Office of Enforcement and Remover! Operations U.S. Department of Homeland Security 500 12?h Street, sw Washington, DC 20536 ,Qi??mn'itlg U.S. Immigration and Customs Enforcement MEMORANDUM FOR: Ricardo Wong Field Of?ce Director (bm? MAY 2 9 ZUIZ FROM: Assistant Director for Custody Management SUBJECT: Tri-County Justice and Detention Center Review 20 I 2 The annual review of the Tri-County Justice and Detention Center conducted on February 22 24, 2012, in Ullin, IL has been received. A ?nal rating of Meets Standards has been assigned and this review is now closed. The rating was based on the Lead Compliance Inspector (LCI) Summary Memorandum and supporting documentation. The Field Of?ce Director must initiate the following actions in accordance with the Detention Management Control Program (DMCP): l) The Field Of?ce Director, Enforcement and Removal Operations, shall notify the facility within ?ve business days of receipt of this memorandum. Noti?cation shall include copies of the Form G-324 Detention Facility Review Form, the G-324 Worksheet, LCI Summary Memorandum, and a copy of this memorandum. Should you or vour staff have any questions regarding this matter, please contact Deputy Assistant Director, Detention Management Division at (202) 73b)(6), cc: Of?cial File FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) 0v ICE 2012FOIA03030.012963 Condition of Confinement Inspection Worksheet (This document must be attached to each G-324A Detention Review Form) This Form is to be used for Inspections of Facilities used over 72 Hours Performance-Based National Detention Standards Inspection Worksheet for Over 72 Hour Facilities 5-11-09 update Name Intergovernmental Service Agreement (IGSA) ICE Service Processing Center (SPC) ICE Contract Detention Facility (CDF) Tri-County Justice and Detention Center Address (Street and Name) 1026 Shawnee College Rd City, State and Zip Code Ullin, Illinois 62992 County Pulaski Name and Title of Chief Executive Officer (Warden/Superintendent/Facility Administrator) (b)(6), (b)(7)c Name and Title of Lead Compliance Inspector (b)(6), (b)(7)c The Nakamoto Group, Inc. Date[s] of Review From 2/22/2012 to 2/24/2012 Type of Review Headquarters Operational Special Assessment Other 1 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012964 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Introduction to the G324A Over 72hour Facility Detention Inspection Worksheets What is “Performance-Based”? Unlike “policy and procedures” that focus solely on what is to be done, performance-based policy starts with a focus on the results or outcomes that the required procedures are expected to accomplish. Each National Detention Standard has been revised to produce Expected Outcomes that are clearly stated. Each standard reflects the overall mission and purpose of the agency and contributes to the goal that has been articulated. Expected Practices found in the National Detention Standards (NDS) represent what is to be done to accomplish the Expected Outcomes that will meet the Purpose and Scope of the Detention Standard. Outcome Measures (key indicators) are identifiers used to verify whether a facility is accomplishing the goals, of the outcomes expected. The original 38 NDS have been revised into 41 performance-based standards. During the development four new standards were added to include: News Media, Searches of Detainees, Sexual Abuse and Assault Prevention and Intervention and Staff Training. The two standards on Special Management Units were condensed into one standard. The new performance-based standards have incorporated American Correctional Association (ACA) Adult Local Detention Facility standards, which are the industry benchmark. Worksheet Overview There are two sets of Detention Review Worksheets that are used to assess facility compliance with the National Detention Standards (NDS). Both sets of these worksheets are derived from the policy and procedures set forth in the NDS. The G324A is for use with facilities that house detainees for over 72 hours, while the G324B is for use with facilities that house detainees for less than 72 hours. The G324B is for use with facilities that house detainees less than 72 hours and does not contain the same amount of requirements as the G324A in the following NDS: Correspondence and Other Mail, Escorted Trips for Non-Medical Emergencies, Law Libraries and Legal Material, Legal Rights Group Presentations, Marriage Requests, Recreation, and Voluntary Work Program. These standards were not included in the prior version of the G324B, due to the short term nature of detention in facilities that are used for 72 hours or less. These sections are now included in the G324B but only to the extent that facilities seek applicability and are not mandated by ICE. For example, voluntary work programs are not required, but if detainees work, compliance with the NDS is required. Mandatory components in several of the standards have been indicated in the worksheets. Mandatory items are those which must be met in order for the facility to receive a “Meets Standards” rating for that standard. These mandatory components typically represent life safety issues. A “Does Not Meet Standards” on one of these components is very serious. Failing to meet one of the mandatory components means that the overall facility review rating will be “Does Not Meet Standards”. 2 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012965 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 The Outcome Measures Worksheet section is completely new for the performance-based NDS. The Outcome Measures Worksheets will be completed by facility staff prior to arrival of the review team at the facility to be reviewed. Ideally, this information will be maintained on a continuous basis by the facility as part of a key indicators database to provide a perpetual record for monitoring facility performance. The Reviewer in Charge (RIC) will review facility outcome measures data and provide analysis of the data to describe facility performance and trends. Worksheet Completion Reviewers are required to complete each item within each section of the G324A and G324B Detention Review Worksheets. Worksheets are in a uniform format with 5 columns with NDS purpose and scope cited at the top of the worksheet. Column 1 contains the NDS standard assessment component. Columns 2-4 are provided for the ratings assigned to each component that is assessed. While there is a column titled N/A or not applicable, the N/A rating should be used rarely and only when applicable. The remarks section is provided for reviewers to include details on each rating that may raise a question such as the “Does Not Meet Standard” or “N/A” ratings. A Remarks section is also provided at the end of the outcome measures section for summary comments and analysis of outcome measures data. The information included in the worksheet components remarks sections and in the final summary remarks section should be considered for inclusion in the reviewer report that summarizes the overall facility review process. Outcome Measures Completion The Outcome Measures Worksheets will be completed by facility staff prior to arrival of the review team. Ideally, this information will be maintained on a continuous basis by the facility as part of a key indicators database to provide a perpetual record for monitoring facility performance. Data should be verified as accurate by the facility before including it in the database. Outcome measure data is intended to assess facility issues related to the NDS, so care should be taken to focus on ICE related issues. For example when computing the average daily population (ADP), assess and provide information on the ICE population. The RIC will review facility outcome measures data and provide analysis of the data to describe facility performance and trends. In a few instances outcome measures are not provided for some the NDS because after careful consideration of the standard the assessment process has been determined to be more process oriented in nature. 3 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012966 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Table of Contents SECTION I – SAFETY Emergency Plans Environmental Health and Safety Transportation (By Land) SECTION II – SECURITY Admission and Release Classification System Contraband Facility Security and Control Funds and Personal Property Hold Rooms in Detention Facilities Key and Lock Control Population Counts Post Orders Searches of Detainees Sexual Abuse and Assault Prevention and Intervention Special Management Units Staff-Detainee Communication Tool Control Use of Force and Restraints SECTION III – ORDER Disciplinary System SECTION IV – CARE Food Service Hunger Strikes Medical Care Personal Hygiene Suicide Prevention and Intervention Terminal Illness, Advance Directives, and Death SECTION V – ACTIVITIES Correspondence and Other Mail Escorted Trips for Non-Medical Emergencies Marriage Requests Recreation Religious Practices Telephone Access Visitation Voluntary Work Program SECTION VI – JUSTICE Detainee Handbook Grievance System Law Libraries and Legal Material Legal Rights Group Presentations SECTION VII – ADMINISTRATION & MANAGEMENT Detention Files News Media Interviews and Tours Staff Training Transfer of Detainees 4 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012967 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Performance-Based National Detention Standards Section I SAFETY 1 2 3 Emergency Plans Environmental Health and Safety Transportation (By Land) 5 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012968 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. No Detainee or detainee groups exercise control or authority over other detainees. 2. Detainees are protected from: • Personal abuse • Corporal punishment • Personal injury • Disease • Property damage • Harassment from other detainees 3. Staff are trained to identify signs of detainee unrest. • What type of training and how often? 4. Staff effectively disseminates information on facility climate, detainee attitudes, and moods to the Facility Administrator. 5. There is a designated person or persons responsible for emergency plans and their implementation. Sufficient time is allotted to the person or group for development and implementation of the plans. N/A Does Not Meet Standard Components Meets Standard PART 1 – 1. EMERGENCY PLANS This Detention Standard ensures a safe environment for detainees and employees by having in place contingency plans to quickly and effectively respond to any emergency situations that arise and to minimize their severity. Remarks Staff are trained to monitor detainee behavior for signs of activities that would indicate detainees are exercising control over weaker detainees. Staff receive training during Initial Orientation and Annual Refresher Training imparting the techniques that best protect detainees from harmful incidents like personal abuse, corporal punishment, property damage, and harassment. Staff are trained in disturbance control and use of force techniques during Annual Refresher Training. The information is recorded on daily supervisor reports. The Warden, Captain, Fire/Safety Manager, and Compliance Coordinator (Administrative Lieutenant) jointly review and revise the Emergency Plans. 6. Each emergency plan is assigned a number and is strictly accounted for. A list identifying the location of each emergency plan is maintained by the Chief of Security or equivalent. The Emergency Plans are accounted for. There are nine copies of the plans and a location list is available. 7. All staff receives training in the emergency plans during their orientation training as well as during their annual training. Staff review the Emergency Plans during Initial Orientation and Annual Refresher Training periods. 8. The General Section of the emergency plans discusses alternate routes to the facility for staff to use in the event the primary route is impassable. 9. The plans address the following issues: • Confidentiality • Accountability (copies and storage locations) • Annual review procedures and schedule • Revisions 10. Contingency plans include a comprehensive general section with procedures applicable to most emergency situations, including procedures for handling detainees with special needs. The plans are confidential. An accountability system is established; the plans are systematically reviewed and revised as needed. The general section of the plans incorporates procedures for most emergency situations. 6 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012969 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 1 – 1. EMERGENCY PLANS This Detention Standard ensures a safe environment for detainees and employees by having in place contingency plans to quickly and effectively respond to any emergency situations that arise and to minimize their severity. Remarks 11. Contingency plans include a procedure for notification of neighbors residing in close proximity to the facility. 12. The facility has cooperative contingency plans with applicable: • Local law enforcement agencies • State agencies • Federal agencies The facility has agreements locally with the Pulaski County Sheriffs' Office and the Illinois State Police. 13. The facility conducts mock emergency exercises with agencies or departments with which they share mutual aid agreements and Memoranda of Understandings. The exercises should test specific emergency plans to assess their effectiveness. All staff members are presented the facility hostage policy and procedures during Initial Orientation and Annual Refresher Training. 14. All staff receive copies of the Facility Hostage policy and procedures. All staff members are presented the facility hostage policy and procedures during Initial Orientation and Annual Refresher Training. Disregarding instructions from a hostage is reiterated in the post orders. 15. Staff are trained to disregard instructions from hostages, regardless of rank. Within 24 hours after release, hostages are screened for medical and psychological effects. Language Line Services provides translation services 24 hours per day. 16. The facility maintains a list of translator services in the event one is needed during a hostage crisis. The facility policy mandates that medical treatment be administered to staff and detainees after an incident. 17. Emergency plans include emergency medical treatment for staff and detainees during and after an incident. The Food Service Department maintains an eight-day supply of food for staff and detainees. 18. The Food Service Department maintains at least 3days’ worth of emergency meals for staff and detainees. The Emergency Plans contain a comprehensive plan for the shutting off of utilities with illustrations. 19. Written plans illustrate locations of shut-off valves and switches for utilities (water, gas, electric). The Emergency Plans detail procedures to respond to a staff work stoppage. 20. Written plans include a Staff Work Stoppage procedure. This procedure is available for limited supervisory review. 7 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012970 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 1 – 1. EMERGENCY PLANS This Detention Standard ensures a safe environment for detainees and employees by having in place contingency plans to quickly and effectively respond to any emergency situations that arise and to minimize their severity. Remarks 21. (MANDATORY) Written procedures cover: • Work/Food Strike • Fire • Environmental Hazard • Detainee Transportation System Emergency • ICE-wide Lockdown • Staff Work Stoppage • Disturbances • Escapes • Bomb Threats • Adverse Weather • Internal Searches • Facility Evacuation • Detainee Transportation System Plan • Hostages (Internal) • Civil Disturbances The plans developed for the facility include a General Section. The plans are: Medical Emergency, Fire, Environmental Hazard, Emergency Call System, Work/Food Stoppage, Disturbances, Facility Evacuation, Escapes, Hostages, Internal Search, Adverse Weather, Bomb Threats, Civil Disturbances, Detainee Transportation System, Emergency Evacuation and ICE-wide Lockdown. 22. The Emergency Plans specify a procedure for postemergency debriefings and discussions. The plans contain procedures for debriefings. PART 1 – 1. EMERGENCY PLANS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The emergency plans are well written, comprehensive and include required emergency plans, staff emergency recall numbers and utility shut-off instructions. There is accountability for the plans and they are reviewed systematically. Staff receive training regularly to remain proficient in the techniques necessary to prevent or to respond to emergency situations. (b)(6), (b)(7)(c) 02/24/2012 Reviewer’s Signature / Date 8 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012971 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 1 – 2. ENVIRONMENTAL HEALTH AND SAFETY This Detention Standard protects detainees, staff, volunteers, and contractors from injury and illness by maintaining high facility standards of cleanliness and sanitation, safe work practices, and control of hazardous substances and equipment. Remarks 1. (MANDATORY) The facility has a system for storing, issuing, and maintaining inventories of hazardous materials. The facility has as system for storing and issuing hazardous materials. Accurate inventories are maintained for any hazardous or caustic chemicals. Chemicals are maintained in a secure room with restricted keys. Chemicals were stored in two storage cabinets that meet National Fire Protection Association (NFPA) 30 standards. 2. Constant inventories are maintained for all flammable, toxic, and caustic substances used/stored in each area of the facility. Inventories were available for all chemicals maintained in the storage area. There are no flammable chemicals inside the secure perimeter of the facility. The safety office maintains outside storage areas for any chemicals that could be flammable. Caustic substances are controlled and accurate inventories are maintained. The Inspector reviewed the inventory sheets for accuracy. 3. The manufacturer’s Material Safety Data Sheet (MSDS) file is up-to-date for every hazardous substance used. The facility maintains current Material Safety Data Sheet (MSDS) files in several locations. The master file is located in the Safety Manager's office and contains a plant diagram, emergency telephone numbers and all relevant information. Other areas that contain a MSDS file had the same information. • The files list all storage areas, and include a plant diagram and legend. • The MSDSs and other information in the files are available to personnel managing the facility’s safety program. 4. All personnel using flammable, toxic, and/or caustic substances follow the prescribed procedures: • Wear personal protective equipment. • Report hazards and spills to the designated official. 5. The MSDS are readily accessible to staff and detainees in the work areas. Protective equipment is available for staff. Detainees do not use caustic or toxic chemicals. There have been no chemical spills per the facility Safety Officer. Staff are aware of procedures to notify the Safety Manager immediately if a spill should occur. MSDS sheets are available to staff and detainees. A current file is maintained in the control center by the housing pods. 9 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012972 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 1 – 2. ENVIRONMENTAL HEALTH AND SAFETY This Detention Standard protects detainees, staff, volunteers, and contractors from injury and illness by maintaining high facility standards of cleanliness and sanitation, safe work practices, and control of hazardous substances and equipment. Remarks 6. Hazardous materials are always issued under proper supervision. • Quantities are limited. • Detainees are trained. • Staff always supervise detainees using these substances. Detainees do not use hazardous materials. 7. All "flammable” and “combustible" materials (liquid and aerosol) are stored and used according to label recommendations. There are no flammable materials inside the secure perimeter of the facility. 8. Lighting fixtures and electrical equipment are installed in storage rooms and other hazardous areas and meet the National Electrical Code requirements. 9. All toxic and caustic materials stored in their original containers in a secure area. The inspector observed lime-a-way and bleach in their original containers. There were no other toxic or caustic materials noted. 10. Excess flammables, combustibles, and toxic liquids are disposed of properly in accordance with MSDS. 11. Staff directly supervise and account for products with methyl alcohol. Staff receive a list of products containing diluted methyl alcohol, for example, shoe dye. All such products are clearly labeled as such. "Accountability" includes issuing such products to detainees in the smallest workable quantities. The facility does not use products that contain methyl alcohol. 12. Every employee and detainee using flammable, toxic, or caustic materials receives advanced training, in accordance with OSHA standards, in their use, storage, and disposal. Only a limited number of staff use caustic materials and they are trained in their use. Detainees never use caustic materials per staff interviewed. 13. (MANDATORY) The facility complies with the most current edition of applicable codes, standards, and regulations of the National Fire Protection Association (NFPA) and the Occupational Safety and Health Administration (OSHA). The Safety Manager has current editions of applicable codes, and standards of NFPA and Occupational Safety and Health Administration (OSHA). The Safety Manager has completed an OHSA course at Eastern Kentucky University. 14. A technically qualified staff member conducts fire and safety inspections. Fire and safety inspections are conducted by the facility Safety Manager. 15. The Safety Office (or officer) maintains files of inspection reports, including corrective actions taken. The Safety Manager maintains files of all inspection reports. 10 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012973 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 16. (MANDATORY) The facility has an approved fire prevention, control, and evacuation plan. N/A Does Not Meet Standard Components Meets Standard PART 1 – 2. ENVIRONMENTAL HEALTH AND SAFETY This Detention Standard protects detainees, staff, volunteers, and contractors from injury and illness by maintaining high facility standards of cleanliness and sanitation, safe work practices, and control of hazardous substances and equipment. Remarks The Fire Plan was approved by the County Fire Chief on 02/15/12. A copy of the approval was reviewed. 17. The plan requires: • Monthly fire inspections. • Fire protection equipment strategically located throughout the facility. • Public posting of emergency plan with accessible building/room floor plans. • Exit signs and directional arrows. • An area-specific exit diagram conspicuously posted in the diagrammed area. The Plan contained these areas. Monthly inspections were occurring; fire protection equipment is placed in strategically located areas; exit signs and directional arrows, and exit diagrams are also located throughout the facility. 18. Fire drills are conducted and documented quarterly in all facility locations including the administrative area. Fire drills were reviewed and documentation revealed they are being conducted. 19. A sanitation program covers barbering operations. A sanitation program is available; however, a hair tool kit was examined and the equipment was found unsanitary. Clippers and guards had not been cleaned, hair was found throughout the tool kit and the tool kit was in general disarray. 20. The barbershop has the facilities and equipment necessary to meet sanitation requirements. The room used for cutting hair was clean and sanitation standards were posted. The barbershop area is a converted bathroom that contains both hot and cold running water. 21. The sanitation standards are conspicuously posted in the barbershop. Standards were posted on the wall inside the barbershop. 22. Written procedures regulate the handling and disposal of used needles and other sharp objects. Facility policy states needles are to be counted before and after every shift. A contract with Stericycle is used to dispose of needles and other bio-hazardous waste. 23. All items representing potential safety or security risks are inventoried and a designated individual checks this inventory weekly. 11 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012974 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 24. Standard cleaning practices include: • Using specified equipment; disinfectants and detergents. cleansers; • An established schedule of cleaning and follow-up inspections. 25. Spill kits are readily available. 26. A licensed medical waste contractor disposes of infectious/bio-hazardous waste. 27. Staff are trained to prevent contact with blood and other body fluids and written procedures are followed. N/A Components Does Not Meet Standard Meets Standard PART 1 – 2. ENVIRONMENTAL HEALTH AND SAFETY This Detention Standard protects detainees, staff, volunteers, and contractors from injury and illness by maintaining high facility standards of cleanliness and sanitation, safe work practices, and control of hazardous substances and equipment. Remarks Detainees are issued diluted "green" cleaning supplies that are used under the direct supervision of the unit officer. Current cleaning supplies are ECO LAB disinfectant for bathrooms and Spartan HDQ disinfectant for general cleaning. Detainees are required to use gloves when using cleaning materials. This practice was observed during the review. Spill kits were observed. The Safety Manager indicated there have been no spills at this facility. This facility uses Stericycle. Training is conducted during initial and annual refresher training by the medical staff. 28. Do the methods for handling/disposing of refuse meet all regulatory requirements? 29. A Licensed/Certified/Trained pest-control professional inspects for rodents, insects, and vermin. • At least monthly. • The pest-control program includes preventive spraying for indigenous insects. 30. Drinking water and wastewater is routinely tested according to a fixed schedule. 31. Emergency power generators are tested at least every two weeks. • Other emergency systems and equipment receive testing at least quarterly. • Testing is followed-up with timely corrective actions (repairs and replacements). This facility has a contract with Piedmont Pest Control who provides monthly inspections and spraying for indigenous insects. A letter was on file dated 01/19/2012 from the South Water, Inc. stating the water had been tested and met all standards. This was an issue on the last inspection and a UCAP was issued. This problem has been corrected. Emergency generators are tested every Monday. Fabick Power Systems located in Fenton, MO provides quarterly testing and any repairs if needed. 32. The Facility appears clean and well maintained. 12 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012975 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 1 – 2. ENVIRONMENTAL HEALTH AND SAFETY This Detention Standard protects detainees, staff, volunteers, and contractors from injury and illness by maintaining high facility standards of cleanliness and sanitation, safe work practices, and control of hazardous substances and equipment. Remarks 33. Hazardous material storage rooms meet the security and structural requirements of the standard. Storage cabinets meet the physical requirements specified in the standard. Chemicals are maintained in a secure room with restricted keys off the main corridor. Chemicals were stored in two storage cabinets that meet NFPA 30 standards. Detainees do not have access to this area. 34. The Health Services Administrator has implemented a program supporting a high level of environmental sanitation. The Health Services Administrator (HSA) has in place a comprehensive written program ensuring a high level of environmental sanitation. 35. The Health Services Administrator conducts medicalfacility inspections daily. Each inspection includes noting the condition of floors, walls, windows, horizontal surfaces, and equipment. The HSA conducts and documents daily inspections of the medical department noting the conditions of the floors, walls, horizontal surfaces, and equipment as well as many additional areas. 36. The assigned staff member shall: Conduct special investigations and comprehensive surveys of environmental health conditions, and provide advisory, consultative, inspection, and training services regarding environmental health conditions. Monthly safety meetings are conducted with all department heads and the Safety Manager. This inspector reviewed copies of the meeting minutes. 37. The assigned staff member is responsible for developing and implementing policies, procedures, and guidelines for the environmental health program. These guidelines are intended to evaluate and eliminate or control as necessary, sources of injuries and modes of transmission of agents or vectors of communicable diseases. 38. Environmental health and safety conditions shall be maintained at a level that meets recognized standards of safety and hygiene, including those from the: • American Correctional Association, • Occupational Safety and Health Administration, • Environmental Protection Agency, • Food and Drug Administration, • National Fire Protection Association's Life Safety Code, and • National Center Prevention. for Disease Control and All environmental health and safety conditions observed at the time of this review fall within established guidelines listed by the American Correctional Association, OSHA, Environmental Protection Agency, Food and Drug Administration, NFPA, and the Centers for Disease Control and Prevention. PART 1 – 2. ENVIRONMENTAL HEALTH AND SAFETY 13 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012976 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility staff have developed a comprehensive safety and sanitation program, which insures the safety and a clean environment for all detainees and staff. The annual Fire Safety Inspection was conducted by the State Fire Marshal on 12/21/2011. A repeat finding was noted that the fire alarm system needed repair as it was showing a "trouble indicator". Facility staff stated this was a problem off and on during the year and repair crews had been dispatched by the manufacturer in Indiana. The system was described to this Inspector as being old and outdated. A new fire alarm system has been recently installed throughout the facility by McDaniel Fire Systems, Inc from Champaign, Illinois, which should address this concern. A re-inspection will be conducted by the Fire Marshal after notification from the facility that all items have been corrected. In discussing the emergency generator with the Facility Manager it was noted that the emergency generator does not cover every area of the facility. Staff indicated that the Administration, Medical, Booking and Food Service do not have emergency backup. This issue is being addressed by the facility. All detainee living areas have emergency power protection. A letter was on file dated 01/19/2012 from the South Water, Inc. stating the water had been tested and met all standards. This was an issue on the last inspection and a UCAP was issued. This problem has been corrected. The rating is based on a review of documentation, staff interviews, and personal observations. / 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 14 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012977 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. Transporting officers comply with applicable local, state, and federal motor vehicle laws and regulations. Records support this finding of compliance. 2. Every transporting officer required to drive a commercial size vehicle has a valid Commercial Driver's License (CDL) issued by the state of employment. 3. Supervisors maintain records for each vehicle operated. N/A Does Not Meet Standard Components Meets Standard PART 1 – 3. TRANSPORTATION (BY LAND) This Detention Standard prevents harm to the general public, detainees, and staff by ensuring that vehicles are properly equipped, maintained, and operated and that detainees are transported in a secure, safe and humane manner, under the supervision of trained and experienced staff. Standard NA: Check this box if all ICE Transportation is handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks A review of staff records indicated they are adhering to traffic laws, completing vehicle inspection reports, and controlling vehicle equipment. Transportation officers are driving under current State of Illinois issued Commercial Driver's Licenses. The Transportation Coordinator maintains records for the transportation vehicles. A review of the records indicates trip documentation is completed and submitted. 4. Documentation indicating annual inspection of vehicles and annual inspection in accordance with state statutes is available for review. 5. Documentation indicating safety repairs are completed immediately and vehicles are not used until they have been repaired and inspected is available for review. 6. Officers use a checklist during every vehicle inspection. • Officers report deficiencies affecting operability. • Deficiencies are corrected before the vehicle goes back into service. Officers utilize a check sheet to list discrepancies and request maintenance on the vehicles. Vehicle discrepancies are corrected before a vehicle is allowed back in service. A review of documentation reveals that staff reported deficiencies are corrected in a timely manner. 15 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012978 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 1 – 3. TRANSPORTATION (BY LAND) This Detention Standard prevents harm to the general public, detainees, and staff by ensuring that vehicles are properly equipped, maintained, and operated and that detainees are transported in a secure, safe and humane manner, under the supervision of trained and experienced staff. Standard NA: Check this box if all ICE Transportation is handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks 7. Transporting officers: • Limit driving time to 10 hours in any 15 hour period when transporting detainees. • Drive only after eight consecutive off-duty hours. • Do not receive transportation assignments after having been on duty, in any capacity, for 15 hours. • Drive a 50-hour maximum in a given work week; a 70-hour maximum during eight consecutive days. • During emergency conditions (including bad weather), officers may drive as long as necessary to reach a safe area−exceeding the 10-hour limit. Facility policy mandates that a minimum o(b)(7)(e)drivers be used for each transport. It also mandates that drivers be rotated every two hours. 8. (b)(7)(e)officers with valid Commercial Drivers Licenses, (CDL’s) required in any vehicle transporting detainees. • When buses travel in tandem with detainees, there are(b)(7)(e)qualified officers per vehicle. • An unaccompanied driver transports an empty vehicle. 9. The transporting officer inspects the vehicle before the start of each detail. A checklist is completed prior to the initiation of each trip. 10. Positive identification of transported is confirmed. A positive identification of detainees is completed using photos. all detainees being 11. All detainees are searched immediately prior to boarding the vehicle by staff controlling the bus or vehicle. Detainee "pat" and property searches are completed prior to boarding a vehicle. 12. The facility ensures that the number of detainees transported does not exceed the vehicle manufacturer’s occupancy level. 13. All uniformed officers wear their issued body armor in accordance with the ICE Body Armor policy and/or applicable contract policy when transporting detainees. 14. The vehicle crew conducts a visual count once all passengers are on board and seated. • Additional visual counts are made whenever the vehicle makes a scheduled or unscheduled stop. 15. Policies and procedures are in place addressing the use of restraining equipment on transportation vehicles. Body armor is issued and worn during all trips. The Post Orders mandate that visual counts be conducted once detainees are boarded and seated and after all stops. Facility policy and Post Orders detail the use of restraining equipment. 16 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012979 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 16. Officers ensure that no one contacts the detainees. remains in the vehicle at all times when detainees are present. (b)(7)e 17. Meals are provided during long distance transfers. • The meals meet the minimum dietary standards, as identified by dieticians utilized by ICE. N/A Does Not Meet Standard Components Meets Standard PART 1 – 3. TRANSPORTATION (BY LAND) This Detention Standard prevents harm to the general public, detainees, and staff by ensuring that vehicles are properly equipped, maintained, and operated and that detainees are transported in a secure, safe and humane manner, under the supervision of trained and experienced staff. Standard NA: Check this box if all ICE Transportation is handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks remains inside the vehicle during stops. (b)(7)e Facility policy outlines the procedures for providing meals during trips. 18. The vehicle crew inspects all Food Service meals before accepting delivery (food wrapping, portions, quality, quantity, thermos-transport containers, etc.). • Before accepting the meals, the vehicle crew raises and resolves questions, concerns, or discrepancies with the Food Service representative. • Basins, latrines, and drinking-water, containers, dispensers are cleaned and sanitized on a fixed schedule. Transportation and Food Service staff are trained in techniques needed to properly transport food and drink. 19. Vehicles have: (b)(7)e (b)(7)e 20. The vehicles are clean and sanitary at all times. 21. Personal property of a detainee transferring to another facility: • Is inventoried. • Is inspected. • Accompanies the detainee. Vehicles are cleaned after each trip. Staff inspect and inventory the personal property of a detainee prior to transfer to another facility. 17 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012980 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 1 – 3. TRANSPORTATION (BY LAND) This Detention Standard prevents harm to the general public, detainees, and staff by ensuring that vehicles are properly equipped, maintained, and operated and that detainees are transported in a secure, safe and humane manner, under the supervision of trained and experienced staff. Standard NA: Check this box if all ICE Transportation is handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks 22. The following contingencies are included in the written procedures for vehicle crews: • Attack • Escape • Hostage-taking • Detainee sickness • Detainee death • Vehicle fire • Riot • Traffic accident • Mechanical problems • Natural disasters • Severe weather • Passenger list is not exclusively men or women or minors There are contingency plans for each possibility listed in the standard included in the transportation vehicles kits. PART 1 – 3. TRANSPORTATION (BY LAND) Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility policy, post orders, and training initiatives combine to ensure that the provisions of the standard are met. Staff are required to meet the requirements of this standard, as well as state law to ensure detainees are transported safely. The policy and procedures address each possible adverse situation that may occur during the transportation of detainees. / 02/24/2012 (b)(6), (b)(7)(c) Reviewer’s Signature / Date 18 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012981 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Section II SECURITY 4 Admission and Release 5 Classification System 6 Contraband 7 Facility Security and Control 8 Funds and Personal Property 9 Hold Rooms in Detention Facilities 10 Key and Lock Control 11 Population Counts 12 Post Orders 13 Searches of Detainees 14 Sexual Abuse and Assault Prevention and Intervention 15 Special Management Units 16 Staff-Detainee Communication 17 Tool Control 18 Use of Force and Restraints 19 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012982 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 4. ADMISSION AND RELEASE This Detention Standard protects the community, detainees, staff, volunteers, and contractors by ensuring secure and orderly operations when detainees are admitted to or released from a facility. Remarks 1. Admission processing includes an orientation of the facility. The orientation includes; unacceptable activities and behavior, and corresponding sanctions. How to contact ICE. The availability of pro-bono legal services and how to pursue such services. Schedule of programs, services, daily activities, including visitation, telephone usage, mail service, religious programs, count procedures, access to and use of the law library and the general library; sick-call procedures, and the detainee handbook. During the admissions process, detainees are given the Facility Handbook as well as the ICE National Detention Handbook. A general review of these guides is conducted by the Booking Officer as a basic orientation for detainees. 2. Medical screenings are performed by medical staff or persons who have received specialized training for the purpose of conducting an initial health screening. Medical staff perform all health screenings. 3. When available, accompanying documentation is used to identify and classify each new arrival. In SPCs and CDFs, new detainees shall remain segregated from the general population during the orientation and classification period. ICE classifies detainees before arrival. 4. All new arrivals are searched in accordance with the “Detainee Search” standard. An officer of the same sex as the detainee conducts the search and the search is conducted in an area that affords as much privacy as possible. 5. Detainees are subjected to a strip search only when reasonable suspicion has been established and not as routine policy. Non-criminal detainees are never subjected to a strip search but are patted down unless cause or reasonable suspicion has been established. All strip searches are documented on G-1025, or equivalent, with proper supervisory approval. Reasonable suspicion is used as the standard for justifying a strip search. The Warden must approve a strip search. 