelanto ICE Processing Center (capacity 1,940) and Desert View Annex (capacity 750);</li><li>Kern County: Golden State Annex (700 capacity) and Mesa Verde ICE Processing Center (capacity 400); </li><li>San Diego County: Otay Mesa Detention Center (1,994 capacity); and,</li><li>Imperial County: Imperial Regional Detention Facility (704 capacity). </li></ol></li></ol>According to a July 2022 California Department of Justice (DOJ) report on immigration detention in California; federal, state, and local laws (including county public health orders) govern all immigration detention facilities operating in California. Facilities that contract to hold detained noncitizens are also bound by national detention standards, which establish requirements for emergency planning, security protocols, detainee classification, discipline, medical care, food service, activities and programming, detainee grievances, and access to legal services. The standards set the expectation that the Center for Disease Control and Prevention (CDC) guidelines “for the prevention and control of infectious and communicable diseases shall be followed,” and directs that each facility have written plans that “address the management of infectious and communicable diseases.” The standards also require “written plans that address the management of infectious and communicable diseases, including, but not limited to, testing, isolation, prevention, and education” as well as “reporting and collaboration with local or state health departments in accordance with state and local laws and recommendations. <ol><li>Reports of confusion over jurisdiction during COVID pandemic. According to the CDC, communicable disease can easily spread in congregate living facilities (such as detention facilities, emergency/homeless shelters, dormitories, group homes, and nursing homes) or other housing where people who are not related reside in close proximity and share at least one common room, such as a sleeping room, kitchen, bathroom, or living room. Federal and state government officials convened working groups and issued guidance to public health officials and facility administrators on how to minimize outbreaks of COVID-19. However, according to a February 22, 2021 CalMatters article, throughout the pandemic there was confusion about the role state and local health authorities play within federal detention facilities, which lead to problems with COVID testing and vaccine distribution. For example, immigrant rights organizations sent a letter to public health officials in Kern County asking about LHO oversight, including how it planned to ensure detainees were being tested for COVID. In response, the county’s director of public health services said they did not have jurisdiction over the center. According to the article, there were similar instances of confusion over jurisdiction in other counties.</li><li>LHO inspections of detention facilities in California. LHOs serve a number of public health functions at the local level, including to implement infectious disease control, emergency preparedness and response, and maternal, child, and adolescent health, through 61 legally-appointed physician LHOs in California (one from each of the 58 counties and the three cities of Berkeley, Long Beach, and Pasadena). Annual inspections of health and sanitary conditions in a county jail (or in the case of a city jail, where there is a city health officer) and publicly operated detention facilities, inspection checklists for minimum standards are determined by the Title 15 California Code of Regulations and CalCode. The checklists are divided by Adult Court and Temporary Holding Facilities, Adult Jail Facilities, and Juvenile Facilities; and, into three sections: environmental, nutritional, and medical/mental health. All three sections must be completed at each inspection. The BSCC follows up on items of noncompliance, as LHOs have no enforcement duties. The BSCC publicly posts the inspection reports, and existing law (Penal Code 6031.2) also requires the BSCC to submit a report to the Legislature showing results of its biennial facility inspections and monitoring of compliance with training standards (including non-compliance items from LHO investigations). </li><li>Double referral. This bill has been double referred. Should it pass out of this Committee, it will be referred to the Committee on Public Safety.