ARIZONA DEPARTMENT

OF

CORRECTIONS

AR IZONA Il EI'A RTMENT OF CO RRECTI ONS
I NSPECTOR GENE RAL BUREAU

In spect ion s Unit
ASI'C-LEWI S ANNUAL I NSPECTION

.January 28, 201 I

ASPC-LEWIS January 28, 2011

Executive Summary
ASPC-Lewis
COMPLEX OVERVIEW:
ASPC-Lewis is a 5234 bed prison complex of adult male inmates ranging from minimum to close
custody with approximately 1200 staff.
AUDIT SCOPE:
The inspection began on January 24, 2011 and was completed on January 28,2011. The Review
included the following units: Complex, Bachman, Barchey, Buckley, Morey, Rast, Stiner, and
SunriselEagle Point.
INSPECTION METHODOLOGY:
With New Data Collection Instruments, (DCI's) the Inspections Unit inspected thirteen competencies.
INSPECTIONS TEAM:
The Inspections team consisted of 6 members of the Inspections Unit and two Correctional Majors.

Jeffrey Lewis
Larry Ridge
Ron Abbl
William Houser
Barbra Savage
Lynette Stevens
Richard Haggard
Thomas Higgenson

Morey Team Leader
Stiner
Buckley
Rast
Bachman
Eagle Point/Sunrise
Barchey
Complex

RECAP OF FINDINGS:

There were a total of 326 findings for ASPC-Lewis. The Unit findings are as follows.
Morey Unit
Stiner Unit
Buckley Unit
Rast Unit
Bachman Unit
Eagle Point/Sunrise
Barchey
Complex

46
72
59
53
35
23
9
29

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ASPC-LEWIS

January 28, 2011

MOREY UNIT
CLASSIFICATION
1. Does the inmate's assigned CO III notify the inmate of the Central Office Classification action and
notate in AIMS when the inmate has been notified and of the inmate's right to Appeal?"

Finding: Unit COllI's not making entries on AIMS screen.
COUNT MOVEMENT
I. Does the unit have a picture board that is updated and matches the unit inmate count?

Finding: 68 photos missing from count board.
2. Observe an officer clearing count. Is this procedure done correctly?

Finding: Count Officer is clearing count without notifying the Shift Commander.
3. Is the shift supervisor actively involved in the count process to ensure its accuracy?"

Finding: No supervisor involvement was observed during formal count.
4. Does the shift supervisor or commander clear all formal counts?

Finding: No, count being cleared by Count Movement officer..
FOOD SERVICE
1. Review AIMS screens for all inmates assigned to the kitchen. Are all inmates assigned to the
kitchen medically cleared?

Finding: Two inmates·who are currently assigned in the kitchen were not cleared by medical.
2. Are equipment repairs handled correctly, and in a timely manner?

Finding: There were no outlet covers on south wall of kitchen and no evidence of action being
taken.
INGRESSIEGRESS
1. Observe staff and other persons entering the unit to determine compliance to post orders I unit
directives. Are assigned staff compliant with post directives listed in post orders?

Finding: Inspectors cell phone not checked, food items waved through the metal detector, and
hand wand on site not working properly.

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January 28, 2011

MOREY UNIT
2. Are all staff entering the unit required to pass through a metal detector while being observed by the
assigned officer?

Finding: Lobby officer was busy checking backpackslbags and did not watch staff walk through
the metal detector.
3. Observe break areas and offices for personal property items that are not in compliance, or have not
been authorized. Are the areas free of contraband / unauthorized property?

Finding: Glass candle jars and non-see through containers observed in various areas.
4. Observe break rooms / lunch areas, or other locations where staff consume meals. Are unauthorized
/ excessive food items, utensils, or related meal items present?

Finding: Some of the items in briefing room refrigerator were not in see through containers.
5. Inspect unit ingress / egress points and determine if there are locations where staff can by-pass
and/or defeat this procedure. Are the locations secure to the degree staff cannot by-pass the security
station?

Finding: No physical barrier preventing staff from returning to an unsecured area after passing
through the metal detector.
6. Monitor access points to verify all staff, and associated personal property are searched prior to
access being granted to the unit. Were all staff members searched thoroughly prior to entering?"

Finding: Staff are not thoroughly searched / inspected prior to being allowed to enter the unit.
7. Do assigned staff members inspect / search all personal property to include food items, and require
applicable items to be cleared via the metal detector?"

Finding: There was no consistent approach by the observed officers.
KEYS AND RADIOS
1. Will a visual inspection of designated key storage areas allow for easy identification of missing key
rings?

Finding: Five key hooks in emergency key box have two key sets on one hook. The inventory
shows 12 key sets when there are actually 17 sets.

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January 28, 2011

MOREY UNIT
PERIMETER AND TOWERS
1. Does the post journal have all required entries? Inspect any secondary logs the tower staff are
responsible for completing?

Finding: Correctional Service Journal did not have security device checks annotated.
2. Close custody units - Do the lights in the adjacent zones to either side of the alarmed zone activate
when an alarm condition triggers the quarts lights associated with the alarmed zone? Interview
random staff assigned to the control room to determine action taken when an alarm is activated.

Finding: Lights 12, 14,42, and 43 did not activate when zone accessed.
3. Close custody units - Does the unit have an external sand trap at least 15 feet in width and sloped to
provide drainage without erosion of sand material?

Finding: Drainage is not proper causing heavy erosion at first perimeter fence at lights 38, 39
and 40.
4. Close custody units - Is there one section of 30" razor ribbon vertically in each comer and at the
fence intersection including on the yard side where fences contact buildings?

Finding: No vertical razor ribbon on the NorthlWest corner ofthe B building.
SECURITY DEVICES
1. Were appropriate entries made in the Correctional Service Journal?

Finding: No consistency with entries in Correctional Service Journal
2. Does the Chief of Security ensure SO I work order log repairs are made within time frames?

Finding: Zone lights out since 12-31-2010, still not functioning on 01-24-2011.
3. Do interviews with staff indicate if the EEO Liaison conducts tours or attend briefings/meetings
each month on the Unit?

Finding: Per the assigned EEO liaison unit tours and shift briefings are not occurring.
4. Does a review of random EEO Liaison reports indicate the assigned EEO liaison is making required
tours?

Finding: Per the assigned EEO liaison unit tours are not occurring.

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MOREY UNIT
TOOLS
1. Are tools too large to store on the shadow board in a location where an outline resembling the tool is
clearly shown?

Finding: The Drag tool secured to wall within the entry of the unit was not shadowed.
2. Are tools being signed out/in appropriately on the correct form? (Tool Check out Form 712-4)

Finding: Power Auger out but not signed out.
3. Observe posted inventory sheets. Compare inventory with stored tool. Is the inventory accurate?

Finding: Two sets of hair clippers found in flammable storage cabinet were not inventoried.
4. Are tools stored on a shadow board with shadow that closely resembles the tool?

Finding: Medical Tools are stored in a filing cabinet with no shadow.
5. Are all tool inventories logged into the appropriate Correctional Service Journal by those staff who
conducted the inventories?

Finding: No Correctional Service Journal being used, and no daily inventory being conducted.
6. Are updated MSDS sheets found at all storage locations, for all products found inside the storage
site?

Finding: Mixture of current and old MSDS sheets for the same product.
WEAPONS
I. Are staff members who are checking the seal on the DART locker at the beginning of each work
shift and its condition documenting their findings in a Correctional Service Journal?

Finding: Seal numbers not being entered in Correctional Service Journal.
2. Interview the Chief of Security and Armorer. Determine the number of times the locker has been
accessed during the previous six months. If so, have there been entries in the Correctional Service
Journal and IRis been submitted for each instance?

Finding: Entries not being made in Correctional Service Journal.
3. Are weapons issued only to officers, including TSU and DART teams, with current Firearms
Qualification Card in their possession when the weapon is being issued?

Finding: Two DART responders did not have qualification cards on them.
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MOREY UNIT
DETENTION SERVICES
1. Review a random selection of post journals. Are command and services staff visiting as required
and/or needed (religious. medical/mental watch. counseling staff included)?

Finding: There were no entries for medical visits on observed documentation.
2. Inspect detention facility (including cells). Is the area clean and sanitary?

Finding: Control Room and bathroom not clean.
3. Observe a sanitation inspection during a shift. Are all areas in the unit inspected during the shift?

Finding: Correctional Service Journal stated all areas were in compliance but the Control Room
and bathroom were not clean to include a bag of trash so old the food was fermenting.
INAMTE MANAGEMENT
I. Does the log reflect that grievances were addressed by the unit Deputy Warden within 15 days?

Finding: Time frames not being met.
2. Does the grievance log reflect the grievance appeal was submitted to the warden within time frames
and was the grievance responded to within time frames?

Finding: Time frames not being met.
3. When searches are being conducted, is the search completed in a fashion which prevents inmate
from passing contraband to another inmate during the search?

Finding: Staff not redirecting Inmates ·from approaching the Recreation fence when going to or
returning from meal turn-outs.
REQUIRED SERVICES
1. Is all outgoing mail delivered to the post office within 24 hours unless circumstances make delivery
impractical?

Finding: Staff stated it sometimes take 36 hours.
2. Of the files reviewed, does every 911-1 have the potential visitors full name. date of birth. address,
phone number and relationship filled out?

Finding: 3 inspected files were missing information (i.e. phone number or relationship).

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January 28, 2011

MOREY UNIT
3. Is the visitation file forwarded to the new unit within the first working day following an emergency
movement?

Finding: One of the inspected files (01124/11) belonged to an inmate who has been housed at
Yuma since 11-15-2010.
4. Were all observed moustaches, side-bums, and goatee's meeting policy requirements?

Finding: Staff observed with "soul-patches".
5. Were uniforms observed to be clean, in good condition, and devoid of stains or patched areas?

Finding: Staff were observed wearing baggy/worn out pants, and worn out t-shirts.
6. Were uniform shoes, boots and accouterments shined?

Finding: Staff observed wearing excessively dirty boots.
7. Is the following guidelines followed: Class "C" trousers, as outlined on Attachment C, may be worn
as outlined in 1.2.3.4.2. These "B.D.V." style trousers shall be worn only with military style boots and
shall be worn bloused, if designed to be bloused?

Finding: Staff observed wearing BDU pants without blousing them.
8. Are officers assigned to high risk areas wearing protective vests, and eye cover at all times when
engaged in activities which could result in inmate contact?

Finding: Staff were observed in MDU with no vests or eye protection being worn.

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January 28, 2011

STINER UNIT
CLASSIFICATION
1. Review DI95 screen for C0301 and C0401 appointments. Are any out of date?

Finding: Several inmates who were of date when observing the 0195 screen.
2. Has the required information been entered in AIMS?

Finding: 1 Interstate Corrections Compact inmate in the Detention unit. There are no AIMS
comments made.
3. Randomly select an adequate number of inmates assigned to Inmate Work Programs and review the
inmates' AIMS files. Are the inmates' work assignments commensurate with the custody level of the
inmates?

Finding: Health unit porter should not have been assigned to work in the health unit due to his
past drug history.
COUNT MOVEMENT
1. Review a random sample of formal Count Sheets. Is the information recorded correctly?

Finding: Shift Commander is not consistently signing the count sheets in the Accountability
Office.
2. Review a random sample of emergency (when applicable) Count Sheets.
recorded correctly? Is the reason for the emergency count documented?

Is the information

Finding: "EMERGENCY COUNT" is not documented on all count sheets to show the count
was for emergency reasons.
3. Does the shift supervisor or commander review and sign all formal count sheets?

Finding: Shift Commanders are not consistently signing all formal count sheets.
FOOD SERVICE
1. Do Food Service Employees ensure sanitary standards are met in all food service operations?

Finding: Food and trash was observed on the floor. Walls were dirty and food preparation
areas were not clean. There was no sanitizer in the rinse sink or in random sanitizer buckets
checked throughout the kitchen area.

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STINER UNIT
2. Are inmates in detention fed properly?

Finding: Cold and hot food are both served on the same tray. The trays are kept hot in
warmers which makes the cold food warmlhot.
INGRESS/EGRESS
]. Observe staff and other persons entering the unit to determine compliance to post orders / unit
directives. Are assigned staff compliant with post directives listed in post orders?

Finding: No mention of duties of lobby area listed in Visitation Officers Post Order. Staff
entering unit are not challenged for unauthorized items. Food is not consistently being required
to pass through the metal detector.
2. Test system repetitively during course of inspection to determine if procedures are applied on a
constant basis. Did staff consistently apply security protocols during the visit? "

Finding: There is no consistency in the security of the front lobby area. Poor security practices
are used by multiple staff.
3. Evaluate procedure for inspecting personal employee property staff are attempting to introduce to
the unit. Does the procedure contain clear direction for security officers?

Finding: There was no observed written procedure on the post for this. The protocol in place is
ineffective. Staff did not consistently know how to check if a person was approved to bring on
personal property. My State issued cell phone was not regularly checked during the course of
the inspection.
4. Does the assigned officer question each person attempting to enter the unit in regard to possession of
contraband items?

Finding: Not all of the staff are being questioned for contraband.
5. Does the officer consistently inspect incoming property for possible contraband?

Finding: There is no consistency in this process. Some staff are conducting thorough
inspections. Other staff conducts a "rough scan" of staff property.
6. Does the staff member have an allowable personal property form signed by the current Deputy
Warden authorizing these items?

Finding: Some personal property forms are outdated with signatures from past Administrators
and not all personal property is listed on forms on hand.

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STINER UNIT
7. Observe break areas and offices for personal property items that are not in compliance, or have not
been authorized. Are the areas free of contraband / unauthorized property?

Finding: Staff briefing room is cluttered with visible dirty food storage containers and trash on
table areas.
8. Does the Chief of Security have copies of all of the allowable personal property forms submitted by
the unit staff?

Finding: The Chief of Security does not maintain a copy of all allowable personal property
forms. Only copy is stored at the front lobby.
9. Evaluate procedure for inspecting food items staff members are attempting to introduce to the unit.
Does the unit procedure provide clear guidelines for assigned stam"

Finding: Did not observe this appropriately addressed in the visitation officers post order.
10. Does the officer scan food items, and question any abnormal observations such as excessive
amounts, containers which do not allow for visual inspection, or questionable items such as metal
utensils?

Finding: Officers did not question items brought into the unit.
11. Does the officer ensure all food containers / packages are brought through the metal detector?

Finding: Not all food items are required to pass through the metal scanner.
12. Does the officer question any manufactured food items sealed in original packaging, causing
difficulty in screening the contents inside?

Finding: Food items were not questioned.
13. Evaluate all public access points and determine if an authorized search protocol is in place

Finding: Staff conducting these duties could not speak to post orders or protocol. No reference
or instruction was available for viewing.
14. Monitor access points to verify all staff, and associated personal property are searched prior to
access being granted to the unit. Were all staff members searched thoroughly prior to entering?"

Finding: Staff are not thoroughly searched / inspected prior to being allowed to enter the unit.

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STINER UNIT
15. Do assigned staff members inspect / search all personal property to include food items, and require
applicable items to be cleared via the metal detector?"

Finding: There was no observed consistent approach to this. The duties varied depending on
what officer conducted the inspection or who was around.
16. Inspect unit ingress / egress points and determine if there are locations where staff can by-pass
and/or defeat this procedure. Are the locations secure to the degree staff cannot by-pass the security
station?

Finding: The physical set up of this area allows staff to defeat the process of checking property
brought into the unit.
KEYS AND RADIOS
I. Does the inventory list all available keys, the total number of each on hand, along with the
corresponding locking device each key will access?

Finding: The Master Key inventory does not list the total number of keys on hand. This
information is documented in a separate report (Best report) which is not included with the
Master Key Inventory report to the C.O.S.
2. Does the inventory match up with existing key stock on hand? Compare inventory with available
keys.

Finding: There were 16 keys sets reported as being out for repair but are reported "on site" on
the daily key inventory completed by the officer in main control. 6 were restricted and 10 were
non- restricted.
3. Does the unit have a monthly report on file showing the inspection and inventory of keys/key rings,
emergency keys/key rings and locking devices for the past twelve months?

Finding: The key control officer did not have any record of any Master Key Inventories prior to
10/2010. The C.O.S. did not have a copy of any past Master Key Inventories available for
viewing.
4. Are all the key rings for a unit or specified zone (i.e.; complex security) stored and issued from a
designated Central Control Area?

Finding: SDU key sets are not checked out from Main control. They are stored in SDU control
room. They are not accounted for accurately on a key control log. The log is in place but not
filled out correctly.

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STINER UNIT
5. Each time a key set is issued, or returned does the officer responsible make the appropriate entry in
the Key and Credit Card Control sheet (Form 702-1) specifying at a minimum: Key number, date of
issue/return, name of authorized staff member, initial of issuing staff member, name of staff returning
key set and initial of staff receiving key set back?

Finding: Restricted keys in the "Restricted key box # 2 are not signed out through Main control.
Key set 31 (restricted) was not signed out on the key check out log.
6. Does each emergency key ring have a clearly visible color coded tag to identify the portals and/or
buildings the key set will access?

Finding: Duplicate emergency key set #2 is supposed to be color coded white. There is no color
painted on the key set.
7. Does the staff member demonstrate the ability to obtain and utilize emergency keys? Randomly
select a staff member from each unit and each shift and direct them to gain access to the emergency
keys for a specific location and monitor their progress.

Finding: Staff interviewed were not able to describe the process and required prompting to
answer how to access and use the emergency keys.
8. Are the radios serviceable and being utilized properly i.e. use of call signs, clear transmissions, no
unnecessary conversation?

Finding: There were 8 radios noted as unserviceable. Key control officer was aware of them.

STINER UNIT
SECURITY DEVICES
I. When deficiencies are noted, does all documentation contain the cross referenced information report
number from the corresponding information report(s)?

Finding: Information Report numbers for SOl discrepancies and work orders are not included
in Correctional Service Journals consistently.
2. Does the Chief of Security ensure SDI work order log repairs are made within time frames?

Finding: SOl's reported on the weekly report are out of time frames. 8/21/07 is the oldest
reported discrepancy with is being reported as a contractual issue. The next oldest reported SOl
is 2/4/10.
3. Does the Shift Commander/Supervisor ensure staff members complete the required inspections of
security devices?
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ASPC-LEWIS January 28, 2011

Finding: Staff do not accurately document/define SDI problems consistently in Correctional
Service Journals at the beginning of shift.
4. Do interviews with staff indicate if the EEO Liaison conduct tours or attend briefings/meetings each
month on the Unit?

Finding: Staff interviewed did not know who their EEO representative is.
TOOLS
1. Are tools stored on a shadow board with shadow that closely resembles the tool?

Finding: Some shadows do not resemble the tool it is associated with.
2. Are tools being signed out/in appropriately on the correct fonn? (Tool Check Out Fonn 712-4)

Finding: Not all tools are consistently or correctly being signed in/out.
3. Are inventory sheets placed in all areas where tools are stored within the authorized location?

Finding: Not all tool locations have a proper or accurate tool inventory posted on them.
STINER UNIT
4. Observe posted inventory sheets. Compare inventory with stored tool. Is the inventory accurate?

Finding: Tool crib #3 inventory is inaccurate, off by 3 tools.
5. Did the officer ensure all appropriate documents were completed?

Finding: There are tools listed on multiple tool inventory sheets.
6. Are all tools pennanently engraved/stamped and color-coded?

Finding: Not all tools are permanently engraved or color coded.
7. Are all tools color-coded using the applicable units assigned color?

Finding: Not all tools have the units identified color code painted on them.
8. Is this location secured at all times, with a seal, and a master inventory contained within?

Finding: The door accessing the tool storage area was observed being left open and not secured.
Tool cage was locked but there was no seal placed on the cage door.
9. Are all tool inventories logged into the appropriate Correctional Service Journal by those staff who
conducted the inventories?
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Finding: Not all tools are logged into the appropriate correctional service journal. (i.e. suicide
scissors not logged in all control room journals)
10. Are all shadow boards clean, and clearly marked with silhouettes closely mirroring the tools to
allow for easily visual inspection and inventories?"

Finding: Kitchen tools silhouettes do not match shape of tool.
11. Are all kitchen tools checked in lout using Tool Check Out forms, which are kept on-site for 30
days by the Food Service Supervisor?