6. The “Contraband” standard governs all personal property searches. IGSAs and CDFs use or have a similar contraband standard. Staff prepare a complete inventory of each detainee’s possessions. The detainee receives a copy. All identity documents are inventoried and given to ICE staff for placement in the A-file. All funds and valuables are safeguarded in accordance with ICE Policy. Facility policies are in place for contraband and for searches. A complete inventory is made of all detainee property and the detainee is given a copy. Identification documents as well as funds and valuables are handled properly. 7. Staff complete Form I-387 or similar form for CDFs and IGSAs for every lost or missing property claim. Facilities forward all I-387 claims to ICE. Facility staff complete the I-387 appropriately. 8. Detainees are issued appropriate and sufficient clothing and bedding for the climatic conditions. 9. All releases are coordinated with ICE. ICE notifies the facility when detainees are to be released. 20 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012983 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 4. ADMISSION AND RELEASE This Detention Standard protects the community, detainees, staff, volunteers, and contractors by ensuring secure and orderly operations when detainees are admitted to or released from a facility. Remarks 10. Staff complete paperwork/forms for release as required. 11. Each detainee receives a receipt for personal property secured by the facility. Detainees are given a copy of property receipts. 12. The facility has a system to maintain accurate records and documentation for admission, orientation, and release. The facility uses an electronic data management system to document admissions and releases. 13. ICE staff enter all information pertaining to release, removal, or transfer of all detainees into the Enforce Alien Detention Module (EADM) within 8 hours of action. ICE Field Office staff enter all information into the Enforce Alien Detention Module (EADM) from their locations outside the facility. 14. All orientation material shall be provided in English, Spanish, and other language(s) as determined by the Field Office Director. PART 2 – 4. ADMISSION AND RELEASE Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) A review of policy and procedures as well as interviews with staff indicated that the admissions process provides an orderly and secure operation for staff and detainees. Detainees are provided with documentation of property secured by the facility and are provided a basic introduction to facility activities. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 21 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012984 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. SPC and CDF facilities use the required Objective Classification System. IGSAs use an objective classification system or similar system for classifying detainees. 2. The facility classification system includes: • Classifying detainees upon arrival. • Separating individuals who cannot be classified upon arrival from the general population. • The first-line supervisor or designated classification specialist reviews every classification decision. N/A Does Not Meet Standard Components Meets Standard PART 2 – 5. CLASSIFICATION SYSTEM This Detention Standard protects the detainees, staff, contractors, volunteers, and the community from harm, and contributes to orderly facility operations, by requiring a formal classification process for managing and separating detainees that is based on verifiable and documented data. Remarks The facility has a basic system but uses the classification provided by ICE. ICE classifies detainees before arrival. A Level 1 detainee may not be housed with a Level 3 detainee. The Lieutenant in charge of Booking reviews all classifications. 3. The intake/processing officer reviews work-folders, Afiles, etc., to identify and classify each new arrival. ICE uses the appropriate information to classify detainees. 4. Staff use only information that is factual, and reliable to determine classification assignments. Opinions and unsubstantiated/ unconfirmed reports may be filed but are not used to score detainee classification. ICE staff score the detainee classification using reliable and factual information available to them. 5. Housing assignments are based on classificationlevel. 6. A detainee's classification-level does not affect his or her recreation opportunities. Detainees recreate with persons of similar classification designations. 7. Detainee work assignments are based upon classification designations. 8. The classification process includes reassessment/ reclassification. The First Reassessment is to be completed 60 days to 90 days after the initial assessment. Subsequent reassessments are completed at 90 day to 120 day intervals. Special Reassessments are completed within 24 hours. The Booking Lieutenant does a reassessment after thirty days. Generally, detainees are not at the facility long enough for further reviews. 9. The classification system includes standard procedures for processing new arrivals' appeals. Only a designated supervisor or classification specialist has the authority to reduce a classificationlevel on appeal. Appeals can be made. Any request for a reduction in classification level is forwarded to ICE for consideration. Recreation is unit-based. 10. Classification appeals are resolved w/in 5 business days. Detainees are notified of the outcome within 10 business days. 11. Classification designations may be appealed to a higher authority such as the Facility Administrator or equivalent. Appeals may be made to the Warden who will forward the information and request to ICE. 22 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012985 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 5. CLASSIFICATION SYSTEM This Detention Standard protects the detainees, staff, contractors, volunteers, and the community from harm, and contributes to orderly facility operations, by requiring a formal classification process for managing and separating detainees that is based on verifiable and documented data. Remarks 12. The Detainee Handbook or equivalent for IGSAs explains the classification levels, with the conditions and restrictions applicable to each. The classification system is detailed in the ICE National Detention Handbook. 13. In SPCs and CDFs detainees are assigned colorcoded uniforms and IDs to reflect classification levels. In IGSA’s a similar system is utilized for each level of classification. IDs with large Level numbers are used to reflect the differences in classification at this IGSA. PART 2 – 5. CLASSIFICATION SYSTEM Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility uses the ICE classification provided by the Field Office when the detainee is admitted to the facility. The Lieutenant in charge of Booking indicated that she would not lower a classification without ICE review and approval. Detainees are housed appropriately based on the ICE classification. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 23 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012986 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 6. CONTRABAND This Detention Standard protects detainees and staff and enhances facility security and good order by identifying, detecting, controlling, and properly disposing of contraband. Remarks 1. The facility follows a written procedure for handling contraband. Staff inventories, holds, and reports it when necessary to the proper authority for action/possible seizure. The facility has a policy on controlling contraband. Specifically, it provides procedures for identifying, confiscating, reporting and disposing of nuisance and hard contraband. 2. Contraband that is government property is retained as evidence for potential disciplinary action or criminal prosecution. Facility policy provides procedural steps to take when confiscated contraband is government property or is retained for possible disciplinary action. 3. Staff return property not needed as evidence to the proper authority. Written procedures cover the return of such property. Facility policy states property not needed for evidence would be destroyed. Specifically, all contraband items will be lawfully and safely disposed of. A secure contraband locker is located in the Captain's Office. 4. Altered property is destroyed following documentation and using established procedures. The property is stored until properly disposed of. 5. Before confiscating religious items, the Facility Administrator or designated investigator contacts a religious authority. 6. Staff follow written procedures when destroying hard contraband that is illegal. 7. Hard contraband that is illegal (under criminal statutes) is retained and used for official use, e.g. training purposes. • If yes, under specific circumstances and using specified written procedures. Hard contraband is secured when not in use. • Soft Contraband is mailed to a third party or stored in accordance with the Detention Standard on Funds and Personal Property. Policy has written procedures to cover destroying hard contraband that is illegal. Facility policy states that illegal hard contraband may be destroyed when no longer needed for possible disciplinary action or criminal prosecution. The practice is to transfer custody of the item(s) to the Pulaski County Sherriff's Office. 8. Detainees receive notification of contraband rules and procedures in the Detainee Handbook and notified when property is identified and seized as contraband. The Detainee Handbook details the policy and procedures related to contraband and confiscated property. 9. Facilities with Canine Units only use them for contraband detection. Canines are not used in this facility for searches or other duties. PART 2 – 6. CONTRABAND 24 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012987 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility has a comprehensive policy detailing procedures for detecting and deterring the introduction, fabrication, possession, and conveyance of contraband. Procedures are implemented for disposition of contraband. Staff and detainees are notified in training venues, facility policy, and the Detainee Handbook of prohibitions regarding contraband items. / 02/24/2012 (b)(6), (b)(7)(c) Reviewer’s Signature / Date 25 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012988 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 7. FACILITY SECURITY AND CONTROL This Detention Standard protects the community, staff, contractors, volunteers, and detainees from harm by ensuring that facility security is maintained and that events that pose a risk of harm are prevented. Remarks 1. The facility administrator or assistant administrator and department heads visit detainee living quarters and activity areas weekly. Facility policy details the requirements for staff to visit the living quarters and activity areas each week. 2. At least one male and one female staff are on duty where both males and females are housed. The facility does not house female detainees. 3. Comprehensive annual staffing analysis determines staffing needs and plans. The Warden and Human Resources Manager determine staffing needs in conjunction with corporate financial staff. 4. Essential posts and positions are filled with qualified personnel. Each staff member is required to complete Initial Orientation Training, informal On-The-JobTraining, and a State of Illinois correctional academy to qualify for their position. 5. Every Control Center officer receives specialized training. Each staff member assigned to the Control Center must complete OnThe-Job-Training prior to assuming the position. 6. Policy restricts staff access to the Control Center. Only authorized staff are allowed to access the Control Center. 7. Detainees do not have access to the Control Center. Detainees are not allowed access for any reason. 8. Communications are centralized in the Control Center. 9. Facility security and safety will be monitored and coordinated by a secure, well-equipped, and continuously staffed control center. The Control Center is equipped with visual monitoring and communication devices encompassing all areas of the facility. 10. The Control Center maintain employee Personal Data Cards (Form G-74 or contract equivalent). (b)(7)(e) 11. Recall lists include the current home telephone number of each employee. Phone numbers are updated as needed. The Compliance Coordinator monitors and updates the staff telephone list on an as needed basis. 26 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012989 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 7. FACILITY SECURITY AND CONTROL This Detention Standard protects the community, staff, contractors, volunteers, and detainees from harm by ensuring that facility security is maintained and that events that pose a risk of harm are prevented. Remarks 12. Staff make watch calls every half-hour between 6 PM and 6 AM. Facility staff do not use a watch call system because they are not assigned to specific pods and are under direct observation of the Control Center. 13. Information about routine procedures, emergency situations, and unusual incidents will be continually recorded in permanent post logs and shift reports. A review of Shift Commander daily reports, logs, and observations revealed daily events are documented and recorded. 14. The front-entrance officer checks the ID of everyone entering or exiting the facility. Daily interaction and observations confirmed that all individuals entering the facility are properly identified. 15. All visits officially recorded in a visitor logbook or electronically recorded. The visitor logbooks were reviewed several times during the review with no lapses or concerns noted. 16. The facility has a secure, color-coded visitor pass system. The facility uses a multi-color coded system for visitor passes. 17. Officers monitor all vehicular traffic entering and leaving the facility. The Control Center staff observes vehicles via cameras. 18. The facility maintains a log of all incoming and departing vehicles to sensitive areas of the facility. Each entry contains: • The driver's name • Company represented • Vehicle contents • Delivery date and time • Date and time out • Vehicle license number • Name of employee responsible for the vehicle during the facility visit Vehicles do not enter the sensitive areas of the facility. 19. Officers thoroughly search each vehicle entering and leaving the facility. Vehicles do not enter the sensitive areas of the facility. 20. The facility has a written policy and procedures to prevent the introduction of contraband into the facility or any of its components. The facility has a comprehensive policy related to contraband and procedures to prevent its introduction. 21. The front entrance has a sally-port type entrance, with interlocking electronic doors or grilles. 27 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012990 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 7. FACILITY SECURITY AND CONTROL This Detention Standard protects the community, staff, contractors, volunteers, and detainees from harm by ensuring that facility security is maintained and that events that pose a risk of harm are prevented. Remarks 22. The facility’s perimeter will ensure that detainees remain within and that public access is denied without proper authorization. Detainees are not allowed outside the secure perimeter of the facility without staff escorts. The public is prevented from entering the facility without proper permission. 23. Written procedures govern searches of detainee housing units and personal areas. The facility policy is specific regarding searches of detainee housing and personal areas. 24. Housing area searches occur at irregular times. Observation and review of documentation illustrated that searches are being conducted. 25. Security officer posts located in or immediately adjacent to detainee living areas to permit officers to see or hear and respond promptly to emergency situations. Personal contact and interaction between staff and detainees is required and facilitated. Staff maintain visual and audible surveillance of detainees on a continuous basis. Direct interaction between staff and detainees is also continuous. 26. There are post orders for every security officer post. Post orders for every post were reviewed. 27. Detainee movement from one area to another area is controlled by staff. 28. Living areas are constructed to facilitate continuous staff observation of cell or room fronts, dayrooms, and recreation space. The design of the detainee housing pods allows for clear visual observations. 29. Every search of the SMU and other housing units is documented. All searches are recorded in logbooks. 30. The SMU entrance has a sallyport. The facility is not constructed with a typical sally port configuration for the designated Special Management Unit (SMU). However, the facility has developed and implemented procedures to meet the security concerns of an SMU. These procedures are posted, included in policy, and included in all training venues for staff. 31. All tools entering SMU will be inspected and inventoried by the SMU officer prior to entering the housing unit. All tools are inventoried by staff prior to entering detainee areas. 28 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012991 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 7. FACILITY SECURITY AND CONTROL This Detention Standard protects the community, staff, contractors, volunteers, and detainees from harm by ensuring that facility security is maintained and that events that pose a risk of harm are prevented. Remarks 32. The facility has a comprehensive security inspection policy. The policy specifies: • Posts to be inspected • Required inspection forms • Frequency of inspections • Guidelines for checking security features • Procedures for reporting weak spots, inconsistencies, and other areas needing improvement Facility policy details procedures for conducting and documenting searches. 33. Every officer is required to conduct a security check of his/her assigned area. The results are documented. Security checks are conducted and documented. 34. Documentation of security inspections is kept on file. Searches are recorded in logbooks. 35. Procedures ensure that recurring problems and a failure to take corrective action are reported to the appropriate manager. The corrective actions are routed to the warden of the facility. 36. Tools being taken into the secure area of the facility are inspected and inventoried before entering and prior to departure. 37. Storage and supply rooms; walls, light and plumbing fixtures, accesses, and drains, etc. undergo frequent, irregular searches. These searches are documented. All areas of the facility are searched and the results are recorded in logbooks. 38. Walls, fences, and exits, including exterior windows, are inspected for defects once each shift. Searches are conducted during each shift and recorded in logbooks. 39. Daily procedures include: • Perimeter alarm system tests. • Physical checks of the perimeter fence. • Documenting the results. These areas are inspected (b)(7)e (b)(7)e 40. Visitation areas receive frequent, irregular inspections. 41. An officer is assigned responsibility for ensuring the security inspection process covers all areas of the facility. The Compliance Coordinator is responsible for this process. 42. The Maintenance Supervisor and Chief of Security or equivalent make monthly fence checks. A review of records revealed that monthly checks are completed and documented. PART 2 – 7. FACILITY SECURITY AND CONTROL Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility has a systematic method of inspections outlined in the policy to ensure detainees do not escape or otherwise compromise security. Officers in detainee housing areas and throughout the facility inspect, search and perform duties related to facility security. There include completed security inspection forms and other documentation indicating security checks, 29 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012992 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 inspections, searches and maintenance requests are performed. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 30 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012993 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 - 8. FUNDS AND PERSONAL PROPERTY This Detention Standard ensures that detainees’ personal property is safeguarded and controlled, specifically including funds, valuables, baggage and other personnel property, and that contraband does not enter a detention facility. Standard NA: (IGSA ONLY) Check this box if all ICE detainee Funds, Valuables and Property are handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks 1. Detainee funds and valuables are properly separated and stored. Detainee funds and valuables are accessible to designated supervisor(s) only. Detainee valuables are stored in a secure room off of the main corridor. Keys are restricted and only a few key supervisory staff have access to the property room. Funds are receipted and placed in the detainee’s account. 2. Detainees’ large valuables are secured in a location accessible to designated supervisor(s) or processing staff only. Large valuables are maintained in the property room if received at the facility. Staff work with the detainee to mail excess and large property items to family members. 3. Staff search and itemize the baggage and personal property of arriving detainees, including funds and valuables, using a personal property inventory form that meets the ICE standard, in the presence of the detainee unless otherwise instructed by the facility administrator. Staff search and itemize all property, funds, and valuables upon a detainee's arrival. The intake supervisor, booking officer, and transport officer verify all funds and they and the detainee sign a receipt. 4. (b)(7)(e)officers are present during the processing of detainee funds and valuables during admissions processing to the facility. (b)(7)(e)officers verify funds and valuables. Normally, there are(b)(7)(e)staff present but there are always(b)(7)(e) staff in the intake area to verify and sign for funds and valuables 5. For IGSAs and CDFs, Is the facility using a personal property inventory form that meets the ICE standard? The facility uses a computergenerated form that meets the ICE requirements. 6. Staff give the detainee the original inventory form, filing copies in the detainee’s detention file and the personal property container. The original form is signed by the detainee and staff; copies are made. 7. Staff forward an arriving detainee’s medicine to the medical staff. Medical staff receives all medications. 8. Staff search arriving detainees and their personal property for contraband. Detainees and their property are searched for contraband. The facility does a pat search and uses a hand held metal detector on all arriving detainees. 9. Property discrepancies are immediately reported to the Chief of Security or equivalent. 10. Staff follow written procedures when returning property to detainees. Detainees are required to sign for their returned property. Any discrepancies are noted and an investigation is conducted. 31 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012994 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 11. CDF/IGSA facility procedures for handling detainee property claims are similar to the ICE standard. N/A Components Does Not Meet Standard Meets Standard PART 2 - 8. FUNDS AND PERSONAL PROPERTY This Detention Standard ensures that detainees’ personal property is safeguarded and controlled, specifically including funds, valuables, baggage and other personnel property, and that contraband does not enter a detention facility. Standard NA: (IGSA ONLY) Check this box if all ICE detainee Funds, Valuables and Property are handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks Any discrepancies are noted and an investigation is conducted. Missing property is notated on the ICE 387 form, which is forwarded to the ICE Field Office. 12. The facility attempts to notify an out-processed detainee that he/she left property in the facility. • By sending written notice to the detainee’s last known address; via certified mail; • The notice states that the detainee has 30 days in which to claim the property, after which it will be considered abandoned. 13. Staff obtain a forwarding address from each detainee. ICE handles all property left at the facility. This is handled by ICE staff. 14. It is standard procedure fo(b)(7)(e)officers to be present when removing/documenting the removal of funds from a detainee’s possession. (b)(7)(e)officers are present when valuables and funds are removed. 15. Staff issue and maintain property receipts (G-589s) in numerical order. The facility uses a computer generated property sheet that matches the number on the property bag. 16. Staff complete and distribute the accordance with the ICE standard. Property receipts are given to the detainee and placed in the detention file as well as the inside and outside of the property bag. G-589 in 17. The processing officer records each G-589 issuance in a G-589 logbook. The record includes the initials and star numbers of receipting officers. The detainee and intake staff sign the receipt for property and valuables. 18. Staff tag large valuables with both a G-589 and an I77. A facility form is used to tag valuables and valuables are noted on the property form. 19. The supervisor verifies the accuracy of every G-589. The Intake area and Property Room are under the direction of a Lieutenant who performs audits to insure accuracy of the detainee's property and valuables. 32 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012995 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 20. The supervisor ensures that: • Detainee funds are, without exception, deposited into the cash box; • Every property envelope is sealed. • All sealed property envelopes are placed in the safe. • Large, valuable property is kept in the secured locked area. N/A Does Not Meet Standard Components Meets Standard PART 2 - 8. FUNDS AND PERSONAL PROPERTY This Detention Standard ensures that detainees’ personal property is safeguarded and controlled, specifically including funds, valuables, baggage and other personnel property, and that contraband does not enter a detention facility. Standard NA: (IGSA ONLY) Check this box if all ICE detainee Funds, Valuables and Property are handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks Detainee funds are either processed through a kiosk in the Intake area or placed in a safe. Cash is receipted through the kiosk and checks are receipted by the intake officer. All property envelopes are sealed and placed in the detainee's property in the secure property room. Keys are restricted and only a few key supervisory staff have access to the property room. 21. Staff tag every baggage/facility container with an I-77, completed in accordance with the ICE standard. Every property bag or container has a signed property inventory sheet. 22. Staff secure every container used to store property with a tamper-proof numbered strap. Vinyl property bags are used instead of containers with tamperproof numbered straps. The PBNDS requires that property be secured in a manner that is tamperresistant. This inspector checked the property bags and was able to unzip the vinyl bag. The Property Lieutenant indicated that valuables received from ICE are normally in a clear sealed bag which is tamper proof; on occasion, valuables are placed in manila envelopes that are stapled across the top and then placed in the vinyl property bag. 23. A logbook records detainee name, Anumber/detainee-number, baggage-check/ I-77 number, security tie-strap number, property description, date issued and date returned. A log is maintained in the property room showing all detainee property. Property receipts which the detainee signs are maintained in the detention file. 24. In SPCs, the Supervisory Immigration Enforcement Agent, accompanied by a detention staff member conducts a comprehensive weekly audit. There are no Supervisory Immigration Enforcement Agents (SIEA) at this IGSA facility. Audits are done randomly but always each quarter. The Property Lieutenant maintains a log of property audits, which was reviewed. 25. The Facility Administrator has established quarterly audits of baggage and non-valuable property as facility policy, the audits occur each quarter and audits are verified and entered in the log. Audits are done randomly but always each quarter. The Property Lieutenant maintains a log of property audits. 33 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012996 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 - 8. FUNDS AND PERSONAL PROPERTY This Detention Standard ensures that detainees’ personal property is safeguarded and controlled, specifically including funds, valuables, baggage and other personnel property, and that contraband does not enter a detention facility. Standard NA: (IGSA ONLY) Check this box if all ICE detainee Funds, Valuables and Property are handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks 26. The facility positively identifies every detainee being released or transferred. A property form containing a picture of each detainee is placed on the outside and inside of the property bag. Staff verifies the detainee identification. 27. Staff routinely inform supervisors of lost/damaged property claims. Claims are properly investigated and missing or damaged property claim reports are filed. The facility uses the ICE 387 form. Claims are investigated by the Property Lieutenant and the investigation is forwarded to the Warden and ICE staff. 28. Every lost/damaged property report completed in accordance with the ICE standard on an I-387 (or equivalent). The Facility Administrator receives a copy and staff place the original in the detainee’s Afile, retaining a copy in the detainee’s detention file. The facility uses the ICE 387 form and distribution is in accordance with this component. PART 2 - 8. FUNDS AND PERSONAL PROPERTY Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) When a detainee arrives at the facility, their property is searched for contraband and receipted by the intake staff. Detainee valuables are stored in a secure room off of the main corridor. Keys are restricted and only a few key supervisory staff have access to the property room. Funds are receipted and placed in the detainee’s account. Cash is receipted through the kiosk and checks are receipted by the intake officer. All property envelopes are sealed and placed in the detainee's property in the secure property room. Property receipts are given to the detainee, placed in the A-file, and inside and on the outside of the property bag. The facility does a pat search and uses a metal wand detector on all arriving detainees. No Supervisory ICE staff are at this IGSA to perform weekly audits. Audits are done randomly but always each quarter. The Property Lieutenant maintains a log of property audits. Lost or missing property is investigated and reported to the ICE Field Office. A UCAP was issued during the last inspection stating that staff does not obtain a forwarding address from each detainee. ICE now handles this responsibility. 02/24/2012 (b)(6), (b)(7)(c) Reviewer’s Signature / Date 34 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012997 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 9. HOLD ROOMS IN DETENTION FACILITIES This Detention Standard ensures the safety, security, and comfort of detainees temporarily held in Hold Rooms pending further processing. The maximum aggregate time an individual may be confined in a facility’s Hold Room is 12 hours. Remarks 1. The hold room is situated in a location within the secure perimeter. The hold rooms are situated in the intake processing section of the facility inside the secure perimeter. 2. The hold rooms are clean, in good repair, well ventilated, well lit, and all activating switches located outside the room. An inspection of the hold rooms was conducted. The sanitation level was acceptable and clean. There were no noticeable problems and the rooms are well lit and ventilated. The light switches are located outside the rooms in the common area. 3. The hold rooms contain sufficient seating for the number of detainees held. The rooms provide adequate seating for the designated room capacities. 4. No bunks/cots/beds or other related make shift sleeping apparatuses are permitted inside hold rooms. There were no make-shift sleeping apparatuses observed. 5. Hold room walls and ceilings are escape and tamper resistant. The ceilings are solidly constructed and escape/tamper resistant. 6. Detainees are not held in hold rooms for more than 12 hours. A review of the logbook revealed there was no documentation to indicate detainees spend 12 hours or longer in the hold rooms. 7. Male and females detainees are segregated from each other at all times. There are no female detainees housed in this facility. 8. Detainees are provided with basic personal hygiene items such as water, soap, toilet paper, cups for water, feminine hygiene items, diapers and wipes. Each detainee receives a hygiene kit during in-processing into the facility. 9. If the hold room is not equipped with toilet facilities, an officer is posted within visual or audible range to allow detainees access to such on a regular basis. All hold rooms are equipped with toilets. 10. All detainees are given a pat down search for weapons or contraband before being placed in the hold room. 11. When the last detainee has been removed, the hold room is inspected for the following:  Cleaning.  Evidence of tampering with doors, locks, windows, grills, plumbing or electrical fixtures is reported to the shift supervisor for corrective action or repair. Processing staff members conduct a preliminary pat search of each new detainee and his property to make an immediate determination that no weapons or obvious contraband are introduced into the facility. The rooms are inspected after detainees are removed from the booking area. 35 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012998 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 12. (MANDATORY) There is a written evacuation plan. • There is a designated officer to remove detainees from the hold rooms in case of fire and/or building evacuation, or other emergency. N/A Does Not Meet Standard Components Meets Standard PART 2 – 9. HOLD ROOMS IN DETENTION FACILITIES This Detention Standard ensures the safety, security, and comfort of detainees temporarily held in Hold Rooms pending further processing. The maximum aggregate time an individual may be confined in a facility’s Hold Room is 12 hours. Remarks The facility policy details an evacuation plan that includes monthly fire drills. Staff assigned to booking are trained to properly evacuate the area in case of a fire or other emergency situations. 13. An appropriate emergency service is called immediately upon a determination that a medical emergency exists. Medical staff are called immediately at the first recognition of a medical emergency. 14. Single occupant hold rooms contain a minimum of 37 square feet (7 unencumbered square feet for the detainee, 5 square feet for a combination lavatory/toilet fixture, and 25 square feet for a wheelchair turn-around area).  If multiple-occupant hold rooms are used, there is an additional 7 unencumbered square feet for each additional detainee. There are no single occupancy hold rooms in the processing area. 15. In SPCs designed after 1998 the hold rooms are equipped with stainless steel combination lavatory/toilet fixtures with modesty panels. They are:  Compliant with the American Disabilities Act.  Small hold rooms (1 to 14 detainees) have at least one combi-unit.  Large hold rooms (15 to 49 detainees) are provided with at least two combi-units. There are stainless steel toilet/sink combinations in each hold room. 16. In SPCs designed after 1998 the hold rooms have floor drain(s). There are floor drains in all of the hold rooms. 17. In SPCs designed after 1998, the door to the hold room swings outward and the door complies with the specifications outlined in the standard. The doors swing outward in all rooms. 18. Family units, persons of advanced age (over 70), females with children, and unaccompanied juvenile detainees (under the age of 18) are not placed in hold rooms. These individuals are not placed in hold rooms. 19. Minors (under 18) are confined apart from adults, except for immediate relatives or guardians. Minors are not accepted at the facility. 20. Each detention facility maintains a detention log (manually or by computer) for each detainee placed in a hold cell.  The log includes the required information specified in the standard. Each person processed into the facility is documented in an electronic system. 36 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.012999 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 9. HOLD ROOMS IN DETENTION FACILITIES This Detention Standard ensures the safety, security, and comfort of detainees temporarily held in Hold Rooms pending further processing. The maximum aggregate time an individual may be confined in a facility’s Hold Room is 12 hours. Remarks 21. Officers provide a meal to any detainee detained in a hold room for more than six hours.  Juveniles, babies and pregnant women have access to snacks, milk or juice.  Meal are served to juveniles regardless of time in custody These individuals are not processed into the facility. 22. Any detainee with disabilities, including temporary disabilities, will be housed in a manner that provides for his or her safety and security. These individuals are not placed in hold rooms. 23. The maximum occupancy for the hold room will be posted. The occupancy limits are not posted on each room. Detainees are not placed in hold rooms during processing. 24. Before placing a detainee in a room, an officer shall observe each individual to screen for obvious mental or physical problems. The booking officer is trained to detect potential mental or physical problems. 25. Staff does not permit detainees to smoke in a hold room. The facility is smoke-free. 26. Officers closely supervise hold rooms through direct supervision, to ensure:  Continuous auditory monitoring, even when the hold room is not in the officer’s direct line of sight, and  Visual monitoring at irregular intervals at least every 15 minutes, each time recording in the detention log, the time and officer's printed name and any unusual behavior or complaints under "Comments.”  Constant surveillance of any detainee exhibiting signs of hostility, depression, or similar behaviors. Staff maintain constant observation of all detainees in the booking area. PART 2 – 9. HOLD ROOMS IN DETENTION FACILITIES Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Detainees are processed into the facility using with procedures that ensure their safety. Although the hold rooms are not used during processing, the hold rooms are maintained in accordance with the provisions of this standard. During processing, detainees are searched for contraband and their valuables are checked, inventoried, receipted, and securely stored. Staff expedite the process in order to move detainees to an appropriate housing unit. 02/24/2012 Reviewer’s Signature / Date 37 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013000 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 10. KEY AND LOCK CONTROL This Detention Standard maintains facility safety and security by requiring that keys and locks be properly controlled and maintained. Remarks 1. The security officer[s], or equivalent, has attended an approved locksmith training program. The locksmith has completed a certified professional locksmith school. Additionally, he has received certification as a trainer and provides key and lock control to newly hired staff and during Annual Refresher Training. 2. The security officer, or equivalent, has responsibility for all administrative duties and responsibilities relating to keys, locks etc. The facility has a Security Officer responsible for managing the administrative duties for the keys and locks. 3. The security officer, or equivalent, provides training to all employees in key and lock control. The Security Officer is a certified trainer and conducts training for all staff. 4. The security officer, or equivalent, maintains inventories of all keys, locks and locking devices. The Security Officer maintains inventories of all keys, locks and locking devices in the Lock shop. 5. The security officer follows a preventive maintenance program and maintains all preventive maintenance documentation. The locksmith was interviewed and maintenance records examined. The Security Officer performs preventive maintenance on emergency door locks, among other duties. He also inspects and services all cellblock-locking mechanisms. 6. Facility policies and procedures address the issue of compromised keys and locks. Facility policy states compromised keys shall be destroyed. The facility documents the type of key or lock, the number of keys or locks compromised, and the date, time, and method of destruction. 7. The security officer, or equivalent, develops policy and procedures to ensure safe combinations integrity. The combination to the safe is sealed in an envelope with the date and signature of the person who deposited the information written across the flap. 8. Only dead bolt or dead lock functions are used in detainee accessible areas. 9. Non-authorized locks (as specified in the Detention Standard) are not used in detainee accessible areas. 10. The facility does not use grand master keying systems. There were no non-authorized locks discovered. The facility does not use grand master keys. 38 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013001 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 11. All worn or discarded keys and locks cut up and properly disposed of. N/A Does Not Meet Standard Components Meets Standard PART 2 – 10. KEY AND LOCK CONTROL This Detention Standard maintains facility safety and security by requiring that keys and locks be properly controlled and maintained. Remarks Facility policy states broken and discarded keys shall be cut into pieces until irretrievably destroyed. 12. Padlocks and/or chains are not used on cell doors. 13. The entrance/exit door locks to detainee living quarters, or areas with an occupant load of 50 or more people, conform to • Occupational Safety and Environmental Health Manual, Chapter 3 All living units have at least two exits. • National Fire Protection Association Life Safety Code 101. 