</li><li>Prior legislation. AB 263 (Arambula, Chapter 294, Statutes of 2021) requires a private detention facility operator to comply with, and adhere to, all local and state public health orders and occupational safety and health regulations.</li><li>Support. The sponsors of this bill write that detention facilities can pose a public health risk to individuals held inside, as well as those who work, visit, or live near these sites. In the past, the majority of private detention facilities in California operated pursuant to joint contracts with counties, but have since shifted to direct contracts with the federal government. According to their federal contracts, these private facilities remain subject to California state and local public health oversight. However, advocates have documented a lack of clarity with respect to how these facilities are viewed by public health officials. All public detention facilities have mechanisms to review poor health and safety outcomes. However, oversight of health conditions in private detention facilities is limited. The federal government contracts with the Nakamoto Group Inc. to conduct annual inspections of private civil facilities in California, while the Office of Detention Oversight inspects facilities every three years. A recent report by the Department of Homeland Security (DHS) Office of Inspector General stated that Nakamoto’s inspections “do not fully examine actual conditions or identify all compliance deficiencies,” while the Office of Detention Oversight inspections are “too infrequent to ensure the facilities implement all corrections.” Poor health conditions in these facilities have been widely documented, with reports by Disability Rights noting that the Adelanto Detention facility, “... has an inadequate mental health care and medical care system, made worse by the facility’s harsh and counter-therapeutic practices.” This bill’s sponsors state that private detention facilities continue to pose challenges with respect to health, safety, and sanitary conditions. Detained individuals in these facilities continue to file numerous grievances in private facilities, which primarily revolve around detainees facing challenges in accessing timely medical attention, enduring prolonged waits for treatment of persistent conditions—stretching to months—and encountering difficulties in obtaining essential medications. One specific detainee recounted losing multiple teeth due to a two-year delay in receiving dental cavity fillings. During inspections, a prison dentist reportedly proposed that detainees could improve their dental hygiene by using strings from their shoes for flossing their teeth. The sponsors write that the goal of this bill is to ensure that county health officials have the ability to enter these facilities when necessary. The bill does not impose an annual inspection requirement to county health officials, but empowers them to ensure that these private facilities adhere to public health orders and guidelines that are necessary to keep our state safe.</li></ol><h2>SUPPORT AND OPPOSITION:</h2>Support:	California Collaborative for Immigrant Justice (co-sponsor)California Immigrant Policy Center (co-sponsor)Immigrant Defense Advocates (co-sponsor)Next Gen California (co-sponsor)	Alliance for Boys and Men of Color	American Civil Liberties Union California Action	APLA HealthAsian Americans Advancing Justice Southern CaliforniaCalifornia Coalition for Women PrisonersCenter for Gender &amp; Refugee Studies	Communities United for Restorative Youth Justice	Courage California	Indivisible California: Statestrong	Initiate Justice	Inland Coalition for Immigrant Justice	Lawyers’ Committee for Civil Rights of the San Francisco Bay Area	Oakland Privacy	ORALE: Organizing Rooted in Abolition, Liberation, and Empowerment	Secure JusticeOppose:	None received 	-- END --