Finding: Kitchen tools are not signed inlout accurately.
WEAPONS
1. Examine the weapons and ammunition for serviceability. Does the Armorer establish and maintain
a system of checks and standards to ensure that firearms were maintained and in functional condition?

Finding: Weapons in tower are rusted and very dirty. There does not appear to be a check
conducted on the unit weapons to ensure functional ability.
STINER UNIT
2. While conducting your physical inventory of weapons, check a random selection to assess the
quality of the repair and cleaning of these weapons. Do the weapons inspected appear clean, and
serviceable?

Finding: Weapons are visibly dirty and rusted.
3. Are all assigned weapons inspected, tested, cleaned and maintained according to the requirements
listed above?

Finding: Weapons are visibly dirty and rusted.
4. Is an accurate inventory of all assigned firearms, operational ammunition, chemical agents and other
equipment being completed weekly using the Weekly Inventory, form 716-3?

Finding: Inventory is conducted only when the weapons locker is opened.
DETENTION SERVICES
1. Review a random selection of Individual Inmate Detention Record, form 804-3. Do the logs include
information listed under 1.4-1.4.2?

Finding: Health staff are not notified in writing on IDR when inmates are placed into Detention.
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January 28, 2011

2. If there is a watch during the time of the audit, are the watch procedures in compliance?

Finding: 10 Minute watch was out of time frames by 12 minutes (22 minutes since last entry).
3. If there is a watch during the time of the audit, observe performance of security staff and are they in
compliance?

Finding: Staff observed not wearing stab vest or safety glasses while posted on a constant watch.
4. Are the completed Observation Records submitted for the shift commander's signature at the end of
every shift?

Finding: Not all observed Observation Records are signed by shift commander.
5. Does the mental healthlhealth care staff visit the inmate every four hours? Are the visits documented
on the Observation Records?

Finding: Mental Health staff do not document visits on Observation Records each 4 hours.
6. Are security staff documenting a visual check of the inmate every thirty minutes or as otherwise
specified by the mental health watch order?

Finding: Time frames for some observed watches were out of time frames.
STINER UNIT
INMATE MANAGEMENT
1. Are searches of interior and exterior common areas conducted and documented?

Finding: Searches were observed being conducted but not entered into the correctional service
journal.
REQUIRED SERVICES
1. Are applications stamped "Received" including the date on the reverse side?

Finding: Some viewed files just have a date stamp without the word "received".
2. Does the visitation staff maintain a permanent record log reflecting receipt and/or transfer of all
inmate visitation files?

Finding: There are two logs present to account for incoming 1 outgoing inmate visitation files.
There are no record of incoming visitation files since 02/2010.
3. Are inmates screened for allowable items?

Finding: Inmate in non contact visit was observed with pieces of plastic comb in holes in his ear
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lobe. This was not addressed by security staff.
4. Are inmates strip searched by staff prior to exiting the visitation area?

Finding: Inmate from non contact visit was not stripped searched once the visit was completed.
5. Is court ordered visitation conducted on the 1st and 3rd Friday of each month?

Finding: Scheduled through DW secretary. Not scheduled on lst and 3rd Friday of each month.
6. Do shift commanders tour visitation at a minimum of once per shift during visiting hours?

Finding: No Correctional Service Journal entries showing shift commanders touring.
7. During visiting hours, does the on-site duty officer tour visitation once per shift?

Finding: No Correctional Service Journal entries showing on-site duty officer touring.
8. Are Attorneys or their agents contacting the Warden or Deputy Warden at least 48 hours in advance
and provide there name, date of birth and Bar number?

Finding: DW secretary stated she is unable to meet the 48 hour requirement.
STINER UNIT
9. Are court ordered visits documented in the inmate's visitation file?

Finding: Hendrix 210836 receives court ordered visits but does not have documented court
ordered visits in his file.
10. Does the contraband officer maintain comprehensive records of the disposition of all contraband,
physical evidence, unauthorized property and unclaimed property?

Finding: Blue Yard is logged. Destruction is out of date. Red Yard is not logged.
II. Does the Contraband Control Officer periodically review each case to determine whether criminal
or disciplinary charges were filed?

Finding: Contraband Control Officer (Property officer conducts duties) is unsure of this
requirement and does not conduct periodic reviews.
12. Were uniform shoes, boots and accouterments shined?

Finding: Observed boots were dirty.
13. Is the following guidelines followed: Class IIIIC" II trousers, as outlined on Attachment C, may be
worn as outlined in 1.2.3.4.2. These ""B.D.V."" style trousers shall be worn only with military style
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boots and shall be worn bloused, if designed to be bloused?
Finding: Staff wearing BDU style pants were not all bloused as directed.

14. Are uniform accouterments observed authorized under the provisions of this department order, and
worn appropriately as prescribed within?
Finding: Some staff wearing B or A style uniform shirts did not have name tag on uniform shirt.

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BUCKLEY UNIT
CLASSIFICATION

1. Review DI95 screen for C030 1 and C040 1 appointments. Are any out of date?
Finding: Review of DI 95 screens revealed cases that were past time frames for classification
actions.

2. Does the CO IV supervising the Classification officer review all actions taken by the classification
officer, review AIMS data input and ensure all time frames are being met?
Finding: The Unit COIV has not reviewed all actions taken by the classification officer;
reviewed AIMS data input and ensured all time frames are being met.

3. Review the shared drive reports for DI59 and/or DI61 actions to ensure they are within time frames.
Finding: A review of the 0159 and/or 0161 AIMS screens indicates they are within time frames.

4. Review a random selection of actions based on information received during interviews or review
batch screens. Are time frames met?
Finding: Time frames are not being met on all classification actions.

5. Does a COIV assign inmates to Education, Treatment and Work Based Education (WBE) programs
in accordance with the inmate's individual Corrections Plan, the applicable facility priority ranking
report(s) and actual vacancies in work assignments?
Finding: WIPP coordinator was unaware of the "capacity report" to determine where the job
vacancies are at. Several job openings existed.

6. Determine if there are any inmate as "unassigned" in inmate work programs. Is there a valid reason
for the inmate not being assigned to a work program?
Finding: WIPP Coordinator advised there are anywhere from 450 to 500 inmates unassigned in
WIPP. Lack of available jobs was cited as the reason.
COUNT MOVEMENT

1. Does the Accountability Officer reject pre-printed count sheets?
Finding: Kitchen out count was preprinted, some written names were added and before being
signed and turned in.

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BUCKLEY UNIT
FOOD SERVICE

1. Are all doors/locking devices secured and locked when not in use?
Finding: During the inspection, some doors were observed unsecured.

2. Are equipment repairs handled correctly, and in a timely manner?"
Finding: Kitchen equipment repairs are not always completed in a timely manner. Lack of
maintenance staff and awaiting parts are cited as the reasons for the delay of repairs.
INGRESSIEGRESS

1. Test system repetitively during course of inspection to determine if procedures are applied on a
constant basis. Did statT consistently apply security protocols during the visit?
Finding: During the inspection of ingress/egress the following observation were made:
a. Not all food items were required to be carried through the metal detector.
b. One Officer was observed being allowed to step around the officer conducting the
searches without the knowledge of the searcher.
c. The inspector was not required to carry food through the metal detector, nor was he
challenges on items that may have not been authorized.

2. Does the assigned officer question each person attempting to enter the unit in regard to possession of
contraband items?
Finding: The officer conducting the searches never asked anyone questions about items they
may have been carrying and not disclosing, such as amount of money.

3. Does the officer consistently inspect incoming property for possible contraband?
Finding: The officers observed during the inspection do not consistently inspect property for
possible contraband.

4. Does the officer maintain an appropriate flow control during periods of high traffic, allowing for
ample time to inspect statT and property items during ingress / egress?
Finding: During shift change, only one officer was available to conduct ingress searches and was
easily ovenvhelmed by the number of persons entering the unit.

5. Observe break areas and offices for personal property items that are not in compliance. or have not
been authorized. Are the areas free of contraband / unauthorized property?
Finding: A glass bottle of hot sauce was observed inside the Buckley main control room during
the inspection. While conducting inspections of other areas, there were several Styrofoam and
hot cups that are not see through observed in different areas of the unit.
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6. Does the officer ensure all food containers / packages are brought through the metal detector?

Finding: Not all food items were required to be carried through the metal detector.
7. Observe break rooms / lunch areas, or other locations where staff consume meals. Are unauthorized
/ excessive food items, utensils, or related meal items present?

Finding: A glass bottle of hot sauce was observed inside the Buckley main control room during
the inspection. While conducting inspections of other areas, there were several Styrofoam and
hot cup that are not see through observe in different areas of the unit.
8. Monitor access points to verify all staff, and associated personal property are searched prior to
access being granted to the unit. Were all staff members searched thoroughly prior to entering?

Finding: Searches were inconsistent and ineffective.
9. Do assigned staff members inspect / search all personal property to include food items, and require
applicable items to be cleared via the metal detector?

Finding: Not all food items were required to be carried through the metal detector.
10. Inspect unit ingress / egress points and determine if there are locations where staff can by-pass
and/or defeat this procedure. Are the locations secure to the degree staff cannot by-pass the security
station? .

Finding: Staff entering the unit have the ability to walk past the tables in the lobby area where
searches are being conducted. During high traffic periods, the search area is exceptionally
vulnerable.
KEYS AND RADIOS
1. Does the inventory list all available keys, the total number of each on hand, along with the
corresponding locking device each key will access?

Finding: The Master Key Inventory in Buckley Unit Main Control does not specify the total
number of key sets authorized for the unit.
2. Does the inventory list all authorized key sets, including the number of keys on each ring, and the
key set location?

Finding: There were twelve key sets available for review. On two occasions the number of keys
on the inventory did not match the number of keys on the ring and the number stamped on the
chit.

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3. Does the number of keys on the key ring, key ring tag and the inventory coincide?

Finding: There were twelve key sets available for review. On two occasions the number of keys
on the inventory did not match the number of keys on the ring and the number stamped on the
chit.
4. During monthly inspections, are all keys and locking devices inspected for proper function, and
damaged keys and locking devices fixed or replaced?

Finding: Two keys sets with one key each were observed with the key on each ring being broken
and the lower portion of the key was missing.
5. Each time a key set is issued, or returned does the officer responsible make the appropriate entry in
the Key and Credit Card Control sheet (Form 702-1) specifying at a minimum: Key number, date of
issue/return, name of authorized staff member, initial of issuing staff member, name of staff returning
key set and initial of staff receiving key set back?

Finding: Of the seventeen times the emergency keys were signed out, seven times there was no
entry indicating the keys were returned.
6. Does each emergency key ring have a clearly visible color coded tag to identify the portals and/or
buildings the key set will access?

Finding: Emergency key rings do not have a color coded tag in place. Only the compression
device on the key ring is colored and in some case is hard to determine the color for the ring.
7. Does the staff member demonstrate the ability to obtain and utilize emergency keys? Randomly
select a staff member from each unit and each shift and direct them to gain access to the emergency
keys for a specific location and monitor their progress.

Finding: The staff member selected to perform an emergency key test had great difficulty in
obtaining the requested emergency keys set and performed poorly when trying to access the
request doors.
Per the unit Captain, the unit does not perform training simulations requiring staff members to
acquire and utilize emergency key sets.
PERIMETERS AND TOWERS
1. Close custody units - Does the unit have an external sand trap which includes drainage and no
visible signs of erosion?

Finding: The perimeter on the cast side of the unit slope towards the unit allowing rain water
run off water to erode under the exterior security fence. Some of the erosion was big enough for
a person to crawl through unimpeded. The areas were repaired at the time on the inspection, but
eroded areas are still evident and it appears the fill dirt was not compacted.
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2. Close custody units - Does the unit have an electronic detection system in place that meets the
requirements listed above?
Finding:
a. While observing a swing shift officer conducting daylight Security Device
Inspection of the Vindicator Alarm System, the Buckley Unit Chief of Security advised and
demonstrated he had the ability to make it across the alarm area without activating the alarm
system. There was no notification made to anyone and the Captain advised it was an old issue
and everyone was aware of it.
b. The Captain stated he had elevated the issue to Norment in the past and was told to be
quiet about it.
c. While conducting a nighttime lighting inspection, the Vindicator alarm system was
tested again, where an inspector and the shift sergeant were able to cross the perimeter in
different areas without activating the alarm.
d. The following day, Security staff members from the unit were observed testing the
Vindicator Alarm System for other weaknesses. The security staff member advised they had
located two additional areas where the alarm would not activate.
e. The above information indicates the Vindicator Alarm System does not function at a
desired level to provide for adequate prison security for a close custody unit.
SECURITY DEVICES

1. Does the Chief of Security ensure SDI work order log repairs are made within time frames?
Finding: Some security device work orders have been pending for a considerable amount of
time. Reasons cited for the delay were contract issue, waiting for parts to come in, funding and
lack of maintenance staff.

2. Does the documentation demonstrate Deputy Wardens, Associate Deputy Wardens and Chiefs of
Security spend a minimum of ten hours per week touring their unit?
Finding: The December 2010 monthly report for the Deputy Warden only had documentation
indicting the Deputy Warden had completed two tours of the unit. The Unit Chief of Security
claims to spend the require amount of time on the unit, but admitted he does not always
completed the inspection/tour reports to ensure the time spent on the unit is appropriately
documented.

3. Does the documentation support Deputy Warden's and Chiefs of Security submit exception reports
noting any deficiencies observed during their tours?
Finding: The tour inspection reports were not available for review. Captain advises he does not
always complete the required reports all of the time.

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TOOLS
1. Does the Chief of Security have a list of all authorized Tool Control Storage areas?

Finding: The Unit Chief of Security did not have a written list of tool storage areas, but rather
spoke to the storage areas he was aware of. During the inspection it was evident the Chief of
Security was unaware of the tools being stored to the LocklKey office and tools and sharps in
place in the medical unit.
2. Has the Chief of Security ensured a monthly reconciliation has been conducted of all authorized
Tool Control Storage areas?

Finding: The Chief of Security does not ensure tool reconciliation is completed for the medical
area of the Buckley Unit. The Unit Captain did not seem to be aware of the medical tool and
sharps being stored on the Buckley Unit.
3. Are there any flammable I hazardous items stored within the authorized locations?

Finding: The tool room had spray paint and the key shop had spray LPS which is flammable
when sprayed.
4. Are tools stored on a shadow board with shadow that closely resembles the tool?

Finding: The LocklKey office does not have the tools shadowed. Tools are stored in tool box and
contain some class "A" tools.
5. Are tools being signed out/in appropriately on the correct form? (Tool Check Out Form 712-4)"

Finding: Tools in the Lock IKey shop are not being signed out when they are used to do repairs.
6. Does the officer signing out the tools keep a copy of the completed form? (Tool Check Out Form
712-4)

Finding: There are no tool sign out forms in the LocklKey office to keep on the person utilizing
the tools.
7. Are the completed Tool Check Out Forms (712-4) kept on file in the tool room for the previous
thirty days?

Finding: There are no tool sign out forms in the Lock/Key office on file for the last thirty days.
8. Did the person responsible for tool control ensure all tools were accounted for at the beginning and
ending of the shift?

Finding: There was no indication if the LocklKey Officer conducts a beginning and ending tool
inventory in the LocklKey tool control storage area.
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9. Are unserviceable tools disposed of appropriately, as prescribed in D.O. 304 Equipment and
Inventory System?

Finding: Tool Room Supervisor advised all unserviceable tools were destroyed by placing them
in the compaor on the unit.
10. Does the Chief of Security or designee reconcile the Master Tool Inventory on a monthly basis?

Finding: The Chief of Security or designee does not reconcile the Master Tool Inventory on a
monthly basis for the medical area of the Buckley unit. Unit Chief of Security seemed to be
unaware of the sharps and tools being stored in the medical area of the Buckley Unit.
11. Are Class A tools stored in an area separate from Class B tools, on an individual hanging device
and shadow, to avoid confusion I misidentification?

Finding: Tools in the LocklKey office had A & B tools combine in a tool box in the office and did
not have any shadows.
12. Are Class A tools stored in tool pouches I boxes clearly marked, and shadowed within the tool
carrier, for ease of inventory and visual monitoring?

Finding: Tools in the LocklKey office had A & B tools combine in a tool box in the office and
did not have any shadows.
13. Does the Tool Officer maintain a list of all tools checked out during their shift to aid in immediate
accountability?

Finding: The LocklKey officer does not sign out the tools to ensure for immediate
accountability, if it is needed.
14. Are master inventories completed ·monthly, with appropriate reconciliation documentation, and
forwarded to the Chief of Security via the Health Services Administrator?

Finding: Monthly tool reconciliation of the heath services area is not completed and fonvarded
to the Unit Chief of Security.

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DETENTION SERVICES

1. Inspect detention facility (including cells). Is the area clean and sanitary?
Finding: Building 4 D pod is handling Detention Unit overflow and is being operated as a
detention Unit. The showers in the pod area arc not clean and have mold growing in the showers.
Some shower doors will not open.

2. Observe a meal service. Are meals served in the same manner as general population (food quality)?
Finding: Meals are delivered to the pod arc in Styrofoam trays. Trays are not delivered in a
temperature control box and there is no way to track the temperatures of the food when
delivered. Cold and hot items are being served in the same tray.

3. Review a month of logs and records. Are records complete? Are inmates receiving required
notifications and services?
Finding: During the review of records and performance inspection, it was noted inmates are not
receiving all required service on a consistent basis. Inmates are missing showers, recreation,
phone calls, hair cuts, etc.
It was also noted inmates are not allowed access to razors or clippers when assigned to this area
and several inmates were not in grooming compliance.

4. Review a random selection of Individual Inmate Detention Record, form 804-3. Do the logs include
information listed under 1.4-1.4.2?
Finding: During the review of records and performance inspection, it was noted inmates are not
receiving all required service on a consistent basis. Inmates are missing showers, recreation,
phone calls, hair cuts, etc.
INMATE SERVICES

1. Does the Unit have a Post Order #43 Urinalysis Security Officer?
Finding: The unit does not have a post order for the Urinalysis Security Officer.
INMATE MANAGEMENT

1. Are staff aware of their responsibilities if an Informal Complaint or Formal Grievance at thier level
that describes activity that may be in violation of the Sexual Assault Procedure?
Finding: Staff members interviewed did not seem to be aware of the responsibilities if an
Informal Complaint or Formal Grievance at any level which describes an activity may be in
violation of the Sexual Assault procedure.

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2. Are staff members aware of the required time frames and the action that is taken in the event the
time frame is violated?

Finding: Staff members interviewed did not seem to be aware of the required time frames and
the action that is taken in the event the time frame is violated.
3. Does the log reflect that grievances were addressed by the unit Deputy Warden within 15 days?

Finding: The log did not have any grievances filed for December 2010 or January 2011. During
the inspection, grievance documents filed by inmates for those two months were observed in
different areas of the unit.
4. Does the Disciplinary Hearing Officer's finding of gUilt contain a statement detailing what evidence
was relied upon that specifically supports the finding of guilt?

Finding: During the inspection of the record, it was noted there were two different captains
performing duties of DUO. One Captains comments were excellent. The comments made by the
other Captain were lacking statements detailing what evidence was relied upon that specifically
supports the finding of guilt.
5. Does the Unit Deputy Warden and Warden have a copy of the monthly report submitted by the
Disciplinary coordinator?

Finding: The monthly report indicated the memo is generated and sent to the Unit Captain.
There was no information available to demonstrate the report is sent to the Unit OW.
REQUIRED SERVICES
1. Of the files reviewed, does every 911-1 have the potential visitors full name, date of birth, address,
phone number and relationship filled out?

Finding: Of the ten records reviewed, five records did not contain all of the required
information on form 911-1 visitation list.
2. Are applications stamped "Received" including the date on the reverse side?

Finding: Of the files reviewed, none of the electronic copies received in the files were stamped
"Received" including the date on the reverse side.
3. By the 28th of each month, does the visitation staff submit a memorandum listing all inmates
currently on non contact visitation to the Warden?

Finding: Visitation staff reported they do not produce the monthly report for the Deputy
Warden.

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4. Did all security staff have assigned hand-cuffs and chemical agents during inspections?
Finding: MaiIlProperty Officer did not have he required equipment during the inspection.

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CLASSIFICATION

I. Review 0195 screen for C0301 and C0401 appointments. Are any out of date?
Finding: One COllI appointment is out of date.
COUNT MOVEMENT

I. Does the institution have an approved protocol for "red lining" a specific bed?
Finding: Unit is using the "red lining" tag on the count board for maintenance items such as
toilet repair without administration notifications, cells were found off line for over one week.

2. Does the unit have a picture board that is updated and matches the unit inmate count?
Finding: The unit's picture board is out of date and is missing 69 pictures.
FOOD SERVICE

I. Are all inmate workers inspected for personal hygiene, illness, open sores or cuts before being
allowed to perform duties in the kitchen?
Finding: Staff not documenting inspection of P.M. crew in the Service Journals.
KEYS AND RADIOS

I. Does the unit have an accurate Master Key Inventory
associated documentation for past 12 months.

* Review Master Key Inventories and

Finding: The Master Key Inventory was off by three keys sets in non-restricted box and one key
set in the restricted key box.

2. Does the Master Key Inventory specify the total number of key sets authorized for the institution /
unit?
Finding: The Master Key Inventory was off by a total of three key sets.

3. Does the inventory list all available keys, the total number of each on hand, along with the
corresponding locking device each key will access?
Finding: The Inventory was listing three extra key sets have been pulled making the total
number inaccurate.

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4. Does the inventory match up with existing key stock on hand? Compare inventory with available
keys.
Finding: When compared with the key sets on hand it was discovered the inventory had three
extra key sets.

5. Does the unit have a monthly report on file showing the inspection and inventory of keys/key rings,
emergency keys/key rings and locking devices for the past twelve months?
Finding: The monthly reports on hand for the past twelve months the totals on the monthly
reports were off November, December, and January.
PERIMETER AND TOWERS

1. Close custody units - Do the lights in the adjacent zones to either side of the alarmed zone activate
when an alarm condition triggers the quarts lights associated with the alarmed zone? Interview
random staff assigned to the control room to determine action taken when an alarm is activated."
Finding: Lights activate but 2 in zone 13 are out and 1 in zone 5 is out.
SECURITY DEVICES

1. Are the security device inspections conducted accurately, timely and adequately documented to be
in compliance with department written directives?
Finding: When a security device inspection is conducted it is not adequately documented i.e. not
including the IR number.

2. Were appropriate entries made in the Correctional Service Journal?
Finding: Observed radio remote base stations not functioning, sliders in both dorms, and noted
the fire alarm system is not functional these items are not being entered in the Correctional
Service Journal.

3. If deficiencies were discovered, were all appropriate documents submitted (information report and
work order)?
Finding: Monday during the inspection the slider doors in both dorms where not operating
correctly. Thursday it was observed no IR or WO had been submitted.

4. When deficiencies are noted, does all documentation contain the cross referenced information report
number from the corresponding information report(s)?
Finding: The SDI list provided by the COS was used to check journals entries containing cross
referenced IR etc. the journals did not contain the IR number.
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5. Were deficiencies requiring immediate attention addressed as "emergencies" and appropriately
managed by the Chief of Security?
Finding: The Chief of Security was with me on Monday during the inspection when we noticed
the slider doors having to be manually opened and shut by the inmates and staff. The deficiency
was not reported nor appropriately managed by the Chief of Security.

6. Does the Chief of Security maintain a current file of all documentation relating to inspections,
maintenance requests, follow-up actions, and preventive maintenance programs within the
institution/unit?
Finding: The Chief of Security does maintain a list but the list is not current.

7. Does the ChiefofSecurity ensure SDI work order log repairs are made within time frames?
Finding: Deficiencies noted on Monday and still have not been identified or anything done three
days later.

8. Do the duty officer and EEO Liaison submit reports to the Wardens Office?
Finding: There is no evidence of the EEO Liaison submitting reports to the Wardens office.

9. Do interviews with staff indicate if the EEO Liaison conduct tours or attend briefings/meetings each
month on the Unit?
Finding: There is no evidence of the EEO Liaison conducting tours or attending briefings/meets
each month on the unit.

10. Does a review of random EEO Liaison reports indicate the assigned EEO liaison is making
required tours?
Finding: There were no reports to review.
TOOLS

1. Has the Chief of Security ensured a monthly reconciliation has been conducted of all authorized
Tool Control Storage areas?
Finding: There is a monthly reconciliation but it does not address any medical tools.

2. Are tool stored in a secure area, inaccessible to inmates?
Finding: The Hazardous Material locker was unsecured during inspection with inmates all
around and the sanitation tool area is in an open area with no accountability.

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3. Are there excess amounts of tools stored on the unit?
Finding: There are large amount of brooms and mops unaccounted for in various locations,
wheel chair in the vehicle sally port closet that has been there for months no one has any idea
where it belongs.

4. Are there any flammable / hazardous items stored within the authorized locations?
Finding: During the inspection it was noticed that there was paint and other chemicals some
said caustic stored in the vehicle sally port closet.

5. Does the storage area comply with fire and safety codes?
Finding: A closet does not meet fire or safety codes for any flammable or hazardous item.

6. Are tools being signed out/in appropriately on the correct form? (Tool Check Out Form 712-4)
Finding: Tools in the key area are not being signed out; a ball ping hammer and two stamps sets
out when the inspection took place.

7. Does the person who signed out/in the tools keep a copy of the sign out sheet in there possession
while they have the tools signed out?
Finding: The officer did not have a copy of the sign out sheet on hand.

8. Does the officer signing out the tools keep a copy of the completed form? (Tool Check Out Form
712-4)
Finding: The key control officer does not sign out his tools and does not have copy of the
completed form.

9. Are the completed Tool Check Out Forms (712-4) kept on file in the tool room for the previous
thirty days?
Finding: There is no record of the tools being signed out the key tool storage area. A review of
thirty days of forms from the food service area showed 6 of them not signed.

10. Did the person responsible for tool control ensure all tools were accounted for at the beginning and
ending of the shift?
Finding: The Tool Control Officer is posted before the end of shift so there is no ending shift
inventory. The Key Control Officer does not account for all tools at the beginning or ending of
each shift.

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11. Are inventory sheets placed in all areas where tools are stored within the authorized location?
Finding: There are no inventories for sanitation tools in all buildings except dorms.

12. Ifa tool is removed permanently, is the shadow board updated immediately?
Finding: In food service tool storage area the shadow board has a silhouette of a cable that is not
on the inventory.

13. Do nursing staff inventory and account for tools assigned to the medical areas?
Finding: There is no record of the tools being inventoried or accounted for on a regular basis
only when accessed.

14. Do dental staff inventory and account for tools assigned to the dental areas?
Finding: There was no documentation to review.

15. Are tools, and instruments in long term storage sealed in tamper proof containers, locked with a
break away seal, and the seals checked daily by staff responsible for conducting inventories?
Finding: No evidence that a daily seals were checked.

16. Where these sealed containers are used for storage, are the hoxes opened once per month for
inventories, and or if the seal is discovered to have been broken?
Finding: There was no evidence that boxes were opened once per month.

17. Is only the minimum number of syringes, needles, or laboratory supplies kept on-site or in storage?
(Four days supply for institutions with a pharmacy on-site, or seven days for remote locations.)
Finding: There was no documentation on hand to review.

18. Are health services staff conduct a tool inventory and reconciliation of all tools, instruments, and
portable sharps disposal containers at the beginning and end of each shift?
Finding: There was no evidence that health services staff conduct a tool inventory and
reconciliation of all tools at the beginning and end of each shift.

19. Are the tool inventories conducted in tandem with a uniformed security officer, or if an officer is
not immediately available, a second health services employee?
Finding: In interview with security staff they are not involved in conducting inventories with the
health services staff.

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20. Are master inventories completed monthly, with appropriate reconciliation documentation, and
forwarded to the Chief of Security via the Health Services Administrator?
Finding: The Chief of Security has no documentation on health service tool inventories.

21. Are missing / lost health services tools or instruments reported immediately to the Shift
Commander, with notifications made to the Health Services chain of command up to Division Director
of Program Services?
Finding: No inventory on hand.

22. Are all kitchen tools checked in / out using Tool Check Out forms, which are kept on-site for 30
days by the Food Service Supervisor?
Finding: A review of the tool check out forms for thirty days revealed 6 of them where not
signed.
DETENTION SERVICES

I. Review a month of logs and records. Are records complete? Are inmates receiving required
notifications and services?
Finding: There is no mention of inmates receiving medical or recreation services.

2. Review a random selection of Individual Inmate Detention Record, form 804-3. Do the logs include
information listed under 1.4-1.4.2?
Finding: Reviewed 804-3 and there was not record of inmates being offered recreation or
medical services.

3. Review records; Are mental health statT conducted daily evaluations of the inmates on watches?
Finding: Reviewed records and there is no evidence of mental health staff conducting daily
evaluations.

4. Review records; Are medical health care statT completed health and welfare checks at least once
each day during non-business hours.
Finding: During document review records show no evidence of medical health care staff
completing health and welfare checks at least once each day during business or non-business
hours.

5. Review historical records for proper documentation. Does the record indicate staggered observation
times within the required time frames to include at shift change?
Finding: In review of documentation it was discovered observation times where not staggered.
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6. Review historical records for proper documentation. Does the record indicate staggered observation
times within the required time frames to include at shift change?
Finding: In review of documentation it was discovered observation times were not staggered.

7. Review the records; have the mental health care staff or medical health care staff conducted daily
evaluations as required?
Finding: There is no evidence of mental health or medical care staff conducting daily
evaluations as required.

8. Are meals served according with the policy and any instructions from the health care staff?
Finding: Documentation on inmate Greathouse 1/14/11 did not indicate that he received any
meals.

9. Does the mental healthlhealth care staff visit the inmate every four hours? Are the visits
documented on the Observation Records?
Finding: No record of mental health care staff visiting every four hours.
INMATE MANAGEMENT

1. Does the disciplinary coordinator initiate an objective investigation within 24 hours of receiving the
ticket?
Finding: Disciplinary Coordinator takes up to 5 days waiting on paperwork before initiating an
objective investigation.

2. Are Class C Violations disposed of within five work days of the filing date of the violation?
Finding: It is taking between 10-20 days to dispose of Class C Violations.

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CLASSIFICATION

1. Does the inmate's assigned COllI notify the inmate of the Central Office Classification action and
notate in AIMS when the inmate has been notified and of the inmate's right to Appeal?
Finding: Inmates are given an appeal form when the COlli makes the recommendation for Max
Placement instead of after being notified of Central Office Classifications decision.
FOOD SERVICE

1. Does medical provide the unit with a list of all inmates assigned to work in the Kitchen?
Finding: No, the WIPP Officer finds the information by checking AIMS

2. Review AIMS screens for all inmates assigned to the kitchen. Are all inmates assigned to the
kitchen medically cleared?
Finding: One AM Kitchen Worker was not medically cleared to work. He had been cleared to
work in the kitchen on 1115/11 but his status changed on 1119 with no notification to the unit of
the change.

3. Are inmates signing for his/her diet?
Finding: Inmates do not always sign the diet sheet when receiving their meals. The Food Service
worker passes the Diet Book out to the inmate but does not verify the inmate signed for his diet
when the book is returned.

4. Are equipment repairs handled correctly. and in a timely manner?
Finding: Two ovens have been inoperable for two months waiting for parts.

5. Does all of the food being transported remain in the proper temperature safe zone?
Finding: The dinner meal was at Detention for thirty minutes before it was served - the cart
used for the hot tray was not operational.
INGRESS/EGRESS

1. Does the assigned officer question each person attempting to enter the unit in regard to possession of
contraband items?
Finding: Ingress Officer did not ask each employee if they had any contraband in their
possession.

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2. Does the officer maintain an appropriate flow control during periods of high traffic, allowing for
ample time to inspect staff and property items during ingress / egress?
Finding: Ingress Officer did not control the ingress process - each employee entering determined
how and when they were cleared to enter the unit.
KEYS AND RADIOS

1. Each time a key set is issued, or returned does the officer responsible make the appropriate entry in
the Key and Credit Card Control sheet (Form 702-1) specifying at a minimum: Key number, date of
issue/return, name of authorized staff member, initial of issuing staff member, name of staff returning
key set and initial of staff receiving key set back?
Finding: Keys returned to Main Control at shift change were not signed back in or placed back
into to the key boxes until one hour after shift change.
PERIMETER AND TOWERS

1. Minimum custody units- Does the Unit maintain sand traps to provide an indication of escape path
or fence tampering?
Finding: Sand trap adjacent to the outer perimeter fence is hard packed.
SECURITY DEVICES

1. Were appropriate entries made in the Correctional Service Journal?
Finding: Entries did not include IR or work order numbers.

2. If deficiencies were discovered, were all appropriate documents submitted (infonnation report and
work order)?
Finding: Work Orders were submitted but not Information Reports.

3. When deficiencies are noted, does all documentation contain the cross referenced infonnation report
number from the corresponding infonnation report(s)?
Finding: Entries did not include IR or work order numbers.

4. Does the Chief of Security maintain a current file of all documentation relating to inspections,
maintenance requests, follow-up actions, and preventive maintenance programs within the
institution/unit?
Finding: The COS could not speak to or present historical data in reference to tracking security
device deficiencies. There is a current log explaining the latest delay in repairing a security
device but there is no historical data for tracking the delays.
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TOOLS
1. Are tools stored on a shadow board with shadow that closely resembles the tool?

Finding: The Key Ring Crimper which is a Class A tool is stored in a locked drawer in the Key
Control Office and it is not shadowed.
2. Does the person who signed out/in the tools keep a copy of the sign out sheet in there possession
while they have the tools signed out?

Finding: The Work Crew Officer does not keep a copy of the 712-4 form on him - he transfers
the information to the out count form.
3. Does the officer signing out the tools keep a copy of the completed form? (Tool Check Out Form
712-4)

Finding: The Work Crew Officer does not keep a copy of the 712-4 form on him - he transfers
the information to the out count form.
4. Are all tools color-coded using the applicable unit's assigned color?

Finding: The color-coding is worn off a majority of the tools.
5. Are Class A tools stored in tool pouches / boxes clearly marked, and shadowed within the tool
carrier, for ease of inventory and visual monitoring?

Finding: The Key Control Tool box contains Class A tools is not shadowed.
6. Are master inventories completed monthly, with appropriate reconciliation documentation, and
forwarded to the Chief of Security via the Health Services Administrator?

Finding: The COS does not receive a copy of Medicals master tool inventory.
DETENTION SERVICES
1. Review a random selection of post journals. Are command and services staff visiting as required
and/or needed (religious, medical/mental watch, counseling staff included)?

Finding: The officer doesn't always log when command staff and services staff visit the inmates
in Detention.
2. Review a random selection of Individual Inmate Detention Record, form 804-3. Do the logs include
information listed under 1.4-1.4.2?

Finding: The Individual Inmate Detention Records do not contain all of the required
information, i.e., medical, CO III, cell cleaning, state issue, laundry.
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ASPC-LEWIS January 28, 2011

BACHMAN UNIT
INMATE SERVICES
1. Are random VIAs conducted at different times on different days of the week to keep from setting a
pattern?

Finding: While dates are random, there is a pattern of one officer drawing all UIA's at one time.
INMATE MANAGEMENT
1. Does the grievance log reflect the grievance appeal was submitted to the warden within time frames
and was the grievance responded to within time frames?

Finding: All required information was not entered in the Grievance Log.
2. Observe a search of an inmate's living area. If the inmate was not present, was the absence
explained in the correctional journal and unit search log?

Finding: Officers were not aware of the requirement to log the reason for the inmate's absence
during a search of his living area.
REQUIRED SERVICES
1. Randomly select 10 files for review. Does each file have a 911-1 visitation list?

Finding: One file did not contain a 911-1 form.
2. Are applications stamped "Received" including the date on the reverse side?

Finding: Not all visitation applications reviewed were stamped "Received".
3. Is the visitation schedule posted in the registration, visitation and inmate .housing areas?

Finding: The visitation schedule in not posted at registration or in the visitation rooms.
4. Are legal boxes labeled to indicate total number of boxes inclusive of those in storage?

Finding: Of the three inmates who have legal boxes in storage, only one set of boxes were labeled
correctly.
5. In those instances where an inmate does not packing his/her property, does the inventory indicate
receipt of each item by cross-checking the "Receiving" column?

Finding: Not all property forms were cross-checked.

Page 39 of 50

ASPC-LEWIS

January 28, 2011

BACHMAN UNIT

6. Do staff audit property files on a random basis?
Finding: The officer says she rarely audits the property files.

7. Are appropriate Post Orders for property updated to within 90 day of the effective date of this
Department Order? (April 21, 2008) Revised Oct 2, 2010
Finding: The last revision of the post order was in January/2010.

8. Did all security staffhave assigned hand-cuffs and chemical agents during inspections?
Finding: Two officers did not have their assigned hand-cuffs or chemical agents in their
possession.

9. Were uniforms observed to be clean, in good condition, and devoid of stains or patched areas?
Finding: Officers were observed wearing faded trousers.

10. Are all jackets observed to have Department patches on both shoulders, a replica of the breast
badge over the left breast pocket and the officer's last name embroidered over the right breast pocket?
Finding: Some officers were observed wearing jackets without a replica of the breast badge.

Page 40 of 50

ASPC-LEWIS January 28, 2011

EAGLE POINT/SUNRISE
CLASSIFICATION

1. Has the COllI, COIV, Deputy Warden, or designee initiated a reclassification action on the DI99
and the DT08 10 screen for custody discretionary overrides?
Finding: The COIV did not include comments on the DT08 screen.

2. Have the COIV and COllI received the required initial and refresher training?
Finding: COIV had not taken a refresher course at time of inspection.
COUNT MOVEMENT

1. Does the shift supervisor or commander review and sign all formal count sheets?
Finding: Shift Commander is not always signing all formal count sheets.
FOOD SERVICE

1. Review AIMS screens for all inmates assigned to the kitchen. Are all inmates assigned to the
kitchen medically cleared?
Finding: Not all of the inmates assigned to kitchen were medically cleared.
INGRESSIEGRESS

1. Does the officer ensure all food containers / packages are brought through the metal detector?
Finding: Not all food containers/packages were cleared through the metal detector.
2. Does the officer question any manufactured food items sealed in original packaging, causing
difficulty in screening the contents inside?

Finding: Several items sealed in original packaging (bag of chips, candy bars) were allowed
entry without the officer questioning about them.

3. Are all staff members required to pass through a metal detector, and clear the scanner, prior to
gaining access to the unit?
Finding: On 1126/11 persons entering unit did not clear the metal detector before gaining access
to Sunrise. The staff cleared the metal detector at Eagle Point then drove to Sunrise.

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ASPC-LEWIS January 28, 2011

EAGLE POINT/SUNRISE
4. Do assigned staff members inspect / search all personal property to include food items, and require
applicable items to be cleared via the metal detector?

Finding: On 1126/11 and 1127/11 personal property was not searched nor cleared the metal
detector at Sunrise.
KEYS AND RADIOS
I. Are all emergency key rings clearly delineated as such, and stored in the Institutional armory or in
the unit armory for units not closely located or in a secured control room for units without an armory,
separately from other key sets for ease of identification and timely access?

Finding: Emergency key inventory does not coincide with actual keys. Inventory listed number,
but the number did not match the key set. The key set was only labeled with the alpha code.
PERIMETER AND TOWERS
I. Minimum custody units- Does the Unit maintain sand traps to provide an indication of escape path
or fence tampering?

Finding: Inside interior fence contains hard dirt which makes tracks not easily visible.
2. Minimum custody units-Is the Outdoor visitation space enclosed with an 10 foot high (Minimum)
fence with a coil of 30" five point. concertina razor ribbon mounted at the top of the fence?

Finding: Outdoor visitation space has no razor ribbon mounted at the top of fence.
TOOLS
1. Are tools stored on a shadow board with shadow that closely resembles the tool?

Finding: Three cutting boards stored at Eagle Point's kitchen tool room are engraved but are
not shadowed.
2. Are the completed Tool Check Out Forms (712-4) kept on file in the tool room for the previous
thirty days?

Finding: All areas of the tool checkout form are not always completed. Names, badge numbers
and signatures are sometimes omitted.
3. Are inventory sheets placed in all areas where tools are stored within the authorized location?

Finding: At Eagle Point, there was no inventory posted in the area where A & B tools were
stored.

Page 42 of 50

ASPC-LEWIS

January 28, 2011

EAGLE POINT/SUNRISE

4. Are all tools permanently engraved/stamped and color-coded?
Finding: At Sunrise, all tools are not engraved. A paint roller and several brooms were not
labeled.

5. Does the Tool Officer reconcile all tools issued to inmates at the end of the work day, prior to
releasing inmates back to the yard?
Finding: At Eagle Point, tools are not reconciled at the end of the work day.

6. Are the kitchen tools maintained on a master inventory system, as outlined in sections 712.02,
subsection 1.1 through 1.8 (Instrument sections 60 to 104)
Finding: At Eagle Point, a pastry blender was engraved and shadowed as #48. However, it
could not be located on the master tool inventory. #48 was shadowed as a scooper. Oven mitt
#120 was not labeled. 4 sets of extra oven mitts were in tool area but were not on master tool
inventory.
INMATE SERVICES

I. Does the Unit have a Post Order #43 Urinalysis Security Officer?"
Finding: At time of inspection, no post order #43 could be found.
INMATE MANAGEMENT

I. Review 30 days of search logs and records. Was there a daily record of search reports?
Finding: There is no daily record of strip searches recorded in log. Only random
documentation is used.

2. Are Class C Violations disposed of within five work days of the filing date of the violation?
Finding: Class C violations are disposed of within 7 working days.
REQUIRED SERVICES

1. Is the sender of correspondence tapes on the Inmate's approved visitation list?
Finding: If correspondence tapes are received, the officer does not check AIMS to see if sender
is on inmates approved visitation list.

2. Were all observed moustaches, side-burns, and goatee's meeting policy requirements?
Finding: Not all observed moustaches were in compliance with policy.
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ASPC-LEWIS January 28, 2011

EAGLE POINT/SUNRISE
3. Were non-unifonned staff dressed within the guidelines of this policy?

Finding: Not all non-uniformed staff were dressed according to policy. Open-toe shoes were
seen worn.

Page 44 of 50

ASPC-LEWIS

January 28, 2011

BARCHEY UNIT
CLASSIFICATION

1. Review the AIMS DT08 10 classification screen. Are DNHW reviews being conducted during each
classification action?
Finding: No DNHW review comments on DT08 screen

2. Randomly select an adequate number of inmates assigned to Inmate Work Programs and review the
inmates' AIMS files. Are the inmates' work assignments commensurate with the custody level of the
inmates?
Finding: Medical porter has drug disciplinary.
SECURITY DEVICES

I. Do interviews with staff indicate if the EEO Liaison conduct tours or attend briefings/meetings each
month on the Unit?
Finding: No tours being conducted. Staff are unaware who their EEO representatives are.
INMATE SERVICES

I. Does the Unit have a Post Order #43 Urinalysis Security Officer?
Finding: No post order for UA officer.

2. Review appropriate logs demonstrating if a paralegal has been to the Unit. Does a Paralegal visit the
unit?
Finding: No logs indicated the presence of the paralegal on the unit.

3. Has the Legal Access Monitor ever visited the Unit to verify work performed by Paralegals, Ensure
contract compliance, review activity logs?
Finding: No logs indicating the presence of the legal access monitor on the unit.
INMATE MANAGEMENT

I. Are searches conducted according to the steps outlined above?
Finding: Staff do not always strip search inmates when conducting UA's.

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ASPC-LEWIS January 28, 2011

BARCHEY UNIT
REQUIRED SERVICES
1. Are property files maintained in terminal digit order?

Finding: They are in numerical order
2. Were non-uniformed staff dressed within the guidelines of this policy?

Finding: Observed three COllI's wearing tennis shoes.

Page 46 of 50

ASPC-LEWIS January 28,2011

COMPLEX
COUNT MOVEMENT

1. Is there an Institutional Order for Inmate Accountability that includes the required items?
Finding: Not all of the required items are addressed in the Institutional Order.

2. Does the Institutional Order specify the requirements of the master pass system?
Finding: Not all of the required items are addressed in the Institutional Order.
KEYS AND RADIOS

1. If inmates are authorized to possess keys, is the possession of the keys authorized in writing by the
Warden, Deputy Warden or Administrator. (Question inmate for written authorization when in
possession of keys)
Finding: During the inspection, inmates were observed in possession of keys. There were no
written authorizations signed by the Warden, Deputy Warden or Administrator.

2. If inmates are possession of keys does the complex key control officer have copies of the written
approval for inmate to have possession of keys?
Finding: The Key Control Officer does not have a file on written authorizations for inmates to
possess keys.

3. Does the Key Control Officer maintain a file which demonstrates the Warden or designee approves
of all key duplication in written format?
Finding: The Institutional Order authorizes the Deputy Warden to approve key duplications.
There was no file to indicate who authorized any key duplications for the complex or the units.

4. Are all duplicated emergency key rings authorized by the Complex Warden or designee?
Finding: Key duplications are not authorized be the Warden or designee and there were no
documents on file to review.
SECURITY DEVICES

1. Does the Chief of Security ensure SOl work order log repairs are made within time frames?
Finding: PPS is required to ensure repairs are made within the appropriate time frames.

2. Does the duty officer and EEO Liaison submit reports to the Wardens Office?
Finding: The EEO Liaison does not submit reports to the Warden.
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ASPC-LEWIS January 28, 2011

COMPLEX

3. Do interviews with staff indicate if the EEO Liaison conduct tours or attend briefings/meetings each
month on the Unit?
Finding: During the inspection, it was discovered the EEO Liaison does not conduct tours or
attend briefings/meetings each month on the Unit

4. Does a review of random EEO Liaison reports indicate the assigned EEO liaison is making required
tours?
Finding: There were no reports from the EEO liaison to review.
TOOLS

1. Are there excess amounts of tools stored on the unit?
Finding: Complex Canine area has a large supply of unnecessary tools. The last tool check was
October 01,2010.

2. Is there an established system of accountability for tools stored in the authorized area?
Finding: Canine and Water Treatment Plant are non-compliant

3. Does the person who signed out/in the tools keep a copy of the sign out sheet in there possession
while they have the tools signed out?
Finding: Fleet is non compliant

4. Did the person responsible for tool control ensure all tools were accounted for at the beginning and
ending of the shift?
Finding: Canine and Water Treatment Plant are non-compliant.

5. Are all tools color-coded using the applicable unit's assigned color?
Finding: Fleet and water treatment plant do not follow the 10.

6. Are all tool inventories logged into the appropriate Correctional Service Journal by those staffwho
conducted the inventories?
Finding: Canine and Water treatment plant are non-compliant, no records.

7. Does each inmate receiving a tool keep a copy of the Tool Checkout Form on their person at all
times when using the tool, and return the copy to the Tool Officer when turning the tool in?"
Finding: Fleet is non-compliant.
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ASPC-LEWIS

January 28, 2011

COMPLEX
WEAPONS

]. Review entrance sign-in / sign-out logs. Are only authorized staff members accessing the Annory
area?
Finding: Canine Handlers are not included in the list of staff authorized to enter the Armory,
but do so routinely to access the narcotics safe for training aides.

2. Do staff members authorized to enter the annory maintain security, safety and sanitation of the
annory and ensure the armory is used for weapons storage only?
Finding: A safe in the armory contains narcotics for training narcotics canines.

3. Interview the Complex Major and detennine if a security seals have been broken. If so, were reports
and inventories completed as required?
Finding: Narcotics canine handlers enter the armory on a routine basis and do not write an IR
or conduct an inventory.

4. Are door seal numbers being properly logged in the correctional journal?
Finding: Door seals are not being routinely logged into the Correctional Officers Journal to
demonstrate the door seals have been check and verified.

5. Is an accurate inventory of all assigned fireanns, operational ammunition, chemical agents and other
equipment being completed weekly using the Weekly Inventory, fonn 7] 6-3
Finding: The Weekly inventory of all assigned firearms, operational ammunition, chemical
agents and other equipment is not being completed weekly using the Weekly Inventory, form
716-3. The Inventory is being completed on the daily form.

6. Are staff members who are checking the seal on the DART locker at the beginning of each work
shift and its condition documenting their findings in a Correctional Service Journal?
Finding: Complex and Morey Unit are the only units with DART lockers. Neither area logs the
Security seal nor is tag number in a Correctional Services journal to demonstrate the DART
locker being checked during each work shift.

7. Is there an existing system in place directing how staff members account for the seals used on the
DART Locker?
Finding: Staff are not in compliance with DO 716.

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ASPC-LEWIS January 28, 2011

COMPLEX
8. Verify inventories as required. Check 180 days. Have all inventories been conducted and are
complete?

Finding: The Armory has no Correctional Service Journals for records to be kept in.
9. Determine if the Complex maintains stun devices. If so, are they only issued to security staff trained
in their use and as outlined in the applicable 10?

Finding: Not in compliance.
10. Determine if the Warden has developed an 10. Ifso, does it include the ERP, fire evacuation
plans, response to bomb threats and the local requirements for section 706.03

Finding: The 10 for this area is outdated.
INMATE SERVICES
1. Does the Institution and Post Order address time limits?

Finding: The required Institutional order is out of date.
REQUIRED SERVICES
1. Is there an institution order for inmate mail addressing: outgoing and incoming mail; Inter-relation
mail; mail room operations and mail contraband control dated within 90 days of this department order?
(February 26, 2010)

Finding: The Institution Order for this area has not been updated as required.

Page 50 of 50

ASPC LEWIS FINAL ENVIRONMENTAL
REPORT

ENVRIONMENTAL OBSERVATIONS
ASPC-LEWIS ANNUAL INSPECTION
JANUARY 28,2011

MOREY UNIT
FOOD SERVICE
I. Observe the external area and doorways in the Kitchen. Has the unit taken measures to
prevent rodents from entering the kitchen?

Finding: No traps in any observed areas.
2. Is inmate extra clothing kept stored neatly in a separate area?

Finding: Inmates jackets stored in a pile on racks in the back of the kitchen.
3. Are the walk-ins and dry storage areas clean with no items being stored in open
containers or stored on the floor or under the evaporators?

Finding: Rack with food stored under evaporator in walk-in refrigeration.
4. Are items in the walk-ins and dry storage stored correctly? (Leftovers should be <40
degrees and logged, raw items on the bottom shelf, all items dated when received, First In
First Out, etc.)

Finding: Eggs stored in walk-in refrigerator with no date.
5. Is there a sanitation log on the dish machine?

Finding: No sanitation log on machine.
6. Are pots and pans being washed in a three part sink with appropriate sanitizer in the
final rinse?

Finding: Final rinse sink did not have sanitizer/proper amount of sanitizer.
PERIMETER AND TOWERS
I. Inspect perimeter fencing, detection systems, sand traps, concertina wire, and other
deterrents for proper function and installation. Are all perimeter fencing, detection
systems, sand traps, concertina wire, and other deterrents in good working order?

Finding: Lights 12, 14,42 and 43 not activating when zone activated.

MOREY UNIT
2. Inspect perimeter sand traps and evaluate consistency of material. Does the sand trap
produce a visible V'ed track?
Finding: Most of perimeter is hard packed.
INMATE MANAGEMENT
1. Is the yard neat, clean and free of trash and weeds?
Finding: Weeds between and behind buildings.
2. Is there a record demonstrating 704 inspections have been completed?
Finding: No record observed during the inspection.
3. Are infrequently used rooms, or other storage locations clean, and free from debris?
Finding:
room).

Trash observed in various unused rooms (i.e. Chow hall observation

4. Are inmates in compliance with grooming standards?
Finding: Inmates observed with beards that were too long and also some inmates
observed with goatees.
5. Are inmates wearing ID cards as expected, in the upper left quadrant of their shirts?
Finding: Very few inmates were even wearing ID's.
6. Do inmates have excess property in their living areas?
Finding: Excessive property observed in living areas.
7. Do inmates wear all clothing items correctly?
Finding: Clothing observed baggy and pants sagging.
8. Are recreational or other unit activities integrated or segregated?
Finding: Caucasian on Hispanic volleyball game observed.
9. Are staff members in main entrance overwhelmed at shift change?
Finding: Staff unable to control main entrance during shift change.

2

MOREY UNIT
10. Is there evidence unit security functions are being provided attention by officers?

Finding: Staff observed shortcutting pat searches (i.e. stopping at elbow and knees
while patting).
11. Are officers conducting escorts appropriately?

Finding: Staff in MDU observed doing one-on-one escorts and staff observed
walking in front of inmates while escorting across the yard.

3

STINER UNIT
FOOD SERVICE
I. Observe the external area and doorways in the Kitchen. Has the unit taken measures to
prevent rodents from entering the kitchen?

Finding: There are no rodent traps observed around the doors to the kitchen.
Kitchen officer stated that there is a rodent problem.
2. Are any available traps clean and free of trapped vermin?

Finding: No rodent traps are visible to determine if they are clean and free from
trapped vermin.
3. Are walls, light switches, and ceilings kept clean and free of grease build up?

Finding: There is observed dirt on walls and around common contact points.
4. Do the bathroom areas have hand washing signs/instruction posted in the restrooms?

Finding: No hand washing signs observed as being posted.
5. Are there temperature logs posted on the walk-in coolers?

Finding: Temperature logs are stored in the kitchen office. Not in the cooler areas.

4

BUCKLEY UNIT
FOOD SERVICE
I. Do the bathroom areas have hand washing signs/instruction posted in the restrooms?

Finding: There is no hand washing instructions in the Kitchen inmate restroom.
Instructions for the staff restroom were lying on top of the mirror and could nor be
read.
2. Does the unit have a written meal evaluation completed for each meal served?

Finding: The unit does not complete meal evaluations.
3. Are all locking devices to include padlocks secured when not in use?

Some locks in different areas of the kitchen were observed unsecured during the
inspection.
KEYS AND RADIOS
1. Interview the Chief of Security. Does the unit conduct emergency key drills on a
frequent basis?

Finding: An emergency key drill was conducted. Observation indicates staff was
unaware of the procedures and protocols to acquire and deploy emergency keys.
2. Are radios being signed out on the 716-1 Equipment Issue Form?

Finding: Radios not being signed on the 716-1 Equipment Issue Form.
WEAPONS AND DART
I. Inspect the armed post for cleanliness and appropriateness of items stored.

Finding: The inside of the tower area need to be cleaned, especially the ladder well
area.
INAMTE MANAGEMENT
1. Is the yard neat, clean and free of trash and weeds?

Finding: Weeds and wind blown trash were observed in different locations of the
unit.

5

BUCKLEY UNIT

2. Is the inmate sweat lodge neat, orderly and free of trash and unauthorized items?
Finding: Wind blown trash was observed in the sweat lodge area.

3. Is the paint on the unit in a state of good repair?
Finding: Several areas of the buildings (interior and exterior) were in need of
painting.

4. Are inmate beds made and inmate up during normal work hours?
Finding: Beds were observed around the Unit unmade or had inmate sleeping
under the covers. This was especially true in the detention units.

5. Are all security lights on during normal work hours?
Finding: One light on the yard and several perimeter quartz lights were observe not
operating.

6. Are inmates sleeping during normal work hours?
Finding: Several inmates in the unit detention areas were observe sleeping and
under the covers.

7. Are inmate restrooms I showers clean, and free of mold and mildew?
Finding: Some showers observed during the inspection were in need of minor
cleaning. Several shower appeared to have mold growing in the lower portion of the
tile grout.

8. Is the porters closets clean, orderly, and demonstrate attention is given to sanitation?
Finding: Porters closet were observed unorganized and in need of cleaning.

9. Are inmates in compliance with grooming standards?
Finding: Inmates in the detention areas were observed not in compliance with
grooming regulations, citing they cannot access razors or clippers.
10. Are inmate wearing 10 cards as expected, in the upper left quadrant of their shirts?

Finding: Several inmates were observed without ID cards, citing the need for a clip
as the reason for the ID card not being in the correct spot. Staff advised they were
awaiting clips to ensure compliance.

6

BUCKLEY UNIT

11. Is the recreation equipment appropriate and serviceable?
Finding: Inmates were observed with only one basketball for each recreation yard
for approximately 100 inmates. The basket ball was worn out and several inmates
approached to complain about the lack of recreation equipment.

12. Are staff members in main entrance overwhelmed at shift change?
Finding: The staff member at the ingress point of the Buckley Unit was easily
overwhelmed when oncoming staff were entering. At one point, one staff member
easily passed the officer, dropped his items and went back to clear the metal
detector before retrieving his items to enter the unit.
OTHER ENVIRONMENTAL
1. A dark brown civilian jacket was found in a dry storage locker, Inmate kitchen
workers had access to the area where the jacket was found.
2. Two walk through doors were checked for fly fan operation. The fly fans on
neither door started when the door was opened. The unit has completed work
orders on both doors. There seemed to be a lot of flies in the kitchen area during the
inspection
3. Two floor drains in the Buckley Unit Kitchen were observed with standing water.
When questioned, inmate advised that water drainage is a constant problem.
4. During emergency key testing, a considerable amount of dirt was observed under
the swinging gate behind Housing Unit #2, to the point it made opening of the gate
extremely difficult.
5. Inventory only includes yard radios and does not include radios which are
permanently assigned to some Buckley unit staff members. Permanently assigned
radios may be accounted for in some other area.
6. The unit experienced a high volume of battery and radios failures during the
inspection.
7. Buckley Unit experiences erosion areas on the east side of the unit during rain
storms. There are two repaired washed out areas where the fill dirt appears to be
very soft under the exterior fence.
8. Buckley unit does not have a sand trap or perimeter on two sides of the unit
where they are next to adjoining units.

7

BUCKLEY UNIT
9. Unit Captain demonstrated he has the ability to cross the alarm system next to a
light pole on the north side of the unit without setting off the zones.
10. A further inspection revealed the system could be violated without activating the
zone alarm in several other areas.
11. Weapons are stored on the upper most level of the tower in a sealed box, even
when the tower officer is not present. The storage area does not allow for the
weapons to be viewed unless the box is unlocked.
12. During inspection of the tower, it was noted that the tower officer identified two
compressed rounds at shift change. Notification was made to the complex armory
for assistance. During a follow-up three days later, the round had not been replaced.
13. During the inspection, several inmates approached and claimed about issues
related to conditions of confinement. The vast majority of the issues were related to
cell plumbing failures in the detention overflow housing area, ether not being
reported or not being repaired for extended periods of time.

8

RASTUNIT
FOOD SERVICE

1. Are walls, light switches, and ceilings kept clean and free of grease build up?
Finding: Walls, light switches and ceilings are not kept clean and free from grease
build up.

2. Is the kitchen equipment, stove hood and filter kept clean and free of grease build up?
Finding: Stove hood and filters are not being kept clean and free of grease build up.
INMATE MANAGEMENT

1. Is the yard neat, clean and free of trash and weeds?
Finding: Yard is not neat and clean and free of trash and weeds.

2. Is the inmate sweat lodge neat, orderly and free of trash and unauthorized items?
Finding: Sweat Lodge is not neat and has trash it has not been used in 6 months.

3. Are inmate beds made and inmate up during normal work hours?
Finding: Approximately 50% inmates beds where not made during normal work
hours.

4. Are inmates sleeping during normal work hours?
Finding: Some inmates where sleeping during normal work hours.

5. Is there a record demonstrating 704 inspections have been completed?
Finding: They are being completed but there is evidence of inmates covering
windows after the inspection was completed.

6. Are inmates wearing ID cards as expected, in the upper left quadrant of their shirts?
Finding: Approximately 60%+ inmates where not wearing ID cards they said they
had no metal clips etc.

7. Does it appear inmate work assignments are being executed? (Yard raked, grass cut?
Finding: Yard has weed and lots of trash. The explanation was given that the land
fill is across the road and wind blows it over to the yard.

9

RASTUNIT

8. Do officers report executive team staff tour the unit frequently or are seldom seen?
Finding: Approximately 50% staff reported that executive staff are seldom seen.

10

BACHMAN UNIT
FOOD SERVICE
1. Observe the external area and doorways in the Kitchen. Has the unit taken measures to
prevent rodents from entering the kitchen?

Finding: The unit has no external traps for rodents.
2. Do the bathroom areas have hand washing signs/instruction posted in the restrooms?

Finding: There was no hand washing sign in the inmate bathroom.
3. Are items in the walk-ins and dry storage stored correctly? (leftovers should be <40
degrees and logged, raw items on the bottom shelf, all items dated when received, First In
First Out, etc.)

Finding: Items labels were not facing out and missing dates.
4. Are temperatures being documented when food is being transported to or from the prep
kitchen to other units or complex's?

Finding: The kitchen does not maintain a log of the temperatures of the food being
transported to the Sunrise Unit.
KEYS AND RADIOS
1. Interview the Chief of Security. Does the unit conduct emergency key drills on a
frequent basis?

Finding: Emergency keys drills are conducted once a month on Days or Swings but
not on Graves.
PERIMETER AND TOWERS
1. Examine the physical structure and components of the perimeter and make a
determination of adequacy. Does the perimeter adequately provide for security, detection
of escape or unauthorized entry?

Finding: The sand traps are hard packed.
2. Inspect perimeter fencing, detection systems, sand traps, concertina wire, and other
deterrents for proper function and installation. Are all perimeter fencing, detection
systems, sand traps, concertina wire, and other deterrents in good working order?

Finding: The sand traps are hard packed.

11

BACHMAN UNIT
3. Inspect perimeter sand traps and evaluate consistency of material. Does the sand trap
produce a visible V'ed track?

Finding: The sand trap was not of the consistency to produce a visible track.
4. Review institutional I post orders to determine if a clear escape response protocol is
delineated within the documents. Does the procedure provide clear direction to staff
discovering an alleged escape?

Finding: The only Post order with any direction regarding escapes was the
Detention Unit PO.
5. Review logs and records to determine how the unit/institution documents perimeter
operation.

Finding: There was no communication between the officer conducting the
perimeter/zone checks and Main Control. The only way the officer knew if a zone
activated was when the perimeter lights came on. The Main Control Officer did not
verify it was the officer conducting the zone checks who activated the alarm before
it was reset.
SECURITY DEVICES
1. Has the Chief of Security observed subordinate staff conduct Security Device
Inspections?

Finding: The Captain has provided a check list for each post but has not personally
observed staff conduct an inspection.
2.· Does the Chief of Security have an established format for conducting security
challenges where upon the staff are tested during security device inspections, providing
both a performance tool as well as a training aid?

Finding: The Captain conducts weekly and monthly challenges for the zone areas
only.

12

EAGLE POINT/SUNRISE UNIT
INMATE MANAGEMENT

1. Are inmates wearing ID cards as expected, in the upper left quadrant of their shirts?
Finding: Not all inmates wore ID cards in upper left quadrant.
OTHER ENVIRONMENTAL
1. Fire extinguishers do not have current-date inspections. Several had not been
inspected since August 2010.

2. Fire system and generators panels in main control show a constant alarm.
3. Storage areas where chemicals are stored are being secured with white socks.
4. Tool inventories are logged in journals, however, it appears that a completed log
(excluding date) is photocopied and used as a daily record instead of a daily
handwritten record.
5. Item #26, Pancake Dispenser, was labeled 'do not use'. No work order for the
item could be produced at time of inspection.

13

BARCHEY UNIT
INMATE MANAGEMENT

1. Are inmate beds made and inmate up during normal work hours?
Finding: Several inmates were observed in unmade beds during work hours.

2. Are inmates sleeping during normal work hours?
Finding: Several inmates observed sleeping during work hours.

3. Are inmates in compliance with grooming standards?
Finding: Several inmates found to have goatees, mustaches too long and to be
unshaven.

4. Do inmates on the yard seem to want to address issues with visitors?
Finding: Some issues. Not out of the ordinary.

14

COMPLEX
KEYS AND RADIOS
1. Interview the Chief of Security. Does the unit conduct emergency key drills on a
frequent basis?

Finding: Emergency key drills are not frequently conducted.
PERIMETER AND TOWERS
1. Conduct an unannounced security challenge on each unit perimeter to monitor
response, and identify any areas of concern. Provide results to Complex Major I Chief of
Security upon conclusion of exercise.

Finding: Tracks set on the west side perimeter were not discovered. After waiting
for approximately 48 minutes, the inspector called the tracks to the attention of the
perimeter officer.
WEAPONS AND DART
l. Inspect the monitoring equipment (cameras, recording devices, etc).
maintained in good repair?

Are they

Finding: A monitor in main control has been out since September 2010.
2. Does the Complex Annorer conduct a weekly inventory of the locker?

Finding: Weekly inventories are not appropriately documented.

During the inspection of Morey unit it was observed that COIl Carbajal has gone
above and beyond policy in reference to accountability of tools. COIl Carbajal has
created a database for the tools assigned to the WBE wood working area at Morey
Unit. The database has the shadow number, the tool description, and has a picture
of each tool on the shadow board. There is also a database for the Tool boxes which
includes the drawer and slot reference and pictures. This system allows not only for
the ease of inventory but also assists staff to see exactly what a tool looks like if it is
missing and a search is required.

15

16

ASPC LEWIS CORRECTIVE ACTION PLAN

~

0

0

UnitNa ....

Compollenc:y

F lndl~.

'0

i

Action Plan

•E

0

Policy chanll" IS ne-e<le<I Recommend
.. YIN box be placed on 0199 'I(;r....n

Clanlficahon

""-

~OO"

IOf COlli's to venly ONHWs have been
Thi s wit eiom,nale the
2181201 1
poss,blihty of the Al M S system
crashing based on en~res in DT08
CUrre<1Uy the anno\.auon i$ IM!1ng

Medical poner has drug disciplinary

11M was immediatety r~ from Ih
position. W1PP i$ weenlng . 1 onmates 2/1512011
to ensure com pliance

No ONHW reV>eW oommenlS on OlCa

,,,,,,ewe<!.

-~

ClasSIfication

Barche)'

Barchey has assigned an additional

EEO "'PfesenLabve who ,s schedule<!
Security DeVIceS

No ,our. beIng conducted, SLaIf are
unaware who !heir EEO represenl.atrY"l
.~

,.-

,.-

The CUffent EEO representabve was
redO/ecce<!. EEO repret.entabve wiI
now attend a t • """""urn .. briefing
eitd'l 5hift to diseuss fED arid wiI 31$

Com~ex

Inmate SeNiees

Inmate Se<vices

No post orde< IOf UA off>cef

Inma:e 5erw:es

"""'''

is g e nelll~n\l PO 043 for

alunits for consistency Once
it wiI be Implemented .t un.t

(callI/eel

3/1/20 '1

No logs iNheated the pl'e:Jenee of U>e
paralegal on U>e llrul

The Paralegal hal now been added to
\he s.ign inlQUI s\.alliog at Mam
Control. Additionaty a log !\iIs been
21 H 1201 1
ItIlpiemented in the ~tlnlry for the
Paralegal to track and momlOf ;nmal"
seen for paralegal p!JfPO:JeS.

No togs '"ChCoIttng U>e presence dIM
legal oICCe"SS rTIOI"I'lOr on U>e IInll

The Legal Acceu MonItor has now
been add ed to the "911 ""OIIt staff log
at Main Control Add,tIOI"Iaty. a tog has
211./201'
been Im plemented in the Ulrary for the
Legal Ac:oeu M OIIItOt to track and
momtor legal aoceSi on the

Ba'chey

"",t.

Burchey
Inma!e M anagement

Staff do not atways strip sea rch ;nmalel
.....-hen CQn,h'cttng UA·s.

Reqll'red Services

Property "ieS are In nllmencal order

Barchey
Barchey

to a ttend fE D If.iolng in March 20 11

AI staff are beIng ,e traIned on the
policy and a trallllng ,oster !\as been
filed for each shill
Propeny files ar" being ptaced 'n
term.nal digit orde,

2J2812Ot t

21161201 1

Traini"'il 10< a' 'tall on Employee
Groomi"'il and Ore" is being
conducted COIV wiI oomplete
g.ooming inspedlOns.

Bllfd'ley

......

CO tV Baea held a mee~n\llNlth CO
III·, and jlrovKied re-train,ng to the
21./2011
stall about M&I< CUStody pad<ets. time
frames .nd noIIfOCitJons to the inmate

Bao;hm.n

mma tes an'\Ined com notify the Inmates are \Iwen an appealfo<m wilen
,nmate of the Central Office
the COlli makes tne recommendation 10<
Ciusifieabon 8dion .nd ootate in Ma. Placement ,nstead oI.ne. be",!!
AlMSwtlenlhe inmatehn ~\( oo~fied 01 Cenll"ll Offoce ClawfocallOns
notif)ed and 0/ tne inmates nght
,~appeal?

Detention Sorvlces - Revoew a
The offieen; do not always log wilen
random seledoon 01 post .roumal$.
Command staff and s.ervtee sl<lll V,&!! ~
Ate Command stall and other
,nmates in DetenllOn
I<!fVio;es be"'\Ilogged?

Redirection to Staff and Supervisors
about ensuring the Journal reflects
wl"len Command staff ate present in
Deten~on and SUpeMSOfS and
Command stall "110 10 rev.ew journals
10< any disaepanaes and are to &ign
on red ink Red pens have been \liven
toeac

Immediately

Detention Sorvlcn - Revoew
tOR·s do not contain" 0/ the requtrea
IDR·s. 00 logs indude ,nformation ,nlormallOn. me<locaI. COlli. eel deans.
hied under t 4 - 1.4 27
Stale issue . laundry

Redirectioo to Stall working in
Detention and S"'per.-1$OC"S and
ensuring c:omplilonce .... tn lOR logs.
Rou~ne inspea>OnS by DetenbOn Sgt.
COS. COIV. AOW alld OW to enSUfO
compliance 0/ al lOR logs

Immedlately

Food Service - Ale equ' pment
Two Ovens have been ioopernble 10< (2)
repaors handled COIlecdy. and ,n a
months wa'~"'iIIOf parts
timely manner?

Parts were a<dered (Vt.'orIt Ofder II
86463). Wa,ting Ia< delive<y and
inslalation 0/ pan to repair the oven

3/3112011

Food Servlco - Ale inmates
SIgning for hlsnter Diet?

Inmates do not atNo1ys ~n the d,et book
when re<;eivong their meats. The Food
Servi<:e wor1<er pass.es the D'et Book out
Food Service
to th e inmate but does nOI verify the
Inmale signed IOf I"Ios dtet when the book
returns.

Red'rection to C.nteen statlabout
venlying inmates Sf;n lor diet durin;
meal.

Immediately

Food Service· Does al lood
being tr.1nspor1ed rema,n In the
proper temperat"'re sale zone?

The D,nner meal was al O(HenlJOn IOf
(30) minute$ before it was s.erved - the
can u&ed Ia< the hot tray was not
operabOnal

Hot can u&ed 101 OetenbOn is currently
operational. 1/ . l lny bme the llel cart
is nOI operational. statlwon,;ng
Detention hive been instrucled to
Immediately
immediately s.erve the meal upon
receipt from "'tchen This maner is
being elevated to the OMsoon Direct

No. the WlPP OffICer finds the
Information by o;hKking AIM S

Po/k:y chan\le nee-ded as UIIS is
standard practice. ele>lated to DDO

Required Setvoc:es

Ob5efVed 3 COllr , .....un"'il Tennrs

212812011

CiauifiC3tJon _ Doe!. the

Badlman

Bao;hman

Bao;hman

Bao;hman

e"""""
Badlman

Food Service - Does me<local
prov>de the UM with a hst 01 al
I:nmates assig ned 10 WO<~ in the
kitchen?

NA

Food Service - Review AlMS
screen for an inmates assigned to
the kitchen. Are an inmates
assigned to the kitchen medically
cleared?

One Am kitchen WOfker was not
medically dean!d to work. He had been
cleared to WOfI( in the kitchen on 1-15-11
but his status changed on 1-19-11 with
no notification to the unit of status
change.

FHA to coordinate wittI Medical staff
and Unit OW to advise whenever an
inmates medical clearance is changed.
Immediately
Additionally, W1PP Officer to review on
a Monthly basis inmates assigned to
Kitchen and their Medical dearances

Ingress Officer did not ask each
employee if they had any contraband in
their possession

Redirection to aD staff and Supervisors
about property asking incoming staff if
they have contraband in their
212812011
possession. Current Post Orders
reflect proper language for conducting
this procedure. Ingress Post Orders in
Lobby

Ingress Offtcef did not control the
ingress process - each employee
entering determined how and when they
_re cleared to enter the unit.

Redirection to aD staff about anowtng
the check in Officer to properly conduC1
a search of aD personal belongings
wittlout being rushed. AdditionaDy on 212812011
days permitting, Supervisors to be
present and oversee Ingress
procedures.

All required information was no entered
in the Grievance log.

Redirection to CO IV. The Grievance
book contained aD necessary and
required information and the CO IV
has updated the log to relied this
informallon and will inspect on a
regular basis to ensure compliance.

Bachman
Ingress' Egress - Does the
assigned officer question each
person attempting to enter the
unit in regard to possession of
contraband items?
Bachman
Ingress' Egress - Does the
officer maintain an appropriate
flow control during periods of high
traffic, allowing for ample time to
inspect staff and property items
during ingress I egress?
Bachman
Inmate Management - Does the
grievance log relied the

grievance appeal was submitted
to the Warden within time
frames?

2128120011

Bachman
Inmate Management - ObselVe a
Officers were not aware of the
search of an Inmates'living area.
requirement to log the reason for the
If the inmate is not present was
inmates' absence during a search of his
the absence explained in the
living area.
JoumaJ and log?
Bechman

& radios - Each time a key
set is issued, or returned does the
Keys returned to Main Control at shift
officer responsible make the
change wete not signed bIIck in or
appropriate entry in the Key and
placed into the key boxes until (1) hour
Credit Card Control sheet (Form
after shift change.
702-1) specifying at a minimum:
Key number, date of issue/return,
name of authorized staff m
Keys

Bachman

Redirection to staff through discussion
and briefing topics about the
importance and need of two officers
when an inmate is not present and
Immediately
housing area search is conducted.
Also redirection to staff to ensure this
practice is logged in the Correctional
Chief of Securily to redirect all
SupefVlsors and Staff about
conducting an ending Key inventory
before end of shift and transfening
over to the oncoming shift. Shift
Officers working in Main Control wID
conduct a beginning inventory with in
the hour i

Immediately

Bachman

Perimeter & To_rs - Minimum
custody units· Does the Unit
maintain sand traps to provide an
indication of escape path or fence Sand trap adjacent to the outer
tampering?
perimeter fence is hard packed.

ASPC-lewis is our newest complex
and it appears they are using physical
plant standards which were written in NA
October 2010. None of our existing
faalities will meet the physical plant
standards.

Bachman

The fence does not have a concrete anti
dig barrier fooling 6" wide by 24· deep.
The bottom of the fence is not secured
Perimeter & Towers- Minimum by a (1-1/2" minimum) bottom rail
custody units· Is the perimeter
secured to the concrete base by en
renting in compliance as outfined anchor bolt or method approved by the
above
Department

ASPC-lewis is our newest complex
and it appears they are using physical
plant standards which were written in NA
October 2010. None of our existing
facilities wiD meet the physical plant
standards

Bachman

Required Services - Are
applications stamped "Received" Not all visitation applications reviewed
induding the date on the reverse were stamped ·Received·
side?

Redirection to VISitation Staff to ensun:
applications are stamped received.
313112011
Currently Visitation staff are auditing aU
files to ensure compliance.

Bachman

Required Services - Are
appropriate Post Orders for
property updated to with in 90
days of the effective date of this
DO?

Error in dates Post Orders. AD Post
Orders currendy have the corrected
and updated date of revision.

The latest version of Post Orders was in
Jan/2010

Required Services - Did aD
(2) Officers did not have their assigned
security staff have assigned hand
hand- cuffs and chemical agents in their
cuffs and chemical agents during
possession.
inspections?

Redirection to SupeMsors and
ensuring each staff member has their
required hendcuffs, OC spray and OUI) Immediately
Bell Each SUpeMsor to conduct
routine Unlfomn inspections on staff.

Required Services· Do staff
audit property files on a random
basis?

Redirection to Mail and Property staff
about auditing files on a consistent and
Immediately
routine basis. Supervisor to provide
follow-up and fcHow-through

Bachman
The officer says she rarely audits the
property files.

Bachman

Bachman

Bachman

Bachman

112712011

Required Services - In those
instances where an inmate does
not pack hisJher property, does
Not au property forms were cross·
the inventory indicate receipt of checked
each item by cross· checking the
·receiving· column?

Redirection and training to staff
through discussion and briefing topics
about cross checking property forms
Immediately
when an inmate is received to ensure
au property is accounted for andlor
annotate any discrepandes.

Required Services -Is the
visitation schedule posted in the The visitation schedule is not posted in
registration , visitation and inmate the registration or in the visitation rooms.
housina areas?

The VISitation schedule is now posted
upon entry into Admin area for visitors 211812011
toview.

Required Services - Randomly
select 10 files

Redirection to VISitation Staff to ensun:
applications are stamped received.
313112011
Currently Visitation staff are auditing an
files to ensure compliance.

(1) file did not contain a 911-1 form

Some officers were observed wearing
Jackets without a replica of the breast
badge.

Redirection to Supervisors about
ensuring they conduct routine Uniform
Immediately
inspections on staff and redirect those
staff out of compliance PI' poIiey

Bachman

Required Services - Were
uniforms observed to be clean. in Officers were observed wearing faded
good condition and devoided of trousers.
stains or patched areas?

Redirection to Supervisors about
ensuring they conduct routine Uniform
Immediatety
inspections on staff and redirect those
staff out of compliance PI' poIiey

Bachman

Required Services -Are legal
boxes labeled to indicate total
number of boxes in stomge?

boxes, only one set of boxes were
labeled conectly.

Bachman

Security Devices - Does the
Chief of Security maintsin a
current file of all documentation
relating to inspections.
maintenance requests. follow-up
actions. and preventive
maintenance progmms within the
institution/unit?

The COS does not maintain a good
system for tracking security device
deficiencies. Thefe is a current log
explaining the latest delay in repairing a
security device but there is no historical
data for tmelting the delays

Required Services - Uniforms I
jackets
Bachman

or the (3) Inmates who have legal

Security Devices - If deficiencies

were discovered. were aD

Bachman

Work Orders are submitted but not
appropriate documents submitted
Information Reports
information reports and work
orders?)

Security Devices - Were
appropriate entries made in the
Correctional Service Journal?

Entries did not indude IR or Work Order
numbers in journal

Bachman

Redirected Mail and Property staff to
number legal boxes. Finding has been 212812011
corrected and fixed.

NA
This system is on a shated drive and
electronically tracks. Historical dats
can be pulled as necessary.
Redirection to stsff and Supervisors
about ensuring Information Reports
are completed for an Work Orders.
Chief of Security to follow up and
ensure compliance.

Immediatety

Redirection to Staff and Supervisors
about ensuring the Correctional
Immediatety
Service Journals reflect the Work
Order # and IR #. Supervisors to follow
up and ensure compliance

Security Devices - When
deficiencies are noted. does an
Entries did not indude IR or Work Order
documentation contain the cross numbers
referenced information reports?

Redirection to staff and Supervisors
about ensuring Information Reports
are completed for aD Work Orders.
Chief of Security to follow up and
ensure compliance.

Bachman

Tools - Are aD tools color - coded
The color - coding is wom off a majority
using the applicable unit's
of the tools.
assiQned color?

Brown paint received. Tool Room
Officer is currently in the process of re- 211812011
color coding aD tools.
Corrected. Officer Schwiesow who
oversees Key Control. has shadowed
and inventoried the Key Control tool
box.

Bachman

Tools - Are class A tools stored in
tool pouches I boxes cIeaIty
The Key Con1roI Toolbox contains Class
marked. and shadowed within the
A tools is not shadowed.
tool carrier. for ease of inventory
and visual monitoring?

Bachman

Immediately

212412011

Tools· Ale M aster "wenton.,
compleled monlhly.

The COS does IIOt receIve a copy 01
MedICal MISter TooIlnvenlory

MedIcal ToolS nave been added 10 Ihe
TooIlnvenlory'o< 1he Unit ChIef of
212&12011
SeoJnty WII rec;elVil and rl!'Int!W 1001
Inventories on. MOfII/IIy ~SIS .

Tool s · Ale loots SIOfed on a
shadow ~rd ..... 111 U\adaw lII,n
doseIy .esembies U\e tool?

The Key Ring Cnmper which IS a class A
tool i. stored '" a Iodte<l drawer In the
Key Control OffICe and II IS nol
shadowed

Corrected atr..:er $ctrMet.OW who
oversees Key Control. hn ~adDWf!d
and Inventoned UIe Key nog crimper
AI Key Control tools NlV1t been moved
10 Unil ToolRoom

Bachman

Bachman
Tools · Does \he oftjceJ signing
0UI1he tools keep a CO9\' oIlI'Ie
compleled !orm7

""''''0

Toofs ' Does the perllOn who
Sl!lned outlln lhe tools k~ II
CO9\' 01 the sig ned OUI s.heets in
thefe possession v.tIiIe lI'IeYl\ave
tne tools sig ned oul?

Bachman

Morey
CLASSI FICATION

Morcy
CO UNT MOVEMENT
Morey
COUNT ~ I OVEMENT
Morcy
COUNT MOV EME NT

MOTeY
COUNT

~mV EM ENT

Docs thc inmatc's assigned
CO III notify thc inmate of
the Cent ral Office
Classification aclion and
notme in A I ~'I S II hen the
inmate has been notified
and or the inllmlc's right to
Appeal?"
Docs the un it hal'e a picture
board that is updated and
matches the unit inmate
count?
Observe :1I1 officer clearing
count. Is this procedure
done correctl y?
Is the shill supcn'isor
acti\cly invol\'cd in the
count process 10 ensure its
accur:lc !!"

Tne Wor1< Crew atticar does nol keep.
copy 01 U\e 7 I 2~ form on h,m· he
uans'." 1he ItItormabOn 10 the 0U1 COItfII

m~I2CJ11

'~m

Redirection to WOt1< Crew attire •.
Whenever he liaS hIS work Ct~ out. a
Immed.alely
copy 01 Tool Chedt 0\.11 Form 7 12~
wil l>!! on hIS person

Tile Wor9t Crew Oif.ce. does nol ~eep a
copy 0I1he 712.( form on hIm · he
Irans!ers lI'Ie ,",orma~on to the oul COUnl
form

Rediredion 10 Worit Crew attIc,",._
wne",",ver he has Ius work Ct~ out •
Immediately
copy of Tool Check 0\.11 Form 71 2~
will>!! on his pe.$OIl

Unit COllI's not maki nG entries
on All\-IS screen.

COllis ha\'e been redircrted to
make sure inmates are notified
when they may appc:lI :I Max
Custody decision :lnd to make
DT08 2/ 10 comments ror
tracking.

2116/2011

68 photos missing rrom count
bU<lrd.

The un it is in full compliance.
all pictures hal'e been printcd
and posted on Ihe Cou nt Board.

m!t2011

Count Officer is clearing coum
wi thout notirying the Shill
COlllnmnder.
No supen'isor involvemenl was
observed during rormal count.

Docs the shift supervisor or
No. count being cleared by
commander cle:lr all rorm:ll
Count MOl'emcnt officer.
counts?

Count MO\'cment Officer is
2116/2011
notirying Shill Commander
when count cle:lrs.
The supervisors h:ll'e been
redirected. shill
21161201 I
Commander/supc!'n iSOT :Ire no\\'
resent du ring COlJllt
The supcn'isors h:lI'e bccn
redirected. shill
2116/2011
Commander/supervisor <lrc noll'
rescnt durin.!!, count

Morey
FOOD SERVICE

Morey
FOOD SERVICE

Morey
INGRESSIEGRESS

Checked all inmates currently
assigned to kitchen and
discrepancy corrected.
Implemented kitchen medical
clearance check prior to
assignment and monthly review
of inmates assigned to kitchen.

211512011

There were no outlet covers on
south wall of kitchen and no
evidence of action being taken.

Work Order 87822 submitted,
corrected on the spot.

211712011

Inspectors cell phone not
checked, food items waved
through the metal detector, and
hand wand on site not working
properly.

Direction has been provided
regarding ingress I egress and
compliance with DO 513. The
OW and ADW has been present
on several occasion to ensure
full compliance.

211612011

Direction has been provided
regarding ingress I egress and
compliance with DO 513. The
OW and ADW has been present
on several occasion to ensure
full compliance.

211612011

Glass candle jars and non-see
through containers observed in
various areas

All glass items (candle jars) and
non clear items have been
removed from the various
offices and unit.

211612011

Some of the items in briefing
room refrigerator were not in see
through containers.

Non-Compliant items removed
from the unit. Direction
provided to ensure that DO 513
is enforced.

211112011

Review AIMS screens for
all inmates assigned to the Two inmates who are currently
kitchen. Are all inmates
assigned in the kitchen were not
assigned to the kitchen
cleared by medical.
medically cleared?
Are equipment repairs
handled correctly, and in a
timely manner?
Observe staff and other
persons entering the unit to
determine compliance to
post orders I unit directives.
Are assigned staff
compliant with post
directives listed in post
orders?
Are all staff entering the

Morey
INGRESSIEGRESS

Morey
INGRESSIEGRESS

Morey
INGRESSIEGRESS

Lobby officer was busy
unit required to pass
checking backpackslbags and did
through a metal detector
not watch staff walk through the
while being observed by the
metal detector.
assigned officer?
Observe break areas and
offices for personal
property items that are not
in compliance, or have not
been authorized. Are the
areas free of contraband I
unauthorized property?
Observe break rooms I
lunch areas, or other
locations where staff
consume meals. Are
unauthorized I excessive
food items, utensils, or
related meal items present?

Morey
INGRESSIEGRESS

Morey
INGRESSIEGRESS

Morey
INGRESSIEGRESS

Morey
KEYS AND RADIOS

Morey
PERIMETER AND
TOWERS

Inspect unit ingress I
egress points and detcnnine
if there arc locations where
staff can by-pass and/or
defcat this procedure. Are
the locations secure to the
degree staff cannot by-pass
the security station?
Monitor access points to
verifY all staff, and
associated personal
property arc searched prior
to access being granted to
the unit Were all staff
members searched
thoroughly prior to
entering?"
Do assigned staff members
inspect I search all personal
property to include food
items, and require
applicable items to be
cleared via the metal
detector?"
Will a visual inspection of
designated key storage
areas allow for easy
identification of missing
key rings?

No physical barrier preventing
staff from returning to an
unsecured area after passing
through the metal detector.

The unit ehanged the layout by
adding tables as a barrier to
212212011
ensure all staffand items pass
through the metal dcctor.

Staff are not thoroughly searched
I inspected prior to being allowed
to enter the unit

Direction has been provided
regarding ingress I egress and
complianee with DO 513. The
DW and ADW has been present
on several occasion to ensure
full compliance.

211612011

There was no consistent
approach by the observed
officers.

Direction has been provided
regarding ingress I egress and
compliance with DO 513. The
DW and ADW has been present
on several occasion to ensure
full compliance.

211612011

Five key hooks in emergency key
box have two key sets on one
hook. The inventory shows 12
key sets when there arc actually
17 sets.

Does the post journal have
all required entries?
Correctional Service Journal did
Inspect any secondary logs not have security device checks
the tower staff are
annotated.
responsible for completing?

Tool Control Officer corrected
this issue by installing new
hooks so only one key set per
one hook. The inventory
reflects the new change.
Highlighters have been issued
and direction provided that all
security checks are to be
highlighted. Journals arc being
reviewed on a weekly basis for
required entries. Daily journal
cheeks arc being completed by
supervisors with on the spot
redirection i

211512011

211612011

Morey
PERIMETER AND
TOWERS

Morey
PERIMETER AND
TOWERS

Morey
PERIMETER AND
TOWERS

Close custody units - Do
the lights in the adjacent
zones to either side of the
alarmed zone activate when
an alarm condition triggers
the quarts lights associated
with the alarmed zone?
Interview random staff
assigned to the control
room to determine ac
Close custody units - Does
the unit have an external
sand trap at least 15 feet in
width and sloped to provide
drainage without erosion of
sand material?
Close custody units - Is
there one section onO"
razor ribbon vertically in
each comer and at the fence
intersection including on
the yard side where fences
contact buildin2S?

Lights 12, 14,42, and 43 did not
activate when zone accessed.

The zone lights are checked
twice per shift. Norment has
2I22J2011
repaired the zone light and they
are now functional.

Drainage is not proper causing
heavy erosion at first perimeter
fence at lights 38, 39 and 40.

The erosion has bcen ftxed with
212512011
additional sand placed were
needed.

No vertical razor ribbon on the
North/West comer of the B
bUilding.

Work Order 87801 submitted
the material has been delivered
212512011
to the unit with project
completion date of 02125120 II.

Morey
SECURITY DEVICES

Were appropriate entries
made in the Correctional
Service Journal?

Morey
SECURITY DEVICES

Does the Chief of Security
Zone lights out since 12-31ensure SDI work order log
2010, still not functioning on 01repairs are made within
24-2011.
time frames?

No consistency with entries in
Correctional Service Journal

Highlighters have been issued
and direction provided that all
security checks are to be
highlighted. Journals are being
reviewed on a weekly basis for 211612011
required entries. Daily journal
checks are being completed by
supervisors with on the spot
redirection i
The zone lights are checked
twice per shift. Norment has
212512011
repaired the zone light and thcy
are now functional.

Complex EOL liaison Amber
Wiley met with all EEO
liaisons and instructed them on
required monthly duties. Unit
113112011
EOL liaisons are required to
conduct monthly tours on cach
shift and submit a report to
Warden Diaz and EEO
Coordinator Eric Abl
Complex EOL liaison Amber
Wiley met with all EEO
liaisons and instructed them on
required monthly duties. Unit
1/3112011
EOL liaisons are required to
conduct monthly tours on each
shift and submit a report to
Warden Diaz and EEO
Coordinator Eric Abt.

Morey
SECURITY DEVICES

Do interviews with staff
indicate if the EEO Liaison Per the assigned EEO liaison unit
conducts tours or attend
tours and shift briefings are not
briefings/meetings cach
occurring.
month on the Unit?

Morey
SECURITY DEVICES

Does a review of random
EEO Liaison reports
indicate the assigned EEO
liaison is making required
tours?

Morey
TOOLS

Are tools too large to store
on the shadow board in a
The Drag tool secured to wall
location where an outline within the entry of the unit was
resembling the tool is
not shadowed.
clearly shown?

Corrected the next day. The
drag tool is shadowed.

Are tools being signed
out/in appropriately on the Power Auger out but not signed
correct form? (Tool Check out.
out Form 712-4)

Corrected the next day, staffare
now using 712-4 to check out
this tool. The Captain will
ensure a month follow up is
211612011
completed for accuracy in
addition to the GAR through
out the month by the
management team.

Morey
TOOLS

Morey
TOOLS

Morey
TOOLS

Observe posted inventory
sheets. Compare inventory
with stored tool. Is the
inventory accurate?
Are tools stored on a
shadow board with shadow
that closely resembles the
tool?

Per the assigned EEO liaison unit
tours are not occurring.

211612011

Two sets of hair clippers found in
flammable storage cabinet were
not inventoried.

Clippers removed and stored in
211612011
proper area.

Medical Tools are stored in a
filing cabinet with no shadow.

Medical is currently reviewing
their inventory and identifYing
31112011
the medical tools that need to
be shadowed.

Morey
TOOLS

Are all tool inventories
logged into the appropriate No Correctional Service Journal
Correctional Service
being used, and no daily
Journal by those staff who inventory being conducted.
conducted the inventories?

We are in the process of
selecting a dedicated tool
control officer that will ensure
daily inventories are conducted
and journal entries are made.
There are days when no staff
works this area.

Morey
TOOLS

Are updated MSDS sheets
found at all storage
Mixture of current and old
locations, for all products MSDS sheets for the same
found inside the storage
product.
site?

OSHA standard, 29 CFR
1910.1020, Access to employee
Exposure and Medical Records
is being followed. The newest 211512011
sheet has been placed in front in
addition to the required older
forms remaining.

Morey
WEAPONS

Morey
WEAPONS

Are statT members who are
checking the scal on the
DART locker at the
beginning of each work
shift and its condition
documenting their findings
in a Correctional Service
Journal?
Interview the Chief of
Security and Armorer.
Determine the number of
times the locker has been
accessed during the
previous six months. If so,
have there been entries in
the Correctional Service
Journal and IR's been
submitted for each
instance?

211612011

Seal numbers not being entered
in Correctional Service Journal.

Seal log present and direction
regarding its use given. Checks
are being completed by the
captain and supervisors with on
the spot redirection if
necessary.

211612011

Entries not being made in
Correctional Service Journal.

A work Order was submitted to
obtain the necessary razor
ribbon and have it installed.
The material has been delivered
to the unit with project
completion date of 02125/20 I I.

212512011

Morey
WEAPONS

Are weapons issued only to
officers, including TSU and
DART teams, with current Two DART responders did not
Firearms Qualification Card have qualification cards on them.
in their possession when
the weapon is being issued?

Weapons cards are being
checked for members who are
placed on DART at the start of 211612011
shift. No one without their card
will be placed on the team.

Review a random selection
of post journals. Are
command and services staff There were no entries for medical
Morey
visiting as required and/or visits on observed
DETENTION SERVICES
needed (religious,
documentation.
medicaVmentai watch.
counseling staff included)?

Direction issued regarding
logging all visitors to the area
to include medical staff.

Inspect detention facility
Morey
(including cells). Is the
DETENTION SERVICES
area clean and sanitary?

Control Room and bathroom not
clean.

New Post inspection sheets
provided with sanitation on it.
211612011
Direction to staff regarding post
sanitation.

Observe a sanitation
Morey
inspection during a shift.
DETENTION SERVICES Are all areas in the unit
inspected during the shift?

Correctional Service Journal
stated all areas were in
compliance but the Control
Room and bathroom were not
clean to include a bag of trash so
old the food was fermentin~.

New Post inspection sheets
provided with sanitation on it.
211612011
Direction to staff regarding post
sanitation.

211612011

Morey
INMATE
MANAGEMENT

Does the log reflect that
grievances were addressed
Time frames not being mel
by the unit Deputy Warden
within 15 days?

Some grievances were returned
to COlli for further
investigation required or inmate
failed to submit documentation
211612011
for proof of ownership of
missing property. Current Unit
grievance handling procedure
will be revised to meet time
fmmes requirements and

Morey
INMATE
MANAGEMENT

Does the grievance log
reflect the grievance appeal
was submitted to the
warden within time frames Time frames not being met.
and was the grievance
responded to within time
frames?

This has been corrected and
redirection has been issued.
COIV Chiu will ensure time
frames are meet or request an
extension from the Warden.

211612011

Morey
INMATE
MANAGEMENT

When searches are being
conducted, is the search
completed in a fashion
which prevents inmate from
passing contraband to
another inmate during the
search?

Morey
REQUIRED SERVICES

Is all outgoing mail
delivered to the post office
Staff stated it sometimes take 36
within 24 hours unless
hours.
circumstances make
delivery impractical?

We asked for clarification. The
unit does not deliver mail to the
Post Office as it is a complex
TBA
function; complex picks mail
up from the unit every day. We
do not concur with this findinl?.

Morey
REQUIRED SERVICES

Of the files reviewed. does
every 911-1 have the
3 inspected tiles were missing
potential visitors full name,
information (i.e. phone number
date of birth, address,
or relationship).
phone number and
relationshiD filled out?

This was corrected on the spot.
The Visitation Sergeant will
211612011
conduct a monthly audit to
ensure records have aecurate
information as required.

Morey
REQUIRED SERVICES

Is the visitation tile
forwarded to the new unit
within the first working day
following an emergency
movement?

Morey
REQUIRED SERVICES

Were all observed
moustaches, side-bums,
Staff observed with "souland goatee's meeting policy patches"
requirements?

Morey
REQUIRED SERVICES

Were uniforms observed to
Staff were observed wearing
be clean, in good condition,
baggy/worn out pants, and worn
and devoid of stains or
out t-shirts.
patched areas?

Staff not redirecting Inmates
from approaching the Recreation
fence when going to or returning
from meal turn-outs.

One of the inspected tiles
(01124111) belonged to an inmate
who has been housed at Yuma
since 11-15-2010.

This is a daily management
issue and corrected on the spot 211612011
as it occurs.

The visitation Sergeant will
conduct a weekly audit to
ensure inmate records and/or
211612011
property being transferred or
prepared for transport to
include property inventory, as
outlined in DO 909
Uniform and Grooming
compliance is an ongoing
matter that requires daily
211612011
attention. This has been
emphasized to the supervisors
and the Captain will ensure it
occurs.
Uniform and Grooming
compliance is an ongoing
matter that requires daily
211612011
attention. This has been
emphasized to the supervisors
and the Captain will ensure it
occurs.

r-,'lorcy
REQUIRED SmV ICES

W..:n.: unifonll shoes. boots StaO'obs..:r"..:d \\..:aring
and :l(eOUlerll1e1llS shined'! exe..:ssively dirty boots,

Uni fo rm and Grooming
compliance is an ongoing
matter Ihat requires dai ly
attenlion. This has been
emphasized 10 the supervisors
and the Caplain will ensu re i[
occurs.

Morey
REQUIRED SERVICES

Is [he following guidelincs
followed: Class "e
lrous..:rs. :l~ outlined on
}\u:achm..:nl C. may be \\om
Staff obSCf\l>d \\earing BDU
as outlined in 1.2.3.4.2.
These "B. D.U." Sty!..:
pants without blousing them.
trousers slwll be worn only
with military style boots
and shall be worn bloused.
if designed 10 be bloused?

Uniform and Grooming
eompli:anee is an ongoing
mailer [hm requil\."'S daily
alle1llion. This has bt.'"Cn
emphasized to [he supen'iso rs
and [he Captain will ensure it
oceurs,

2/1612011

Morey
REQUIRED SERVICES

Arc officers assigned to
high risk areas wearing
prolIXli"e \·esls. and eye
Sian-were obscm~d in MD U
cover at all times \\hen
with no \ CSIS or 1.')1.' proteclion
engag..:d in activities \\hich being worn.
could result in inmate
conlac t?

This was com:c[ed. [he unit has
ordered more vests and glasses
for staff. All staffha\·e been re
dirccted to ensure safety and
policy requircments.

2/1612011

Tt>ese were SSU s.taff condUCllng
searches. The IJfUt QUTendy does not
Ale otroeers aU'IIne<! 10 h'llh nsl; .reas
Staft ........... Ob~1n
\"\.ave enough ve53 and glas.ses fOf!hl
weanng protl!dMl ve5.1S • • nd eye covet
2/1612011
MOU WIth no vests or eye nllmber of staff MDU Stilft were
al alllmes ...'hen engaged in KWlIIeS
adualy laking CiIR! of the inmates and
prote<;Uon be'ng worn
wInch could re5.llft in inmate contact?
the SSU staff were IO'O"'!I in behind the
MOU staff to sean::h . We il!e worlUng

REOUIRED SERVICES

~'I orey

CLASS IF[CATION
Review 0[95 &Crl!f!n for C0301
and CI)COI appoinl.men\$. Are an
OIIt of date?

••

Shner

2/1612011

Several ,nmate' who were of dale wilen
observong lhe DI9S &Crl!f!n .

This's a stilff Ira;"",," luue.
C",reaional Offoeer N of the Unrt i,
211512011
being held accoun!abie to verify the
0195 SCfl!f!n daily and hold hi,
Correctional OffICers l1("s accoun lable.

1 Interstate Corrections Compact inmate
in the Detention unit. There are no
AIMS comments made.

ICC inmates are separate from regular
inmates and do not require all entries
of dassification. As soon as
211412011
notification is received from the
inmates home state it is entered into
AIMS if a response is received.

Stiner

2. Has the required information
been entered in AIMS?

Stinet"

3. Randomly select an adequate
number of inmates assigned to
Inmate Worll Programs and
review the inmates' AIMS files.
Are the inmates' worll
Health unit porter should not have been
assignments commensurate with assigned to wor1I in the health unit dua
the custody level of the inmates? to his past drug history.

Although this inmate had a positive UA
eight years ago, he has been removed
from the position.

COUNT MOVEMENT
1.
Review a random sample of
Shift Commander is not consistenlly
formal Count Sheets. Is the
signing the count sheets in the
informatlon recorded correctly?
Accountability Office.