14. The operational keyboard sufficient to accommodate all the facility key rings including keys in use is located in a secure area. There is adequate room on the keyboard to accommodate the facility's keys. 15. Procedures in place to ensure that key rings are: There is a key ring identification chit and a key number chit on every key ring. Rings are sealed and keys cannot be removed. • Identifiable • Numbers of keys on the ring are cited? • Keys cannot be removed from issued key rings 16. Emergency keys are available for all areas of the facility. There are emergency keys available to all emergency doors and other areas of the facility. 17. The facility uses a key accountability system. Keys are counted each shift. 18. Authorization is necessary to issue any restricted key. A supervisor must authorize the issuance of restricted keys. If a key is authorized for emergency withdrawal, a copy of the report is provided to ICE. 19. Individual gun lockers are provided. Gun lockers are located in the (b)(7)e Only facility staff and authorized law enforcement personnel are authorized entry into • They are located in an area that permits constant officer observation. • In an area that does not allow detainee or public access. 20. The facility has a key accountability policy and procedures to ensure key accountability. The keys are physically counted daily. (b)(7)e The key accountability policy provides procedures for maintaining a key control program that provides maximum control over locks, locking devices, keys, and records; restricts access to sensitive keys; and enables prompt responses to emergencies. Keys are counted each shift. 39 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013002 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 10. KEY AND LOCK CONTROL This Detention Standard maintains facility safety and security by requiring that keys and locks be properly controlled and maintained. 21. All staff members are trained and held responsible for adhering to proper procedures for the handling of keys. Remarks Any employee inadvertently carrying keys home will be contacted and required to return them to the facility immediately. ICE is notified immediately in the event of any lost or misplaced key or key ring. • Issued keys are returned immediately in the event an employee inadvertently carries a key ring home. • When a key or key ring is lost, misplaced, or not accounted for, the shift supervisor is immediately notified. • Detainees are not permitted to handle keys assigned to staff. 22. Locks and locking devices are continually inspected, maintained, and inventoried. All locks and keys are inspected and inventoried each shift. 23. Each facility has the position of Security Officer. If not, a staff member appointed the collateral duties of security officer. There is a Locksmith assigned to the facility. There is also an assistant Locksmith. 24. The designated key control officer is the only employee who is authorized to add or remove a key from a ring. The Locksmith is the only employee authorized to add or remove keys from key ring. 25. The splitting of key rings into separate rings is not authorized. Key rings cannot be split since they are sealed rings. PART 2 – 10. KEY AND LOCK CONTROL Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Interviews with staff, observation of locking devices and a review of the policy revealed the facility uses a comprehensive inspection system to organize the key inventory, control key issuance and to ensure the proper handling of keys. The facility maintains facility safety and security by requiring that keys and locks be properly controlled and maintained. The lock shop was reviewed. Inventories, preventive maintenance procedures and other documents were reviewed without concerns. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 40 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013003 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 11. POPULATION COUNTS This Detention Standard protects the community from harm and enhances facility security, safety, and good order by requiring that each facility have an ongoing, effective system of population counts and detainee accountability. Remarks 1. Staff conduct a formal count at least once each 8 hours (no less than three counts per day). At least one of these counts shall be a face to photo count. Staff conduct six official counts per day. Four are face to count (bed book) counts. 2. Activities cease or are strictly controlled while a formal count is being conducted. Detainees are not allowed to move during counts. 3. There is a system for counting each detainee, including those who are outside the housing unit. The facility uses an out-count procedure to account for detainees involved in other activities such as work, visits, or medical treatment. 4. Formal counts in all units take place simultaneously. A count observed on 02/23/2012 observed two staff teams simultaneously conducting counts. 5. Officers do not allow detainee participation in the count. 6. A face-to-photo count follows each unsuccessful recount. Four counts per day use face to photo procedures. 7. Officers positively identify each detainee before counting him/her as present. 8. Written procedures cover informal and emergency counts. Facility policy details procedures for conducting informal or emergency counts. 9. The control officer (or other designated position) maintains an “out-count” record of all detainees temporarily out of the facility. A sample of out-count forms was reviewed. There were correctly completed. 10. Security officers and any other staff with responsibilities for conducting counts are provided adequate initial and periodic training in count procedures, and that training is documented in each person’s training folder. All staff are trained on count procedures at both Initial Orientation and Annual Refresher Training. PART 2 – 11. POPULATION COUNTS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) There is a comprehensive policy addressing count procedures, including out counts and emergency counts. The post orders also contain information concerning proper count procedures. The count observed adhered to all policy and procedural requirements. The documentation reviewed was accurate and complete. (b)(6), (b)(7)c / 02/24/2012 Reviewer’s Signature / Date 41 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013004 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 12. POST ORDERS This Detention Standard protects detainees and staff and enhances facility security and good order by ensuring that each officer assigned to a security post knows the procedures, duties, and responsibilities of that post. Remarks 1. Every fixed post has a set of Post Orders. There are post orders for each designated post in the facility. 2. In SPCs and CDFs, Post Orders are arranged in the required six-part folder format. The facility is an IGSA and does not use the six-part folder format. The post orders are written in a similar style that meets the intent of the standard. 3. Each set contains the latest inserts (emergency memoranda, etc.) and revisions. Once changes are necessary, the post order is revised without waiting for the annual review period to lapse. 4. One individual or department is responsible for keeping all Post Orders current with revisions that take place between reviews. The Captain and Compliance Coordinator (Administrative Lieutenant) share the responsibility for maintaining the post orders. 5. Review, updating, and reissuing of Post Orders occurs regularly and at least annually. The post orders were updated during December 2011 and January 2012. 6. The facility administrator authorizes all Post Order changes. The Warden authorizes all revisions. 7. The facility administrator has signed and dated the last page of every section. The Warden signs the last page of every section. 8. A Post Orders master file is available to all staff. The Post Orders master file is maintained in the Compliance Coordinator's office with copies in the Captain and Warden offices. 9. Procedures keep Post Orders and logbooks secure from detainees at all times. Post orders are considered sensitive documents in this facility. They are maintained in a secure area at all times and are not shown to detainees or other unauthorized persons. 10. Copies of the applicable Post Orders are retained at the post only if secure from detainee access. Post orders are secured at all times. 11. Supervisors ensure that officers understand the Post Orders, regardless of whether the assignment is temporary, permanent, or due to an emergency. Officers sign their post orders indicating they have read and understand the contents. 12. In SPCs and CDFs, each time an officer receives a different post assignment, he or she is required to read, sign, and date those Post Orders to indicate he or she has read and understands them. Officers sign post orders upon assuming a new post and each month thereafter. 13. Anyone assigned to an armed post qualifies with the post weapons before assuming post duty. Staff are "weapon certified" prior to being assigned to an armed post. 42 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013005 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 12. POST ORDERS This Detention Standard protects detainees and staff and enhances facility security and good order by ensuring that each officer assigned to a security post knows the procedures, duties, and responsibilities of that post. Remarks 14. Post Orders for armed posts, and for posts that control access to the institution perimeter, clearly state that:  (b)(7)e  (b)(7)e 15. Post Orders for armed posts provide instructions for escape attempts. The post orders for armed posts contain information related to escapes. 16. The Post Orders for housing units track the daily event schedule. 17. Housing unit post officers record all detainee activity in a log. The Post Orders include instructions on maintaining the logbook. There is a unit sheet outside each housing pod used to document detainee activities. PART 2 – 12. POST ORDERS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Post orders contain directives and instructions for operating every security post. Post orders are prepared under the supervision of the Captain and approved by the Warden. Staff use the post orders to become familiar with the responsibilities of individual posts and are required to sign them immediately upon assuming a post and monthly thereafter. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 43 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013006 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 13. SEARCHES OF DETAINEES This Detention Standard protects detainees and staff and enhances facility security and good order by detecting, controlling, and properly disposing of contraband. Remarks 1. There are written policy and procedures governing searches of housing areas, work areas and of detainees. Facility policies cover searches of all areas of the institution as well as detainees. 2. Written policy and procedures require staff to employ the least intrusive method of body search practicable, as indicated by the type of contraband and the method of suspected introduction or concealment. Policy clearly requires the use of the least intrusive method of search based on the situation. The Warden must approve a strip search. 3. Written policy and procedures require staff to avoid unnecessary force during searches and to preserve the dignity of the detainee being searched, to the extent practicable. 4. Written policy and procedures require staff to leave a searched housing area, work area and detainee property in its original order, to the extent practicable. The language used in the policy reflects the requirement to leave areas and property in the same way it was found. 5. Detainees are pat searched and screened by metal detectors routinely to control contraband. 6. Strip Searches are conducted only when there is reasonable belief or suspicion that contraband may be concealed on the person, or a good opportunity for concealment has occurred, and when properly authorized by a supervisor. Policy indicates that reasonable suspicion must be documented and the approval of the Warden is required before a strip search any be conducted. 7. Body cavity searches are conducted by designated health personnel only when authorized by the facility administrator (or acting administrator) on the basis of reasonable belief or suspicion that contraband may be concealed in or on the detainee’s person. Facility policy indicates that only trained outside medical staff may perform a body cavity search and only if approved by the Warden. 8. “Dry cells” are used for contraband detection only when there is reasonable belief of concealment, with proper authorization, and in accordance with required procedures 9. Contraband that may be evidence in connection with a violation of a criminal statute is preserved, inventoried, controlled, and stored so as to maintain and document the chain of custody. Policy requires that contraband that is to be used as evidence will be preserved, inventoried and stored properly. An Evidence Locker is located in the Chief of Security's office. 10. Canines are not used in the presence of detainees Facility procedures preclude canines from being used in the presence of ICE detainees. PART 2 – 13. SEARCHES OF DETAINEES Meets Standard Does Not Meet Standard N/A Repeat Finding 44 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013007 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Remarks: (Record significant facts, observations, other sources used, etc.) A review of facility policy and interviews with security staff indicated that searches of property as well as detainees and all areas within the facility are conducted in a manner that protects the facility safety and order. Very few contraband issues were noted during the review. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 45 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013008 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2– 14. SEXUAL ABUSE AND ASSAULT PREVENTION AND INTERVENTION This Detention Standard requires that facilities that house ICE/DRO detainees affirmatively act to prevent sexual abuse and assaults on detainees, provide prompt and effective intervention and treatment for victims of sexual abuse and assault, and control, discipline, and prosecute the perpetrators of sexual abuse and assault. Remarks 1. The facility has a Sexual Abuse and Assault Prevention and Intervention Program. The facility has a Sexual Abuse and Assault Prevention and Intervention Program. 2. For SPCs and CDFs, the written policy and procedure has been approved by the Field Office Director. The Warden has approved the written policy. 3. Tracking statistics and reports are readily available for review by the inspectors. At this facility, no sexual abuse or assault has been reported. Policy requires the Health Services Administrator (HSA) to maintain statistics and reports when sexual abuse or assault has been reported. 4. All staff are trained, during orientation and in annual refresher training, in the prevention and intervention areas required by the Detention Standard. Review of training records and training curriculum reveals that all staff are trained during orientation and in annual refresher training, in the prevention and intervention of sexual assault and abuse. 5. Detainees are informed about the program in facility orientation and the detainee handbook (or equivalent). Detainees are informed about the program in facility orientation, the detainee handbook, and through postings in the housing areas. 6. The Sexual Assault Awareness Notice is posted on all housing unit bulletin boards. It was observed that Sexual Awareness Notices were posted in all housing units and in the booking area. 7. The Sexual Assault Awareness Information brochure is available for detainees. (Required in SPCs and CDFs.) The Sexual Assault Awareness Information brochure is available for detainees. 8. Detainees are screened upon arrival for “high risk” sexual assaultive and sexual victimization potential and housed and counseled accordingly. Review of 25 detainee medical records reveals that this screening is part of the intake medical/mental health screening, using DIHS form 795-A, conducted by medical staff. An interview with medical staff indicates that high-risk individuals would be referred promptly to a mental health professional and counseling is provided. 9. All incidents of sexual abuse or assault by a detainee on a detainee have been documented in the past year. No incidents of sexual abuse or assault by a detainee on a detainee have been reported. 10. All incidents or allegations of sexual abuse or assault by staff on a detainee have been documented in the past year. No incidents or allegations of sexual abuse or assault by staff on a detainee have been reported. 46 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013009 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2– 14. SEXUAL ABUSE AND ASSAULT PREVENTION AND INTERVENTION This Detention Standard requires that facilities that house ICE/DRO detainees affirmatively act to prevent sexual abuse and assaults on detainees, provide prompt and effective intervention and treatment for victims of sexual abuse and assault, and control, discipline, and prosecute the perpetrators of sexual abuse and assault. Remarks 11. There is prompt and effective intervention when any detainee is sexually abused or assaulted and policy and procedures for required chain-of-command reporting. This cannot be verified since no incidents have been reported. Policy requires prompt and effective intervention when any detainee is sexually abused or assaulted, and chain-of-command reporting. 12. When there is an alleged sexual assault, staff conduct a thorough investigation, gather and maintain evidence, and make referrals to appropriate law enforcement agencies for possible prosecution. This cannot be verified since no incidents have been reported. Policy requires that staff conduct a thorough investigation, gather and maintain evidence, and make referrals to local law enforcement agencies for possible prosecution when there is an alleged sexual assault. 13. When there is an alleged or proven sexual assault, the required notifications are promptly made. This cannot be verified since no incidents have been reported. Policy indicates that the required notifications are promptly make. 14. Victims of sexual abuse or assault are referred to specialized community resources for treatment and gathering of evidence. This cannot be verified since no incidents have been reported. Policy indicates that victims would be referred to specialized community resources for treatment and gathering of evidence. Specifically, Union County hospital would be used. 15. All records associated with claims of sexual abuse or assault is maintained, and such incidents are specifically logged and tracked by a designated staff coordinator. This cannot be verified since no incidents have been reported. The HSA has been designated as the staff coordinator and she states that these records would be maintained. PART 2 – 14. SEXUAL ABUSE AND ASSAULT PREVENTION AND INTERVENTION Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) No claims of sexual assault or abuse have been reported. Policy provides procedures to follow in the event of a reported sexual assault or abuse. Interviews with staff reveal that they are cognizant of the sexual assault or abuse policy and the procedures to follow in the event of such a claim. (b)(6), (b)(7)(c) 02/24/2012 Reviewer’s Signature / Date 47 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013010 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 1. Written policy and procedures are in place for special management units. The policy for the operation of the SMU is complete and informative. 2. A detainee is placed in protective custody status in Administrative Segregation only when there is documentation that it is warranted and that no reasonable alternatives are available. A detainee is placed into Administrative Detention when there is documentation to verify his need for protection. 3. A detainee will be placed in Disciplinary Segregation only after a finding by a Disciplinary Hearing Panel that the detainee is guilty of a prohibited act or rule violation classified at a “Greatest”, “High”, or “HighModerate” level, as defined in the Detention Standard on Disciplinary System. Detainees are placed into disciplinary segregation only after a disciplinary hearing and an authorized sanction imposed by the Discipline Hearing Officer. 4. (MANDATORY) Health care personnel are immediately informed when a detainee is admitted to an SMU to provide assessment and review as indicated by health care protocols. Medical staff examines detainee prior to being admitted to the SMU. 5. There are written policy and procedures to control and secure SMU entrances, contraband, tools, and food carts, in accordance with the Detention Standard on Facility Security and Control. The facility policy and post orders address the procedures required to operate the SMU. 6. The number of detainees confined to each cell or room does not exceed the capacity for which it was designed. 7. Cells and rooms are well ventilated, adequately lit, appropriately heated and maintained in a sanitary condition at all times. The SMU cells were clean, well lit and adequately ventilated. 8. Permanent housing logs are maintained in SMUs to record pertinent information on detainees upon admission to and release from the unit, and in which supervisory staff and other officials record their visits to the unit. Permanent logs are used to record visits to the unit by staff. Supervisors sign these logs each shift. 9. A permanent log is maintained in each SMU to record all activities concerning SMU detainees (meals served, recreation, visitors, etc.). In SPCs and CDFs, the SMU log records the detainee's name, A-number, housing location, date admitted, reasons for admission, tentative release date for detainees in Disciplinary Segregation, the authorizing official, and date released. A written record is made of staff visits to the SMU. The room capacity is two detainees per cell. There was no more than one detainee per cell during this inspection. 48 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013011 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 10. In SPCs and CDFs, a separate log is maintained in the SMU that all persons visiting the unit must sign and record:  The time and date of the visit, and  Any unusual activity or behavior of an individual detainee, with a follow-up memorandum sent through the facility administrator to the detainee's file. The entrance log (door sheet) is in place to record the visits by supervisors 11. A Special Management Housing Unit Record is maintained on each detainee in an SMU:  In SPCs form I-888 (Special Management Housing Unit Record) is prepared immediately upon the detainee’s placement in the SMU.  In CDFs and IGSA facilities form I-888 or a comparable form is used. In SPCs and CDFs:  By the end of each shift, the special housing unit officer records: o Whether the detainee ate, showered, exercised, and took any medication, and o Any additional information, for example, if the detainee has a medical condition, has exhibited suicidal or assaultive behavior, etc.  When a health care provider visits an SMU detainee, he or she signs that individual’s record, and the housing officer initials the record after all medical visits are completed and no later than the end of the shift. A record is maintained on every detainee in the SMU; logging whether or not they receive meals, showers, recreation, received medical attention, and other information. 12. Upon a detainee’s release from the SMU, the releasing officer attaches the entire housing unit record to the Administrative Segregation Order or Disciplinary Segregation Order and forwards it to the Supervisor for inclusion in the detainee’s detention file. All documents are kept in the detainees detention file. 13. There are written policy and procedures concerning the property detainees may retain in each type of segregation. There are written procedures in place concerning property for detainees in the SMU. 14. There are written policy and procedures concerning privileges detainees may have in each type of segregation. (In Administrative Segregation, detainees generally receive the same general privileges as detainees in the general population, as is consistent with available resources and safety and security considerations.) Detainees in Administrative Segregation are provided the same general privileges as detainees in the general population, in a manner consistent with the special safety and security requirements of detainees in the unit. 49 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013012 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 15. Detainees in Administrative Segregation are provided opportunities to spend time outside their cells (over and above the required recreation periods), for such activities as socializing, watching TV, and playing board games and may be assigned to work details (for example, as orderlies in the SMU). When space and resources are available, detainees in Administrative Detention are able to spend time outside of their cells. 16. Detainees in SMUs are personally observed at least every 30 minutes in an irregular schedule and more often when warranted for some cases (violent, mentally disordered, bizarre behavior, suicidal). Thirty-minute checks are conducted throughout the shifts. Unusual behavior is documented. 17. The shift supervisor sees each segregated detainee daily, including weekends and holidays. The shift supervisor visits the SMU daily. 18. The facility administrator (or designee) visits each SMU daily. The Warden, Captain, or Administrative Lieutenant visit the SMU daily. 19. A health care provider visits every detainee in an SMU at least three times a week, and detainees are provided any medications prescribed for them. In SPCs and CDFs, a nurse, doctor or other appropriate health care professional visits the SMU at least once each workday and questions each detainee to identify any medical problems or requests. Any action taken is documented in a separate logbook, and the medical visit is recorded on the detainee’s SMU Housing Record (Form I-888). Medical staff visits the SMU three times per day. 20. Detainees in SMUs are provided three nutritionally adequate meals per day, ordinarily from the general population menu. Detainees receive three meals daily consistent with the general population menu. 21. Detainees in SMUs may shave and shower three times weekly and receive other basic services (laundry, hair care, barbering, clothing, bedding, linen) on the same basis as the general population. Detainees shower at least three times per week. They are afforded weekly basic services while housed in the SMU. 22. Only for documented medical or mental health reasons are detainees denied such items as clothing, mattress, bedding, linens, or a pillow. If a detainee is so disturbed that he or she is likely to destroy clothing or bedding or create a disturbance risking harm to self or others, the medical department is notified immediately and a regimen of treatment and control instituted by the medical officer. Detainees with significant medical or mental disturbances are referred to ICE officials for transfer to a facility suitable to accommodate them. 23. Detainees in an SMU may write and receive letters the same as the general population. Detainees write and receive letters in the same manner as the general population. 50 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013013 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 24. Detainees in an SMU ordinarily retain visiting privileges. Detainees can visit while in the SMU. 25. Adequate documentation was generated for any restricted or disallowed general visits for a detainee in an SMU who violated visiting rules or whose behavior indicated the detainee would be a threat to the security or good order of the visiting room in the past year. There were no instances where a detainee has had visiting privileges restricted or disallowed 26. Adequate documentation was generated, for any restricted or disallowed general visitation for a detainee in Administrative Segregation status because the detainee was charged with, or committed, a prohibited act having to do with visiting guidelines or otherwise acted in a way that indicated the detainee would be a threat to the orderly operation or security of the visiting room in the past year. There were no instances where a detainee has had visiting privileges restricted or disallowed. 27. Under no circumstances is a detainee permitted to participate in general visitation while in restraints. Detainees do not visit in restraints. 28. In SPCs and CDFs, detainees in protective custody and violent and disruptive detainees are not permitted to use the visitation room during normal visitation hours. Detainees in protective custody visit after normal visiting hours. 29. In SPCs and CDFs, violent and disruptive detainees are limited to non-contact visits and, in extreme cases, not permitted to visit. The facility only offers non-contact visiting privileges. 30. Ordinarily, detainees in SMUs are not denied legal visitation. Detainees in the SMU are permitted to visit with attorneys. 31. There are policy and procedures for a situation where special security precautions for legal visitation have to be implemented and for advising legal service providers and assistants prior to their visits. Attorneys would be notified as soon as practical of the need for restrictive visiting. 32. Detainees in SMUs are allowed visits by members of the clergy, upon request; unless it is determined a visit presents a risk to safety, security, or orderly operations. Special visits by clergy, upon request, are permitted. 33. Detainees in SMUs have access to reading materials, including religious materials. In SPCs and CDFs, the Recreation Specialist offers each detainee softbound, non-legal books on a rotating basis, provided no detainee has more than two books (excluding religious material) at any one time. Detainees have access to their reading materials. 51 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013014 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 34. Detainees in SMUs have access to legal materials, in accordance with the Detention Standard on Law Detainees are Libraries and Legal Material. permitted to retain a reasonable amount of personal legal material in the SMU, provided it does not create a safety, security and/or sanitation hazard. Detainee requests for access to legal material in their personal property are accommodated as soon as possible and always within 24 hours of a detainee’s request. Detainees may retain legal material in their cells as long as the amount is reasonable. 35. Detainees in Administrative Segregation or Disciplinary Segregation have the same law library access as the general population, unless compelling and documented security concerns require limitations. Detainees in SMU are escorted to the Law Library. 36. Policy and procedures provide for legal material to be brought to individuals in Disciplinary Segregation under certain circumstances. If a detainee is disruptive or has a history of violence, legal material is taken to the SMU. 37. Any denial of access to the law library is always:  Supported by compelling security concerns,  For the shortest period required for security, and  Fully documented in the SMU housing logbook.  ICE/DRO is notified every time law library access is denied. There have been no denials to access to legal materials. 38. Recreation for detainees in the SMU is separate from the general population. Detainees in the SMU are afforded recreation in designated areas. 39. The facility has policy and procedures to ensure detainees who must be kept apart never participate in activities in the same location at the same time. (For example, recreation for detainees in protective custody is separated from other detainees.) Detainees do not recreate or exercise together. There is adequate time to recreate all detainees alone. 40. Detainees in the SMU are offered at least one hour of recreation per day, scheduled at a reasonable time, at least five days per week. Where cover is not provided to mitigate inclement weather, detainees are provided weather-appropriate equipment and attire. Detainees are offered five, one-hour periods of recreation per week. 52 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013015 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 41. The recreation privilege is denied or suspended only if it would unreasonably endanger safety or security. Ordinarily, a detainee is denied recreation privileges only with the facility administrator’s written authorization that documents why the detainee poses an unreasonable risk even when recreating alone. For an immediate safety or security situation, the shift supervisor may verbally authorize denial of an instance of recreation. When a detainee in an SMU is deprived of recreation (or any usual authorized items or activity), a report of the action is forwarded to the facility administrator. Detainees have not had their recreation periods denied. 42. The case of a detainee denied recreation privileges is reviewed at least once each week, as part of the reviews required for all detainees in SMU status. The reviewer documents whether the detainee continues to pose a threat to self, others, or facility security and, if so, why. Detainees have not been denied recreation privileges. However, if he were to be denied, there are review procedures designed to resume recreation as soon as possible. 43. Denial of recreation privileges for more than 15 days requires the concurrence of the facility administrator and the health authority. It is expected that such denials shall rarely occur, and only in extreme circumstances. The facility notifies ICE/DRO when a detainee is denied recreation privileges for more than 15 days. Detainees have not been denied recreation privileges. However, if he were to be denied, there are procedures in place to review the case to see if the behavior has improved and recreation can resume. 44. Ordinarily, detainees in Administrative Segregation have telephone access similar to detainees in the general population, in a manner consistent with the special security and safety requirements of an SMU. Detainees in Disciplinary Segregation may be restricted from using telephones to make general calls as part of the disciplinary process; however, ordinarily, they are permitted to make direct and/or free and legal calls as described in the Detention Standard on Telephone Access, except for compelling and documented reasons of safety, security, and good order. Detainees in Administrative Detention status have the same telephone privileges afforded to the general population. 53 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013016 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 45. Ordinarily, a written order is completed and approved by a supervisor before a detainee is placed in Administrative Segregation. If exigent circumstances make that impracticable, the order is prepared as soon as possible. A copy of the order is given to the detainee within 24 hours, unless delivery would jeopardize the safety, security, or orderly operation of the facility. If the segregation is for protective custody, the order states whether the detainee requested the segregation and whether the detainee requests a hearing. The order remains on file in the SMU until the detainee is released from the SMU, at which point the releasing officer records the date and time of release on the order and forwards it to the chief of security or supervisor for the detainee’s detention file. (An Administrative Segregation Order is not required for a detainee awaiting removal, release, or transfer within 24 hours.) Policy states that a written order is to be completed and a copy provided to the detainee within 24 hours of placement. 46. There are implemented written procedures for the regular review of all detainees in Administrative Segregation. A supervisor conducts a review within 72 hours of the detainee’s placement in Administrative Segregation to determine whether segregation is still warranted. The review includes an interview with the detainee, and a written record is made of the decision and the justification. In SPCs and CDFs, the Administrative Segregation Review Form (I-885) is used. If a detainee is segregated for the detainee's protection, but not at the detainee's request, continued detention requires the authorizing signature of the facility administrator or assistant facility administrator on the I-885. When a detainee has spent seven days in Administrative Segregation, and every week thereafter for the first 60 days and at least every 30 days thereafter, a supervisor conducts a similar review, including an interview with the detainee, and documents the decision and justification. A reviewing authority who concludes a detainee should be removed from Administrative Segregation, submits that recommendation to the facility administrator (or designee) for approval. The facility policy states that within 72 hours of a detainee’s initial placement in Administrative Segregation, the captain will conduct a review to determine if segregation is still warranted. This review, and all subsequent segregation reviews must include an interview with the detainee and must be documented. 54 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013017 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 47. A copy of the decision and justification for each review is given to the detainee, unless, in exceptional circumstances, this provision would jeopardize security. The detainee is given an opportunity to appeal a review decision to a higher authority within the facility. After each review, the detainee will be provided a copy of the decision and justification. The detainee may appeal the decision to the Warden. 48. After seven consecutive days in Administrative Segregation, the detainee may exercise the right to appeal to the facility administrator the conclusions and recommendations of any review conducted. The detainee may use any standard form of written communication (for example, detainee request form), to file the appeal. The detainee may appeal, in writing, the conclusions and recommendations of any segregation review decision to the Warden in writing. 49. If a detainee has been in Administrative Segregation for more than 30 days and objects to this status, the facility administrator reviews the case to determine whether that status should continue, taking into account the views of the detainee. A written record is made of the decision and the justification. A similar review is done every 30 days thereafter. A written record is made of the review of the case and subsequent decision. 50. When a detainee has been held in Administrative Segregation for more than 30 days, the facility administrator notifies the Field Office Director, who notifies the ICE/DRO Deputy Assistant Director, Detention Management Division. There have been no instances in which a detainee has been in Administrative Segregation for more than 30 days. If the occasion arises, ICE officials will be notified. 51. When a detainee is held in Administrative Segregation for more than 60 days, the Field Office Director notifies, in writing, the Deputy Assistant Director, Detention Management Division, for consideration of whether it would be appropriate to transfer the detainee to a facility where he or she may be placed in the general population. There have been no instances in which a detainee has been in Administrative Segregation for more than 60 days. If the occasion arises, ICE officials will be notified. 52. A detainee is placed in Disciplinary Segregation only by order of the Institutional Disciplinary Panel (IDP), or equivalent, after a hearing in which the detainee has been found guilty of a prohibited act. The maximum of a 60 day sanction in Disciplinary Segregation for a violation associated with a single incident. The facility policy states that detainees cannot be sanctioned to more than 60 days for each disciplinary sanction. 53. After the first 30 days in Disciplinary Segregation, the facility administrator sends a written justification to the Field Office Director, who may decide to transfer the detainee to a facility where he or she could be placed in the general population. This notification is a requirement included in the facility policy. 55 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013018 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 15. SPECIAL MANAGEMENT UNITS This Detention Standard protects detainees, staff, contractors, volunteers, and the community from harm by segregating certain detainees from the general population in Special Management Units (SMUs) with an Administrative Segregation section for detainees segregated for administrative reasons and a Disciplinary Segregation section for detainees segregated for disciplinary reasons. Remarks 54. Before a detainee is placed in Disciplinary Segregation, a written order is completed and signed by the chair of the IDP (or equivalent). A copy is given to the detainee within 24 hours (unless delivery would jeopardize safety, security, or the orderly operation of the facility). The IDP chairman (or equivalent) prepares the Disciplinary Segregation Order (I-883 or equivalent), detailing the reasons for Disciplinary Segregation and attaching all relevant documentation. When the detainee is released from the SMU, the releasing officer records the date and time of release on the Disciplinary Segregation Order, and forwards the completed order to the chief of security or supervisor for insertion into the detainee’s detention file. Facility policy states the Discipline Hearing Officer prepares the Disciplinary Segregation Order detailing the reasons for Disciplinary Segregation. All relevant documentation is required to be attached to the order. All corresponding paperwork is placed in the detainee's detention file when he is released from the SMU. 55. The facility has implemented written procedures for the regular review of all Disciplinary Segregation cases. A supervisor interviews and reviews the status of each detainee in Disciplinary Segregation every seven days and documents his or her findings on a Disciplinary Segregation Review Form (I-887). At each formal review, the detainee is to be given a written copy of the reviewing officer’s decision and the basis for this finding, unless institutional security would be compromised. The reviewer may recommend the detainee’s early release upon finding that Disciplinary Segregation is no longer necessary to regulate the detainee’s behavior. Early release and return to the general population requires approval of the facility administrator. All review documents are placed in the detainee's detention file. Policy requires that a review of the status of every detainee housed in Disciplinary Segregation status within the first seven days. All subsequent segregation reviews include an interview with the detainee that must be documented. The Warden must approve any early release from an imposed sanction. PART 2 – 15. SPECIAL MANAGEMENT UNITS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The post orders related to the Special Management Unit (SMU) are complete and adhere to the requirements of this standard. Observation of the operation of the SMU revealed staff knowledgeable of policy directives and approved procedures. A tour of the SMU found the cells and common areas to be clean, well lit and the temperature comfortable. It should be noted that a single 56 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013019 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 detainee was housed in the unit for most of the review period. The documentation reviewed was complete and accurate. 02/24/2012 (b)(6), (b)(7)(c) Reviewer’s Signature / Date 57 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013020 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 PART 2 – 16. STAFF-DETAINEE COMMUNICATION This Detention Standard enhances security, safety, and orderly facility operations by encouraging and requiring informal direct and written contact among staff and detainees, as well as informal supervisory observation of living and working conditions. 1. The ICE/DRO Field Office Director ensures that weekly announced and unannounced visits occur. N/A Components Does Not Meet Standard Meets Standard It also requires the posting of Hotline informational posters from the Department of Homeland Security Office of the Inspector General. Remarks A review of logs as well as an interview with ICE staff indicated that visits are being conducted routinely. 2. Detention Staff and Deportation Staff conduct scheduled weekly visits with detainees. 3. Scheduled visits are posted in ICE/DRO detainee housing areas. Postings were noted in the housing areas. 4. Visiting ICE staff observe and note current climate and conditions of confinement. The visiting staff use appropriate forms to record observations of conditions and climate. 5. ICE/DRO Detainee Request Forms are available for use by ICE/DRO detainees. Detainee request forms are readily available in each housing area. 6. The facility treats detainee correspondence to ICE/DRO staff as Special Correspondence. 7. A secure box is located in an accessible location for detainee’s to place their Detainee Request Forms. 8. Only ICE staff are able to retrieve the contents of the secure box containing Detainee Request Forms, Since ICE staff are not present in the facility daily, facility staff will retrieve the requests, scan, and email them to the Field Office for response. 9. ICE/DRO staff respond to a detainee request from a facility within 72 hours and document the response in a log. A review of local records indicated that responses are returned promptly. 10. ICE/DRO detainees are notified in writing upon admission to the facility of their right to correspond with ICE/DRO staff regarding their case or conditions of confinement. The facility handbook covers this issue. 11. OIG Hotline Informational Posters are mounted in all appropriate common areas (recreation, dining, etc.) and, in SPCs and CDFs, in all housing areas. In lieu of the postings, the information is provided to each detainee in the ICE Handbook and in a binder placed in each unit. 12. Daily telephone serviceability checks are documented in the housing unit logbook. The facility maintains a log of daily telephone serviceability checks. PART 2 – 16. STAFF-DETAINEE COMMUNICATION Meets Standard Does Not Meet Standard N/A Repeat Finding 58 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013021 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Remarks: (Record significant facts, observations, other sources used, etc.) A review of facility operations as well as interviews with ICE and facility staff indicated that the current practices encourage and produce frequent formal and informal contact with detainees. Interviews of detainees indicated that ICE has a noticeable presence in the facility and that detainees know how to access ICE staff in addition to facility staff should issues warrant. (b)(6), (b)(7)(c)/ 02/24/2012 Reviewer’s Signature / Date 59 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013022 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 - 17. TOOL CONTROL This Detention Standard protects detainees, staff, contractors, and volunteers from harm and contributes to orderly facility operations by maintaining control of tools, culinary utensils, and medical and dental instruments, equipment, and supplies. Remarks 1. (MANDATORY) There is an individual who is responsible for developing a tool control procedure and an inspection system to insure accountability. The facility policy designates the Tool Control Officer for oversight of the facility tool control program. 2. If the warehouse is located outside the secure perimeter, the warehouse receives all tool deliveries. If the warehouse is located inside the secure perimeter the facility administrator shall develop sitespecific procedures, for example; storing tools at the rear sallyport until picked up and receipted by the tool control officer. The tool control officer immediately places certain tools (band saw blades, files and all restricted tools) in secure storage. All tools are delivered to the tool control officer and stored in the secure portion of the facility. 3. (MANDATORY) The use of tools, keys, medical equipment, and culinary equipment is controlled. The facility policy describes the controls to be in place related to the use of tools throughout the facility. 4. A metal or plastic chit is taken in exchange for all tools issued, and when a tool is issued from a shadow board the receipt chit shall be visible on the shadow board. All tools are stored on shadow boards in authorized areas of the facility. Staff use chits to check out tools. Each tool must be returned before the duty day is completed. 5. Tool inventories are required for: • Facility Maintenance Department • Medical Department • Food Service Department • Electronics Shop Documentation of all tool inventories was reviewed for all authorized areas. • Recreation Department • Armory 6. Tool Inventories are conspicuously posted on all tool boards, toolboxes and tool kits. 7. The facility has a policy for the regular inventory of all tools. • The policy sets minimum time lines for physical inventory and all necessary documentation. • ICE facilities use AMIS bar code labels when required. 8. The facility has a tool classification system. Tools are classified according to: • Restricted (dangerous/hazardous) The facility policy requires a daily inventory of all tools. In addition, medical staff complete a tool inventory during each shift. All tools are classified properly as restricted or non-restricted. • Non Restricted (non-hazardous). 9. Department heads are responsible for implementing proper tool control procedures as described in the standard. The department heads adhere to the facility policy related to tool control. 60 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013023 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 10. There are policies and procedures in place to ensure that all tools are properly marked and readily identifiable. N/A Does Not Meet Standard Components Meets Standard PART 2 - 17. TOOL CONTROL This Detention Standard protects detainees, staff, contractors, and volunteers from harm and contributes to orderly facility operations by maintaining control of tools, culinary utensils, and medical and dental instruments, equipment, and supplies. Remarks The facility policy contains requirements for properly marking and identifying tools. 11. The facility has an approved tool storage system. • The system ensures that all stored tools are accountable. • Tools are stored on shadow boards in which the shadows resemble the tool. • Shadow boards have a white background. • Restricted tools are shadowed in red. • Non-restricted tools are shadowed in black. • Commonly used tools (tools that can be mounted) are stored in such a way that missing tools are readily noticed. 12. Tools removed from service have their shadows removed from shadow boards. The tools are stored in accordance with the requirements of this standard. When a tool is removed from service, the shadow is removed immediately. 13. Tools not adaptable to a shadow board are stored in a locked drawer or cabinet. 14. Sterile packs are stored under lock and key. The facility does not maintain any sterile packs in the medical inventory. 15. Each facility has procedures for the issuance of tools to staff and detainees. Detainees are not allowed to use tools. Staff use a chit system to check out a tool. 16. There are policies and procedures to address the issue of lost tools. The policy and procedures include: • Verbal and written notification. • Procedures for detainee access. • Necessary documentation/review for all incidents of lost tools. The policy and procedures related to tool control is presented to staff during regularly scheduled training venues. 17. Broken or worn out tools are surveyed and disposed of in an appropriate and secure manner. There are policy and procedural requirements for surveying and disposing of worn tools. 18. All private or contract repairs and maintenance workers under contract with ICE, or other visitors, submit an inventory of all tools prior to admittance into or departure from the facility. The inventory is reviewed and verified prior to the contractor entering/departing the facility. The Tool Control Officer ensures that an inventory of all tools and equipment used by contractors is generated prior to entry into the facility. 19. Hoses longer than three feet in length are classified as a restricted tool. 61 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013024 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 20. Scissors used for in-processing detainees are tethered to the furniture (e.g. table, counter, etc.) where they are used. N/A Components Does Not Meet Standard Meets Standard PART 2 - 17. TOOL CONTROL This Detention Standard protects detainees, staff, contractors, and volunteers from harm and contributes to orderly facility operations by maintaining control of tools, culinary utensils, and medical and dental instruments, equipment, and supplies. Remarks Scissors are not authorized in the booking area. PART 2-17. TOOL CONTROL Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility has established a sound tool control program that serves to meet the requirements of this standard. Tool inventories are accurate, tools are correctly marked and safeguarded, and procedures in place to address instances of worn or lost tools. Staff are trained to properly adhere to the requirements related to tool control. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 62 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013025 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 18. USE OF FORCE AND RESTRAINTS This Detention Standard authorizes staff to use necessary physical force, after all reasonable efforts to otherwise resolve a situation have failed, and only for protection of self, detainees, or others, for prevention of escape or serious property damage, or to maintain the security and orderly operation of the facility. Remarks 1. (MANDATORY) The facility has a Use of Force Policy. The facility has developed a policy related to Use of Force that includes all information and procedures needed to meet the requirements of this standard. Each staff member is trained in the Use of Force techniques. 2. Written policy authorizes staff to respond in an immediate-use-of-force situation without a supervisor’s presence or direction. Policy allows for the use of force when a detainee's behavior constitutes a serious and immediate threat to self, staff, another detainee, property, or the security and orderly operation of the facility. Staff may respond without a supervisor's direction or presence. 3. When the detainee is in an area that is or can be isolated (e.g., a locked cell, a range), posing no direct threat to the detainee or others, policy requires that staff must try to resolve the situation without resorting to force. Policy states that if a detainee is in an isolated location with no immediate threat to the detainee or others, staff shall assess the possibility of resolving the situation without resorting to force. 4. Written policy asserts that calculated rather than immediate use of force is feasible in most cases. The facility policy states calculated use of force is preferred and appropriate in most cases. 5. The facility subscribes to the Confrontation Avoidance Procedures. • Ranking detention official, health professional, and others confer before every calculated use of force. The facility uses Confrontation Avoidance Procedures. The ranking staff members confer prior to each calculated use of force event. 6. When a detainee must be forcibly moved and/or restrained and there is time for a calculated use of force, staff use the Use-of-Force Team Technique. • prescribed Under staff supervision. When it becomes necessary to forcibly move and/or restrain a detainee during a calculated use of force, the use-of-force team technique shall apply. A supervisor must be present. 7. Staff members are trained in the performance of the Use-of-Force Team Technique. Staff are trained during Annual Refresher Training in the Use-ofForce Team technique. 8. All use-of-force incidents are documented and reviewed. The facility policy mandates a report of the incident be completed and reviewed by the Captain and Warden. 63 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013026 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 9. All use of force incidents are properly documented and forwarded for review use of force documentation at a minimum, shall include the medical examination through the conclusion of the incident. All calculated uses of force incidents must be audio visually recorded in its entirety from the beginning of the incident to its conclusion. Any breaks in recording, e.g., dead batteries, tape exhausted, are fully explained on the video. N/A Does Not Meet Standard Components Meets Standard PART 2 – 18. USE OF FORCE AND RESTRAINTS This Detention Standard authorizes staff to use necessary physical force, after all reasonable efforts to otherwise resolve a situation have failed, and only for protection of self, detainees, or others, for prevention of escape or serious property damage, or to maintain the security and orderly operation of the facility. Remarks All calculated use of force incidents are audio and visibly recorded in its entirety and submitted for review. 10. Staff: • Does not use force as punishment. • Attempts to gain the detainee's voluntary cooperation before resorting to force • Uses only as much force as necessary to control the detainee. • Uses restraints only when other nonconfrontational means, including verbal persuasion, have failed or are impractical. 11. Medication may only be used for restraint purposes when authorized by the Medical Authority as medically necessary. 12. (MANDATORY) Use-of-Force Teams follow written procedures that attempt to prevent injury and exposure to communicable disease(s). Facility policy prohibits use of force to be used as punishment and requires the least amount of force possible to resolve the situation. Medication is not authorized for use as a restraint. Facility policy does not authorize Use-of-Force Teams, but trains all staff in Use-of-Force procedures. The training can prevent injury and exposure to communicable disease. Staff participating in a calculated use-of-force situation shall wear protective gear and receive training on communicable diseases during orientation and scheduled annual training. An individual with a skin disease or skin injury may not participate in a calculated use of force action. If the circumstances permit, staff will obtain and don appropriate protective equipment. 64 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013027 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 2 – 18. USE OF FORCE AND RESTRAINTS This Detention Standard authorizes staff to use necessary physical force, after all reasonable efforts to otherwise resolve a situation have failed, and only for protection of self, detainees, or others, for prevention of escape or serious property damage, or to maintain the security and orderly operation of the facility. Remarks 13. Standard procedures associated with using four/five point restraints include: • Soft (nylon/leather) restraints. • Dressing the detainee appropriately for the temperature. • A bed, mattress, and blanket/sheet. • Checking the detainee at least every 15 minutes. • Logging each check. • Repositioning detainee often enough to prevent soreness or stiffness. • Medical evaluation of the restrained detainee twice per eight-hour shift. • When qualified medical staff are not immediately available, staff position the detainee "face-up." 14. The shift supervisor monitors the detainee's position/condition every two hours. He/she allows the detainee to use the restroom at these times under safeguards. (b)(7)e lso, staff must (b)(7)e provide the detainee with temperature-appropriate clothing, a bed, mattress, sheets and/or blanket. Staff must check and record the detainee's condition at least every 15 minutes to ensure the restraints are not hampering circulation and to monitor the general welfare of the detainee. Staff shall periodically rotate the detainee's position to prevent soreness or stiffness. A health professional must check the detainee's breathing, vital signs, and physical and verbal responses. When the restraints have had a calming effect, they may be removed. During the two-hour reviews, the detainee will be afforded the opportunity to use the toilet. Detainees must be placed face-up when medical staff are not immediately available. These checks are documented in a logbook. 15. All detainee checks are logged. The 15-minute, supervisory, and medical checks are recorded in a log. 16. In immediate-use-of-force situations, officers contact medical staff once the detainee is under control. The facility policy mandates that medical staff examine a detainee once he has been controlled. 17. When the Facility Administrator authorizes use of non-lethal weapons: • Medical staff are consulted before staff use pepper spray/non-lethal weapons. • Medical staff reviews the detainee's medical file before use of a non-lethal weapon is authorized. 18. Intermediate Force Weapons, when not in use are stored in areas where access is limited to authorized personnel and to which detainees have no access. Detainees do not have access to any area where weapons are stored. 65 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013028 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 2 – 18. USE OF FORCE AND RESTRAINTS This Detention Standard authorizes staff to use necessary physical force, after all reasonable efforts to otherwise resolve a situation have failed, and only for protection of self, detainees, or others, for prevention of escape or serious property damage, or to maintain the security and orderly operation of the facility. Remarks 19. If Intermediate Force Weapons are stored in the Special Management Unit (SMU), they are stored and maintained the same as Class R tools. 20. Special precautions are taken when restraining pregnant detainees. • Female detainees are not housed at this facility. Medical personnel are consulted 21. Protective gear is worn when restraining detainees with open cuts or wounds. Staff are provided protective gear when restraining detainees with open wounds or cuts. 22. Staff document every use of force, including what type of restraints was used during the incident. All use-of-force incidents are documented. 23. It is standard practice to review any use of force and the non-routine application of restraints. All use-of-force incidents are reviewed. 24. All officers receive training in self-defense, confrontation-avoidance techniques and the use of force to control detainees. • Staff receive confrontation avoidance training during Annual Refresher Training. Specialized training is given to officers ensuring they are certified in all devices approved for use. 25. All staff authorized to use OC spray receive training not only in its use, but also in the decontamination of individuals exposed to it. This training must be documented in the staff training record. Staff training records include documentation of pepper spray training. A list of these staff is maintained and updated as necessary. 26. The use of canines is restricted to contraband detection purposes only. Canines are not authorized to enter this facility. 27. The officers are thoroughly trained in the use of soft and hard restraints. Staff receive restraint training during Initial Orientation and Annual Refresher Training. 28. In SPCs, the Use of Force form is used. In other facilities (IGSAs / CDFs) this form or its equivalent is used. A "Use of Force" form is used at this facility. PART 2 – 18. USE OF FORCE AND RESTRAINTS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility has a sound Use-of-Force policy, training and procedures that make the meeting of this standard possible. Although Use-of-Force Teams are not formed, all staff are trained in the techniques and can be formed into a team as needed. The training authorizing use of weapons and chemical agents is current and scheduled for re-training appropriately. There has been one use of force incident during the past 12 months. The documentation and review of the incident was thorough, timely, and adhered to policy requirements. (b)(6), (b)(7)(c) 02/24/2012 Reviewer’s Signature / Date 66 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013029 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Performance-Based National Detention Standards Section III ORDER 19 Disciplinary System 67 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013030 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 3 – 19. DISCIPLINARY SYSTEM This Detention Standard promotes a safe and orderly living environment for detainees by expecting detainees to comply with facility rules and regulations and imposing disciplinary sanctions to control the behavior of those who do not. Remarks 1. The facility has a written disciplinary system using progressive levels of reviews and appeals. The facility policy describes the disciplinary system used to enforce facility rules and regulations. 2. The facility rules state that disciplinary action shall not be capricious or retaliatory. The detainee discipline policy clearly states that disciplinary action may not be capricious or retaliatory. 3. Written rules prohibit staff from imposing or permitting the following sanctions: The policy outlines rules staff must follow when implementing the discipline policy. Specifically, staff shall not impose or allow corporal punishment of any kind, deviations from normal food services, deprivation of clothing, bedding or items of personal hygiene, deprivation of correspondence privileges, deprivation of legal access and legal materials, or deprivation of physical exercise unless such activity creates an unsafe condition. • corporal punishment • deviations from normal food service • clothing deprivation • bedding deprivation • denial of personal hygiene items • loss of correspondence privileges • deprivation of legal access and legal materials • deprivation of physical exercise 4. The rules of conduct, sanctions, and procedures for violations are defined in writing and communicated to all detainees verbally and in writing. 5. The following items are conspicuously posted in Spanish and English or other dominate languages used in the facility: • Rights and Responsibilities • Prohibited Acts • Disciplinary Severity Scale • Sanctions Detainees are provided with a detainee handbook outlining the rules of the facility and their responsibility to follow the rules. There is also a binder in each housing pod detailing the disciplinary process. Copies of the rules of conduct, rights, and list of disciplinary sanctions are posted in English and Spanish throughout the facility 6. When minor rule violations or prohibited acts occur, informal resolutions are encouraged. Policy permits informal resolutions of minor infractions. This is encouraged. 7. Incident Reports and Notice of Charges are promptly forwarded to the designated supervisor. Policy requires that all incident reports be submitted prior to the end of the current shift. 68 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013031 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 3 – 19. DISCIPLINARY SYSTEM This Detention Standard promotes a safe and orderly living environment for detainees by expecting detainees to comply with facility rules and regulations and imposing disciplinary sanctions to control the behavior of those who do not. Remarks 8. Incident Reports are investigated within 24 hours of the incident. The Unit Disciplinary Committee (UDC) or equivalent does not convene before investigations end. A supervisor investigates the report within the first 24 hours of staff becoming aware of the incident. A supervisor conducts an investigation. The investigation must be completed prior to the discipline hearing. 9. An intermediate disciplinary process is used to adjudicate minor infractions. The facility policy uses informal resolution as the intermediate disciplinary process. 10. A disciplinary panel (or equivalent in IGSAs) adjudicates infractions. The panel: The policy uses the Discipline Hearing Officer (DHO) concept. The DHO shall have authority to; conduct hearings on all charges and allegations, call witnesses to testify, consider written reports, statements, physical evidence and oral testimony. He also hears pleadings by the detainee and/or staff representative, make finding(s) that a detainee did or did not commit a prohibited act or rule violation as charged in accordance with the greater weight of evidence. The DHO imposes sanctions allowed by the policy for the various degrees of code violations. • Conducts hearings on all charges and allegations referred by the UDC • Considers written reports, statements, physical evidence, and oral testimony • Hears pleadings by detainee and staff representative • Bases its findings on the preponderance of evidence • Imposes only authorized sanctions 11. A staff representative is available if requested for a detainee facing a disciplinary hearing The facility affords staff representatives upon request. The Captain discusses the responsibilities of a staff representative during Annual Refresher Training. 12. The facility permits hearing postponements or continuances when conditions warrant such a continuance. Reasons are documented. In cases where a hearing is delayed, the reason must be documented and approved by the Warden. Policy states that delays shall not exceed 72 hours. 13. The duration of punishment set by the Facility Administrator, as recommended by the disciplinary panel does not exceed established sanctions. The maximum time in disciplinary segregation does not exceed 60 days for a single offense. The facility policy prohibits the DHO from recommending or approving, the imposition of a sanction greater than 60 days in Disciplinary Segregation. In practice, the DHO does not ordinarily impose a sanction greater than 30 days. 69 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013032 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 3 – 19. DISCIPLINARY SYSTEM This Detention Standard promotes a safe and orderly living environment for detainees by expecting detainees to comply with facility rules and regulations and imposing disciplinary sanctions to control the behavior of those who do not. Remarks 14. Written procedures govern the handling of confidential-source information. Procedures include criteria for recognizing "substantial evidence". Policy permits the use of confidential informant information if the reliability of an informant has been established before the hearing and the DHO may use the information to support a finding. 15. All forms relevant to the incident, investigation, committee/panel reports, etc., are completed and distributed as required. The forms reviewed indicated all records and documentation for discipline hearings are routed and distributed according to policy mandates. PART 3 – 19. DISCIPLINARY SYSTEM Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility has a system of detainee discipline that meets the requirements of this standard. The program serves to protect the public, detainees, and employees. It serves to maintain order in the facility through the impartial application of rules and regulations. The policy incorporates for the discipline hearing procedures applicable due process requirements. Detainees may appeal through the detainee grievance procedure to the Warden, in writing, within typical grievance time guidelines not to exceed fifteen (15) days from the date of being advised. The detainees are advised of this right to appeal by the DHO at the time the sanction is announced. (b)(6), (b)(7)c 02/24/2012 Reviewer’s Signature / Date 70 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013033 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Performance-Based National Detention Standards Section IV CARE 20 Food Service 21 Hunger Strikes 22 Medical Care 23 Personal Hygiene 24 Suicide Prevention and Intervention 25 Terminal Illness, Advance Directives, and Death 71 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013034 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 4 – 20. FOOD SERVICE This Detention Standard ensures that detainees are provided a nutritionally balanced diet that is prepared and presented in a sanitary and hygienic food service operation. Remarks 1. The food service program is under the direct supervision of a professionally trained and certified Food Service Administrator (FSA). The Responsibilities of cooks and cook foremen are in writing. The FSA determines the responsibilities of the Food Service Staff. The Food Service Administrator (FSA) is not certified but has worked as a FSA in both a hospital and nursing home setting. The standards require that the food service program be under the direct supervision of an experienced food service administrator. Certification is not a requirement of the standard. Responsibilities of the cooks are in writing. 2. The Cook Foreman is on duty on days when the FSA is off duty and vice versa. The FSA works Monday thru Friday, and the Cook Foreman works Tuesday thru Saturday. 3. The FSA provides food service employees with training that specifically addresses detainee-related issues. In ICE Facilities this includes a review of the "Food Service" standard 4. (MANDATORY) Knife cabinets close with an approved locking device and the on-duty cook foreman maintains control of the key that locks the device. Knives and keys are inventoried and stored in accordance with the Detention Standard on Tool Control 5. All knives not in a secure cutting room are physically secured to the workstation and staff directly supervises detainees using knives at these workstations. Staff monitor the condition of knives and dining utensils Training is provided on detainee related issues. This facility does not use knives but uses dough cutters instead. These items are maintained in a locked metal cage and must be signed out by staff. All tools are on a shadow board and must be signed out using a metal "chit" by staff. Knives are not used at this facility. 6. Special procedures (when necessary) govern the handling of food items that pose a security threat. All items that may pose a security threat such as sugar are maintained in a locked metal cage inside a locked office/storage area. Detainees do not have access to this area unless accompanied by staff. 7. Operating procedures include daily (shakedowns) of detainee work areas. searches Work areas are shaken down each shift by correctional officers and each day by food service staff. 8. The FSA monitors staff implementation of the facility population count procedures. These procedures are in writing. Staff are trained in count procedures. Detainees working in food service are placed on an out count. Staff are trained in count procedures. Facility policy addresses this area. 72 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013035 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 20. FOOD SERVICE This Detention Standard ensures that detainees are provided a nutritionally balanced diet that is prepared and presented in a sanitary and hygienic food service operation. Remarks 9. (MANDATORY) There is adequate health protection for all detainees and staff in the facility, and for all persons working in food service. Detainees and other persons working in food service are monitored each day for health and cleanliness by the food service supervisor or designee. Detainee clothing and grooming comply with the "Food Service" standard. Detainees are provided appropriate clean clothing daily, cleared for work assignments by medical staff and are monitored daily by the FSA and his staff for cleanliness. 10. The FSA annually reviews detainee-volunteer job descriptions to ensure they are accurate and up-todate. Job descriptions are current and accurate. The food service area employs 16 detainees. 11. The Cook Foreman or equivalent instructs newly assigned detainee workers in the rules and procedures of the food service department. These instructions are documented and a copy is placed in the detainee's A-file. 12. During orientation and training session(s), the Cook Supervisor (CS) explains and demonstrates: • Safe work practices and methods. • Safety features of individual products/ pieces of equipment. • Training covers the safe handling of hazardous material[s] the detainee are likely to encounter in their work. Training sessions are conducted by the food service staff and the facility Safety Manager. 13. The Cook Foreman documents all training in individual detainee detention files. Training is documented and is placed in the detainee's file. 14. Detainees at SPCs and CDFs are paid in accordance with the “Voluntary Work Program” standard. Detainee workers at IGSAs are subject to local and State rules and regulations regarding detainee pay. Detainees receive $1.00 per day for work compensation. 15. Detainees are served at least two hot meals every day. No more than 14 hours elapse between the last meal served and the first meal of the following day. Meals are served at 7:00 AM, 11:00 AM, and 5:00 PM. No more than 14 hours elapse between meals. 16. For cafeteria-style operations, a transparent "sneeze guard" protects both the serving line and salad bar line. Detainees are fed in their housing units. 17. The facility has a standard 35-day menu cycle. IGSAs use a 35 day or similar system for rotating meals. The facility operates on a 35-day menu cycle. 18. (MANDATORY) A registered dietitian shall conduct a complete nutritional analysis that meets U.S. Recommended Daily Allowances (RDA), at least annually, of every master-cycle menu planned by the FSA. The dietitian must certify menus before they are incorporated into the food service program. If necessary, the FSA shall modify the menu in light of the nutritional analysis to ensure nutritional adequacy. The menu will need to be revised and re-certified by the registered dietician in that event. Menus are approved by a dietitian and a nutritional analysis was available for review. 73 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013036 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 20. FOOD SERVICE This Detention Standard ensures that detainees are provided a nutritionally balanced diet that is prepared and presented in a sanitary and hygienic food service operation. Remarks 19. The FSA has established procedures to ensure that items on the master-cycle menu are prepared and presented according to approved recipes. 20. The Cook Foreman has the authority to change menu items if necessary. • If yes, documenting each substitution, along with its justification, with copy to the FSA 21. All staff and volunteers know and adhere to written "food preparation" procedures. 22. A Common Fare menu available to detainees, at no charge, whose dietary requirements cannot be met on the main. • Changes to the planned Common Fare menu can be made at the facility level. • Hot entrees are offered three times a week. • The Common Fare menus satisfy nutritional recommended daily allowances (RDAs). • Staff routinely provide hot water for instant beverages and foods. o Common Fare meals are served with: o Disposable plates and utensils. o Reusable plates and utensils. • Staff use separate cutting boards, knives, spoons, scoops, etc., to prepare the Common Fare diet items. Substitutions are documented and the documentation was reviewed by this Inspector. Cook foreman on duty was interviewed and found to be knowledgeable of written food preparation procedures. No discrepancies were noted during the inspector's observation of the kitchen. A common fare program is available to detainees. Changes can be made with the Warden's approval. Hot entrees are offered at a minimum of three times per week. The common fare menu was reviewed and approved by a certified dietitian. Hot water is provided for detainees as needed. Common fare meals are served with Styrofoam plates and bowls and plastic utensils. Separate cutting boards, pots and pans and utensils are used in the preparation of common fare meals 23. Detainees whose religious beliefs require the adherence to particular religious dietary laws are referred to the Chaplain or FSA. The FSA is notified and if there is a concern, he contacts the local clergy for assistance. 24. A supervisor at the command level must approve a detainee’s removal from the Common Fare Program. The FSA indicated that a memo is sent to the Warden for removal of any detainee who would violate the common fare program. This has not occurred. 25. The Facility Administrator, in conjunction with the chaplain and/or local religious leaders provides the FSA a schedule of the ceremonial meals for the following calendar year. The ceremonial meal schedule was reviewed. Ceremonial meals are scheduled until 2014. 74 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013037 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 26. The Common Fare Program accommodates detainees abstaining from particular foods or fasting for religious purposes at prescribed times of the year. • Muslims fasting during Ramadan receive their meals after sundown. • Jews who observe Passover but do not participate in the Common Fare Program receive the same Kosher-for- Passover meals as those who do participate. • Main-line offerings include one meatless meal (lunch or dinner) on Ash Wednesday and Fridays during Lent. N/A Does Not Meet Standard Components Meets Standard PART 4 – 20. FOOD SERVICE This Detention Standard ensures that detainees are provided a nutritionally balanced diet that is prepared and presented in a sanitary and hygienic food service operation. Remarks Detainees wanting to observe their religious holidays are given the opportunity and religious criteria are followed by staff. This inspector observed the lunch menu for Ash Wednesday and the meal met the religious requirements. 27. The food service program addresses medical diets. Medical diets are established when notified by the medical department. Documentation was reviewed. 28. Satellite-feeding programs follow guidelines for proper sanitation. Satellite areas within the facility are fed with food carts. Observation of the satellite carts and detainee interviews indicate meals are being served within the allotted two-hour time frame. 29. Hot and cold foods are maintained at the prescribed, "safe" temperature(s) as served. See Detention Standard on Food Service for guidance. The lunch meal was observed on 02/22/2012 and the fish was 180 degrees; rice 180 degrees; beans 170 degrees; and peaches 40 degrees. On 02/23/2012 Spaghetti was 168 degrees; corn 174 degrees; green beans 172 degrees; salad 34 degrees. 30. All meals provided in nutritionally adequate portions. Portions appeared to meet the menu requirements. 31. Food is not used to punish or reward detainees based upon behavior. Food is never used as punishment per staff and facility policy. 32. The food service staff instruct detainee volunteers on: • Personal cleanliness and hygiene; • Sanitary techniques for preparing, storing, and serving food, and; • The sanitary operation, care, and maintenance of equipment. Training and instructions to detainees are given by the food service staff and the facility Safety Manager. 33. Everyone working in the food service department complies with food safety and sanitation requirements. 75 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013038 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 20. FOOD SERVICE This Detention Standard ensures that detainees are provided a nutritionally balanced diet that is prepared and presented in a sanitary and hygienic food service operation. Remarks 34. (MANDATORY) The facility implements written procedures for the administrative, medical, and/or dietary personnel conducting the weekly inspections of all food service areas, including dining, storage, equipment, and food-preparation areas. Written procedures and records of weekly inspections by medical personnel were reviewed in the medical department. Inspections on file indicated that the cook foreman and the FSA conduct weekly inspections of all food service areas. This is documented on a form that is maintained in the FSA's office. Facility policy states that all department heads are responsible to conduct weekly inspections of their respective areas. An interview with the Warden and FSA revealed that the Warden visits the food service department numerous times during the week. The Warden also stated he personally reviews every weekly inspection report. 35. Reports of discrepancies are forwarded to the Facility Administrator or designated department head and corrective action is scheduled and completed. Reports of all safety inspections are forwarded to the Warden. Corrective action is discussed by the appropriate department head and is implemented. 36. (MANDATORY) Standard procedure includes checking and documenting temperatures of all dishwashing machines after each meal, in accordance with the Detention Standard on Food Service. The log for the dishwashing machine was checked and found to be in compliance. The Southern Seven Health Department also verified the dishwasher temperatures during their inspection on 10/13/2011. 37. (MANDATORY) Staff document the results of every refrigerator/ freezer temperature check, in accordance with the Detention Standard on Food Service. Logs are maintained and were reviewed. No discrepancies were noted. 38. The cleaning schedule for each food service area is conspicuously posted. A cleaning schedule is posted in the food service area. 39. Procedures include inspecting all incoming food shipments for damage, contamination, and pest infestation. Incoming food is inspected by food service staff and any damaged items are not accepted. This was verified in an interview with the FSA. No damaged food items were found during the inspection. 40. Storage areas are locked when not in use. All storage areas were locked 41. Food service personnel conduct shakedowns along with detention staff. Shakedowns are conducted by correctional officers and each shift and daily by food service staff. 76 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013039 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 20. FOOD SERVICE This Detention Standard ensures that detainees are provided a nutritionally balanced diet that is prepared and presented in a sanitary and hygienic food service operation. Remarks 42. In SPCs only: The ICE supervisor on duty ensures that ICE officers participate in dining room supervision. Detainees are fed in their housing units. 43. Menus are certified by a registered dietitian prior to being incorporated into the Food Service Program. Menus were certified by a dietitian on 05/12/2011. 44. In SPCs only: the FSA prepares quarterly cost estimates for the Common Fare Program. This quarterly estimate is factored into the quarterly budget. The FSA prepares a quarterly budget in which the Common Fare Program is factored into his total operating budget. 45. When required, only food service staff prepare the sack lunches for detainee transportation. Sack lunches are prepared by food service and contain two sandwiches, one pastry, chips, and fruit. 46. Air curtains or comparable devices are used on outside doors where food is prepared, stored, or served to protect against insects and other rodents. 47. Staff comply with the ICE requirements for "food receipt and storage. Curtains were in place. Storage areas were clean and neat with no evidence of pest infestation. Items were stored properly, labeled appropriately, and the FSA practices a sound rotation system. 48. Stock inventory levels are monitored and adjusted to correct overage and shortage problems. 49. Staff comply with all ICE Housekeeping, Storeroom/Refrigerator requirements. Identify and explain any shortcomings. All storerooms, freezers, and refrigerators were clean and neat. Food items were stored appropriately. 50. Dining room facilities and operating procedures will provide sufficient space and time for detainees to eat meals in a relatively relaxed, unregimented atmosphere. Detainees are fed in their housing units. 51. (MANDATORY) An independent, external source shall conduct annual inspections to ensure that the food service facilities and equipment meet governmental health and safety codes. Corrective action is taken on deficiencies, if any. The Southern Seven Health Department conducted a health inspection on 10/13/2011. The facility received a score of 97. 77 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013040 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 52. Personnel inspecting the food service department shall note needed corrective action(s), if any, in a written report to the Facility Administrator. N/A Components Does Not Meet Standard Meets Standard PART 4 – 20. FOOD SERVICE This Detention Standard ensures that detainees are provided a nutritionally balanced diet that is prepared and presented in a sanitary and hygienic food service operation. Remarks Food service inspections are forwarded to the Warden for review with any recommendations for corrective actions. During the review, the meat slicer in the kitchen was not equipped with an anti-restart device as required by OSHA. The facility had a representative from Hobart Inc. to review the meat slicer on 02/23/2012. The anti-restart switch was ordered. 53. Only those toxic and caustic materials required for sanitary maintenance of the facility, equipment, and utensils shall be used in the food service department. Material Safety Data Sheets (MSDSs) will be maintained on all flammable, toxic, and caustic substances used. MSDS sheets are located in food service. Detainees never use caustic materials per the FSA and Safety Manager. The food service department has a pest control contract with Piedmont Pest Control. They perform monthly inspections and provide treatment when needed. 54. (MANDATORY) The FSA is responsible for pest control in the food service department, including contracting the services of an outside exterminator. FOOD SERVICE Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The food service operation at this facility is operated "in-house" with a Food Service Administrator and three additional cooks. The quality of the operation was found to be consistent with all standards. The staff was professional and delivered a good product in a safe, sanitary environment. Detainees and staff were both knowledgeable and well trained. Records and logs were current and accurate. The population was well served in special areas such as a vegetarian diet, the common fare program and medical diets. There were no major areas of concern with this department with the exception of the meat slicer in the kitchen was not equipped with anti-restart devices as required by OSHA. The facility had a representative from Hobart Inc. to review the meat slicer on 02/23/2012. The anti-restart switch was ordered per the Food Service Administrator. The rating of this standard was based on personal observations, a review of documentation, and staff interviews. 02/24/2012 (b)(6), (b)(7)(c) Reviewer’s Signature / Date 78 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013041 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 21. HUNGER STRIKES This Detention Standard protects detainees’ health and well-being by monitoring, counseling and, when appropriate, treating any detainee who is on a hunger strike. Remarks 1. When a detainee has refused food or observed to have not eaten for 72 hours, it is standard practice for staff to refer him or her to the medical department. Facility policy states that if a detainee notifies any employee that he/she declares a hunger strike, the detainee will be immediately placed in a medical cell for observation. An incident report shall be prepared after the first meal the detainee refuses to eat and forwarded to the medical department. A detainee is considered on a hunger strike when evidence shows he/she has not eaten for 72 hours. 2. Facility immediately reports via the chain of command a hunger strike to ICE/DRO. Policy states that the detaining authority will be notified immediately of any detainee on a hunger strike. 3. The facility has established procedures to ensure staff respond immediately to a hunger strike. Staff is trained to respond immediately to a hunger strike. 4. Policy and procedure require that staff isolate a hunger-striking detainee from other detainees. Policy indicates that the hunger striking detainee be housed in the medical department. 5. Medical personnel are authorized to place a detainee in the Special Management Unit or a locked hospital room. Policy indicates that medical personnel are authorized to place a detainee in the hospital observation room. 6. Medical staff records the weight and vital signs of a hunger-striking detainee at least once every 24 hours. Policy requires that staff record the weight and vital signs of a hungerstriking detainee daily. 7. The facility medical authority obtains a hunger striker’s consent before medical treatment. In accordance with policy and as confirmed by the HSA and a review of detainee medical records, a signed procedure-specific consent is obtained for any procedure that is medically invasive or that otherwise poses a potential risk as well as a benefit to the detainee. 8. A signed Refusal of Treatment form is required of every detainee who rejects medical evaluation or treatment, or two staff/provider signatures indicating detainee refusal to sign form. Any detainee refusing medical evaluation or treatment is required to sign a Refusal of Treatment form. If a detainee refuses to sign the Refusal of Treatment form, two staff/providers shall sign the form indicating the detainee's refusal to sign the form. 79 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013042 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 9. Unless otherwise directed by the medical authority, staff delivers three meals per day to the detainee's room, regardless of the detainee's response to a verbally offered meal and document meal offers. N/A Components Does Not Meet Standard Meets Standard PART 4 – 21. HUNGER STRIKES This Detention Standard protects detainees’ health and well-being by monitoring, counseling and, when appropriate, treating any detainee who is on a hunger strike. Remarks Policy states and the practice are to deliver three meals per-day to the detainee's room. 10. Staff maintains the hunger striker’s supply of drinking water/other beverages. Policy states that the water will be turned off in the detainee’s cell. Staff will offer all fluids and accurate records will be kept daily as to the intake. Staff shall offer the detainee an adequate supply of drinking water and shall offer to provide other beverages. 11. During a hunger strike, staff removes all food items from the hunger striker’s living area. Policy states that staff shall remove from the hunger striker's room all food items not authorized by medical staff. 12. Staff is directed to record the hunger striker’s fluid intake and food consumption on the Hunger Strike Monitoring Form I-839 or equivalent. Policy states that food and water intake and output is measured and recorded on the Hunger Strike monitoring Form. 13. The medical staff have written procedures for treating hunger strikers. There are written policies and procedures for monitoring hunger strikers. Forced treatment would be done at another facility or off-site in a community hospital. 14. Staff document all treatment attempts in the medical record, including attempts to persuade the hunger striker by counseling him or her of the medical risks. Interview with the HSA indicates that all treatment attempts, including attempts to persuade the hunger striker by counseling, are documented in the medical record. 15. All staff receive orientation and annual training on recognizing the signs of a hunger striker and on the procedures for referral for medical assessment. Medical staff receive training in hunger-strike evaluation and treatment and remain up-to-date on these techniques. Interviews with staff and review of training curriculum indicate that all staff receives orientation on recognizing the signs of a hunger striker and on the procedures for referral for medical assessment. Medical staff has received training in hunger strike evaluation and monitoring. PART 4 – 21. HUNGER STRIKES Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) No detainee hunger strikes have been reported since the last review. Review of policy and interviews with staff, indicate that 80 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013043 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 policies and procedures are in place to indentify, refer, and monitor hunger-striking detainees, and that staff is trained and knowledgeable of these procedures. Interview with the Health Services Administrator indicates that if involuntary treatment became necessary, the detainee would be transferred to an off site medical facility or to another ICE facility (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 81 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013044 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 1. The facility operates a health care facility in compliance with state and local laws and guidelines. The facility is not accredited by any accrediting entity. Review of credential files reveals that all licenses are current and verified. 2. The facility’s in-processing procedures of arriving detainees include medical screening. Facility policy calls for a medical screening as part of the intake process. Medical staff conducts the screening and the completed DIHS form 795-A is filed in the detainee’s medical record. This is confirmed by the review of 25 detainee medical records. 3. (MANDATORY) The essential positions needed to perform the health services mission and provide the required scope of services are described in a staffing plan that is reviewed at least annually by the health authority. The inspector reviewed the current staffing plan and found that it is reviewed annually, by the health authority and the facility. Current staffing includes a Health Services Administrator (HSA), who is a Registered Nurse (RN) (b)(7)e additional RN(b)(7)e Licensed Practical Nurses (LPNs) and a Certified Medication Aid. A Registered Nurse Practitioner, (RNP) provides services one day a week and a physician is available when needed. Dental treatment is provided off site as needed. The HSA and RNP are always on call. Mental health services are provided by Delta Center on an as needed basis. 4. (MANDATORY) Newly admitted detainees will be informed, orally and in writing (in a language they can understand), about how to access health services. Newly admitted detainees are informed orally and in writing, how to access health services. This information is available in English and Spanish and the language line is used for other languages. Detainees sign a form to indicate that they have received this information 5. Detainees will have access to and receive specified 24-hour emergency medical, dental, and mental health services. Medical staff is on duty 24 hours per day, seven days a week. A physician, dentist, and mental health staff are always on call. 82 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013045 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 6. New direct care staff will receive tuberculosis tests prior to their job assignment and periodically thereafter and will be offered the hepatitis B vaccine series. Review of staff medical files reveals that medical staff receives TB testing prior to job assignment and annually thereafter. Hepatitis B vaccine was offered to medical staff in May 2011. 7. Health care services will be provided by trained and qualified personnel, whose duties are governed by job descriptions and who are properly licensed, certified, credentialed, and/or registered in compliance with applicable state and federal requirements. Review of credential files reveals that all professional staff is properly licensed, certified, credentialed, and registered in compliance with applicable state and federal requirements. Written job descriptions are provided and were reviewed. 8. The facility provides each detainee, upon admittance, a copy of the detainee handbook or equivalent, in which procedures for access to health care services are explained (in a language they can understand). Detainees sign a form that states they have been advised how to access health care services. This information is also clearly explained in the detainee handbook. 9. In SPCs and CDFs, medical personnel credentialing and verification complies with the standards established by the NCCHC and Joint Commission. At this facility credentialing and verification complies with National Commission on Correctional Health Care and Joint Commission standards. Review of credential files reveals that licenses are primary source verified and current. 10. Within 12 hours of arrival, all newly admitted detainees receive initial medical, dental and mental health screening by a health care provider or a detention officer specially trained to perform this function. • When screening is performed by a detention officer, the facility maintains documentation of the officer’s special training. 11. (MANDATORY) If language difficulties prevent the health care provider/officer from sufficiently communicating with the detainee for purposes of completing the medical screening, the officer obtains translation assistance. Review of 25 detainee medical records indicates that all newly admitted detainees receive an initial medical, dental, and mental health screening from a nurse. The telephonic language line is used extensively for purposes of completing the medical screening. 83 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013046 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 12. The facility has sufficient space and equipment to afford each detainee privacy when receiving health care. The medical department is of adequate size and is equipped with necessary and functional equipment. There is an examining room available in the medical department that provides privacy when receiving medical care. The facility does not have a trauma room. All trauma cases are sent to Union County Hospital, which is about 15 miles from the facility. 13. The medical facility has its own restricted-access area. The restricted access area is located within the confines of the secure perimeter. The medical department is located within the secure perimeter and access is restricted. 14. The medical facility holding/waiting room. There is a holding /waiting room located just inside the entrance to the department. The waiting room does not have any seating and can only house four or five detainees. entrance includes a 15. The medical facility’s holding/waiting room under the direct supervision of custodial staff. A detention officer is assigned to provide supervision of the holding/waiting room. 16. Detainees in the holding/waiting room have access to a toilet and a drinking fountain. Detainees in the holding/waiting room have access to a toilet and water by request to the detention officer. 17. Medical records are kept apart from other files. They are: Observation reveals that medical records are kept apart from other files in a records cabinet in the examining room within the medical unit, with physical access restricted to authorized medical staff. Procedurally, no copies of medical records are made and placed in detainee files. • Secured in a locked area within the medical unit. • With physical access restricted to authorized medical staff. • Procedurally, no copies made and placed in detainee files. 18. (MANDATORY) A signed and dated consent form is obtained from a detainee before medical treatment is administered. A general consent form is completed as part of the intake process. Specific consent forms for any invasive procedure are obtained prior to performance of such procedures. This was verified by review of 25 detainee medical records. 19. Detainees use the I-813 (or IGSA equivalent) to authorize the release of confidential medical records to outside sources. Detainees use the I-813 to authorize the release of confidential medical records to outside sources. 84 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013047 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 20. The facility health care provider is given advance notice prior to the release, transfer, or removal of a detainee. Interview with the HSA reveals that a list of detainees to be moved is usually received approximately 6 hours before the move. 21. A detainee's medical records will be transferred as appropriate. All detainees will be transferred with a copy of their transfer summary. Interview with staff and observation reveal that all detainees are transferred with a transfer summary and other pertinent medical records. 22. Medical records are placed in a sealed envelope or other container labeled with the detainee's name and A-number and marked "MEDICAL CONFIDENTIAL.” Observation reveals that medical records are placed in a sealed envelope and labeled with the detainees name, A-number, and marked "medical confidential". 23. Medical screening includes a Tuberculosis (TB) test. Review of 25 detainee medical records indicates that all arriving detainees are screened for symptoms of active tuberculosis (TB) and a (TB) skin test is administered to each ICE detainee within one day of arrival unless that detainee arrives with documentation of testing within the past year or a history of a past positive test. In the event of a past positive, a chest xray is taken, unless recently completed, to confirm the absence of active disease. 24. All detainees receive a mental-health screening upon arrival. It is conducted: Review of 25 detainee medical records reveals that all detainees receive a mental health screening upon arrival. It is conducted by a health care provider before a detainee's assignment to a housing unit. • By a health care provider or specially trained officer; • Before a detainee’s assignment to a housing unit. 25. The facility health care provider promptly reviews all I794s (or equivalent) to identify detainees needing medical attention. The RN reviews all medical information arriving with a detainee to identify detainees needing medical attention. 85 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013048 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 26. (MANDATORY) Each facility’s health care provider conducts a health appraisal and physical examination on each detainee within 14 days of arrival. If there is documentation of one within the previous 90 days, the facility health care provider may determine that a new appraisal is not required. Review of 25 detainee medical records revealed that health appraisals/physical examinations were performed within 14 days of arrival. The physical examinations were performed by Registered Nurses (RNs) and reviewed by the Registered Nurse Practitioner. Review of the credential files of the RNs revealed that they had been credentialed to perform these comprehensive physical examinations by the Nurse Practitioner. The Nurse Practitioner reviews and countersigns the assessments/physical examinations performed by the RNs. 27. Detainees in the Special Management Unit have access to the same level of health care as detainees in the general population. Detainees in the SMU have the same access to health care as detainees in the general population. Additionally, a health care provider makes rounds daily when detainees are housed in the SMU. 28. Staff provide detainees with health- services (sick call) request slips daily, upon request. • Request slips are available in the languages other than English, including every language spoken by a sizeable number of the facility’s detainee population. • Service-request slips are delivered in a timely fashion to the health care provider. Observation reveals that medical request slips are available in all housing units in English and Spanish and that request slips are picked up daily by a nurse. 29. (MANDATORY) The facility has a written plan for the delivery of 24-hour emergency health care when no medical personnel are on duty at the facility, or when immediate outside medical attention is required. Health care staff is on duty 24 hours a day, seven days a week. Policy provides procedures for when immediate outside medical attention is required. 30. The plan includes an on-call provider. The HSA and the RNP are always on call. 31. The plan includes a list of telephone numbers for local ambulances and hospital services. Telephone numbers for the ambulance service and hospital services are located in the medical department. 32. The plan includes procedures for facility staff to utilize this emergency health care consistent with security and safety. The plan includes procedures that provide for security and safety when outside medical attention is requires. 86 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013049 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 33. (MANDATORY) Detention and health care personnel will be trained, at least annually, to respond to healthrelated situations within four minutes and to properly use first aid kits, available in designated areas. Review of training files reveals that all staff is trained in first aid, cardiopulmonary resuscitation and use of the automated external defibrillator on an annual basis. 34. Where staff are used to distribute medication, a health care provider properly trains these officers. Medical staff distributes all medication. 35. Pharmaceuticals and nonprescription medicines will be stored, inventoried, dispensed, and administered in accordance with sound standards and facility needs for safety and security. Observation reveals that medications are stored, inventoried, dispensed, and administered in accordance with sound standards and facility needs for safety and security. 87 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013050 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 36. (MANDATORY) Each facility has written policy and procedures for the management of pharmaceuticals that include: • A formulary of all prescription and nonprescription medicines stocked or routinely procured from outside sources. • A method for obtaining medicines not on the formulary. • Prescription practices, including requirements that medications are prescribed only when clinically indicated and that prescription are reviewed before being renewed. • Procurement, receipt, distribution, storage, dispensing, administration, and disposal of medications. • Secure storage and perpetual inventory of all controlled substances (DEA Schedule II-V), syringes, and needles. N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks The facility does have written policy and procedures for the management of pharmaceuticals as required, which includes effective language for the first four bulleted items. Policy states that the Medical Services Director will coordinate with the pharmaceutical provider to ensure the strict adherence to all laws and standards regarding the prescription, receipt, storage, dispensing of drugs; and administrative practices are followed. Facility policy states that a perpetual inventory must be maintained. Also, medical staff will physically count these items daily, at the start and end of each shift. Observation of actual practice reveals that needles and syringes are not inventoried daily at the beginning and end of each shift and a perpetual inventory is not maintained. Bulk stock of needles and syringes is kept in locked cabinets in the medical storage room. Inventory entries are only made when a number of items are taken from this stock and placed in the medication cart for use. Once needles and syringes are placed in the medication cart, no further accountability is maintained. While the current inventory of the bulk stock was accurate, the HSA had conducted an inventory two days ago which showed significant discrepancies in the inventories of Insulin syringes, 5cc syringes with needles, and 3cc syringes with needles. Inventories were established and conducted on the working stock in the medication cart during the review. 88 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013051 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 37. All pharmaceuticals are stored in a secure area with the following features: • A secure perimeter; • Access limited to authorized medical staff (never detainees); • Solid walls from floor to ceiling and a solid ceiling; • A solid core entrance door with a high security lock (with no other access); and • A secure medication storage area. 38. In SPCs and CDFs, the pharmacy has a locking pass-through window. • Administration and management in accordance with state and federal law. • Supervision by properly licensed personnel. • Administration of medications by personnel properly trained and under the supervision of the health services administrator, or equivalent. • Accountability for administering or distributing medications in a timely manner and according to physician orders. 39. The health care provider in accordance with specific instructions and procedures establishes distribution of medication. Written records of all medication given to detainees are maintained. N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks Pharmaceuticals are stored in the pharmacy located in the medical department, which is within the secure perimeter. Access is limited to medical staff. The inspector observed that the walls are solid from floor to roof through the dropped ceiling. The entrance door is a solid core door with a high security lock and no other access. Medication is stored in locked cabinets and medication carts. At this facility the pharmacy does not have a locking pass-through window. All medication is distributed/administered on the units. The administration and management of medication is in accordance with state and federal law. A local contract pharmacist on a monthly basis provides supervision. Medication is administered by licensed medical staff that has been properly trained and is under the supervision of the HSA. The HSA reviews medical records to assure that medications are ordered and administered in a timely manner Observation reveals that medication is distributed in accordance with procedures established in policy. All medications given to detainees are recorded on a Medication Administration Record. 40. Medication may not be delivered or administered by detainees. • In facilities that are medically staffed 24 hours a day, the health care provider distributes medication. • In facilities that are not medically staffed 24 hours a day, medication may be distributed by detention officers, who have received proper training by the health care provider, only when medication must be delivered at a specific time when medical staff are not on duty. Medical staff is on duty 24 hours a day at this facility. All medication at this facility is delivered or administered by medical staff. 89 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013052 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 41. The facility maintains documentation of the training given any officer required to distribute medication, and the officer has available for reference the training syllabus or other guide or protocol provided by the health authority. N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks Medical staff is on duty 24 hours a day at this facility. All medication at this facility is delivered or administered by medical staff. 42. The Warden/Facility receives notification that a detainee that has special medical needs. The Warden/facility receives notification that a detainee has special medical needs via a special needs form that is completed by the HSA. 43. Procedures are in place, consistent with the detention standard, for examinations by independent medical service providers and experts. Interview with the HSA revealed that if an examination by an independent medical service provider or expert was needed, the facility would notify ICE. ICE would approve or disapprove the request and the facility would provide what was necessary to accommodate the examination. 44. (MANDATORY) Each facility has a written plan (or plans) that address the management of infectious and communicable diseases, including prevention, education, identification, surveillance, immunization (when applicable), treatment, follow-up, isolation (when indicated), and reporting to local, state, and federal agencies. Plans include: Policy addresses the management of infectious and communicable diseases, including prevention, education, identification, surveillance, immunization, treatment, follow-up, isolation, and reporting to local, state, and federal agencies. Policy includes coordination with public health authorities; ongoing education for staff and detainees; control, treatment and prevention strategies; protection of individual confidentiality; media relations; management of TB, hepatitis A, B, and C, HIV infection, avian influenza, and reporting communicable disease to local and/or state health departments in accordance with local and state regulations. • Coordination with public health authorities; • Ongoing education for staff and detainees; • Control, treatment, and prevention strategies; • Protection of individual confidentiality; • Media relations; • Management of tuberculosis, hepatitis A, B, and C, HIV infection, avian influenza, and • Reporting communicable diseases to local and/or state health departments in accordance with local and state regulations. 90 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013053 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 45. Detainees diagnosed with a communicable disease are isolated according to local medical operating procedures. At this facility a detainee with a diagnosed or suspected communicable disease is transferred to an appropriate facility for housing. There are no negative pressure rooms at this facility. There are two cells within the medical unit that could be used as isolation cells, provided the infectious agent is not airborne. 46. All new arrivals receive TB screening in accordance with guidelines of the Centers for Disease Control (CDC). Unless a chest x-ray is the primary screening method, the PPD (mantoux method) is the primary screening method. (For a detainee on whom the PPD is contraindicated; a chest x-ray will be needed. Detainees not screened are housed separate from the general population. Review of 25 detainee medical records indicates that all arriving detainees are screened for symptoms of active tuberculosis (TB) and a (TB) skin test is administered to each ICE detainee within one day of arrival unless that detainee arrives with documentation of testing within the past year or a history of a past positive test. In the event of a past positive, a chest xray is taken, unless recently completed, to confirm the absence of active disease. 47. Detainees with symptoms suggestive of TB are placed in a negative pressure isolation room and promptly evaluated for TB disease. Detainees at facilities with no negative pressure isolation room are referred to an appropriate off-site facility. This facility does not have a negative pressure isolation room. If a detainee presents symptoms suggestive of TB, ICE will be notified immediately by the HSA and the detainee will be transferred to an appropriate facility. 48. A transportation system will be available that ensures timely access to health care services that are only available outside the facility, including: prioritization of medical need, urgency (ambulance versus standard), and transfer of medical information. Emergency transportation is available through the 911 EMS system. Transportation to a specialty or other off site provider is arranged with custody staff based on urgency and medical need. 49. Detainee who requires close, chronic, or convalescent medical supervision will be treated in accordance with a plan approved by licensed physician, physician assist, nurse practitioner, dentist, or mental health practitioner that includes directions to health care and other involved personnel. The facility has limited resources for providing close or convalescent medical supervision. Routine chronic care is provided to detainees as needed. Detainees requiring care beyond the scope available at the facility are transferred to other ICE facilities better suited to provide the care needed. 91 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013054 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 50. (MANDATORY) Female detainees have access to pregnancy testing and pregnancy management services that include routine high-risk prenatal care, addiction management, comprehensive counseling and assistance, nutrition, and postpartum follow-up. N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks This facility does not house female ICE detainees. 51. (MANDATORY) Detainees with chronic conditions (such as hypertension and diabetes) will receive periodic care and treatment that includes monitoring of medications, laboratory testing, and chronic care clinics, and others will be scheduled for periodic routine medical examinations, as determined by the health authority Review of detainee medical records and observation of patient encounters reveal chronic care patients receive appropriate monitoring, testing, and treatment for their conditions. The RNP is the primary care provider and determines the schedule for periodic examinations of detainees with chronic care conditions. 52. The Facility Administrator, or other designated staff will be notified in writing of any detainees whose special medical or mental health needs requiring special consideration in such matters as housing, transfer, or transportation. A local form is used to notify the facility of any detainees whose special medical or mental health needs require special consideration in such matters as housing, transfer, or transportation. 53. Detainees will have access to emergency and specified routine dental care provided under direction and supervision of a licensed dentist. Detainees have access to emergency and specified routine dental care through a contracted local dentist. Detainees are taken off site dental care. 54. (MANDATORY) Detainees with mental health problems will be referred to a mental health provider as needed for detection, diagnosis, treatment, and stabilization to prevent psychiatric deterioration while confined. Interview with the HSA and observation of an on-site visit reveals that detainees with mental health problems are referred to Delta Center, a contracted mental health provider. Services are available 24 hours a day, 7 days a week. Once notified, a Delta Center representative will come to the facility to evaluate the detainee. Based on the evaluations and recommendations, a treatment plan will be initiated for that detainee. 55. Crisis intervention services are available for detainees who experience acute mental health episodes. Crisis intervention services are available for detainees who experience acute mental health episodes via Delta Center. 92 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013055 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 56. Medical and mental health interviews, examinations, and procedures will be conducted in settings that respect detainees’ privacy, and female detainees will be provided female escorts for health care by male health care providers. 57. (MANDATORY) Any detainee referred for mental health treatment receives a comprehensive evaluation by a licensed mental health provider within 14 days of the referral. 58. (MANDATORY) Restraints for medical or mental health purposes may be authorized only by a qualified medical or mental health provider, after reaching the conclusion that less restrictive measures are not successful. The facility has written procedures that specify: • The conditions under which restraints may be applied; • The types of restraints to be used; • How a detainee in restraints is to be monitored; • The length of time restraints are to be applied; • Requirements for documentation, including efforts to use less restrictive alternatives; and • After-incident review. • The medical authority or mental health provider completes a Post-Restraints Observation Report form DIHS-867 or similar form. N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks The facility has one office/examining room that provides privacy during patient encounters. The facility does not house female detainees. Policy and practice provide for the prompt referral for mental health treatment. Based on the urgency of the referral, Delta Center will be on site within hours or 14 days at most, to provide a comprehensive evaluation by a licensed mental health provider. Policy states that restraints for medical or mental health purposes may be authorized only by a qualified medical of mental health provider, after reaching the conclusion that less restrictive measures are not successful. It includes procedures that specify the conditions under which restraints may be applied, the types of restraints to be use, monitoring of the detainee, the length of time restraints are to be applied, and documentation to include efforts to use less restrictive alternatives, and the HSA completes an after-incident review. 93 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013056 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 59. (MANDATORY) Involuntary administration of psychotropic medications to detainees complies with applicable laws and regulations and the authorizing physician or psychiatrist will: • Specify the duration of therapy; • Obtain an order authorizing the administration of the drug from a Federal District Court. • Document that less restrictive intervention options have been exercised without success; • Detail how the medication is to be administered; • Monitor the detainee for adverse reactions and side effects; and • Prepare treatment plans for less restrictive alternatives as soon as possible. N/A Does Not Meet Standard Components Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks Policy states that the authorizing physician or psychiatrist will specify the duration of therapy, document that less restrictive intervention options have been exercised without success, detail how the medication is to be administered, monitor the detainee for adverse reactions and side effects, and prepare treatment plans for less restrictive alternatives as soon as possible. ICE would be notified prior to the involuntary administration of psychotropic medication to an ICE detainee. 60. An initial dental screening exam should be performed within 14 days of the detainee’s arrival. If no on-site dentist is available, the initial dental screening may be performed by a physician, physician’s assistant, nurse practitioner or trained RN. Dental screening examinations are performed by the RN as part of the comprehensive assessment/examination that is completed within 14 days of arrival. Review of the RN credential files reveals that both RNs have been trained and credentialed to perform these exams by the local contract dentist. 61. In each detention facility, the designated health authority and Facility Administrator determines the contents, number, location(s), use protocols, and procedures for monthly inspections of first aid kits. The HSA and facility administrator have determined the contents, location, number, and use protocols for first aid kits. Medical staff performs monthly inspections of first aid kits. 62. An automatic external defibrillator should be available for use at the facility. Observation reveals that there is an automatic external defibrillator (AED) in the medical department. All medical staff is trained in the use of the AED. 63. If a detainee refuses treatment, ICE/DRO will be consulted in determining whether forced treatment will be administered, except in emergency circumstances, in which case, ICE/DRO will be notified as soon as possible. Interview with the HSA reveals that ICE/ERO will be notified in determining whether forced treatment will be administered. Unless it is an emergency, forced treatment would not be administered at this facility. 94 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013057 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 4 – 22. MEDICAL CARE This Detention Standard ensures that detainees have access to a continuum of health care services, including prevention and health education, so that their health care needs are met in a timely and efficient manner. Remarks 64. In SPCs and CDFs, the Facility Administrator and health services administrator will meet at least quarterly and include other facility and medical staff as appropriate. Review of meeting minutes reveals that the Warden and HSA meet at least monthly and include other facility staff. 65. (MANDATORY) Biohazardous waste will be managed and medical and dental equipment decontaminated in accordance with sound medical standards and compliance with applicable local, state, and federal regulations. Biohazardous waste handling and disposal was observed to be in compliance with sound medical standards and applicable laws. Disposal is contracted to Stericycle. The facility does not have any sterilization equipment and does not stock any sterile instruments. 66. (MANDATORY) The health authority will implement a system of internal review and quality assurance. The HSA has established and implemented a system of internal review and quality assurance. PART 4 – 22. MEDICAL CARE Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The medical staff at this facility are employees of Paladin Eastside Psychological Services, Inc., which has been contracted to operate this facility. Health care is provided through the clinical oversight of a local contract physician. The physician is available on an as needed basis and provides the services of a Nurse Practitioner one day a week. Full time staffing consists o (b)(7)eRNs, (b)(7)eLPNs, and a Certified Medication Technician. Medical staff is on-site 24 hours per day, seven days a week. The HSA and NP are always on call and emergencies are taken to the local hospital. The medical department calls itself an infirmary, but does not have an infirmary or a negative airflow/respiratory isolation room. The department has one examination room and two cells that are used for observation and convalescent care. The facility provides outpatient and emergent medical, dental and mental health services. Detainees with chronic illnesses are medically monitored and provided appropriate medical treatment. All needed health care not available on site is provided through the use of community healthcare providers and services. Detainees are not charged a fee for medical services. Review of 25 detainee medical records reveals that intake screenings, TB testing, and 14-day assessments/physical examinations are consistently completed within the required time frames. Per the medical record review, detainees requesting medical care were normally seen within one to two days. Those waiting to see the practitioners for non-emergent medical concerns were seen in one to seven days. Per documentation in the medical records, none of the detainees involved suffered a medical crisis during the interim. When interviewed, detainees did state that they were very satisfied with the medical care provided. No complaints about medical services were voiced. The standard’s rating was based on a review of established policies and procedures; on a review of 25 detainee medical records, other medical documentation, staff training documentation, and the facility detainee handbook; on observations in the medical units and detainee housing units and during health care encounters; and on interviews with medical staff, the HSA, and with detainees and correctional officers and supervisors. Observation revealed that needles and syringes are not inventoried daily at the beginning and end of each shift and a perpetual inventory is not maintained. A bulk stock of needles and syringes are kept in locked cabinets in the medical storage room. Inventory entries are only made when a number of items are taken from this stock and placed in the medication cart for use. Once 95 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013058 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 needles and syringes are placed in the medication cart, no further accountability is maintained. While the current inventory of the bulk stock was accurate, the Health Services Administrator had conducted an inventory two days ago which showed significant discrepancies in the inventories of Insulin syringes, 5cc syringes with needles, and 3cc syringes with needles. Inventories were established and conducted on the working stock in the medication cart during the review. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 96 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013059 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. There is a policy and procedure for the regular issuance and exchange of clothing, bedding, linens, towels, and personal hygiene items. The supply of these items exceeds the minimum required for the number of detainees. 2. All new detainees are issued clean, temperatureappropriate, presentable clothing during in-processing. Detainees receive, at a minimum: • One uniform shirt and one pair of uniform pants or one jumpsuit. • One pair of socks. • One pair of underwear (daily change). • One pair of facility-issued footwear. 3. Additional clothing is available for changing weather conditions and as is seasonally appropriate. N/A Does Not Meet Standard Components Meets Standard PART 4 – 23. PERSONAL HYGIENE This Detention Standard ensures that each detainee is able to maintain acceptable personal hygiene practices through the provision of adequate bathing facilities and the issuance and exchange of clean clothing, bedding, linens, towels, and personal hygiene items. Remarks Policy and procedures provide for the regular issuance and exchange of clothing, bedding, linens, towels, and personal hygiene items. The supply of these items far exceeds the minimum required for the number of detainees. All new detainees are issued clean, temperature-appropriate, presentable clothing to include two uniforms, two pair of socks, two tshirts, four briefs, and one pair of slipper style shoes. Cold weather clothing is available for use outdoors. 4. New detainees are issued clean bedding, linens and towels, at a minimum: • One mattress • One blanket • Two sheets • One pillow • One pillowcase • One towel • Additional blankets, based on local weather conditions. All detainees are issued one mattress, one blanket (two blankets during the winter months), one towel, two pillowcases, and two sheets. 5. The facility provides and replenishes personal hygiene items as needed. Gender-specific items are available. ICE detainees are not charged for these items. All detainees are initially issued one comb, one toothbrush, two toothpaste, two rolls of toilet paper, and two bars of soap. Hygiene items will be replenished on Tuesday and Friday of each week or as needed. 97 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013060 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 4 – 23. PERSONAL HYGIENE This Detention Standard ensures that each detainee is able to maintain acceptable personal hygiene practices through the provision of adequate bathing facilities and the issuance and exchange of clean clothing, bedding, linens, towels, and personal hygiene items. Remarks 6. Toilet facilities are: • Clean Observation reveals that toilet facilities are clean and adequate in number. The breakdown of dorm occupancy to toilet ratio is: A, B, C dorms capacity-50/toilets-5 D, F dorm capacity-24/toilets-24 E dorm capacity-12/toilets-2 Adequate in number and can be used without staff assistance 24 hours per day when detainees are confined in their cells or sleeping areas. ACA Expected Practice 4-ALDF-4B-08 requires that toilets be provided at a minimum ratio of one for every 12 male detainees or one for every 8 female detainees. For males, urinals may be substituted for up to one-half of the toilets. • 7. Bathing facilities are: • Observation reveals that showers and sinks are clean. Water temperature was 111 degrees. The breakdown of dorm occupancy to showers ratio is: A, B, C dorms capacity-50/shower6 D, F dorm capacity-24/shower-3 E dorm capacity-12/shower-2 Clean Operable with temperatures between 100 and 120 degrees Fahrenheit. ACA Expected Practice 4-ALDF-4B-08 requires one washbasin for every 12 detainees. ACA Expected Practice 4-ALDF-4B-09 requires a minimum ratio of one shower for every 12 detainees. • 8. Detainees with disabilities are provided adequate facilities, support, and assistance needed for self-care and personal hygiene. D dorm provides handicapped accessible housing. 9. Detainees are provided clean clothing, linen and towels. • Socks and undergarments - daily. • Outer garments - twice weekly. • Sheets - weekly. • Towels - weekly. • Pillowcases - weekly. Policy states that socks and undergarments will be exchanged daily. Sheets, towels, and pillowcases will be exchanged at least weekly. Outer garments will be exchanged at least twice weekly. 10. Food service detainee volunteer workers are permitted to exchange outer garments daily. Policy states that detainees assigned to work areas shall be clothed in accordance with the requirements of the job and provided with appropriate protective clothing and equipment. Clothing shall be exchanged daily. 11. Volunteer detainee workers are permitted exchanges of outer garments more frequently. Detainee workers are permitted to exchange outer garments daily. to PART 4 – 23. PERSONAL HYGIENE Meets Standard Does Not Meet Standard N/A Repeat Finding 98 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013061 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Remarks: (Record significant facts, observations, other sources used, etc.) Review of policy, interviews with staff and detainees, and observation reveals that detainees are housed in a clean and sanitary environment, and that each detainee is able to maintain acceptable personal hygiene practices through the provision of adequate bathing facilities and the issuance and exchange of clean clothing, bedding, linens, towels, and personal hygiene items. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 99 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013062 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. The facility has a written suicide prevention and intervention program approved and signed by the health authority and Facility Administrator and reviewed annually. 2. At a minimum, the Program shall include procedures to address: • Intake screening and referral requirements; • The identification and supervision of suicide-prone detainees; • Staff training requirements; • The management and reporting of suicidal incidents, suicide watches, and deaths; • Provision of safe housing for suicidal detainees; • Debriefing of any suicides and suicide attempts by administrative, security, and health services staff; • Guidelines for returning a previously suicidal detainee to a facility’s general population, upon written authorization of the clinical director.; Reporting guidelines for facility personnel when suspected suicidal behavior is observed; and Written procedures for the proper handling of detainees who exhibit suicidal behavior. • 3. Every new staff member receives suicide-prevention training. Suicide-prevention training occurs during the employee orientation and annual training. N/A Does Not Meet Standard Components Meets Standard PART 4 – 24. SUICIDE PREVENTION AND INTERVENTION This Detention Standard protects detainees’ health and well being by training staff to prevent suicide by recognize potential signs and situations of risk and to intervene with appropriate sensitivity, supervision, referral, and treatment. Remarks The facility has a written policy that has been approved and signed by the health authority and the Warden. The program includes procedures to address intake screening and referral requirements, the identification and supervision of suicide-prone detainees, staff training requirements, the management and reporting of suicidal incidents, suicide watches, and deaths, provision of safe housing for suicidal detainees, debriefing of any suicides and suicide attempts by administrative, security, and health services staff, guidelines for returning a previously suicidal detainee to a facility's general population, upon written authorization of the mental health professional, reporting guidelines for facility personnel when suspected suicidal behavior is observed, and written procedures for the proper handling of detainees who exhibit suicidal behavior. Review of training curriculum, interviews with staff, and review of training files indicates that every staff member receives suicide prevention training during the employee orientation and annually thereafter. 100 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013063 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 4. Training prepares staff to: • Effective methods for identifying the warning signs and symptoms of impending suicidal behavior, • Demographic, cultural, and precipitating factors of suicidal behavior, • Responding to suicidal and depressed detainees, • Effective communication between correctional and health care personnel, • Necessary referral procedures, • Housing observation and suicide-watch level procedures, • Follow-up monitoring of detainees who have already attempted suicide, and • Reporting and written documentation procedures. 5. A health-care provider or specially trained officer screens all detainees for suicide potential as part of the admission process. • Screening does not occur later than one working day after the detainee’s arrival. • Documentation exists that “specially trained officers” have completed training in accordance with a syllabus approved by the medical authority. N/A Does Not Meet Standard Components Meets Standard PART 4 – 24. SUICIDE PREVENTION AND INTERVENTION This Detention Standard protects detainees’ health and well being by training staff to prevent suicide by recognize potential signs and situations of risk and to intervene with appropriate sensitivity, supervision, referral, and treatment. Remarks Review of the training outline reveals that training prepares staff with effective methods for identifying the warning signs and symptoms of impending suicidal behavior, demographic, cultural, and precipitating factors of suicidal behavior, responding to suicidal and depressed detainees, effective communication between correctional and health care personnel, necessary referral procedures, housing observation and suicide-watch level procedures, follow-up monitoring of detainees who have already attempted suicide, and reporting and written documentation procedures. Review of policy and 25 detainee medical records, reveals that a health care provider screens all detainees for suicide potential as part of the admission process. The screening is conducted upon arrival at the facility. Officers do not screen detainees for suicide potential during the admission process. 6. Written procedures contain when and how to refer atrisk detainees to medical staff and procedures are followed. Policy provides procedures for referring at-risk detainees to medical staff. 7. Written procedures include returning a previously suicidal detainee to the general population, upon written authorization of the clinical director or appropriate health care professional. Policy indicates that a mental health professional can authorize the return of a previously suicidal detainee to the general population. 8. The facility has a designated isolation room for evaluation and treatment. Two observation rooms in the medical unit have been designated for evaluation and treatment. 9. The designated isolation room does not contain any structures or smaller items that could be used in a suicide attempt. The designated rooms do not contain any structures or smaller items that could be used in a suicide attempt. 10. Medical staff have approved the room for this purpose. The medical staff has approved the room for this purpose. 101 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013064 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 11. Staff observe and document the status of a suicidewatch detainee at least once every 15 minutes/constant observation. N/A Components Does Not Meet Standard Meets Standard PART 4 – 24. SUICIDE PREVENTION AND INTERVENTION This Detention Standard protects detainees’ health and well being by training staff to prevent suicide by recognize potential signs and situations of risk and to intervene with appropriate sensitivity, supervision, referral, and treatment. Remarks Policy states that suicide watches are one on one, constant observation with documentation made every 15 minutes. 12. At facilities with twenty-four-hour medical staff, observation of imminently suicidal detainees by medical or detention staff shall occur no less than every 15 minutes. The Clinical Director (CD) may recommend constant direct supervision. If a detainee is clinically evaluated and determined to be at risk for suicide, medical staff shall document the status of the detainee in the medical record at least every two hours, unless otherwise directed by the CD. 13. In CDFs or IGSAs, and/or at facilities where there is not twenty-four hour medical staff, the facility administrator shall report to ICE/DRO any detainee who has been identified as suicidal. ICE/DRO, shall consult with the CD or designated medical authority for immediate evaluation (with constant observation until evaluation), or for transfer to a local psychiatric facility or emergency room by ambulance 14. Every completed suicide and serious suicide attempt shall be subject to a mortality review process. A critical incident debriefing shall be provided to all affected staff and detainees. At this facility all suicide watches are one on one, constant observation. Interview with the HSA indicates that medical staff documents the status of the detainee in the medical record at least every two hours. Medical staff is on site 24 hours per day. The HSA stated that a mortality review would be done on every completed and serious suicide attempt. A critical incident debriefing will be provided to all staff and detainees. PART 4 – 24. SUICIDE PREVENTION AND INTERVENTION Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) There have been no suicides or suicide attempts in this facility in the past twelve months. Suicide prevention and intervention policies and training programs are in place. As no ICE detainee medical records with documentation of an identified suicide risk were available for review and as no detainees were identified as being at risk for suicide during the inspection, the inspector was unable to determine if the actual practices of this facility fully comply with this standard. The standard’s rating was based on a review of established policies and training documentation, on interviews with facility medical and detention staff, on a review of detainee medical records and on an inspection of the designated observation cells. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 102 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013065 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 4 – 25. TERMINAL ILLNESS, ADVANCE DIRECTIVES, AND DEATH This Detention Standard ensures that each facility’s continuum of health care services addresses terminal illness, fatal injury, and advance directives and provides specific guidance in the event of a detainee’s death. Check this box if the facility does not accept ICE detainees who are severely or terminally ill. Indicate NA in the appropriate box for this portion of the worksheet. ALWAYS complete all references to detainee death and related notifications. Remarks 1. Detainees, who are chronically or terminally ill, are transferred to an appropriate off-site medical facility. Detainees who become severely or terminally ill and are beyond the scope of care available at this facility are transferred to local hospitals or to other ICE facilities that can properly care for them. This would include hospice care for terminally ill detainees. 2. The facility or appropriate ICE office promptly notifies the next-of-kin of the detainee’s: medical condition. Per interview with the HSA and ICE staff, the facility would notify ICE and ICE would make all other notifications. • The detainee's location. • The visiting hours and rules at that location. 3. There are guidelines addressing State Advanced Directive Form for Implementing Living Wills and Advanced Directives. • These guidelines include instructions detainees who wish to have a living will. for • These guidelines provide the detainee the opportunity to have a private attorney prepare the documents, at the detainee’s expense. Policy provides guidance addressing State Advanced Directives for implementing Living Wills, to include instructions for detainees who wish to have a living will, and/or want to have a private attorney prepare the documents, at the detainee's expense. 4. There is a policy addressing "Do Not Resuscitate Orders” Facility Policy addresses "Do Not Resuscitate Orders." 5. Detainees with a "Do Not Resuscitate" order in the medical record receive maximal therapeutic efforts short of resuscitation. Policy states that maximum therapeutic efforts, short of resuscitation will be provided. 6. The facility notifies ICE/DRO Medical Director and Headquarters’ Legal Counsel of the name and basic circumstances of any detainee with a "Do Not Resuscitate" order in the medical record. In the case of IGSAs, this notification is made through the local ICE representative. Policy states that the responsible agency will be immediately notified of any detainee request for a Do Not Resuscitate order. 7. The facility has written procedures to address the issues of organ donation by detainees. Policy addresses organ donation by detainees. 8. The facility has written procedures to notify ICE officials, deceased family members and consulates, when a detainee dies while in custody. Policy indicates that the facility would notify ICE and that ICE would make all other notifications. 9. The facility has a policy and procedure to address the death of a detainee while in transport. Policy does address the death of a detainee while in transport. 103 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013066 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 10. At all ICE locations the detainee’s remains disposed of in accordance with the provisions detailed in this standard. Interview with the ICE representative on site during this inspection indicates that ICE would assume this responsibility. If the detainee is a U.S. military veteran, the Department of Veterans Affairs notified. 12. An original or certified copy of a detainee’s death certificate is placed in the subject's A-File. This cannot be substantiated since no detainee deaths have occurred at this facility. However, the ICE representative states that this would be done. 13. The facility follows established policy and procedures describing when to contact the local coroner regarding such issues as; • Performance of an autopsy. • Person(s) to perform the autopsy. • Obtaining State approved death certificates. • Local transportation of the body. Remarks ICE handles the disposal of a detainee's remains in accordance with ICE policy. 11. In the event that neither family nor consulate claims the remains, the Field Office schedules an indigent’s burial, consistent with local procedures. • N/A Components Does Not Meet Standard Meets Standard PART 4 – 25. TERMINAL ILLNESS, ADVANCE DIRECTIVES, AND DEATH This Detention Standard ensures that each facility’s continuum of health care services addresses terminal illness, fatal injury, and advance directives and provides specific guidance in the event of a detainee’s death. Check this box if the facility does not accept ICE detainees who are severely or terminally ill. Indicate NA in the appropriate box for this portion of the worksheet. ALWAYS complete all references to detainee death and related notifications. Interview with the ICE representative indicates that ICE would assume authority for who is to perform the autopsy, obtain state approved death certificates, and local transportation of the body. 14. ICE staff follow established procedures to properly close the case of a deceased detainee. This cannot be substantiated since no detainee deaths have occurred at this facility. However, the ICE representative states that this would be done. PART 4 – 25. TERMINAL ILLNESS, ADVANCE DIRECTIVES, AND DEATH Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) No detainee deaths have been reported at this facility. Due to its limited medical resources, this facility does not accept or continue to house severely or terminally ill detainees. As confirmed per a review of facility policies and interviews with the Immigration Enforcement Agent, facility medical, administration and supervisory staff, procedures for appropriately responding to the death of an ICE detainee are in place. 02/24/2012 (b)(6), (b)(7)(c) Reviewer’s Signature / Date 104 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013067 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Performance-Based National Detention Standards Section V ACTIVITIES 26 27 28 29 30 31 32 33 Correspondence and Other Mail Escorted Trips for Non-Medical Emergencies Marriage Requests Recreation Religious Practices Telephone Access Visitation Voluntary Work Program 105 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013068 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 5 – 26. CORRESPONDENCE AND OTHER MAIL This Detention Standard ensures that detainees will be able to correspond with their families, the community, legal representatives, government offices, and consular officials consistent with the safe and orderly operation of the facility. Remarks 1. The facility has written policy and procedures concerning correspondence and other mail. The rules for correspondence and other mail are posted in each housing or common area or provided to each detainee via a detainee handbook. Policy and procedures are in place and the Handbook covers 2. The facility provides key information in English, Spanish, and other languages spoken by a significant number of detainees. English and Spanish versions of key information items are available. 3. Incoming mail is distributed to detainees within 24 hours or 1 business day after it is received and inspected. The Mail Monitor indicated that she will process the mail the day received and the Operations Sergeant indicated that it would be delivered the same day. 4. Outgoing mail is delivered to the postal service within one business day of its entering the internal mail system (excluding weekends and holidays). 5. Staff maintain a logbook-recording acceptance of priority, priority overnight, and certified mail delivered to the facility for a detainee. The log was available for review 6. Staff do not open and inspect incoming general correspondence and other mail (including packages and publications) without the detainee present unless documented and authorized in writing by the Facility Administrator or equivalent for prevailing security reasons. Staff are authorized by the Warden to open and inspect all incoming mail for contraband without the detainee being present. 7. Staff do not read incoming general correspondence without the Facility Administrator’s prior approval. The Warden has approved staff to read or scan the mail to prevent any escape or criminal activity from being conducted by anyone housed in the facility. 8. Staff do not inspect incoming Special Correspondence for physical contraband or to verify the “special” status of enclosures without the detainee present. 9. Staff are prohibited from reading or copying incoming and outgoing Special Correspondence without the detainee present. Policy includes this prohibition. 10. Staff are only authorized to inspect outgoing correspondence or other mail without the detainee present when there is reason to believe the item might present a threat to the facility's secure or orderly operation, endanger the recipient or the public, or might facilitate criminal activity. All outgoing mail is left unsealed by the detainee and will be inspected for contraband by staff. 11. Correspondence to a politician or to the media is processed as Special Correspondence and is not read or copied. 106 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013069 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 5 – 26. CORRESPONDENCE AND OTHER MAIL This Detention Standard ensures that detainees will be able to correspond with their families, the community, legal representatives, government offices, and consular officials consistent with the safe and orderly operation of the facility. Remarks 12. The official authorizing the rejection of incoming mail sends written notice to the sender and the addressee. Written notices are provided as required. 13. The official authorizing censorship or rejection of outgoing mail provides the detainee with signed written notice. A notice is given to the detainee as needed. 14. Staff maintain a written record of every item removed from detainee mail. 15. The Facility Administrator or designee monitors staff handling of discovered contraband and its disposition. Records are accurate and up to date. Records are maintained and were reviewed. 16. The procedure for safeguarding cash removed from a detainee protects the detainee from loss of funds and theft. The amount of cash credited to detainee accounts is accurate. Discrepancies are documented and investigated. Standard procedure includes issuing a receipt to the detainee. A receipt is provided for cash received and no discrepancies were noted. 17. Original identity documents (for example, passports, and birth certificates) are immediately removed and forwarded to ICE staff for placement in the A-files. 18. Staff provide the detainee a copy of his or her identity document(s) upon request. ICE would provide the copy when requested. 19. Staff dispose of prohibited items found in detainee mail in accordance with the Detention Standard on “Contraband”. Local procedures are followed as prescribed in policy. 20. Every indigent detainee has the opportunity to mail, at government expense: At least five pieces of special correspondence per week; Three one ounce letters per week: Packages deemed necessary by ICE. Special mail is not limited. Three letters are provided free of charge. 21. The facility has a system for detainees to purchase stamps and for mailing all Special Correspondence and a minimum of 5 pieces of general correspondence per week. The Commissary sells postage as needed. 22. The facility provides writing paper, envelopes, and pencils at no cost to ICE detainees. 23. SMU detainees have the same correspondence privileges as general population. No restrictions on correspondence are applied to anyone in SMU. 24. Detainees have access to outside publications. PART 5 – 26. CORRESPONDENCE AND OTHER MAIL Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) With the exception of the issue regarding the inspecting of incoming and outgoing mail without the detainee being present, a review of policy and procedures as well as staff interviews indicated that detainees are able to effectively correspond with family, 107 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013070 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 friends, and legal representatives in addition to any other desired party. No limits are placed on access to legal representatives for indigent detainees. (b)(6), (b)(7)(c)/ 02/24/2012 Reviewer’s Signature / Date 108 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013071 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 5 – 27. ESCORTED TRIPS FOR NON-MEDICAL EMERGENCIES This Detention Standard permits detainees to maintain ties with their families and the community by providing detainees emergency staff-escorted trips into the community to visit critically ill members of the immediate family or to attend their funerals. Standard NA: Check this box if all ICE Non-Medical Emergency Escorted Trips are handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks 1. The Field Office Director considers and approves, on a case-by-case basis, trips to an immediate family member's: • Funeral • Deathbed 2. The facility recognizes as "immediate family member" a parent (including stepparent or foster parent), brother, sister, child, and spouse (including commonlaw spouse). 3. The CDF/IGSA facility notifies ICE of all detainee requests for non-medical escorts. 4. The detainee’s Deportation Officer reviews the file before forwarding a detainee's request, with recommendation, to the approving official. Each recommendation addresses the individual's suitability for travel, e.g., the kind of supervision required. 5. Detainees who require overnight housing are placed in approved IGSA facilities. 6. Each escort detail includes at leas(b)(7)(e)officers. 7. The detainee remains under constant, direct visual supervision of escorting staff. 8. Escorting officers report unexpected situations to the originating facility as a matter of procedure and the ranking supervisor on duty has the authority to issue instructions for completion of the trip. 9. Escorting officers have the discretion to increase or decrease minimum restraints in accordance with written instruction, procedures and classification level of the detainee. 10. Escort officers do not accept gifts/gratuities from a detainee, detainee's relative or friend for any reason. 109 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013072 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 5 – 27. ESCORTED TRIPS FOR NON-MEDICAL EMERGENCIES This Detention Standard permits detainees to maintain ties with their families and the community by providing detainees emergency staff-escorted trips into the community to visit critically ill members of the immediate family or to attend their funerals. Standard NA: Check this box if all ICE Non-Medical Emergency Escorted Trips are handled only by the ICE Field Office or Sub-Office in control of the detainee case. Remarks 11. Escort officers ensure that detainees: • Conduct themselves in a manner that does not bring discredit to ICE/DRO. • Do not violate federal, state, or local laws. • Do not purchase, possess, use, consume, or administer narcotics, other drugs, or intoxicants. • Do not arrange to visit family or friends unless approved before the trip. • Make no unauthorized phone calls. • Know they are subject to search, urinalysis, breathalyzer, or comparable test upon return to the facility. 12. The facility routinely subjects a detainee returning from an escorted trip to a search, urinalysis, breathalyzer, etc. 13. Standard procedure requires the immediate return to the facility of any detainee who violates trip rules. 14. The Field Office Director is the approving official for all non-medical escorted trips. 15. Facility procedures comply with the following ICE Standards: • Transportation (Land Transportation • Restraints applied strictly in accordance with the Use of Force Standard. PART 5 – 27. ESCORTED TRIPS FOR NON-MEDICAL EMERGENCIES Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) ICE staff indicated that they would provide the escort for these trips when needed. (b)(6), (b)(7)(c)/ 02/24/2012 Reviewer’s Signature / Date 110 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013073 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 5 – 28. MARRIAGE REQUESTS This Detention Standard ensures that each marriage request from an ICE/DRO detainee receives a case-by-case review and based on internal guidelines for approval of such requests. 1. The Field Office Director or Facility Administrator considers detainee marriage requests on a case-bycase basis. Remarks The Field Office Director (FOD) reviews and approves all marriage requests per the Deportation Officer (DO) assigned to the facility. 2. The Field Office Director reviews every marriage request rejected by a Facility Administrator or IGSA. Rejections are documented. 3. It is standard practice to require a written request for permission to marry. The facility requires the detainee to submit a written request with a statement from the fiancée expressing their desire to marry. 4. The written request includes a signed statement or comparable documentation from the intended spouse, confirming marital intent. Procedures were reviewed by this Inspector detailing the requirements for permission to marry. A statement from the fiancée expressing their desire to marry is required. These procedures were verified with the ICE Deportation Officer (DO) assigned to the facility. 5. The Facility Administrator provides a written copy of his or her decision to the detainee and his or her legal representative. The FOD will provide the Facility Administrator and detainee with a written copy of their decision. The Administrator will notify the detainee. 6. When permission is denied, the Facility Administrator states the basis for his or her decision along with instructions on how the detainee can file an appeal. The decision to approve or deny a marriage is done by the FOD per the ICE DO assigned to the facility. 7. The Facility Administrator provides the detainee with a place and time to make wedding arrangements. ICE will coordinate this function and may move the detainee to another facility. Facility policy entitled Marriage Requests does address this issue. 8. The detainee handbook explains the marriage request process. This is explained in the ICE National Detainee Handbook but not in the facility handbook. 9. In SPCs the Facility Administrator or highest ranking ICE official on-site is the only officer authorized to approve a request to marry. Only the FOD can approve or deny marriage requests at this IGSA. PART 5 – 28. MARRIAGE REQUESTS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) 111 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013074 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Marriage requests are submitted in writing from the detainee to either the facility staff or ICE. Procedures require the detainee to submit a written request with a statement from the fiancée expressing their desire to marry. A decision will be made by the FOD and the facility and detainee are notified by the ICE Field Office. The rating of this standard was based on a review of facility policy and interviews with facility and ICE staff. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 112 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013075 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 5 - 29. RECREATION This Detention Standard ensures that each detainee has access to recreational and exercise programs and activities, within the constraints of safety, security, and good order. If outdoor recreation is offered check this box. Items 19-27 should then be marked “N/A”. Remarks 1. The Facility provides: • An indoor recreation program. • An outdoor recreation program. The facility has both an indoor and outdoor recreation area. 2. A recreational specialist (for facilities with more than 350 detainees) tailors the program activities and offerings to the detainee population. The detainee population is less than 350 detainees; therefore, a recreation specialist is not needed. 3. Regular maintenance keeps recreational facilities and equipment in good condition. The maintenance department is responsible for all repairs. 4. The recreational specialist or trained equivalent supervises detainee recreation workers. Detainees do not work in the recreation department. 5. The recreational specialist or trainee equivalent oversees recreation programs for Special Management Unit and special-needs detainees. Correctional Officers are responsible for the supervision of recreation activities in both the housing units and SMU. 6. Dayrooms offer sedentary activities, e.g., board games, cards, television. Board games, cards, and television are available in the housing units. 7. Outside activities are restricted to limited-contact sports. The facility does not allow contact sports. 8. Each detainee has the opportunity to participate in daily recreation. Detainees may participate in recreation for one hour each day, five days a week. 9. Detainees have access to recreation activities outside the housing units for at least one hour daily. 10. Staff check all items for damage and condition when equipment is returned. 11. Staff conduct searches of recreation areas before and after use. Recreation areas are searched by two correctional officers before and after use per the Captain. 12. Recreation areas are under constant staff supervision. A correctional officer maintains constant supervision of the recreation area. 13. Supervising staff are equipped with radios. Staff are equipped with radios. 14. The facility provides detainees in the SMU at least one hour of outdoor recreation time daily, five times per week. Detainees in SMU are given one hour of recreation daily, five days per week. This is documented and maintained in the SMU until the detainee is released and then the documentation is incorporated into the A-file. 113 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013076 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 15. Detainees in disciplinary/administrative segregation receive a written explanation when a panel revokes his or her recreation privileges. N/A Components Does Not Meet Standard Meets Standard PART 5 - 29. RECREATION This Detention Standard ensures that each detainee has access to recreational and exercise programs and activities, within the constraints of safety, security, and good order. If outdoor recreation is offered check this box. Items 19-27 should then be marked “N/A”. Remarks This has not occurred according to the Captain. If a detainee would be denied, they would receive written notice. Per facility policy, only the Warden may deny recreation privileges. 16. Special programs or religious activities are available to detainees. 17. All volunteers have completed an orientation program with documentation required before entering a secure portion of the facility where detainees are present. Volunteers complete orientation training. Lesson plans were available in the training office. 18. Visitors, relatives or friends of detainees are not allowed to serve as volunteers. Visitors, relatives and friends can't serve as a volunteer. 19. If the facility has no outside recreation, are detainees considered for transfer after six months? This facility offers outside recreation. 20. If yes, written procedures ensure timely review of all eligible detainees. This facility offers outside recreation. 21. Case officers make written transfer recommendations about every six-month detainee to the Facility Administrator. 22. The Facility Administrator documents all detaineetransfer decisions, whether yes or no. This facility offers outside recreation. 23. The detainee’s written decision for or against an offered transfer documented in his or her A-file. This facility offers outside recreation. 24. Staff notify the detainee’s legal representative of his or her decision to accept/decline a transfer. This facility offers outside recreation. 25. If no recreation is available, the ICE Field Office routinely review transfer eligibility for all detainees after 60 days. 26. Does the A-file of every detainee held more than 60 days without access to recreation contains either a transfer-waiver signed by the detainee or the Facility Administrator’s written determination of the detainee’s ineligibility for transfer. This facility offers outside recreation. 27. The detainee’s legal representative is notified of the detainee’s/Facility Administrator’s decision. This facility offers outside recreation. This facility offers outside recreation. This facility offers outside recreation. PART 5 - 29. RECREATION Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Recreation is offered to detainees one hour per day, five days per week. Recreation activities are supervised by correctional 114 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013077 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 officers. The facility has both indoor and outdoor recreation. Indoor is used only during inclement weather. Recreational privileges have not been denied to any detainee per the Captain and facility policy states only the Warden can deny recreation privileges. Detainees in SMU receive the same privileges as the general population. (b)(6), (b)(7)(c) 02/24/2012 Reviewer’s Signature / Date 115 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013078 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standards Meets Standards PART 5 – 30. RELIGIOUS PRACTICES This Detention Standard ensures that detainees of different religious beliefs are provided reasonable and equitable opportunities to participate in the practices of their respective faiths, constrained only by concerns about safety, security, the orderly operation of the facility, or extraordinary costs associated with a specific practice. Remarks 1. Detainees are allowed to engage in religious services. When available, these services are provided in major languages spoken within the facility. The facility uses two volunteer clergy to provide religious services to detainees. 2. Space is available for detainees to participate in religious services. The religious services are held in a multi-purpose room. 3. The facility allows detainees to observe the major “holy days” of their religious faith. • List any exceptions. 4. The facility accommodates recognized holy-day observances by: The facility accommodates recognized holy-day observances and fasting requirements. This Inspector observed the Ash Wednesday meal, which was within religious guidelines. Detainees are allowed to participate in Ramadan, Jewish, and other recognized holidays. • Providing special meals, consistent with dietary restrictions. • Honoring fasting requirements. • Facilitating religious services. • Allowing activity restrictions. 5. Each detainee is allowed religious items in his/her immediate possession; refer to the Funds and Personal Property Standard. Detainees are allowed to have a bible, Koran, and one approved religious medal. 6. Volunteer’s credentials are checked and verified before allowing participation in detainee programs. Background checks are completed on all volunteers. 7. Members of faiths not represented by clergy may request to present their own services within security allowances. This must be approved by the Chaplain and the Warden per the Captain. 8. Detainees in the Special Management Unit may participate in religious practices unless otherwise documented for the safety and security of the facility. Detainees housed in the Special Management Unit are allowed to participate in religious practices. They may be escorted to the visiting area to meet with clergy per the Captain. RELIGIOUS PRACTICES Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Religious services are provided to all detainees. The facility uses two volunteers, one who is bi-lingual in Spanish, to provide religious programs. Detainees housed in the SMU are allowed access to religious items and services. The rating of this standard was based on facility policy and interviews with the Captain, Administrative Lieutenant, and the training officer. (b)(6), (b)(7)(c) / 02/24/2012 Reviewer’s Signature / Date 116 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013079 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 5 – 31. TELEPHONE ACCESS This Detention Standard ensures that detainees may maintain ties with their families and others in the community by providing them reasonable and equitable access to telephone services. Remarks 1. Detainees are allowed to access to telephones during established facility waking hours, including access to TTY devices. Telephones are available from 6:00 am until midnight. 2. Upon admittance, detainees are made aware of the facility's telephone access policy. The Handbook contains the access policy for telephones. 3. Notification explaining the facilities telephone policy is in the Detainee Handbook. 4. Access rules, including updated telephone and consulate number, are posted in housing units. 5. The facility makes a reasonable effort to provide key information to detainees in languages spoken by any significant portion of the facility's population. 6. Telephones are provided at a minimum ratio of one telephone per 25 detainees in the facility population. Telephones are available in numbers that exceed the minimum ratio required. 7. Telephones are inspected daily by facility staff to ensure that they are in good working order. Daily inspections are performed and logged. 8. Telephones are located a reasonable distance from televisions. 9. The facility administration promptly reports out-oforder telephones to the facility’s telephone service provider. In lieu of the postings, a binder containing this information is provided in each housing area. Any repairs needed are promptly reported. 10. The facility administration monitors repair progress and takes appropriate measures to ensure that the required repairs are begun and completed timely. 11. Detainees are afforded a reasonable degree of privacy for legal phone calls. A room has been set up for private, confidential calls. 12. A procedure exists to assist a detainee who is having trouble placing a confidential call. A private room has been set up for confidential calls. 13. The facility provides the detainees with the ability to make non-collect (special access) calls. The ICE provided platform is available for detainees to use for free calls. 14. Special Access calls are at no charge to the detainees. 15. In facilities unable to fully meet this requirement initially because of limitations of its telephone service, ICE makes alternate arrangements to provide required access within 24 hours of a request by a detainee. The special access system is available and operating properly. 16. No restrictions are placed on detainees attempting to contact attorneys and legal service providers who are on the approved “Free Legal Services List”. Private free calls can be made upon request. 117 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013080 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 5 – 31. TELEPHONE ACCESS This Detention Standard ensures that detainees may maintain ties with their families and others in the community by providing them reasonable and equitable access to telephone services. 17. Special arrangements are made to allow detainees to speak by telephone with an immediate family member detained in another Facility. Remarks Special arrangements can be made upon request. 18. All telephone restrictions are documented. 19. The facility has a system for taking and delivering emergency detainee telephone messages. 20. Phone call messages are given to detainees as soon as possible. The Shift Supervisor will give an emergency message to the detainee. 21. Detainees are allowed to return emergency phone calls as soon as possible. Policy permits detainees to return emergency phone calls as soon as possible. 22. Detainees in disciplinary segregation are allowed phone calls relating to the detainee's immigration case or other legal matters, including consultation calls. 23. Detainees in disciplinary segregation are allowed phone calls to consular/embassy officials. 24. Detainees in disciplinary segregation are allowed phone calls for family emergencies. Emergency calls are specifically permitted for any detainee in segregation. 25. Detainees in administrative segregation and protective custody are afforded the same telephone privileges as those in general population. 26. When detainee phone calls are monitored, notification is posted by detainee telephones, including a recorded message on the phone system, that phone calls made by the detainees may be monitored. Special Access calls are not monitored. A detainee can bypass monitoring by submitting a request for an unmonitored call. 27. The OIG phone number for reporting abuse is programmed into the detainee phone system. The reviewer must verify that the number is operable. A test of the OIG number was successfully conducted during the review. 28. The Field Office Director has assigned ICE staff to check and report on the serviceability of facility phones. This is documented on a weekly basis Weekly checks are made and documented using approved forms. PART 5 – 31. TELEPHONE ACCESS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The availability of telephones exceeds the requirements of the standard and procedures are clearly and effectively communicated to detainees. Reasonable and equitable access to telephones is being provided. 02/12/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 118 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013081 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 5 – 32. VISITATION This Detention Standard ensures that detainees will be able to maintain ties through visitation with their families, the community, legal representatives, and consular officials, within the constraints of safety, security, and good order. Remarks 1. There is a written visitation procedure, schedule, and hours for general visitation. These items are covered in policy and are in the Handbook. 2. The visitation hours are tailored to the detainee population and the demand for visitation. The minimum duration for a visit is 30 minutes. Local policy limits visits to fifty (50) minutes-per-week. 3. The visitation schedule and rules are available to the public. The schedule is available by phone or in person 4. The hours for all categories of visitation are posted in the visitation waiting area. 5. A written copy of the rules regulating visitation and the hours of visitation is available to visitors in English, Spanish, and other major languages spoken in the facility. 6. A general visitation log is maintained. Copies are available upon request A Sergeant is assigned to the Visitation area and maintains the log. 7. Detainees are permitted to retain authorized personal property items specified in the standard. 8. A visitor dress code is available to the public. The dress code is posted in the lobby area. 9. Visitors are searched and identified according to standard requirements. 10. The requirement on visitation by minors is complied with. Minors (17 years or under) are allowed to visit. 11. At facilities where there is no provision for visits by minors, ICE arranges for visits by children and stepchildren, on request, within the first 30 days. Minors are permitted to visit. 12. After that time, on request, ICE considers a transfer, when possible, to a facility that will allow minor visitation. At a minimum, monthly visits are allowed. Minors are permitted to visit. 13. Anytime a visit is denied, to either a general population detainee or SMU detainee, the denial is documented. If a visit is denied, documentation is required. None have occurred in the past year. 14. Detainees in special housing are afforded visitation. Absent security issues, detainees in special housing may visit. 15. Legal visitation is available seven (7) days a week, including holidays. 16. On regular business days legal visitation hours provide for a minimum of eight (8) hours per day and a minimum of four hours per day on weekends and holidays. Legal visits are permitted seven days a week, in excess of eight (8) hours per day. 119 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013082 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 17. On regular business days, detainees are given the option of continuing a meeting with a legal representative through a scheduled meal. N/A Components Does Not Meet Standard Meets Standard PART 5 – 32. VISITATION This Detention Standard ensures that detainees will be able to maintain ties through visitation with their families, the community, legal representatives, and consular officials, within the constraints of safety, security, and good order. Remarks If a detainee elects to continue a legal visit through a meal, staff will provide a meal when the visit concludes. 18. Private consultation rooms are available for attorney meetings. There is a mechanism for the detainee and his/her representative to exchange documents. 19. There are written procedures governing detainee searches. Facility policy and procedures cover searches. 20. Legal representatives and assistants are subject to a non-intrusive search – such as a pat-down search of the person or a search of the person’s belongings - at any time for the purpose of ascertaining the presence of contraband. A visual check of belongings and a hand hell metal detector are used for all legal visits. 21. Per the Standard, prior to each visit, legal service providers and assistants are identified. 22. The current list of pro bono legal organizations is posted in the detainee housing areas and other appropriate areas. All postings are available in the units in a binder. 23. SPCs and CDFs shall submit written requests for tours from domestic or international organizations and associated with detention issues to the appropriate Field Office Director for approval. Any requests received by the facility will be forwarded to ICE for approval. 24. Provisions for NGO visitation as stated in the Detention Standards are complied with. 25. Law enforcement officials, requesting to visit with a detainee, are referred to the ICE Facility Administrator for approval. The Warden would be advised of any Law Enforcement official requesting to visit a detainee. 26. Former detainees or aliens in proceedings, requesting to visit with a detainee, are referred to the Facility Administrator or ICE Field Office. PART 5 – 32. VISITATION Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) A review of policies and procedures as well as interviews with staff and detainees indicated that detainees are able to maintain ties with family, friends, legal representatives, and consular officials while housed in the facility. Legal representatives have virtually unlimited availability to detainees (b)(6), (b)(7)(c)/ 02/24/2012 Reviewer’s Signature / Date 120 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013083 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 5 – 33. VOLUNTARY WORK PROGRAM This Detention Standard provides detainees opportunities to work and earn money while confined, subject to the number of work opportunities available and within the constraints of safety, security, and good order. While not legally required to do so, ICE/DRO affords working detainees basic Occupational Safety and Health Administration (OSHA) protections. Check here if ICE detainees are not authorized to work at the IGSA facility. Mark NA on Form G-324A, page 3 and move to next section. Remarks 1. The facility has a voluntary work program. Detainees may work in food service, laundry, or provide janitorial functions within the facility and the housing units. 2. Detainee housekeeping meets acceptable levels of neatness, cleanliness and sanitation standards. The facility was very clean and this inspector observed the cleaning of the housing units. Detainees are given appropriate cleaning materials that are diluted by an automatic chemical dispenser. 3. At IGSAs detainees are never allowed to work outside the secure perimeter. SPCs and CDFs detainees classified as level 1 have the opportunity to participate in special details outside the secure perimeter under direct supervision. 4. Written procedures govern selection of detainees for the Voluntary Work Program. • • The same procedures apply for replacement workers as for “new” workers. Staff follow written procedures. Detainees are never allowed to work outside the facility. The facility policy contains a section for selection procedures, which is followed. The detainee must make a written request to work; his classification and medical status are reviewed prior to any assignment. 5. Where possible, physically and mentally challenged detainees participate in the program. 6. The facility complies with work-hour requirements for detainees, not exceeding: • Eight hours a day. • Forty hours a week. Detainees are not allowed to work over eight hours per day and 40 hours per week. 7. Detainee volunteers ordinarily work according to a fixed schedule. 8. If a detainee is removed from a work detail, staff place the written justification for the action in the detainee’s detention file. 9. Staff, in accordance with written procedure, ensures that detainee volunteers understand their responsibilities as workers before they join the work program. Any detainee removed from a work assignment receives written justification for removal and a copy is placed in their detainee file. Job descriptions were reviewed in the food service area. All were current and comprehensive. 121 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013084 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 5 – 33. VOLUNTARY WORK PROGRAM This Detention Standard provides detainees opportunities to work and earn money while confined, subject to the number of work opportunities available and within the constraints of safety, security, and good order. While not legally required to do so, ICE/DRO affords working detainees basic Occupational Safety and Health Administration (OSHA) protections. Check here if ICE detainees are not authorized to work at the IGSA facility. Mark NA on Form G-324A, page 3 and move to next section. Remarks 10. The voluntary work program meets: • OSHA standards • NFPA standards • ACA standards 11. Medical staff screen and formally certifies detainee food service volunteers; • • Any detainee assigned to food service will have his classification and medical status reviewed prior to working in food service. A random check of medical files confirmed the medical clearance. Before the assignment begins As a matter of written procedure 12. Detainees receive safety equipment/ training sufficient for the assignment Initial and weekly safety training occurs. This is conducted by the Safety Manager and the FSA. 13. Proper procedure is followed when an ICE detainee is injured on the job. PART 5 – 33. VOLUNTARY WORK PROGRAM Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Detainees are allowed to participate in a voluntary work program at this facility. They may either work in food service, the laundry, or perform janitorial services. Detainees receive $1.00 per day and the requirements of the ICE Voluntary Work Program are adhered to. The rating of this standard was based on a review of facility policy, staff interviews, and a random review of detainee medical files. 02/24/2012 (b)(6), (b)(7)(c) Reviewer’s Signature / Date 122 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013085 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Performance-Based National Detention Standards Section VI JUSTICE 34 35 36 37 Detainee Handbook Grievance System Law Libraries and Legal Material Legal Rights Group Presentations 123 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013086 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. The facility has a detainee handbook. Each detainee receives a copy of the local handbook and the ICE National Detainee Handbook. 2. The detainee handbook is written in English and translated into Spanish, and other languages spoken by significant numbers of detainees in that facility. 3. A procedure for requesting interpretive services for essential communication has been developed. N/A Does Not Meet Standard Components Meets Standard PART 6 - 34. DETAINEE HANDBOOK This Detention Standard requires that, upon admission, every detainee be provided comprehensive written orientation materials that describe such matters as the facility’s rules and sanctions, disciplinary system, mail and visiting procedures, grievance system, services, programs, and medical care, in English, Spanish, and other languages and that detainees acknowledge receipt of those materials. Remarks Detainees receive and sign for copies of the ICE National Handbook and the facility handbook. Handbooks are available in both English and Spanish. The facility has a contract with a 24 hour interpreter service "Language Line Services" which can also provide assistance. 4. Orientation materials are read to detainees who cannot read, or they are provided the material via audio or video recordings. 5. The handbook supplements the facility orientation video where one is provided. The facility does not use a facility orientation video. 6. The handbook is revised as necessary and there are procedures in place for immediately communicating any revisions to staff and detainees. The handbook is revised when policy or procedures change. 7. There is an annual review of the handbook by a designated committee or staff member. 8. The detainee handbook address the following issues: • Personal Items permitted to be retained by the detainee. • Initial issue of clothes, bedding and personal hygiene items. • How to access care. The handbook addresses all of these areas 9. The detainee handbook states in clear language basic detainee responsibilities. The handbook has a comprehensive section on detainee responsibilities. 10. The handbook clearly outlines the methods for classification of detainees, explains each level, and explains the classification appeals process. Classification information is contained in the handbook, including the procedures for appeals. 11. The handbook states when a medical examination will be conducted. The handbook states detainees will have the opportunity to receive a medical examination within 14 days. 12. The handbook describes the facility, housing units, dayrooms, In-dorm activities and special management units. 124 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013087 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 6 - 34. DETAINEE HANDBOOK This Detention Standard requires that, upon admission, every detainee be provided comprehensive written orientation materials that describe such matters as the facility’s rules and sanctions, disciplinary system, mail and visiting procedures, grievance system, services, programs, and medical care, in English, Spanish, and other languages and that detainees acknowledge receipt of those materials. Remarks 13. The handbook describes: official count times and count procedures, meal times, feeding procedures, procedures for medical or religious diets, smoking policy, clothing exchange schedules and if authorized, clothes washing and drying procedures and expected personal hygiene practices. These areas are addressed in the facility handbook on pages 8-9. 14. The handbook describes times and procedures for obtaining disposable razors and explains that detainees attending court will be afforded the opportunity to shave first. This is explained under the personal hygiene section. 15. The handbook describes barber hours and hair cutting restrictions. 16. The handbook describes; the telephone policy, debit card procedures, direct and frees calls; locations of telephones; policy when telephone demand is high; and policy and procedures for emergency phone calls. The telephone procedure is described in detail in the handbook including toll free numbers, telephone demand, monitoring, collect calls, and emergency and attorney calls. 17. The handbook addresses religious programming. The handbook states detainees have access to religious programming on a voluntary basis and the opportunity to practice their religious beliefs. 18. The handbook states times and procedures for commissary or vending machine usage. (where available) 19. The handbook describes the detainee voluntary work program. The handbook addresses work hours, pay, and how to apply for a voluntary work position. 20. The handbook describes the library location and hours of operation and law library procedures and schedules. 21. The handbook describes: attorney and regular visitation hours, policies, and procedures, location of the list of pro bono legal organizations; group legal rights presentations schedule and sign up procedures. These areas are addressed in the handbook. Visitation is on Friday, Saturday, and Sundays. Detainees are allowed 50 minutes per week. Attorneys may visit any time. Group legal rights presentations are also addressed. 22. The handbook/supplement provides local ICE contact information. 23. The handbook describes the facility contraband policy. 125 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013088 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 24. The handbook describes the facility visiting hours and schedule and visiting rules and regulations. N/A Components Does Not Meet Standard Meets Standard PART 6 - 34. DETAINEE HANDBOOK This Detention Standard requires that, upon admission, every detainee be provided comprehensive written orientation materials that describe such matters as the facility’s rules and sanctions, disciplinary system, mail and visiting procedures, grievance system, services, programs, and medical care, in English, Spanish, and other languages and that detainees acknowledge receipt of those materials. Remarks Visitation is on Friday, Saturday, and Sundays. Detainees are allowed 50 minutes per week. Attorneys may visit any time. Rules and regulations are also covered in the facility handbook. 25. The handbook describes the correspondence policy and procedures. 26. The handbook describes the detainee disciplinary policy and procedures, including: • Prohibited acts and severity scale sanctions. • Time limits in the Disciplinary Process. • Summary of Disciplinary Process. The disciplinary policy and procedures are described in detail on pages 15-20. 27. The grievance section of the handbook explains all steps in the grievance process – Including: • Informal (if procedures; used) and formal grievance • The appeals process; • In CDFs procedures for filing an appeal of a grievance with ICE. • Staff/detainee availability to help during the grievance process. • Guarantee against staff filing/pursuing a grievance. • How to file a complaint about officer misconduct with the Department of Homeland Security. retaliation for 28. The handbook describes the medical sick call procedures for general population and segregation. 29. The handbook describes the facility recreation policy including: • Outdoor recreation hours. • Indoor recreation hours. • In dorm leisure activities. • Rules for television viewing. Medical sick call is addressed. Recreational activities, dorm leisure activities, and television rules are addressed. Specific recreational activities are described including board games, dominoes, cards, and limited outside activities. 30. The handbook describes the detainee dress code for daily living; and work assignments and the meaning of color-coded uniforms. 31. The handbook specifies the rights and responsibilities of all detainees. This is explained in detail. 126 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013089 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 6 - 34. DETAINEE HANDBOOK This Detention Standard requires that, upon admission, every detainee be provided comprehensive written orientation materials that describe such matters as the facility’s rules and sanctions, disciplinary system, mail and visiting procedures, grievance system, services, programs, and medical care, in English, Spanish, and other languages and that detainees acknowledge receipt of those materials. 32. Detainees are required to sign for the handbook to ensure accountability. Remarks All detainees are required to sign for the ICE National Handbook and the facility handbook 33. Orientation materials are provided to illiterate detainees either orally or via audio/video tapes in a language they can understand. PART 6 - 34. DETAINEE HANDBOOK Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Detainees receive both the ICE National Handbook and the facility handbook. The handbooks are comprehensive and address all issues of confinement including detainee rights and responsibilities. The facility has a contract with a 24-hour interpreter service "Language Line Services" which can provide assistance if a language issue is prevalent. (b)(6), (b)(7)(c) 02/24/2012 Reviewer’s Signature / Date 127 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013090 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 6 – 35. GRIEVANCE SYSTEM This Detention Standard protects detainees’ rights and ensures they are treated fairly by providing a procedure by which they may file formal grievances and receive timely responses. Remarks 1. Detainees are informed about the facility’s informal and formal grievance system. Detainees receive both the ICE National Handbook and the facility handbook. Both contain a section on how to file grievances. 2. The admissions process includes providing each new arrival with a copy of the detainee handbook (or equivalent). All detainees receive a copy of the handbook and are required to sign a receipt that is placed in the detainee file. 3. The grievance section of the handbook explains all steps in the grievance process – Including: All grievances must be in writing and are treated as formal according to the Grievance Officer (Captain). The detainee handbook indicates that the detainee has 15 days to file a written complaint. A written response will be given within 15 days of the pre-grievance. If unsatisfied the detainee may file a complaint within five (5) days. The Warden will re-investigate and a response will be made within five (5) working days. The ICE National Handbook is also received and receipted by detainees. The National Handbook addresses these issues. • Informal and formal grievance • The appeals procedures; • Staff/detainee availability to help during the grievance process • Guarantee against staff filing/pursuing a grievance. • How to file a complaint about officer misconduct with the Department of Justice. • How to file an emergency grievance. process procedures; and step-by-step retaliation for 4. Written procedures provide for the informal resolution of oral grievances (Not mandatory). If yes, the detainee has up to five days within which to make his or her concern known to a member of the staff. The detainee handbook indicates that the detainee has 15 days to file a written complaint. A written response will be given within 15 days of the pre-grievance. If unsatisfied the detainee may file a complaint within five (5) days. The Warden will re-investigate and a response will be made within five (5) working days. 5. Detainees have access to the grievance committee (or equivalent in IGSA), using formal procedures. Staff will assist detainees with their grievances if needed. The facility also contracts with a 24-hour interpreter service "Language Line Services" which can provide assistance if a language issue is prevalent. • Detainees may seek help from other detainees or facility staff when preparing a grievance. • Illiterate, disabled, or non-English-speaking detainees receive special assistance when necessary. 6. Facility has written procedures for identifying and handling a time-sensitive emergency grievance. Procedures are outlined in facility policy Grievance Procedures. 128 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013091 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 6 – 35. GRIEVANCE SYSTEM This Detention Standard protects detainees’ rights and ensures they are treated fairly by providing a procedure by which they may file formal grievances and receive timely responses. Remarks 7. Every member of the staff knows how to identify emergency grievances, including the procedures for expediting them. 8. Staff shall not harass, discipline, punish or otherwise retaliate against a detainee who files a complaint or grievance. This is addressed in the facility policy and is incorporated in the training program. 9. Procedures include maintaining a Detainee Grievance Log. • If not, an alternative acceptable record keeping system is maintained. • "Nuisance complains" are identified in the records. • For quality control purposes, staff document nuisance complaints received but not filed. A grievance log is maintained. The facility does not track "nuisance" grievances. Grievances are minimal at this facility since the detainee population turns over quickly. 10. If a detainee who establishes a pattern of filing nuisance complaints or otherwise abusing the grievance system, the Facility Administrator may authorize staff to refuse to process subsequent complaints. This authority may not be delegated, even to an Acting Facility Administrator. This is in both the detainee handbook and the facility policy on grievances. 11. Staff are required to forward any grievance that includes officer misconduct to a higher official or, in a CDF/IGSA facility, to ICE. Allegations of misconduct are reported to the Warden who in turn notifies ICE. 12. Informal resolution of a written grievance is documented in the detainee’s Detention File. All grievances are in writing and a copy is placed in the detainee's file. 13. Staff comply with the requirement to report allegations of officer misconduct to a supervisor or higher-level official in his or her chain of command, and/or to ICE/DRO Office of Professional Responsibility and/or the DHS Inspector General. 14. In SPCs and CDFs, when a Detainee does not accept the grievance committee's decision, he/she files an appeal with the ICE Facility Administrator. • Detainees may file an appeal on grievances. This is addressed in facility policy and the facility detainee handbook. In all facilities written procedures cover detainee appeals and are included in the detainee handbook 15. In SPCs/CDFs, the detainee has a reasonable timeframe after the incident or informal-grievance outcome to file a formal grievance. Detainees have 15 days to submit a complaint to the facility Grievance Officer. If not satisfied with the response, the detainee has five (5) days to file a formal grievance. PART 6 – 35. GRIEVANCE SYSTEM Meets Standard Does Not Meet Standard N/A Repeat Finding 129 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013092 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Remarks: (Record significant facts, observations, other sources used, etc.) The detainee grievance program at this facility is monitored by a Grievance Officer who is the Captain. All grievances must be in writing and are treated as formal according to the Grievance Officer. The detainee handbook indicates that the detainee has 15 days to file a written complaint, which is considered to be a pre-grievance. A written response will be given within 15 days of the pre-grievance. If unsatisfied the detainee may file a complaint within five (5) days. The Warden will re-investigate and a response will be made within five (5) working days. Detainees may file a formal grievance at any time instead of using the pre-grievance process. The ICE National Handbook is also received and receipted by detainees. The National Handbook addresses these issues. A review of the grievance log indicates s small amount of grievances filed (10) and the facility responds within 72 hours time frame. A review of the log indicated most facility grievances were responded to within 24 hours. (b)(6), (b)(7)(c) 02/24/2012 Reviewer’s Signature / Date 130 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013093 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. The facility provides a designated law library for detainee use. 2. The law library contains all materials listed in the “Access to Legal Materials” Standard, Attachment A. The listing of materials is posted in the law library. • In lieu of/or in addition to the physical law library, ICE detainees have access to the Lexus Nexus electronic law library. 3. If the Lexis/Nexis CD-ROM service alternative is used for the publications in Attachment A, the facility provides detainees sufficient: • Operable computers and printers, in sufficient numbers in order to provide access • Photocopiers, and • Supplies for both. N/A Does Not Meet Standard Components Meets Standard PART 6 – 36. LAW LIBRARIES AND LEGAL MATERIAL This Detention Standard protects detainees’ rights by ensuring their access to courts, counsel, and legal materials. Remarks The Law Library is a clean, neat and quiet operation. The facility is using LexisNexis in lieu of the hard copy materials. Three operable computer stations and printers are available for detainees to use. 4. The library contains a sufficient number of chairs, is well lit and is reasonably isolated from noisy areas. The space is small but quiet, neat and orderly. 5. The law library is adequately equipped with typewriters, computers or both and has sufficient supplies for daily use by the detainees. Three operable computer stations with printers are available for detainees to use. 6. Detainees are provided with the means to save legal work in a private electronic format for future use. Floppy disks are provided to detainees used for storage of their work. 7. The facility subscribes to updating services where applicable and legal materials requiring updates are current. ICE provides the LexisNexis updates. 8. Outside persons and organizations are permitted to submit published legal material for inclusion in the legal library. Outside published material is forwarded and reviewed by the ICE prior to inclusion. ICE will be contacted if outside material is to be included. 9. There is a designated ICE or facility employee who inspects, updates, and maintain/replace legal material and equipment on a routine basis. The designee properly disposes outdated supplements and replaces damaged or missing material promptly. The Maintenance Supervisor provides oversight of the Law Library. 10. Detainees are offered a minimum 5 hours per week in the law library. Detainees are not required to forego recreation time in lieu of library usage. Detainees facing a court deadline are given priority use of the law library. The Law Library is open eleven (11) hours per day, seven days a week. 11. Detainees may request material not currently in the law library. Each request is reviewed and where appropriate an acquisition request is initiate and timely pursued. Request for copies of court decisions are accommodated within 3 – 5 business days. The maintenance Supervisor indicated that he responds to these requests. His time frames were within the requirements. 131 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013094 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 6 – 36. LAW LIBRARIES AND LEGAL MATERIAL This Detention Standard protects detainees’ rights by ensuring their access to courts, counsel, and legal materials. Remarks 12. The facility permits detainees to assist other detainees, voluntarily and free of charge, in researching and preparing legal documents, consistent with security. 13. Staff ensure that illiterate or non-English-speaking detainees without legal representation receive more than access to English-language law books after indicating their need for help. In addition to other detainees, a language line and pro-bono services are available. 14. Detainees may retain a reasonable amount of personal legal material in the general population and in the special management unit. Stored legal materials are accessible within 24 hours of a written request. The Lieutenant in charge of property indicated that she escorts detainees to the property room to retrieve property when requested. 15. Detainees housed in Administrative Segregation and Disciplinary Segregation units have the same law library access as the general population, barring security concerns. Detainees denied access to legal materials are documented and reviewed routinely for lifting of sanctions. A segregated detainee will be provided time as needed in the Law Library. No denials have occurred to date. 16. All denials of access to the law library fully documented. 17. Facility staff inform ICE Management when a detainee or group of detainees is denied access to the law library or law materials. ICE staff would be notified immediately if any denials were required. 18. Detainees who seek judicial relief on any matter are not subjected to reprisals, retaliation, or penalties. 19. Indigent detainees are provided with free envelopes and stamps to mail related to legal matters. Policy permits indigent detainees to receive free legal postage as needed. PART 6 – 36. LAW LIBRARIES AND LEGAL MATERIAL Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The Law Library is in a quiet and clean area with three (3) operating computers and printers. All materials are provided including a "floppy" disk for storage of work. All relevant forms are also pre-printed and available should they be needed. In addition, the Law Library is open daily for more than ten hours. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 132 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013095 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 6 - 37. LEGAL RIGHTS GROUP PRESENTATIONS This Detention Standard protects detainees’ rights by ensuring their access to information presented by authorized persons and organizations for the purpose of informing them of U.S. immigration law and procedures. Remarks Check here if No Group Presentations were conducted within the past 12 months. Mark Standard as Acceptable overall and continue on with next portion of worksheet. 1. The Field Office is responsive to requests by attorneys ICE staff indicated that the Field and accredited representatives for group Office Director has approved the presentations. current program with Southern Illinois University. 2. Upon receipt of concurrence by the Field Office Director, the facility or authorized ICE/DRO Field Office ensures proper notification to attorneys or accredited representatives in a timely manner. Facility staff will follow-up on approved programs and make sure notifications are made. 3. The facility follows policy and procedure when rejecting or requesting modifications to objectionable material provided or presented by the attorney or accredited representative. Facility staff allow only ICE approved materials. 4. Posters announcing presentations appear in common areas at least 48 hours in advance and sign-up sheets are available and accessible. 5. Detainees have access to group presentations on immigration law, procedures and detainee options. Documentation is submitted and maintained when any detainee is denied permission to attend a presentation and the reason(s) for the denial. In lieu of sign up sheets, the Presentation staff visit each unit and notify detainees regarding attendance. All detainees are permitted to attend. All detainees are eligible for presentations. Individual sessions may be conducted if needed. No denials have occurred to date. 6. When the number of detainees allowed to attend a presentation is limited, the facility allows a sufficient number of presentations so that all detainees signed up may attend. 7. Detainees in segregation, unable to attend for security reasons may request separate sessions with presenters. Such requests are documented. Individual sessions will be accommodated. 8. Interpreters are admitted when necessary to assist attorneys and other legal representatives. 9. Presenters are afforded a minimum of one hour to make the presentation and additional time to conduct a question-and-answer session. Time limits are not imposed by the facility. 10. Staff permit presenters to distribute ICE/DROapproved materials. 11. The facility permits presenters to meet with small groups of detainees to discuss their cases after the group presentation. ICE/DRO or authorized detention staff are present but do not monitor conversations with legal providers. Any staff present are not permitted to monitor discussions between detainees and legal providers. 133 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013096 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 6 - 37. LEGAL RIGHTS GROUP PRESENTATIONS This Detention Standard protects detainees’ rights by ensuring their access to information presented by authorized persons and organizations for the purpose of informing them of U.S. immigration law and procedures. Remarks Check here if No Group Presentations were conducted within the past 12 months. Mark Standard as Acceptable overall and continue on with next portion of worksheet. 12. Group presenters who have had their privileges suspended are notified in writing by the Field Office Director or designee, and the reasons for suspension are documented. The Headquarters Office for Detention and Removal, Field Operations and Detention management Division is notified when a group or individual is suspended from making presentations. ICE and facility staff interviewed indicated that no suspensions have occurred. 13. The facility plays ICE/DRO-approved videotaped presentations on legal rights, at regular opportunities at the request of outside organizations. The Know Your Rights video is played in Booking during detainees' admission process. 14. A copy of the Group Legal Rights Presentation policy, including attachments, is available to detainees upon request The policy is described in the Detainee Handbook. 15. The facility maintains equipment for viewing approved electronically formatted presentations. PART 6 - 37. LEGAL RIGHTS GROUP PRESENTATIONS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) A group from Southern Illinois University provides a monthly program that is available to any detainee in the facility. Small and individual sessions are also permitted as needed after the initial meeting. On the day of the presentation, the Group Presentation staff go to each unit and "invite" detainees to attend the session and any detainee who wishes to attend is accommodated. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 134 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013097 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Performance-Based National Detention Standards Section VII ADMINISTRATION & MANAGEMENT 38 39 40 41 Detention Files News Media Interviews and Tours Staff Training Transfer of Detainees 135 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013098 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 38. DETENTION FILES This Detention Standard contributes to efficient and responsible facility management by maintaining for each detainee booked into a facility for more than 24 hours a file of all significant information about that person. Remarks 1. A Detention File is created for every new arrival whose stay will exceed 24 hours. A detention file is created for anyone admitted to the facility. 2. The detainee Detention File contains either originals or copies of documentation and forms generated during the admissions process. Tens files were examined to verify the contents. 3. The detainee’s Detention File also contains documents generated during the detainee’s custody. • Special requests • Any G-589s and/or I-77s or IGSA equivalent, closed-out during the detainee’s stay • Disciplinary forms/Segregation forms • Grievances, complaints, and the disposition(s) of same Documents generated during the detainee's stay were found in the sample files reviewed. 4. The Detention Files are located and maintained in a secured area. If not the cabinets are lockable and distribution of the keys is limited to supervisors. A lockable file is used to hold the detention files. The key is kept by the on-duty Booking Officer. 5. The Detention File remains active during the detainee’s stay. When the detainee is released from the facility, staff add copies of completed release documents, the original closed-out receipts for property and valuables, the original I-385 or equivalent and other documentation. All completed paperwork and documentation is added to a detention file when a detainee is transferred. 6. The officer closing the Detention File makes a notation that the file is complete and ready to be archived. A form is attached indicating 7. Staff make copies and sends documents from the file when appropriately requested by supervisory personnel at the receiving facility or office. When the Warden approves a verified request, copies will be forwarded. 8. Appropriate staff have access to the Detention Files and other departmental requests are accommodated by making a request for the file. Each file is properly logged out and in by a representative of the responsible department. Any file removed from the area is logged out appropriately. 9. Electronic record-keeping systems and data are protected from unauthorized access. 10. Unless release of information is required by statute or regulation, a detainee must sign a release-ofinformation consent form prior to the release of any information, and a copy of the form is maintained in the detainee’s Detention File. Forms are available for use when needed. 11. Electronic data on individual detainees is subject to the same Privacy Act regulations as the contents of traditional paper Detention Files and A-files. 136 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013099 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 12. The Facility Administrator or staff designate ensures that necessary equipment and supplies, including copier and copier supplies are available; all equipment is maintained in good working order and that equipment has the capacity to handle the volume of work. N/A Components Does Not Meet Standard Meets Standard PART 7 – 38. DETENTION FILES This Detention Standard contributes to efficient and responsible facility management by maintaining for each detainee booked into a facility for more than 24 hours a file of all significant information about that person. Remarks Equipment and supplies were readily available and in use during the review. 13. The Detention Operations Supervisor or equivalent can direct certain documents be added to a detainee’s detention File. 14. Archived files are purged after six years by shredding or burning. Files are shredded after six years. 15. Field Offices maintains detention files on detainees housed in IGSA Facilities as needed. These files are maintained for a minimum of 18 months. The facility maintains detention files. PART 7 – 38. DETENTION FILES Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) A review of ten (10) detention files kept in the Booking area indicated that the file contain the required information, including the documents used to admit the detainee and any request forms or records generated during the detainee's stay in the facility. The facility uses a combination of hard-copy files and an electronic data base system (SecurManage) to manage the information. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 137 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013100 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standards Meets Standards PART 7 - 39. NEWS MEDIA INTERVIEWS AND TOURS This Detention Standard ensures that the public and the media are informed of events within the facility’s areas of responsibility through interviews and tours. Remarks 1. The ICE/DRO Field Office Director approved all interviews by reporters, other news media representatives, academics and others not covered by the Detention Standard on Visitation. An interview with the Warden and ICE staff indicated that the Field Office Director would have to approve any request for an interview with a detainee. 2. All personal interviews are documented with the News Interview Authorization form (or equivalent) and filed in the detainee’s A-file with a copy in the facility’s Detention File. The ICE Field Office Public Information Officer would handle all documentation according to both ICE and facility staff interviewed. 3. The Field Office Director consulted with Headquarters before deciding to allow an interview with a detainee who was the center of a controversy, or special interest, or high profile case. 4. Signed released forms are obtained and retained in the detainee’s a-file from any media representatives who photographed or recorded any detainee in any way that would individually identify him or her. ICE staff would supply the release forms and would also manage the retention of the signed forms. 5. All press pools are organized `according to the procedures in the Detention Standard. • A press pool may be established when the Field Office Director and facility administrator determine that the volume of interview requests warrants such action. • All media representatives with pending or requested, tours, or visits were notified that, effective immediately and until further notice, all media representatives must comply with the press pool guidelines established by the Field Office Director. • All material generated from such a press pool is made available to all news media, without right of first publication or broadcast. Press pools procedures would be directed by the Field Office Director and managed by the Warden. PART 7 - 39. NEWS MEDIA INTERVIEWS AND TOURS Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) Facility staff interviewed indicated that they defer to ICE when tours or media issues involve ICE. The Warden will provide oversight at the local level and implement the directions given by ICE regarding tours, interviews, and/or press pools. The Field Office Representative confirmed that the Field Office Public Information Officer would provide any forms needed and coordinate any other issues for media interviews or tours. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 138 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013101 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 1. The facility conducts appropriate orientation, initial training, and annual training for all staff, contractors, and volunteers. This component was verified by reviewing the lesson plans on file. Forty hours of classroom training is conducted. 2. The amount and content of training is consistent with the duties and function of each individual and the degree of direct supervision that individual receives. All staff receive the same initial training and annual refresher training. 3. At least one qualified individual with specialized training for the position coordinates and oversees the staff development and training program. At a minimum, full-time training personnel complete a 40hour training-for-trainers course. The facility has a full time training coordinator 4. Training is governed and guided by a training plan that is reviewed and approved annually by the facility administrator. The most current training plan was signed by the Warden on 01/11/2012. 5. An accurate and complete record is maintained of all formal training activities in: • Individual training folders, • Other training records systems, and/or • Electronic systems. Training folders are established for all employees. 139 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013102 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 6. Each new employee, contractor, and volunteer is provided an orientation prior to assuming duties. While tailored specifically for staff, contractors, and volunteers, the orientation programs include, at a minimum: • Working conditions • Cultural diversity/understanding staff & detainees • Code of ethics • Personnel policy manual • Employees' rights and responsibilities • Drug-free Workplace • Health-related emergencies • Signs of Suicide risk and precautions • Suicide prevention and intervention • Hunger strikes • Use of Force • Keys and Locks • Overview of the criminal justice system • Tour of the facility • Facility goals and objectives • Facility organization • Staff rules and regulations • Sexual harassment/sexual misconduct awareness • Personnel policies • Program overview • Orientation and training on detainee handbook and detainee rights. • Requirement of special-needs detainees. • National Detention Standards A review of the training materials revealed that each new employee receives orientation on the required topics. Volunteers received orientation prior to assuming their duties. 140 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013103 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 7. Clerical/support employees who have detainee contact receive a minimum of: Working conditions • Cultural diversity/understanding staff & detainees • Code of ethics • Personnel policy manual • Employees' rights and responsibilities • Overview of the criminal justice system • Tour of the facility • Facility goals and objectives • Facility organization • Staff rules and regulations • Sexual harassment/sexual misconduct awareness • Personnel policies • Program overview National Detention Standards. • Key and Lock Control. • Suicide risk and prevention. Remarks minimal • • N/A Components Does Not Meet Standard Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Clerical and support staff receive the same orientation and annual refresher training as all facility staff. These items are addressed in the training curriculum. 141 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013104 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 8. Professional and support employees (including contractors) who have regular or daily detainee contact will receive training on the following subjects, at a minimum: • Security procedures and regulations • Code of Ethics • Health-related emergencies • Drug-free workplace • Supervision of detainees • Signs of suicide risk and hunger strike • Suicide precautions • Use-of-force regulations and tactics • Report writing • Detainee rules and regulations • Key control • Rights and responsibilities of detainees • Safety procedures • Emergency plan and procedures • Interpersonal relations • Social/cultural lifestyles of the detainee population • Cultural diversity/understanding staff & detainees • Communication skills • Cardiopulmonary resuscitation (CPR)/First aid • Counseling techniques • Sexual harassment/sexual awareness. • National Detention Standards. A file for a medical contractor was reviewed and it contained the necessary requirements. There have been no other contractors since the last review. misconduct 142 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013105 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 9. Full-time health care employees receive at least 40 hours of formal orientation before undertaking their assignments. At a minimum, the orientation program includes: • The purpose, goals, policies and procedures for the facility and parent agency security and contraband regulations • Key control; appropriate conduct with detainees • Responsibilities and rights of employees • Standard precautions • Occupational exposure • Personal protective equipment • Bio-hazardous waste disposal • Overview of the detention operations. • National Detention Standards. • Medical grievance procedures and protocol. • Requirement for special needs detainees. • Code of Ethics • Drug free workplace • Hostage situations and staff conduct if taken hostage. There have been no medical staff hired since the last review. Medical staff receive the same training as all facility staff and lesson plans were reviewed for each of these subcomponents. 143 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013106 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 10. Security personnel (including contractors) will receive training on the following subjects, at a minimum: • Security procedures and regulations • Supervision of detainees • Searches of detainees, housing units, and work areas • Signs of suicide risk, precaution, prevention and intervention. • Code of Ethics • Health-related emergencies • Drug-free workplace • Suicide precautions • Self-defense techniques • Use-of-force regulations and tactics • Report writing • Detainee rules and regulations • Key control • Rights and responsibilities of detainees • Safety procedures • Emergency plans and procedures • Interpersonal relations • Social/cultural lifestyles of the detainee population • Cultural diversity/understanding staff & detainees • Communication skills • Cardiopulmonary resuscitation (CPR)/first aid • Counseling techniques • Sexual abuse/assault awareness • National Detention Standards. 11. Situation Response Teams (SRTs) receive: • Specialized training before undertaking their assignments. 12. Facility management and supervisory staff receive: • Management and Supervisory training Security staff are required to complete state certified training program at the St. Clair County, IL training academy. In addition, they receive a 40-hour facility orientation training, which covers these subcomponents. This facility does not have Situation Response Teams. Supervisory staff has attended the First Line Supervision and Middle Management Training. A course enrollment form and training completion certificates were observed. 144 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013107 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 13. (MANDATORY) Personnel authorized to use firearms receive training that covers their use, safety, and care and constraints on their use -- before being assigned to a post involving their possible use. (b)(7)e 14. (MANDATORY) All personnel authorized to use firearms demonstrate competency in their use at least annually. (b)(7)e 15. (MANDATORY) Personnel authorized to use chemical agents receive training in the use of chemical agents and in the treatment of individuals exposed to a chemical agent before being assigned to a post involving their possible use. 16. All staff receives orientation and annual training on the facility’s drug-free workplace program. Typical contents are: • Staff, contractors, and volunteers prohibited from: • Using illegal drugs. • Possessing illegal drugs except in the authorized performance of official duties. • Procedures to be used to ensure compliance. • Opportunities available for treatment and/or counseling for drug abuse. • Penalties for violation of the policy. 17. New staff are required to acknowledge in writing that they have reviewed and understand the facility’s drugfree workplace program, and a copy of the signed acknowledgement is maintained in that person’s personnel file. (b)(7)e A review of random files found this document in place. The training plan for this topic was also reviewed and found to contain the required information. The facility also has a policy on the drug free work place. This was documented in files that were reviewed by this inspector. 145 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013108 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 18. All staff are trained during orientation and annually thereafter, regarding the facility’s code of ethics. Typical contents are: • Staff, contractors, and volunteers prohibited from: • Using their official positions to secure privileges for themselves or others. • Engaging in activities that constitute a conflict of interest. • Accepting any gift or gratuity from, or engaging in personal business transactions with a detainee or a detainee's immediate family. • Acceptable behavior in the areas of campaigning, lobbying or political activities. 19. New staff are required to acknowledge in writing that they have reviewed and understand facility work rules, ethics, regulations, conditions of employment, and related documents, and a copy of the signed acknowledgement is maintained in that person’s personnel file. Ethics training is conducted at initial training and on the first day of annual refresher training. This is documented in the employee's personnel file. 20. (MANDATORY) All staff in frequent contact with detainees is trained at least annually to respond to health-related emergencies within four minutes. The training is provided by a responsible medical authority in cooperation with the facility administrator and includes: • Recognizing of signs of potential health emergencies and the required responses. • Administering first aid and cardiopulmonary resuscitation (CPR). • Obtaining emergency medical assistance through the facility plan and its required procedures. • Recognizing signs and symptoms of mental illness, suicide risk, retardation, and chemical dependency. • The facility’s established plan and procedures for providing emergency medical care including, when required, the safe and secure transfer of detainees for appropriate hospital or other medical services, including by ambulance when indicated. The lesson plan was reviewed and contained the required topics. This session is conducted by medical staff and is addressed in facility policy. 146 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013109 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Does Not Meet Standard Components Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 21. All staff in frequent contact with detainees are trained at least annually on the facility’s Sexual Abuse and Assault Prevention and Intervention Program, to include: • Understanding that sexual abuse or assault is never an acceptable consequence of detention. • Recognizing housing or other situations where sexual abuse or assault may occur. • Recognizing the physical, behavioral, and emotional signs of sexual abuse or assault and ways to prevent such occurrences. • Knowing how to report knowledge or suspicion of sexual abuse or assault and make intervention referrals in the facility’s program. 22. (MANDATORY) All staff in frequent contact with detainees are trained at least annually on the facility’s Suicide Prevention and Intervention Program, to include: • Identifying the warning signs and symptoms of impending suicidal behavior, • Demographic, cultural, and precipitating factors of suicidal behavior, • Responding to suicidal and depressed detainees, • Communication between correctional and health care personnel, • Referral procedures, • Housing observation and suicide-watch level procedures, and • Follow-up monitoring of detainees who have attempted suicide. The facility has a training plan for Sexual Abuse and Assault Prevention. These topics are covered in both initial orientation training and annual refresher training. The facility has a training plan for Suicide Prevention and Intervention. These topics are covered in both initial orientation training and annual refresher training. All items of this subcomponent are contained in the lesson plan. The facility also supplements their training with a video from Lockup USA on identifying suicidal and depressed detainees. 23. All staff are trained during orientation and annually to recognize the signs of a hunger strike and on the procedures for referral for medical assessment. 24. All staff are trained in proper procedures for the care and handling of keys. Orientation training shall be accomplished before staff are issued keys, and key control shall be among the topics covered in annual training. Ordinarily, such training is done by the Security Officer or Key Control Officer. This training is conducted at both the initial orientation training and annual refresher training. The facility Security Officer is responsible for conducting this training. 147 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013110 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 7 – 40. STAFF TRAINING This Detention Standard ensures that staff, contractors, and volunteers are competent in their assigned duties by requiring that they receive initial and ongoing refresher training. Remarks 25. Through ongoing (at least annual) training, all detention facility staff are made aware of their responsibilities to control situations involving aggressive detainees. At a minimum, training shall include: • The requirements of this Detention Standard • The use of force continuum • Communication techniques • Cultural diversity • Dealing with the mentally ill • Confrontation-avoidance techniques This is accomplished in both initial and annual refresher training. Training instructors are the Security Officer and the medical staff. • Approved methods of self-defense • Force cell-move techniques • Communicable diseases, particularly precautions to be taken for use of force • Application of restraints (progressive and hard) • Reporting procedures. 26. Employees are encouraged to continue their education and professional development through incentives such as salary enhancement, reimbursement of costs, and administrative leave. The facility has developed an online training program for staff. There are also two training announcements for firearms and self defense trainers that the facility will pay for tuition and reimbursements. The new Training Coordinator is also exploring the possibility of trying to enter into an agreement with the local community college for courses on personal development. PART 7 – 40. STAFF TRAINING Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) The facility has developed a training program that meets the standards on initial and annual refresher training. All staff regardless of position receive the same training (b)(7)e (b)(7)e Currently there are 37 staff qualified to carry weapons. No staff may be assigned to an armed post without successfully completing this 40-hour course. All training and firearms recertification are taught by qualified instructors. (b)(7)e / 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 148 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013111 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 1. When a detainee is represented by legal counsel or a legal representative, and a G-28 has been filed, the representative of record is notified by the detainee’s Deportation Officer within 24 hours of transfer. • The notification is recorded in the detainee’s file • When the A-File is not available, notification is noted within ENFORCE. N/A Does Not Meet Standard Components Meets Standard PART 7 - 41. TRANSFER OF DETAINEES This Detention Standard ensures that transfers of detainees from one facility to another are professionally and responsibly managed in regard to notifications, detainee records, safety and security, and protection of detainee funds and personal property. Remarks An interview with a Field Office representative indicated that ICE staff are aware of their responsibility to notify the legal representative of record and to record that notification. 2. Notification includes the reason for the transfer and the location of the new facility, 3. The deportation officer is allowed discretion regarding the timing of the notification when extenuating circumstances are involved. According to the Deportation Officer interviewed, security concerns may warrant discretion. 4. The attorney and detainee are notified that it is their responsibility to notify family members regarding a transfer. 5. Facility policy mandates that: • Times and transfer plans are never discussed with the detainee prior to transfer. • The detainee is not notified of the transfer until immediately prior to departing the facility. • The detainee is not permitted to make any phone calls or have contact with any detainee in the general population. 6. The detainee is provided with a completed Detainee Transfer Notification Form. The facility procedures do not permit premature discussions with the detainee, notification before departure, or further contact with general population detainees. ICE presents the detainee with the Notification Form. 7. Form G-391 or equivalent authorizing the removal of a detainee from a facility is used. 8. For medical transfers: • The Division of Immigration Health Services (DIHS) Medical Director or designee approves the transfer. • Medical transfers are coordinated through the local ICE/DRO office. • A medical transfer summary is completed and accompanies the detainee. • Detainee is issued a minimum of 7 days worth of prescription medications. All medical transfers will be coordinated with Immigration Health Service Corps by ICE Field Office staff. Facility staff will provide all necessary medications and medial information. 9. Detainees are transferred with a completed transfer summary sheet in a sealed envelope with the detainee’s name and A-number and the envelope is marked Medical Confidential. 149 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013112 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 N/A Components Does Not Meet Standard Meets Standard PART 7 - 41. TRANSFER OF DETAINEES This Detention Standard ensures that transfers of detainees from one facility to another are professionally and responsibly managed in regard to notifications, detainee records, safety and security, and protection of detainee funds and personal property. Remarks 10. For medical transfers, transporting officers receive instructions regarding medical issues. Transportation officers will receive specific instructions regarding medical issues. 11. Detainee’s funds, valuables and property are returned and transferred with the detainee to his or her new location. All funds and personal property are returned to the detainee during the release process. 12. Transfer and documentary procedures outlined in Section C and D are followed. 13. Indigent detainees unable to make a telephone call at their new location are able to make a telephone call at the government’s expense within 12 hours of arrival. All detainees admitted to the facility receive a three-minute phone call. 14. Meals are provided when transfers occur during normally schedule meal times. 15. An A-File or work folder accompanies the detainee when transferred to a different Field Office or suboffice. ICE Field Office staff handle the Afile and will send it. 16. A-Files are forwarded to the receiving office via overnight mail no later than one business day following the transfer. PART 7 - 41. TRANSFER OF DETAINEES Meets Standard Does Not Meet Standard N/A Repeat Finding Remarks: (Record significant facts, observations, other sources used, etc.) An interview with an ICE representative indicated that ICE staff are aware of the responsibilities regarding notification of a detainee's attorney of record when a transfer is made outside the Field Office area. Field Office staff are also aware of the case management issues regarding a medical transfer. In addition, interviews with Booking staff indicated that they are well versed in the procedures and issues involved in the transfer of detainees. All property and funds are signed for by the detainee upon departure. Safety and security are always a consideration in any movement of a detainee. 02/24/2012 Reviewer’s Signature / Date (b)(6), (b)(7)(c) 150 FOR OFFICIAL USE ONLY (LAW ENFORCEMENT SENSITIVE) ICE 2012FOIA03030.013113 G-324A (Coded 10132010) Detention Review Worksheet - Rev: 5/11/09 Department Of Homeland Security Immigration and Customs Enforcement A. Type of Facility Reviewed ICE Service Processing Center ICE Contract Detention Facility ICE Intergovernmental Service Agreement B. Current Inspection Type of Inspection Field Office HQ Inspection Date[s] of Facility Review 02/ 22-24 2012 C. Previous/Most Recent Facility Review Date[s] of Last Facility Review 03/2-4/ 2011 Previous Rating Meets Standards Does Not Meet Standards D. Name and Location of Facility Name Tri-County Detention Center Address (Street and Name) 1026 Shawnee College Rd City, State and Zip Code Ullin, Illinois 62992 County Pulaski Name and Title of Facility Administrator (Warden/OIC/Superintendent) (b)(6), (b)(7)(c) Telephone # (Include Area Code) 618-845 (b)(6), (b)(7)(c) Field Office/Sub-Office (List Office with oversight responsibilities) Chicago Distance from Field Office 330 E. ICE Information Name of Inspector (Last Name, Title and Duty Station) / LCI / Nakamoto Group (b)(6), (b)(7)(c) Name of Team Member / Title / Duty Location (b)(6), (b)(7)(c) Medical SME / Nakamoto Group Name of Team Member / Title / Duty Location (b)(6), (b)(7)(c) Food & Environmental Health and Safety CI / Nakamoto Group Name of Team Member / Title / Duty Location Security CI / Nakamoto Group (b)(6), (b)(7)(c) Name of Team Member / Title / Duty Location / / F. CDF/IGSA Information Only Contract Number Date of Contract or IGSA EROIGSA-11-0006 12-29-2011 Basic Rates per Man-Day $76.00 Other Charges: (If None, Indicate N/A) ; ; ; Detention Review Summary Form Facilities Used Over 72 hours Estimated Man-days Per Year 90,000 G. Accreditation Certificates List all State or National Accreditation[s] received: Check box if facility has no accreditation[s] H. Problems / Complaints (Copies must be attached) The Facility is under Court Order or Class Action Finding Court Order Class Action Order The Facility has Significant Litigation Pending Major Litigation Life/Safety Issues Check if None. I. Facility History Date Built 1997 Date Last Remodeled or Upgraded 2011 Date New Construction / Bedspace Added 2011/24 beds added Future Construction Planned Yes No Date: Current Bedspace Future Bedspace (# New Beds only) 248 Number: N/A Date: J. Total Facility Population Total Facility Intake for previous 12 months N/A Total ICE Mandays for Previous 12 months N/A K. Classification Level (ICE SPCs and CDFs Only) L-1 L-2 L-3 Adult Male N/A N/A N/A Adult Female N/A N/A N/A L. Facility Capacity Rated Adult Male 224 Adult Female N/A Operational 248 N/A Emergency 285 8 Facility holds Juveniles Offenders 16 and older as Adults M. Average Daily Population ICE Adult Male 224 Adult Female 0 N. Facility Staffing Level Security: USMS N/A N/A Other 25 8 Support: (b)(7)(e) ICE 2012FOIA03030.013114 Form G-324A SIS (Rev. 9/3/08) Significant Incident Summary Worksheet For ICE to complete its review of your facility, the following information must be completed prior to the scheduled review dates. The information on this form should contain data for the past twelve months in the boxes provided. The information on this form is used in conjunction with the ICE Detention Standards in assessing your Detention Operations against the needs of the ICE and its detained population. This form should be filled out by the facility prior to the start of any inspection. Failure to complete this section will result in a delay in processing this report and the possible reduction or removal of ICE detainees at your facility. Incidents Assault: Offenders on Offenders1 Description Types (Sexual2, Physical, etc.) With Weapon Without Weapon Assault: Detainee on Staff Types (Sexual Physical, etc.) With Weapon Without Weapon Number of Forced Moves, incl. Forced Cell moves3 Disturbances4 Number of Times Chemical Agents Used Number of Times Special Reaction Team Deployed/Used # Times Four/Five Point Restraints applied/used Number/Reason (M=Medical, V=Violent Behavior, O=Other) Type (C=Chair, B=Bed, BB=Board, O=Other) Number of Times Canines Used in Facility Offender / Detainee Medical Referrals as a result of injuries sustained. Escapes Attempted Actual Grievances: Deaths Psychiatric / Medical Referrals 1 2 3 4 # Received # Resolved in favor of Offender/Detainee Reason (V=Violent, I=Illness, S=Suicide, A=Attempted Suicide, O=Other) Number # Medical Cases referred for Outside Care # Psychiatric Cases referred for Outside Care Jan – Mar Apr – Jun Jul – Sept Oct – Dec Physical Physical Physical Physical 0 0 0 0 1 2 2 3 Physical Physical 0 0 0 0 0 0 1 1 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 3 3 1 0 0 0 0 0 0 0 0 0 0 0 79 66 90 176 1 1 1 N/A Any attempted physical contact or physical contact that involves two or more offenders Oral, anal or vaginal penetration or attempted penetration involving at least 2 parties, whether it is consenting or non-consenting Routine transportation of detainees/offenders is not considered “forced” Any incident that involves four or more detainees/offenders, includes gang fights, organized multiple hunger strikes, work stoppages, hostage situations, major fires, or other large scale incidents. Form G-324A SIS (Rev. 9/3/08) ICE 2012FOIA03030.013115 DHS/ICE Detention Standards Review Summary Report 1. Meets Standards 2. Does Not Meet Standards 3.Repeat Finding 4. Not Applicable PART 1 SAFETY 1 Emergency Plans 2 Environmental Health and Safety 3 Transportation (By Land) PART 2 SECURITY 4 Admission and Release 5 Classification System 6 Contraband 7 Facility Security and Control 8 Funds and Personal Property 9 Hold Rooms in Detention Facilities 10 Key and Lock Control 11 Population Counts 12 Post Orders 13 Searches of Detainees 14 Sexual Abuse and Assault Prevention and Intervention 15 Special Management Units 16 Staff-Detainee Communication 17 Tool Control 18 Use of Force and Restraints PART 3 ORDER 19 Disciplinary System PART 4 CARE 20 Food Service 21 Hunger Strikes 22 Medical Care 23 Personal Hygiene 24 Suicide Prevention and Intervention 25 Terminal Illness, Advance Directives, and Death PART 5 ACTIVITIES 26 Correspondence and Other Mail 27 Escorted Trips for Non-Medical Emergencies 28 Marriage Requests 29 Recreation 30 Religious Practices 31 Telephone Access 32 Visitation 33 Voluntary Work Program PART 6 JUSTICE 34 Detainee Handbook 35 Grievance System 36 Law Libraries and Legal Material 37 Legal Rights Group Presentations PART 7 ADMINISTRATION & MANAGEMENT 38 Detention Files 39 News Media Interviews and Tours 40 Staff Training 41 Transfer of Detainees 1 2 3 4 ( ICE 2012FOIA03030.013116 ) LCI Review Assurance Statement By signing below, the Lead Compliance Inspector (LCI) certifies that all findings of noncompliance with policy or inadequate controls contained in the Inspection Report are supported by evidence that is sufficient and reliable. Furthermore, findings of noteworthy accomplishments are supported by sufficient and reliable evidence. Within the scope of the review, the facility is operating in accordance with applicable law and policy, and property and resources are efficiently used and adequately safeguarded, except for the deficiencies noted in the report. Signature Lead Compliance Inspector: (Print Name) (b)(6), (b)(7)(c) (b)(6), (b)(7)(c) Title & Duty Location Date Lead Compliance Inspector, The Nakamoto Group, Inc. February 24, 2012 Team Members Print Name, Title, & Duty Location Print Name, Title, & Duty Location (b)(6), (b)(7)(c) Food & Environmental Health and SafetyCI, The Nakamoto Group, Inc. Print Name, Title, & Duty Location (b)(6), (b)(7)(c) (b)(6), (b)(7)(c) Medical CI, The Nakamoto Group, Inc. Print Name, Title, & Duty Location Security-CI, The Nakamoto Group, Inc. Recommended Rating: Meets Standards Does Not Meet Standards Comments: The Tri-County Detention Center is a 248-bed jail facility. The facility houses male ICE detainees generally for 30 days or less. The facility is not authorized to use tasers. In addition, there is no canine unit at the facility and the Warden indicated that no dogs would be used in the presence of a detainee. The overall rating is "Does Not Meet Standards" as the facility did not meet one mandatory component of the Medical Care standard. In a number of cases, the facility administration established and implemented corrective actions necessary to meet the requirements of individual components, including a mandatory Medical component. Form G-324A SIS (Rev. 9/3/08) ICE 2012FOIA03030.013117