(2024-04-24: Read second time. Ordered to third reading.)

County health officers.

<caml:Preamble>The people of the State of California do enact as follows:</caml:Preamble><caml:BillSection id="id_60B20C36-7F8B-430A-A9AE-D2FC45F227AF"><caml:Num>SECTION 1.</caml:Num><caml:ActionLine action="IS_REPEALED" xlink:href="urn:caml:codes:HSC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'101.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'101045.'%5D)" xlink:label="fractionType: LAW_SECTION" xlink:type="locator">Section 101045 of the <caml:DocName>Health and Safety Code</caml:DocName> is repealed.</caml:ActionLine><caml:Fragment/></caml:BillSection><caml:BillSection id="id_BA66B508-5C3B-4F0D-8759-AC98DA3B98DA"><caml:Num>SEC. 2.</caml:Num><caml:ActionLine action="IS_ADDED" xlink:href="urn:caml:codes:HSC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'101.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'101045.'%5D)" xlink:label="fractionType: LAW_SECTION" xlink:type="locator">Section 101045 is added to the <caml:DocName>Health and Safety Code</caml:DocName>, to read:</caml:ActionLine><caml:Fragment><caml:LawSection id="id_0E305869-8DBF-4500-BE1E-FDEB10494793"><caml:Num>101045.</caml:Num><caml:LawSectionVersion id="id_BB372753-AC7C-4DED-A560-E2726AEAE0D1"><caml:Content>(a)The county health officer shall, at least annually, investigate health and sanitary conditions in a county jail, publicly operated detention facility in the county, and private work furlough facility and program established pursuant to Section 1208 of the Penal Code. A private work furlough facility and program shall pay an annual fee to the county health officer commensurate with the annual cost of those investigations, as determined by the county health officer. The county health officer may make additional investigations of a county jail, private detention facility, or other detention facility of the county as they determine necessary. The county health officer shall submit a report to the Board of State and Community Corrections, the sheriff or other person in charge of the jail or detention facility,
				 and to the board of supervisors. In a city having a health officer, the city health officer shall, at least annually, investigate health and sanitary conditions in a city jail and other detention facility. The city health officer may make additional investigations of a city jail, private detention facility, or other detention facility as they determine necessary. The city health officer shall submit a report to the Board of State and Community Corrections, the person in charge of the jail or detention facility, and to the city governing body.(b)Whenever requested by the sheriff, the chief of police, local legislative body, or the Board of State and Community Corrections, but not more often than twice annually, the county health officer or, in cities having a city health officer, the city health officer, shall investigate health and sanitary conditions in a jail or detention facility described in this section, and submit a report to each of
				 the officers and agencies authorized in this section to request the investigation and to the Board of State and Community Corrections.(c)The investigating officer shall determine if the food, clothing, and bedding is of sufficient quantity and quality that at least shall equal minimum standards and requirements prescribed by the Board of State and Community Corrections for the feeding, clothing, and care of prisoners in local jails and detention facilities, and if the sanitation requirements required by Article 1 (commencing with Section 114250) of Chapter 8 of Part 7 of Division 104 for restaurants have been maintained.(d)For the purposes of this section, private detention facility has the same meaning as in Section 7320 of the Government Code.</caml:Content></caml:LawSectionVersion></caml:LawSection></caml:Fragment></caml:BillSection>