THIS IS A BRIEFING ROOM TOPIC
AS WELL AS A
CAPTAlNiSUPERVlSOR MEETING
TOPIC. ALL SUPERVISORS HAVE
BEEN DIRECTED THAT THE SHIFT 211412011
COMMANDER HAS TO BE PRESENT
IN COUNT MOVEMENT FOR ALL
COUNTS-UNLESS THERE IS AN
EMERGENCY INCIDENT
HAPPENING. COUNT SHEETS ARE

2. Review a random sample of
emergency (when applicable)
Count Sheets. Is the Informatlon
recorded correctly? Is the reason "EMERGENCY COUNr is not
for the emergency count
documented on aD count sheets to show
documented?
the count was for emergency reasons.

SUPERVISOR'S MUST BE PRESENT
IN COUNT MOVEMENT AT ALL
COUNTS. COUNT SHEETS ARE TO
BE SIGNED AT THAT TIME. COUNT
SHEETS ARE TO BE CODED "E"
211412011
FOR THE SPECIAL COUNT. THE
COUNT SHEETS ARE TO BE
CHECKED BY THE SHIFT
COMMANDER FOR
THOROUGHNESS.

3. Does the shift supervisor or
commander review and sign all
formal count sheets?

ALL SUPERVISOR'S HAVE BEEN
DIRECTED TO CONDUCT POST
CHECKS EVERYDAY THAT THEY
ARE ONSITE. POST CHECKS
211412011
INCLUDE POST PAPERWORK.
CONTROL ROOM COUNT SHEETS
ARE TO BE SIGNED AT THAT TIME.
COUNT SHEETS ARE TO BE CODED
"E" FOR ANY SPECIAL COUNT.

Stiner

Stlner

Stiner

Shift Commanders are not consisten1ly
signing all formal count sheets.

211512011

FOOD SERVICE
1. Do Food Service Employees
ensure sanitary standards are
met in food service
operations?

Food and trash was observed on the
floor. Walls were dirty and food
preparation areas were not clean. There
was no sanitizer in the rinse sink or in
random san~ buckelS checked
throughout the kitchen area.

Exceptional sanitation standards
cannot be expected during high food
service times. AD efforts are made to
2191201t
ensure that santiatary practices are
ro!Iowed. As for the sanitizer in the red
buckelS we wiD ensure that buckets are
emptied and refiDed on an

Stiner

2. Ale inmates in detention fed
properly?

Cold and hot food are both served on
the same tray. The trays are kept hot in
wanners which makes the cold food
warmlhot.

Hot and Cold foods are seperated as
of 219111. They are transported to
detention in separate carts so the hot 21912011
food remains hot and the cold food
remains cold.

Stiner

INGRESSIEGRESS
1.
Observe staff and other persons
entering the unit to delemtine
compliance to post orders I unit
directives. Are assigned staff
compliant with post directives
listed in post orders?

Stiner

2. Testsystem repetitively during
course of inspection to delemtine
if procedures are applied on a
constant basis. Did staff
There is no consistency in the security 0
the front lobby area. Poor security
consistenlly apply security
practices are used by multiple staff.
protocols during the visit? "

Stiner

3. Evaluate procedure for
inspecting personal employee
property staff are attempting to
introduce to the unil Does the
procedure contain clear direction
for security officers?

an

Stiner

No mention of duties of lobby area fisted
in VISitation 0fIicets Post Order. Staff
entering unit are not challenged for
unauthorized items. Food is not
consistently being required to pass
through the metal detector.

IngresslEgress post orders are being
developed for Complex wide
implementation. Due date for
completion is March 1. 2011.
31112011
Meantime. Stiner has interm
procedures and has notified staff the
proper way on conducting
ingress/egress on the unit in briefings.

Interm procedures set in ptace until
Ingress/Egress post orders are
completed at complex.

31112011

Interm procedures set in place until
Ingress/Egress post orders are
completed at complex.

311120t 1

Interm procedwes set in place until
IngresslEgress post orders are
completed at complex.

31112011

Stiner

4. Does the assigned officer
question each person attempting
to enter the unit in regard to
Not
of the staff are being questioned
possession of contraband items? for contraband
There is no consistency in this process.
Some staff are conducting thorough
inspeclicns. Other staff conducts a
"rough scan" of staff property

Interm procedures set in place until
IngresslEgress post orders are
completed at complex.

31112011

Stiner

S.Does the officer consistently
inspect incoming property for
possible contraband?

Interm procedures set in place until
IngresslEgress post orders are
completed at complex. Signature
memo's wiB be updated upon Deputy
Wardens retum to the Unit on March
7.2011

31112011

There was no observed written
procedure on the post for this. The
protocol in place is ineffective. Staff did
not consistenlly know how to check if a
person was approved to bring on
personal property. My State issued ceO
phone was not regularly checked

an

Stiner

6. Does the staff member have an
allowable personal property form
signed by the current Deputy
Warden authorizing these items?

Some personal property forms are
outdated with signatures from past
Administrators and not aD personal
property is 6sted on forms on hand.

Stiner

7. Observe break areas and
offICeS for personal property items
that are not in compliance. or
have not been authorized. Are the Staff briefing room is duttared with
visible dirty food storage containers and
areas free of contraband I
unauthorized property?
trash on table areas.

Stiner

8. Does the Chief of Security
have copies of aD of the alIowab!e
personal property forms submitlecl
by the unit staff?

Stiner

9. Evaluate procedure for
inspecting food items staff
members are attempting to
introduce to the unit. Does the
unit procedure provide dear
guidelines for assigned staffT

Stiner

10. Does the officer scan food
items. and question any abnonnal
observations such as excessive
amounts. containers which do not
allow for visual inspection. or
questionable items such as metal Officers did no1 question items brought
utensils?
into the unit.

Stiner

Stiner

The Chief of Security does no1 maintain
a
copy of an allowable personal property
fonns. Only copy is stored at the front
lobby.

Old not observe this appropriately
addressed in the visitation officers post
order.

1 1. Does the officer ensure all
food
Not aD food items are required to pass
contairtefS I packages are brough through the metal scanner.
12. Does the officer question any
manufactured food items sealed
in original packaging. causing
difficulty in screening the contents
inside?
Food items were not questioned.

Stiner

13. Evaluate aD public access
points
and detennine if an authorized

Stiner

14. Monitor access points to
verify an staff. and associated
personal property are searched
prier to access being granted to
the unit Were all staff members
searched thoroughly prior to
en1eringT

Staff conducting these duties could not
speak to post orders or protocol. No
reference or instruction was available for
viewing.

Staff are no1 thcnlughly searched I
inspected prior to being allowed to enter
the unit.

Area has been cleaned of an
unnecessary belongings and trash is
emptied twice daily.

211412011

Chief of Security has copies of an
exceptions to 00-513

211412011

Interm procedures set in place until
Ingress/Egress post orders are
completed at complex.

31112011

Intenn procedures set in place until
Ingress/Egress post orders are
completed at complex.

31112011

Interm procedures set in place until
Ingress/Egress post orders are
completed at complex.

31112011

Interm procedures set in place until
Ingress/Egress post orders are
completed at complex.

31112011

Intenn procedures set in place until
Ingress/Egress post orders are
completed at complex.

31112011

Interm procedures set in place until
Ingress/Egress post orders are
completed at complex.

31112011

There was no observed consistent
approach to this. The duties varied
depending on what officer conducted the
inspection or who was around.

Interm procedures set in place until
IngressJEgress post orders are
completed at complex.

31112011

Stiner

15. Do assigned staff members
inspect I search an personal
property applicable items to be
cleared via the metal detector?"

Stiner

16. Inspect unit ingress I egress
points and determine if there are
locations wIlere staff can by-pass
and/or defeat this procedure. Are
the locations secure to the degree The physical set up of this area aDows
staff cannot by-pass the security staff to defeat the process of checking
station?
property brought into the unit.

The lobby tables have been
reconfigured to provide a check point
allowing staff to enter and exit the unit
through the scanner.

KEYS AND RADIOS
1.
Does the inventory list an
available keys, the total number of
each on hand, along with the
corresponding locking device
each key wiQ access?

KEY CONTROL OFFICER HAS BEEN
DIRECTED TO UPDATE HIS
EXISTING MASTER KEY
INVENTORY TO 00-702
REQUIREMENTS. THIS INCLUDES 211512011
KEYIKEY TAG NUMBERS,
LOCKILOCKING DEVICES
LOCATIONS,NUMBER OF KEYS FOR
EACH LOCK. NUMBER OF KEYS ON
EACH KEY RING.

Stiner

The Master Key inventory does not list
the total number of keys on hand. This
information is documented in a sepamte
report (Best report) wIlich is not induded
with the Master Key Inventory report to
theC.O.S.

211412011

Stiner

There were 16 keys sets reported as
being out for repair but are reported
2. Does the inventory match up
"on site" on the daily key inventory
with existing key stock on hand? completed by the officer in main control.
Compare inventory with available 6 were restricted and 10 were nonkeys.
restricted.

KEY CONTROL OFACER HAS
IMPLEMENTED A NEW SYSTEM OF
ACCOUNTING FOR "OUT FOR
REPAIR" KEYSETS. SIMPLY
STATED, THERE ARE NO MORE
211412011
RED-CHIT'S "OUT FOR REPAIR"
KEYSETS BEING CARRIED IN THE
KEY SAFES. IF THE KEYSET
CANNOT BE REPAIRED IN A TIMELY
MANNER-THE KEY

Stiner

3. Does the unit have a monlhly
report on file showing the
inspection and inventory of
keysIkey rings, emergency
keysIkey rings and locking
devices for the past twelve
months?

KEY CONTROL OFFICER HAS BEEN
DIRECTED TO FOLLOW
REQUIREMENTS OF 00-702.
ADDITIONALLY, KEY CONTROL
211412011
OFFICER HAS BEEN DIRECTED TO
PROVIDE THE C.O.S WITH A
SEPARATE COPY FOR HIS
RECORDS.

The key control offICer did not have any
record of any Master Key Inventories
prior to 1012010. The C.O.S. did not
have a copy of any past Master Key
Inventories available for viewing.

Stiner

SOU key sets are not checked out from
Main control. They are stored in SOU
4. Ale aD the key rings Jot a unit control room. They are not accounted
or
for
specified zone (i.e.: complex
accurately on a key control log. The log
security) stored and issued from is
designated Central Control Area? in place but not tiDed out correctly,

THIS IS A STAFF TRAINING ISSUE, A
BRIEFING ROOM TOPIC AS WELL
AS A CAPTA1N1SUPERVISOR
MEETING TOPIC. ALL
SUPERVISORS HAVE BEEN TASKED 211412011
WITH CHECKING POST
PAPERWORK FOR MAIN
CONTROL ROOM AND SOU
CONTROL ROOM THIS INCLUDES
THE ACCOUNTABILITY OF KEYS.

Stiner

5. Each time a key set is issued,
or returned does the off'lCer
responsible make the appropriate
entry in the Key and Credit Carcl
Control sheet (Form 702-1)
specifying at a minimum: Key
number, date of issuelreturn,
name of authorized staff member,
inilia

THIS IS A STAFF TRAINING ISSUE, JI
BRIEFING ROOM TOPIC AS WELL
AS A CAPTAIN/SUPERVISOR
MEETING TOPIC. ALL
SUPERVISORS HAVE BEEN TASKED 211412011
WITH CHECKING POST
PAPERWORK FOR MAIN
CONTROL ROOM AND SOU
CONTROL ROOM THIS INCLUDES
THE ACCOUNTABILITY OF KEYS.

Stiner

6. Does each emergency key ring
have a deariy visible color coded Duplicate emergency key set #2 is
tag to identify the portals and/or supposed to be color coded white.
buildings the key set wiD access? There is no color painted on the key sel

ALL UNIT EMERGENCY KEYSETS
HAVE BEEN CHECK BY THE KEY
CONTROL OFFICER AND
REPAINTED IF NEEDED.

Stiner

7. Does the staff member
demonstrate the ability to obtain
and utilize emergency keys?
Randomly select a staff member
from each unit and each shift and
dlrec:t them to gain access to the
emergency keys for a specific
location and monitor their
progress.

THIS IS A STAFF TRAINING ISSUE.
A BRIEFING ROOM TOPIC
TRAINING HAS TAKEN PLACE ON 211412011
ALL SHIFTS AND A ROSTER HAS
BEEN COMPLETED TO ENSURE ALL
STAFF HAVE RECEIVED THE
TRAINING.

Stiner

8. Ale the radios serviceable and There were 8 radios noted as
unserviceable with no action taken
caD signs, dear transmissions, no to repair and replace into service.
unnecessary conversation?
Key controt ofIicer was aware of them.

Radio Services was aware of the need
to repair and asked the unit not to
send them as they do not have staff to
repair them at this time.

Stiner

PERIMETER AND TOWERS 1.
MecflUrn Custody units- Do the
lights in the adjacent zones to
either side of the alarmed zone
activate when an alarm condition In 2 separate tests, the perimeter lights
triggefs the quarts fights
do not activate wilen the zone is
associated with the alarmed
activated.
zone? Interview random staff
It was manuaDy activated only during an
assigned to the
ICS in the evening.

This was a contract issue. The Ughts 211012011
for zone alams would only light up after
dark. The system was on a photo cell
system. This has been removed.
Zone Ughts wiD now activate during
daylight hours as Jot darkness.

Restricted keys in the "Restricted key
box # 2 are not signed out through Main
control. Key set 31 (restricted) was not
Signed out on the key check out log.

Staff interviewed were not able to
describe the process and required
prompting to answer how to access and
use the emergency keys.

being utillZed properly i.e. use of

211412011

Stiner

No perimeter lights activated during
zone
alann testing. When the lights were
manually activated, a light was observed
as being inoperative in the North west
2. Medium custody units-lf the
syslem has perimeter lighting, are Comer just adjacent to CIP. (The
aD applicable lights operating, with second
no sign of visible damage, Of
light west from the shared fence with
Barchey)
wear?

Stiner

SECURITY DEVICES
1. When deficiencies are noted,
does aD documentation contain
the cross referenced information
report number from the
corresponding information
report(s)?

Information Report numbers for SOl
discrepancies and work orders are
not Included in Correctional Service
Joumals consistently.

Stiner

SOl's reported on the weekly report are
out of time frames. 8121/07 is the oldest
2. Does the Chief of Securi1y
reported discrepancy with is being
ensure SOl work order log repairs reported as a contractual iSSUB. The
are made within time frames?
next oldest reported SOl is 214/10.

Stiner

3. Does the Chief of Securi1y
ensure staff members complete
the requited inspections of
securi1y devices?"

Stiner

4. Does the Shift
Commander/Supervisor ensure
staft members complete the
required inspections of security
devices?

Stiner

5. 00 interviews with staff indicate
if tile EEO Liaison conduct tours
or attend briefings/meetings each Staff interviewed did not know wIlo their
EEO representative is.
month on the Unit?

Stiner Unit perimeter lights were on a
photo cell system at time of the audit.
NOfment has taken this photo ceO out
to alJow the lights to activate during
sunlight times. The burned out lights
have been replaced.

211112011

Supervisors have been directed to
ensure these items are included in
journals. This is a briefing topic and
2115/2011
supervisor meeting topic with the Chief
of Security.

The Chief of Securi1y is now tracking
am SOl's to insure repairs are being
completed in a timely manner. Contact
211112011
between the Chief of Security and
Complex maintenance manager is to
take place if repairs are not completed
in a timely manner. All sors f

Staff do not accurately document SOl
issues in Correctional Service Journals.

211512011
Staft are reporting SOl issues on
information reports and are now
logging them into the service joumals.

Staff do not accurately document SOl
issues in Correctional

Staff are reporting SOl issues on
information reports and are now
logging them into the service journals.

211512011

Stiner Unit now has a EEO liaison.
Sgt. Hawethom wim be going to EEO
training on March 14-16,2011.

TOOLS
1. Ate tools stored on a shadow
boanI with shadow that closely
211412011

resembles
thetDol?
Stiner

Some shadows dO not resemble the i0oi
it is associated with.

All Unit tool shadows have been
repainted to more closely resemble the
outline of the assigned tool.

Stiner

2- Are tools being signed outIin
appropriately on the ccrrect form? Not aD tools are consistenUy or correctly
being signed in/out.
(Tool Check Out Form 712-4)
3. Are inventory sheets placed in

aD areas where tools are stcred
Stiner

Stiner

Stiner

Stiner

within the authorized location?

4. Observe posted inventory
sheets. Compare inventory with
stored tool. Is the inventory
accurate?

5. Did the officer ensure aD
appropriate documents were
completed?

6. Are aD tools permanently
engravec!Istamped and caIorcoded?

(This finding has to do with the
barbering equipment being returned
after hours by swings) THE TOOL
ROOM OFFICER PERSONAlLY
SPOKE TO THE SWING SHIFT
STAFF THAT WAS NOT
FOLLOWING THE POSTED TOOL
ROOM AFTER HOUR
PROCEDURES. THIS ISSUE HAS
BEEN RESOLVED.

21912011

Not aD tool locations have a proper or
accurate tool inventory posted on them.

AD locations storing tools has an
updated, accurate tool inventory
posted.

Tool crib #3 inventory is inaccurate,
off by 3 tools.

THE MASTER TOOL INVENTORY
(ACC FORM #712-5PF) WAS
COMPLETE AND AT 100%
ACCURACY FOR STINER UNIT. THE
21812011
MASTER TOOL INVENTORY WAS
POSTED BY THE ENTRANCE TO
THE TOOL ROOM FOR THE TOOLS
LOCATED INSIDE. THE AUDITOR IN
THIS FINDING IS REPORTING A
"WORKSHEET" T

There are tools fisted on multiple tool
inventory sheets.

THE MASTER TOOL INVENTORY
(ADe
FORM #712-5PF) WAS COMPLETE
AND AT 100% ACCURACY FOR
21812011
STINER
UNIT. THE AUDITOR IS REPORTING
A FINDING DISCREPANCY
BETWEEN
THE POSTED MASTER INVENTORY
AND A SEPARATE INVENTORY
PLACED INSIDE OF A CIRCULAR
SAW CASE JUST

Not aD tools are permanently engraved
or calor coded

THE AUDITOR IS REPORTING THE
NEW SLICER BEING IN THE FOOD
PREPARATION AREA NOT BEING
COLORED CODED OR ENGRAVED.
THERE IS SOME DEBATE AS TO IF
THE UNIT ENGRAVES IT, IT WILL
VIOLATE THE WARRANTY•.. THIS IS
A WORK IN PROGRESS THROUGH
CANTEEN.

211412011

Not aD tools have the units identified
calor cade painted on them.

THE AUDITOR IS REPORTING THE
NEW SLICER BEING IN THE FOOD
PREPARATION AREA NOT BEING
COLORED CODED OR ENGRAVED.
THERE IS SOME DEBATE AS TO IF
THE UNIT ENGRAVES IT. IT WILL
VIOLATE THE WARRANTY ..• THIS IS
A WORK IN PROGRESS THROUGH
CANTEEN.

The door accessing the tool storage
area was obseM!d being left open and
nol secured. Tool cage was locked but
there was no seal placed on the cage
door.

NEED MORE INFORMATION ON
THIS
ITEM. THERE WERE NO
REPORTED
INSTANCES OF THE TOOL ROOM
BEING FOUND IN THIS CONDITION
BY
THE AUDITOR OR ANY STAFF THAT
WERE WITH THE AUDITOR DURING
THE AUDITING PERIOD. THERE IS
NO REQUIREMENT IN POLICY 00712FORA-

Stiner

9. Are aU tool inventories logged
into the appropriate Com!ctional
Service Journal by those staff
who canducted the inventories?

Not all toots are logged into the
appropriate canedional service
journal. (i.e. suicide scissors not
logged in an control room journals)

THIS IS A BRIEFING ROOM TOPIC
AS WELL AS A
CAPTAlNlSUPERVISOR MEETING
TOPIC. AlL SUPERVISORS HAVE
211412011
BEEN TASKED WITH CHECKING
THE POST JOURNAlS TO ENSURE
COMPLETENESS TO INCLUDE
ACCOUNTING FOR THE - SUICIDE
SCISSORS'.

Stiner

10. Are all shadow boards dean.
and clearty marked with
silhouettes closely mirroring the
toots to allow for easily visuaJ
inspection and inventories?"

