Case 2:20-cv-00654-SPL--JFM Document 30-1 Filed 04/13/20 Page 34 of 61 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ARIZONA JHONNATAN BRINEZ URDANETA, et al.; Petitioners, v. CHUCK KEETON, et al.; Case No.: CV-20-00654-PHX-SPL Agency Case Nos.: 201-910-906; 203-699-999; 205-914-447; 203-710976; 213-351-367; 213-348-505; 203702-428; 213-361-650 Respondents. __________________________________________________ DECLARATION OF OFFICER IN CHARGE JASON CILIBERTI I, Jason Ciliberti, Officer in Charge (OIC), make the following statements under oath and subject to the penalty of perjury: 1. I am employed by U.S. Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), and currently serve as the OIC for the La Palma Correctional Center (LPCC). I was previously the Assistant Field Office Director for the LPCC starting in 2018 until I was promoted to the position of OIC in 2020. 2. I provide this declaration based on my personal knowledge, belief, reasonable inquiry, and information obtained from various records, systems, databases, other DHS employees, employees of DHS contract facilities and information portals maintained and relied upon by DHS in the regular course of business. 3. In my current position, I work closely with the Field Medical Coordinator (FMC), who reports to the Medical Case Management Unit. The FMCs serve as medical consultants to the ICE field offices and oversee clinical services at Inter-Governmental Service Agreement (IGSA) facilities that house ICE detainees, including the LPCC. 4. ICE Health Service Corps (IHSC) provides direct medical, dental, and mental health patient care to approximately 15,300 detainees housed at 20 IHSC-staffed facilities throughout the nation. 5. IHSC’s FMCs ensure that the provision of medical care by contractors to the ICE detainees within the IGSA facilities meets detention standards, as required by the IGSA contract. The FMCs do not provide hands-on care or direct the care within the IGSA facilities but monitor the medical care and services provided by the contract facilities. Medical staff at the contract facilities are directly responsible for medical care at the facility. 6. IHSC comprises a multidisciplinary workforce that consists of U.S. Public Health Service Commissioned Corps (USPHS) officers, federal civil servants, and contract health 1 Case 2:20-cv-00654-SPL--JFM Document 30-1 Filed 04/13/20 Page 35 of 61 professionals. The LPCC, as an IGSA facility, employs a multidisciplinary medical workforce that consists of Registered Nurses, Physician assistants, Physicians, medical assistants, Dental Hygienists, Dentists, Psychologists, Psychiatrists, and Nurse Practitioners. 7. Since the onset of reports of Coronavirus Disease 2019 (COVID-19), ICE epidemiologists have been tracking the outbreak, regularly updating infection prevention and control protocols, and issuing guidance to field staff on screening and management of potential exposure among detainees. 8. In testing for COVID-19, medical staff at the LPCC is also following guidance issued by the Centers for Disease Control (CDC) to safeguard those in its custody and care. 9. Each detainee is screened for disabilities upon admission by a Registered Nurse. Identified disabilities are further evaluated and reasonable accommodations are provided as medically appropriate. 10. For both EDC and LPCC medical staff are screening all detainee intakes when they enter the facilities including travel histories, medical histories and checking body temperatures and have procedures to continue monitoring the populations’ health. Detainees are assessed for fever and respiratory illness, are asked to confirm if they have had close contact with a person with laboratory-confirmed COVID-19 in the past 14 days, and whether they have traveled from or through area(s) with sustained community transmission in the past two weeks. All new arrival detainees are then placed in isolation from the general population and closely observed for 14 days, regardless of their travel or health history. 11. For both EDC and LPCC, those detainees who present symptoms compatible with COVID-19 will be placed in isolation, where they will be tested. If testing is positive, they will remain isolated and treated. In case of any clinical deterioration, they will be referred to a local hospital. 12. In cases of known exposure to a person with confirmed COVID-19, asymptomatic detainees are placed in cohorts with restricted movement for the duration of the most recent incubation period (14 days after most recent exposure to an ill detainee) and are monitored daily for fever and symptoms of respiratory illness. Cohorting is an infectionprevention strategy which involves housing detainees together who were exposed to a person with an infectious organism but are asymptomatic. This practice lasts for the duration of the incubation period of 14 days, because individuals with these and other communicable diseases can be contagious before they develop symptoms and can serve as undetected source patients. Those that show onset of fever and/or respiratory illness are referred to a medical provider for evaluation. Cohorting is discontinued when the 14day incubation period completes with no new cases. Per ICE policy, detainees diagnosed with any communicable disease who require isolation are placed in an appropriate setting in accordance with CDC or state and local health department guidelines. 