<caml:Preamble>The people of the State of California do enact as follows:</caml:Preamble><caml:BillSection id="id_60B20C36-7F8B-430A-A9AE-D2FC45F227AF"><caml:Num>SECTION 1.</caml:Num><caml:ActionLine action="IS_REPEALED" xlink:href="urn:caml:codes:HSC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'101.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'101045.'%5D)" xlink:label="fractionType: LAW_SECTION" xlink:type="locator">Section 101045 of the <caml:DocName>Health and Safety Code</caml:DocName> is repealed.</caml:ActionLine><caml:Fragment><caml:LawSection id="id_C4345547-FD83-4AF6-9547-55AF847A0D90"><caml:Num>101045.</caml:Num><caml:LawSectionVersion id="id_9070EFAB-91C2-492D-B910-9322011B8F83"><caml:Content><xhtml:p>The county health officer shall investigate health and sanitary conditions in every county jail, every other publicly operated detention facility in the county, and all private work furlough facilities and programs established pursuant to Section 1208 of the Penal Code, at least annually. Private work furlough facilities and programs shall pay an annual fee to the county health officer commensurate with the annual cost of those investigations, as determined by the county health officer. He or she may make additional investigations of any county jail or other detention facility of the county as he or she determines necessary. He or she shall submit a report to the Board of Corrections, the sheriff or other person in charge of the jail or detention facility, and to the board of supervisors. In any city having a health officer, the city health officer shall investigate health and sanitary conditions in every city jail and other detention facility at least annually. He or she may make additional investigations of any city jail or detention facility as he or she determines necessary. He or she shall submit a report to the Board of Corrections, the person in charge of the jail or detention facility, and to the city governing body.</xhtml:p><xhtml:p>Whenever requested by the sheriff, the chief of police, local legislative body, or the Board of Corrections, but not more often than twice annually, the county health officer or, in cities having a city health officer, the city health officer, shall investigate health and sanitary conditions in any of the jails and detention facilities described in this section, and submit a report to each of the officers and agencies authorized in this section to request the investigation and to the Board of Corrections.</xhtml:p><xhtml:p>The investigating officer shall determine if the food, clothing, and bedding is of sufficient quantity and quality that at least shall equal minimum standards and requirements prescribed by the Board of Corrections for the feeding, clothing and care of prisoners in all local jails and detention facilities, and if the sanitation requirements required by Article 11 (commencing with Section 114250) of Chapter 4 of Part 7 of Division 107 for restaurants have been maintained.</xhtml:p></caml:Content></caml:LawSectionVersion></caml:LawSection></caml:Fragment></caml:BillSection><caml:BillSection id="id_BA66B508-5C3B-4F0D-8759-AC98DA3B98DA"><caml:Num>SEC. 2.</caml:Num><caml:ActionLine action="IS_ADDED" xlink:href="urn:caml:codes:HSC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'101.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'3.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'101045.'%5D)" xlink:label="fractionType: LAW_SECTION" xlink:type="locator">Section 101045 is added to the <caml:DocName>Health and Safety Code</caml:DocName>, to read:</caml:ActionLine><caml:Fragment><caml:LawSection id="id_0E305869-8DBF-4500-BE1E-FDEB10494793"><caml:Num>101045.</caml:Num><caml:LawSectionVersion id="id_BB372753-AC7C-4DED-A560-E2726AEAE0D1"><caml:Content>(a)The county health officer shall, at least annually, investigate health and sanitary conditions in a county jail, publicly operated detention facility in the county, and private work furlough facility and program established pursuant to Section 1208 of the Penal Code. A private work furlough facility and program shall pay an annual fee to the county health officer commensurate with the annual cost of those investigations, as determined by the county health officer. The county health officer may make additional investigations of a county jail, private detention facility, or other detention facility of the county as they determine necessary. The county health officer shall submit a report to the Board of State and Community Corrections, the sheriff or other person in charge of the jail or detention facility,
				 and to the board of supervisors. In a city having a health officer, the city health officer shall, at least annually, investigate health and sanitary conditions in a city jail and other detention facility. The city health officer may make additional investigations of a city jail, private detention facility, or other detention facility as they determine necessary. The city health officer shall submit a report to the Board of State and Community Corrections, the person in charge of the jail or detention facility, and to the city governing body.(b)Whenever requested by the sheriff, the chief of police, local legislative body, or the Board of State and Community Corrections, but not more often than twice annually, the county health officer or, in cities having a city health officer, the city health officer, shall investigate health and sanitary conditions in a jail or detention facility described in this section, and submit a report to each of
				 the officers and agencies authorized in this section to request the investigation and to the Board of State and Community Corrections.(c)The investigating officer shall determine if the food, clothing, and bedding is of sufficient quantity and quality that at least shall equal minimum standards and requirements prescribed by the Board of State and Community Corrections for the feeding, clothing, and care of prisoners in local jails and detention facilities, and if the sanitation requirements required by Article 1 (commencing with Section 114250) of Chapter 8 of Part 7 of Division 104 for restaurants have been maintained.(d)For the purposes of this section, private detention facility has the same meaning as in Section 7320 of the Government Code.</caml:Content></caml:LawSectionVersion></caml:LawSection></caml:Fragment></caml:BillSection>

Read second time. Ordered to third reading.

From committee: Do pass. (Ayes  5. Noes  0.) (April  23).

From committee with author's amendments. Read second time and amended. Re-referred to Com. on  PUB S.

From committee: Do pass and re-refer to Com. on  PUB S. (Ayes  8. Noes  1.) (April  3). Re-referred to Com. on  PUB S.

From printer. May be acted upon on or after March  15.

Introduced.  Read first time.  To Com. on RLS. for assignment.  To print.

Do pass, but first be re-referred to the Committee on [Public Safety]

SB 1132: County health officers.

Current Status:

Senate Standing Committee on Public Safety

Senate Standing Committee on Public Safety

Senate Standing Committee on Health

News Coverage: