Department of Homeland Security Immigration and Customs Enforcement Detention Review Summary Form Facilities Used Over 72 hours A. Type of Facility Reviewed ICE Service Processing Center ICE Contract Detention Facility ICE Intergovernmental Service Agreement Estimated Man-days Per Year G. Accreditation Certificates List all State or National Accreditation[s] received: Most recent ACA 1/22/2017 and NCCHC 8/15/2015 Check box if facility has no accreditation[s] B. Current Inspection Type of Inspection Field Office HQ Inspection Date[s] of Facility Review 10/2/2018 - 10/4/2018 C. Previous/Most Recent Facility Review Date[s] of Last Facility Review 9/26/2017-9/28/2017 Previous Rating Meets Standards Does Not Meet Standards 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 D. Name and Location of Facility Name Aurora ICE Processing Center Address (Street and Name) 3130 N. Oakland Street City, State and Zip Code Aurora, CO 80010 County Adams Name and Title of Facility Administrator (Warden/OIC/Superintendent) Date Last Remodeled or Upgraded Date New Construction / Bedspace Added Future Construction Planned Date: Current Bedspace Future Bedspace (# New Beds only) Number: Date: J. Total Facility Population Total Facility Intake for previous 12 months Telephone # (Include Area Code) Field Office / Sub-Office (List Office with oversight responsibilities) Centennial, CO Distance from Field Office 16 miles E. ICE Information Name of Inspector (Last Name, Title and Duty Station) / LCI/Detainee Rights / Nakamoto Group Name of Team Member / Title / Duty Location / Medical SME / Nakamoto Group Name of Team Member / Title / Duty Location / Safety SME / Nakamoto Group Name of Team Member / Title / Duty Location / Security SME / Nakamoto Group Name of Team Member / Title / Duty Location / Medical SME / Nakamoto Group F. CDF/IGSA Information Only Contract Number Date of Contract or IGSA Total ICE Mandays for Previous 12 months K. Classification Level (ICE SPCs and CDFs Only) L-1 L-2 L-3 L. Facility Capacity Rated Operational M. Average Daily Population ICE N. Facility Staffing Level Security: USMS Emergency Other Support: Basic Rates per Man-Day Other Charges: (If None, Indicate N/A) ; ; ; Form G-324A SIS (Rev. 9/3/08) Significant Incident Summary Worksheet For The Nakamoto Group 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 Jan – Mar Description Apr – Jun Jul – Sept Oct – Dec 10P 14P 16P 15P N/A N/A N/A N/A N/A N/A N/A N/A 3P 0 1P 1P N/A N/A N/A N/A 3 N/A 1 1 0 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1V 0 0 0 C 0 N/A N/A N/A N/A 0 0 1 0 0 0 0 0 0 0 0 0 187 309 213 149 35 71 56 52 0 0 0 O 0 0 0 1 0 14 42 72 0 0 0 0 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: # Received # Resolved in favor of Offender/Detainee Reason (V=Violent, I=Illness, S=Suicide, A=Attempted Suicide, O=Other) Number Deaths Psychiatric / Medical Referrals 1 2 3 4 # Medical Cases referred for Outside Care # Psychiatric Cases referred for Outside Care 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) 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 Form G-324A SIS (Rev. 9/3/08) 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. Lead Compliance Inspector: (Print Name) Title & Duty Location Signature Date Lead Compliance Inspector, The Nakamoto Group, Inc. 10/4/2018 Team Members Print Name, Title, & Duty Location Print Name, Title, & Duty Location , Safety SME, The Nakamoto Group, Inc. Print Name, Title, & Duty Location , Security SME, The Nakamoto Group, Inc. Recommended Rating: , Medical SME, The Nakamoto Group, Inc. Print Name, Title, & Duty Location , Medical SME, The Nakamoto Group, Inc. Meets Standards Does Not Meet Standards Comments: This inspection was conducted to determine overall compliance with the ICE Performance Based National Detention Standards (PBNDS) 2011 (42 standards), which include the following additions/changes to the standards listed on page three: Medical Care (Women), a new standard, was rated as Meets Standard; Classification System is now titled Custody Classification System; Suicide Prevention and Intervention is now titled Significant Self-Harm and Suicide Prevention and Intervention; Escorted Trips for Non-Medical Emergencies is now titled Trips for Non-Medical Emergencies; News Media Interviews and Tours is now titled Interviews and Tours and; Transfer of Detainees is now titled Detainee Transfers. Major Litigation H. was checked 'yes'. The following summary was provided by the assistant warden: "Former detainees allege that GEO violated the Trafficking Victims Protection Act by implementing DHS/ICE policy requiring detainees to clean up after themselves in general use areas. The detainees also allege that GEO has been unjustly enriched by paying detainees who participate in the Voluntary Work Program $1.00 per day pursuant to GEO's contract and DHS/ICE policy. Two classes have been certified and discovery is in its early stages. No trial date has been set". The information provided on the SIS worksheet represents ICE detainees only. During this inspection period, there have been ten allegations of detainee-on-detainee sexual assault or abuse. All ten incidents were investigated and none were referred for criminal charges. Of the ten incidents, two were substantiated, five were unsubstantiated, two were unfounded and one case is "under investigation". The two substantiated cases involved one victim and two separate aggressors. In the first incident, the aggressor was disciplined. In the second incident, the victim was released from the facility prior to the conclusion of the investigation. The aggressor was released from pre-disciplinary administrative segregation. Form G-324A SIS (Rev. 9/3/08) A review of the completed case records confirmed that all procedures, notifications, and documentations were followed in accordance with standard guidelines. There was one death reported during the inspection period. A 64-year-old Iranian male was admitted to the facility on 11/17/2017. At the time of admission, the detainee reported adult depression, heroine and methadone addiction and complaint of abdominal pain. As a result, the detainee was placed in medical observation directly from intake. The detainee began rather quickly complaining of nausea and vomiting and was observed to vomit blood. On 11/28/2018, the detainee was observed to have a bed sheet tied tightly around his neck. As a result, he was placed on a Level 1, one-to-one constant suicide watch. On 12/2/2018 at 11:00 a.m., the detainee was scheduled to be evaluated by the psychologist. The detainee attempted to get into a wheelchair but vomited blood and collapsed. The detainee was noted to stop breathing, and EMS was contacted while medical personnel continued emergency treatment. The detainee was transported to the local community medical center where he was pronounced dead. The most likely cause of death was noted as "the result of asphyxia secondary to aspiration of bloody vomitus". There were two detainee hunger strikers during this inspection period. A review of the medical records confirmed that medical procedures, notifications, and documentations were followed according to the requirements of this standard. There were eleven use of force incidents. Nine of the incidents involved immediate uses of force and two were calculated uses of force. Two incidents involved the use of Oleoresin Capsicum. Four incidents involved detainees refusing staff orders and/or refusing to submit to being handcuffed; three incidents involved detainees assaulting staff; one incident involved a detainee on detainee fight where the detainees refused to follow staff instructions to stop fighting; two incidents involved detainees destroying the interior of their cells and refusing staff orders and one incident involved a detainee in possession of a stabbing instrument. The majority of these incidents involved staff using minimal amounts of force or physical holds to control the detainees and apply restraints. In each incident, medical attention was prompt and, in most incidents, there was no staff or detainee injuries. Review of the two videotaped calculated use of force incidents confirmed the incidents were videotaped in accordance with policy and the standard requirements. Each incident was reviewed within the required time frames and all incident packages were completed per policy. In each incident, ICE officers were notified immediately. After-action reviews were conducted on all of these use of force incidents concluding the amount of force used by staff in all incidents was justified and appropriate. There were no escapes or attempted escapes during the inspection period. The facility does not have a canine unit. The only chemical agent authorized for use is OC (oleoresin capsicum)/pepper spray. Choke holds, carotid control holds and neck restraints are prohibited by policy. Tasers are not used. Form G-324A SIS (Rev. 9/3/08)