13. The LPCC has the following medical capabilities: A clinic staff which manages male detainees and provides daily access to sick calls in a clinical setting, as well as mental 2 Case 2:20-cv-00654-SPL--JFM Document 30-1 Filed 04/13/20 Page 36 of 61 health services and the ability to admit patients at the local hospital for medical and mental health care. 14. As of 8:00 AM on April 13, 2020, LPCC medical staff provided the following information: a. There are presently no laboratory confirmed cases of COVID-19 in LPCC. b. Two ICE detainees with prior laboratory confirmed cases of COVID-19 in the LPCC, no longer test positive. There are 98 detainees who are currently cohorted and under daily observation due to exposure to the first confirmed case of COVID-19. c. There was previously one confirmed case of COVID-19 in the LPCC, who was a new intake. He was quarantined at intake and separated from the general population. He was subsequently hospitalized for an unrelated injury/illness and then released from ICE custody. d. The entire LPCC facility is cohorted until at least April 14, 2020. All detainees are cohorted in their respective housing units with meals being provided in the housing units and no inter-housing unit contact between detainees. e. The LPCC is not accepting further detainee intakes into the facility until at least April 14, 2020. 15. The LPCC has a population within its approved capacity and is not overcrowded. 16. The LPCC has increased sanitation frequency and provides sanitation supplies as follows: o LPCC provides disinfectant spray, and soap in every housing unit at the detention center. The administration is encouraging both staff and the detention center general population to use these tools often and liberally. o LPCC provides disinfectants to staff and cleaning crews and CDC recommended cleaning and disinfection above and beyond normal activity have been implemented. o LPCC cleans and disinfects each housing unit between shifts and entire cell blocks on a rotational schedule. o LPCC provides every housing unit in the detention center with disinfectant spray, soap, and hot water. LPCC staff and the general population are directed to use these cleaning tools often and liberally. 3 Case 2:20-cv-00654-SPL--JFM Document 30-1 Filed 04/13/20 Page 37 of 61 17. The Department of Homeland Security has limited professional visits to noncontact visits and suspended in person social visitation and facility tours. The Department has required that all visitors wear personal protective equipment (PPE) to include mask, gloves and eye protection. No visitors are permitted to enter without the PPE. 18. The LPCC is utilizing security staff medically trained to conduct temperature screening and health history questionnaires of all staff and vendors when they enter the facilities including body temperatures. 19. The LPCC medical staff are screening all detainee intakes when they enter the facilities including travel histories, medical histories and checking body temperatures and have procedures to continue monitoring the populations’ health. LPCC stopped detainee intakes on March 31, 2020 and is currently not intaking any new detainees until at least April 14, 2020. 20. The LPCC medical staff provide education on COVID-19 to staff and detainees to include the importance of hand washing and hand hygiene, covering coughs with the elbow instead of with hands, and requesting to seek medical care if they feel ill. The facilities provide detainees daily access to sick call. 21. The LPCC medical staff has identified housing units for the quarantine of patients who are suspected of or test positive for COVID-19 infection to be addressed as set forth in paragraphs 9, 10 and 11, supra. 22. ICE has reviewed its detained “at risk population” as identified by the CDC guidelines to determine if detention remains appropriate, considering the detainee’s health, public safety and mandatory detention requirements, and adjusted custody conditions, when appropriate, to protect health, safety and well-being of its detainees. I declare, under penalty of perjury under 28 U.S.C. § 1746, that the foregoing is true and correct to the best of my knowledge and based on information obtained from other individuals Digitally signed by JASON A employed by ICE. JASON A DATED: April 13, 2020 CILIBERTI Date: 2020.04.13 08:24:33 -07'00' _____________________________________ CILIBERTI Jason Ciliberti, Officer in Charge La Palma Correctional Center Enforcement and Removal Operations U.S. Immigration and Customs Enforcement 4