Kitchen toots silhouettes do not match
shape of tool.

All Unit tool shadows have been
repainted to more closely resemble the
outline of the assigned tool.

Kitchen toots are not signed In/out
ac:curately.

KITCHEN STAFF HAVE BEEN
REDIRECTED TO ACCOUNT FOR
ALL OF THEIR TOOLS AT AlL
21912011
TIMES. ADDITIONALLY. THEY
HAVE BEEN DIRECTED TO HAVE
MORE DILIGENCE AND ATTENTION
TO DETAIL -PRIOR' TO THE TOOLS
LEAVING THE KITCHEN.

Stiner

Stiner

Stiner

7. Are an Iools calor-coded using
the applicable units assigned
calor

8. Is this location secured at an
times. with a seal. and a master
inventory cantained

11. Are an kltchen toots checked
in I out using Tool Check Out
forms, wtlich are kept on-site for
30 days by the Food ServiCe
Supervisor?

211412011

Stiner

WEAPONS
1. Examine the weapons and
ammunition for serviceability.
Does the Armorer estabfish and
maintain a system of chec:ks and
standards to ensure that firearms
were maintained and in functional Weapons in tower are rusted and very
condition?
dirty. There does not appear to be a
check conducted on the unit weapons to
ensure fundionaJ ability.

Stiner

2. While conducting your physical
inventory of weapons, check a
random selection to assess the
quality of the repair and cleaning
of these weapons. Do the
weapons inspected appear dean,
and serviceable?
Weapons are visibly dirty and rusted.

Stiner

3. Are aD assigned weapons
inspected, tested, cleaned and
maintained according to the
requirements listed abova?

Stiner

4. Is an accurate inventory of aD
assigned firearms, operational
ammunition, chemical agents and
other equipment being completed
weeIdy using the Weekly
Inventory is conducted only when the
Inventory, form 716-3?
weapons !ocker is opened.

Weapons are visibly dirty and rusted.

Stiner Unit does no1 have a "manned"
tower. AD weapons are secured inside
21912011
a locker located in the tower. AD
weapons are checked and exchanged
by Complex Armor.

Stiner Unit does not have a "manned"
tower. All weapons ase secured inside
21912011
a locker located in the tower. AD
weapons are checked and exchanged
by Complex Armor.

Stiner Unit does not have a "manned"
tower. AD weapons are secured inside
21912011
a !ocker located in the tower. All
weapons are checked and exchanged
by Complex Armor.
Weapon !ocker is secured and has a
number security tag. Tag is now
checked each and every shift. The tag 211612011
number is called to main control and
logged in the service journal.

00 not concur. 00 Patton reviewed

Stiner

DETENTION SERVICES
Review records of a random
selection of inmates under
investigation

1.
Inmates in detention (2-A) beyond 30
days with no extension

10 Minute watch was out of time frames
by 12 minutes (22 minutes since last
entry).

Stiner

2. If there is a watch during the
time of the audit. are the watch
procedures in compliance?

Stiner

3. If there is a watch during the
time of the audit, observe
performance of security staff and Staff observed not wearing stab vest or
are they in compliance?
safety glasses while posted

the detention report and the inmates
21912011
reviewed did not require an extension
for a 2A. It appears the auditor just
looked at the file and no1 the complete
status of the inmate.
Staff have been redirected.
Supervisors are directed to make this
a briefing topic and supervisors are to
211512011
be held accountable to check the logs
twice daily and hold staff accountable
to follow the watch orders.
Staff have been redirected.
Supervisors are directed to make this
a briefing topiC. This is also a
supervisor meeting topic with the Chief
of Security.

Stiner

Stiner

Stiner

4. Are the campleted Observation
Records submitted for the shift
commander's signature at the end
of every shift?
5. Does the mental heaIthIhealth
care staff visit the inmate evety
four hours? Are the visits
documented on the Observation
Records?

Not an observed Observation Records
are signed by shift commander.

Mental Health staff do not document
visits on Observation Records

6. Are security staff documenting
a visual check of the inmate every
thirty minutes or as othetwise
specified by the mental health
TIme frames for some observed watches
watch order?
were out of time frames

Staff have been redirected.
Supervisors are directed to make this
a briefing topic. This is also a
supervisor meeting topic with the Chief
of Security.
Staff have been redirected.
Supervisors are directed to make this
a briefing topic and supervisors are to
be held accountable to check the logs
twice daily and hold staff accountable
to follow the watch orders.

Searches were observed being
conducted but not entered into the
correctionaJ service journal.

Staff have been recftrected in the
proper procedure of logging searches
into the service journal. This is a
briefing topic as wen as a supervisor
meeting topic with the Chief of
Security.

Some viewed files just have a date
stamp without the word "received".

A stamp has been ordered for this
function. Unit received the stamp and
211712011
is now in use.

Stiner

INMATE MANAGEMENT
1.
Are searches of Interior and
exterior cammon areas conducted
and documented?
REQUIRED SERVICES
1. Are applications stamped
"Received" including the date on
the reverse side?

Stiner

There are two logs present to account
for
incoming I outgoing inmate visitation
2. Does the visitation staff
1iIes.
maintain a permanent record log There are no record of incoming
reflecting receipt and/or transfer visitation
of aD inmate visitation files?
files since 0212010.

Stiner

Staff have been rediroc:ted.
Supervisors are directed to make this
a briefing topic and supervisors are to
be held accountable to check the logs
twice daily and hold staff accountable
to follow the watch orders.

Stiner

3. Are inmates screened for
allowable items?

Inmate In non contact visit was observed
with pieces of plastic comb in holes in
his ear lobe. This was not addressed by
security staff.

Stiner

4. Are inmates strip searched by
staff prior 10 exiting the visitation
area?

Inmate from non contad visit was not
stripped searched once the visit was
completed.

Logs are present Staff have been
directed by the Correctional Officer IV
10 utilize them for any files incoming or
211512011
outgoing.

Staff have been redirected 10 observe
inmates entering into visitation. Stiner
is currently in the process in rotating
211612011
staff out of this position.
AD inmates leaving visitation win be
strip searched. AD staff have been
advised in briefing and this is a
supervisors meeting topic with the
211412011
Chief of Security.

Stiner

5. Is court ordered IIi$i1ation
conducted on the 1sl and 3rd
Friday or each month?

Scheduled through OW secretary. Not
scheduled on 1st and 3rd Friday of each
month.

A list of aD oourt order visits has been
established and given to the Deputy
Wardens secretary to ensure thai
these visits take place on the firsl and
211612011
third Friday or each month.
Shift Commanders have been advised
that they need to sign the visitation
211512011
journal each and evert day.
Visitation staff have been advised they
need to log in the On-Site Duty Officer
211512011
when they arrive on the unit.

Stiner

6. 00 shift commanders tour
visitation at a minimum or once
per shift during visiting hours?
7. During visiting hours, does the
on-site dUty officer tour visitation
once per shirt?

Stiner

8. Are Attorneys or their agents
contacting the Warden or Deputy
Warden alleast 48 hours in
advance and provide there name, OW secretary stated she is unable to
date or birth and Bar number?
meel the 48 hour requirement.

Attorneys are contacting the Deputy
Wardens office 48 hours prior to
requesting a visit The seaetary
understood the question as are the
visits completed within 48 hours.

21912011

Stiner

9. Are court ordered visits
documented In the inmate's
visitation file?

CPS case worker was notified on
211512011 and notified thai the unit
needed a copy of this oourt order.
Case worker has faxed copy of court
order and has been placed in file.

211612011

Sllner

10. Does the contraband officer
maintain comprehensive records
or the diSposition or aD
contraband, physical evidence,
unauthorized property and
Blue Yard is logged. Destruction Is out
unclaimed property?
of date. Red Yard is not logged.

Red and Blue yard is logged in the
same log now. All destruction sheets
are up to date.

211412011

Stiner

No Correctional SeNice Journal entries
showing shift commanders touring.
No Correctional SeNice Journal entries
showing on-site duty officer touring.

Hendrix 210836 receives court ordered
visits but does not have documented
court ordered visits in his file.

Stiner

11. Does the Contraband Control
0ffice1 periodically revi_ each
case to determine whether
criminal
or disciplinary charges were filed?

Contraband Control Officer (Property
officer conducts dulles) is unsure of
this requirement and does not conduct
periodic revi~.

Stiner

12. Were uniform shoes, boots
and acoouterments shined?

ObseNed boots _

dirty.

Contraband OffiC8f(property
officer)does nol store dangerous
contraband for criminal or disciplinary
charges. This c:cntraband is tumed
over to Lewis Complex CIU. Property
Officer Is very proficiant on 0090921912011
914.
Stiner Unit has produced a uniform
inspection form for aD shift supeNisors
to check staff uniforms daily for non
911612011
compliance.

13 Is Ihe loIlowing guidelines
loIow<!<!' Class -C- lIou ....rn.
as ouliined on Attachmenl C.
may be worn as outlined in
1.2_3.4 .2. These
style
IIOu.... 's shal be worn only with
mi~ tary slyle boots and shaJ be
worn bloused. II deSIgned I

Staff wearing BOU style pants were I'lOI
al bloused as dlfeae<!

Stiner Unit has produced a uniform
inspectIon form 10<' a l shift superv,sorn
10 chedr. Siaff uniforms daily fo' non
a>mpliance
911612011

14. Are unifO<'m accou:errnents
observed autl>onzed under the
ptoVlo.ions of this department
O«Ier. and worn appropriately as
pte...:ribed within?

Some staff weanng B Of A style unrlOtnl
5hi l"l5 dJd nol have name lag on un ~orm
shi rl-

Stiner Unit has produoed a uniform
Inspection lorm for .. 1 shift supeO'\lisorn
10 chedr. staff uniforms da<ly for non
compliance.
91 1612011

-e.o_u.-

Sbner

C LASSln CATIO N

II. IhC-~~lll'
EAGLE P01 NT IS UNRISE

lIas
COlV.
!DepulY Warden, or designee
linitiated 3 recl assification
laction on Ihe 0199 and Ihe
DT08 10 sc rcC Ii for custody

; Responsc: Concur

11'1"",,' ·11" COIV did ""' I,,""d,
!coml11 cnts on the DT08 screen

1---- ... . ... _- i:'~:',~~::,~::I~-~-d,-:-:-O-I--I L:~, :,-,-C-.-OI ~ad
!EAGU: I'OINTISU NIH SE

irecei\'cd Ih c rC(jui red initia l
land re fres her Imining?

...___ __1__. __.

-. ---.- ......... ......_...__._---

:::');";';:::: - ' - - ' "

!rcfres her COllr5C al limc o f
:inspcclion.

.... _. ___ ._._..1...

COUNT MOVEl\·I EI\'T

[ The COIV will add comments 011
iall di ~cre l ionarY overrides cven
ilmmcdi31c1Y
)when Ih q ' agrc~ with Ihe CO II I
!comments 10 acknowlcdge th e
(overrid e approval.
; Rcs ponse: Concur

.. ....

[-

,

,
-'I Ncxt Tr;li ning class - Dale 10 be d~l c rm i n cd
iThc COIV was unable to allenu
.
by Centr~ 1 Office somelime in Morreh
i~nd will be scheduled for Ihe nC.\'1
i~aining.
... __ ._. ___ ._
-~

........._-.......,
jRcs ponse: Concur
!AIl5uperviSOr.; ha\'c been rc,
!dirccled thai thev need 10 be in Ihc :
iaccountab ility office uuring cOunt !lmmeu ' 3tdy
ito ell5ure all documentation is
!
i
;
jcomplclc and accurate. They arc to !
Isign counl sheets oncc the count IS (
!correct and all assigned inmales .

jEAGLE I'O[NTIS UN RI SE

I

,

FOOD

SERV"IC"E~_ __

r····--··..._··························--I--·······-···········-···----············1············....- -..-.-.......- ..............-...........
! 1. Review AIMS screens for !

!
'1'

EAGLE POINT/SUNRlSE

I
!

jall inmates assigned to the
Ikitchen. Are all inmates
iassi~ed to the kitchen
Imedlcally cleared?

L •••••______....................... I

r····.._ ..··.._·__·_·········

........__....._

..........................._ ........---r. . . . . . . . _. -.. . . . -··. . . ·__· · · · · · · · _. .··-·r-·-·····-···_···········.-....--.-----................

I

..l......__._............___............._.............._

......._ ............_

INGRESSIEGRE=SS"--_ _
all<-d--

-

lor removed from the unit A copy
!ofthe policy and (new pas

!

I

IFinding: Several items sealed in

i

I

I

i

1
t-j----

!Response: Policy review needs to !

any manufactured food items !original packaging (bag of chips.
,sealed in original packaging, candy bars) wen: allowed entry
!causing difficulty in screening without the officer questioning
Iabout them.
!the contents inside?

I

!
!

!

I

i
............._._........J

;

I

!
II

~~~!

!
112. Does the officer question

I

,

I
i

.

I

,1,

I
i
I
5 !

,

!
!

------.--.. . . .-.-. . . .

I~d~~

Ithe metal detector. If the food fails II
d' I
ito clear the metal detector the food nune late y
iitem may be opened for inspection

: !

!

!Response: C o n c u r !
!
'I
IThe issue was addressed
!Inunediately
iimmed~ateIY. ~t was an oversite andl
icorrecllve acllon was taken.
i
...___5•••••••••_ ••••••••••••••_ _ _.............................._5_ _••••••••••••• _...........

1,,__ -,
.
I
ka
' m mg. ot
100
I"UUU contalDers pac ges arc 5
• ersI
k
I arcd
!brought through the metal
!contalD pac ages were e e
!detector?
ithrough the metal detector.

I

EAGLE POINTISUNRlSE

~

!

!Finding: Not all of the inmates
!
!assigned to kitchen were medically !
icleared.
i

h'''''''lheorr="""", ..lF--d-N
IEAGLE POINT/SUNRISE

~-

,
!

j!

I

i

IAII staff have been reminded that I
lall food and packages arc to clear linunediately
!the metal detector. If the food fails I
ito clear the metal detector the food
litem shall be opened forinspection
lor removed from the unit.
I

!

I

!
!
i

I

·····..········__·__··..··············_·_·..····t····..···········_·············-_·_--······t·....···············_--··············...················--.... i··········..·······......._ ......_.---;--............_ ........_ - _................_ ..........i.-_ _ _....................._•••••••••_.....__.._.............................._=
!,
j
,!
I
,!Response: Concur

hA

II taff
hers
!Finding: On 1126/11 persons!
!' ~ ad s
mthroem gh
!entering unit did not clear the metal I!
,requlfC to pass
u a
'd
be"
. .
i
tal
d
d
I
th
i etector lore gamms access to
EAGLE POINT/SUNRISE .me
an
c
ear
e
's
.
Th
ff
~-..5
etector,
5
•
. .
5 unnse.
e sta cIeared them.......
,scanner,
pnor
to
gammg
'd
E
gI
P'
th
dr
i
th' ?
i etector at a e omt en ove to 1
,access to e urnt.
's
.
,
, unnsc.
i
:

I

I

I!

!
!AlI staff at both units will clear the
, tal d
....
. th
Ime
etector \men entermg e
nunedl'ately
,lunlt.
. Staffh ave been red'lrected on
' this,
i'this maUer. Post 01'd
ers contam
'd'
.
,
,I
: IfCctlve.

'

I

I

.

r. . - -. .

! Do asslgne
.
d staff members'i
14.
linspect/ search all personal IFinding: On 1126111 and 1127/11
property to include food items" personal property was not searched
and require applicable items to!nor cleared the metal detector at

l_

[U;"

I=~.~mam
KEYS AND RADIOS

I

I

i

All staff will have their property
isearched prior to entry into both Ilmmediatel y
!units. Staff have been redirected oni
!this matter. Post orders contain this!

----"--,

,------,
j-...

'-----;,---'

II. Are all emergency key rings!

!clcarly delineated as such, and i. . . '
1
d' th Insti . nal
Fmdmg. Emergency key mventory
.store 10 e
tullO
d
. ·d·th
Ik
i
. th't
oes not comci e WI actua cys.
!armo~ or 10 e urn armory Inventory listed number, but the
•for units not closely located or
b d'd
h th k
i.
num er I not matc
e ey set.
jln a secured control room for Th k
nl I bId ·th
1 .
'th t
e ey set was 0 y a e e WI
iUOlts WI ou an armory,
the alpha code.

I:=~f~~=

l

I

directive.

1

EAGLE POINT/SUNRISE

iResponse: Concur; however, a
!policy review needs to be
lcompleted.

-----,---·---------'i-----'

!
.!
.
i

!R
C
! esponse: oncur

i

i•. The key control officer (from Bachman) will.!

!

1
iThe inventory will updated to
.
imatch the number key set.

i

ibe at Eaglepoint to update the inventory on
.
.
iMarch 2, 2011.
!

•

•

•

i

L. .,___________. . ._.______.:.I__._________-..:.I___
-r. . ·
!

I

1.

I

!

I

other key sets

PERIMETER AND TOWERS

II.

Minimum custody units-

the Unit maintain sand !Finding: Inside interior fence
traps to provide an indication icontains hard dirt which makes
of escape path or fence
tracks not easily visible.

i Does

EAGLE POINT/SUNRISE

I

tampering?

t·

I
EAGLE POINT/SUNRISE

iResponse: Concur
!The interior Response: Concur

I

i

II

!2. Minimum custody units-Is
!the Outdoor visitation space
enclosed with an 10 foot high Finding: Outdoor visitation space
(Minimum) fence with a coil ,has no razor ribbon mounted at the
of 30· five point concertina
top of fence.
,razor ribbon mounted at the
itop of the fence?

l,_____'_-6..1_

I

.1. . .___

fence line and exterior fence line .
!have both been raked out and now iImm d' I
'" prmts
. are c IcarIy VISI
. 'ble wen!
h'
elate y
11001
!stepped on. This will be
!
!maintained daily.

~

'----i!-R-espo-nse: Concur
~

I
I

--+1---..--.. . . . . .

i

i
I:!!

.
______~

i

I
I

IThe unit will add the additional
lrazor wire over the next few
!weeks. Due to the unavailability oq~ be
I d M h 4 2011
comp ete
arc •
Imaintenance staff. Line staff will I 0
!have to be utilized to make
ialterations. Additional height will
ihave each pole by way of welding. i

I

i

I

----~

I

-~---

I

..- - - - J

__

_-_

__

_--

.............
.................................
._......................................
..........................._----..........................................
...............................................................................
TOOLS
,....................................................................- ................................................
- - - -....,..................
..............."......................................................····································Of··········. . . . .·····......

Ii Are tools stored on a

IiFinding:

.................................................................................-.....................................................

..........................".............................................--_...........__..............................

IResponse: Concur
I
i i

Ii

i

I?
Itoo .

i
Three cuning boards
i
stored at Eagle Point's kitchen tool i
1room are engraved butare not
1
;hdwed
I
IS a 0
.

~

!

i

i.'
1·
!EAGLE POINTISUNRISE
,
i
1

I
' I R e s p o n s e : Concur
leted T I
i.' Finding: All areas of the tool
i,' Staff have been addressed on this l.'
,.
00
' hec
kout ,ormarenota
~
Iways
.'
ICheckOuecomp
F
(712-4)k
,c
!IssueverbaIIyandthepostord
crs ',
fil' tht orms
~
thep~completed.
Names, badge numbers
ihave been verified that it contains ,Immediately
'd"
all'
,on 1 e ID e tool room ,or e, d . .
lgnatures are sometimes
iprevious thirty days?
ian . sed
IrecttV~ toI ensure areas are i
lappropnate y fiilled out
1
1
lonun .

!I'

iEAGLE POINT/SUNRISE
1

1.
ishadow board with shadow
lthat closely resembles the

;

!

r

I

I
!

I
1
1EAGLE POINTISUNRISE
I
;

··
li
I

r

!

!

!.!

13 . Are IDventory sheets placed iF" d' . A ~.ftl P' th
iin all areas whcre tools are
i ID. mg. t '"-"t;'e ~lDt. ere was
1stored 'th' th
th rized ino mventory posted ID the area
I
WI ID eau 0
I h A&B
I
d
'I
.?
;were
too s were store .

I
,

ocatlon.

j . _•••••

I

_--!

=r._. . _. . .

I --

.....

I

i

1
I
;

I

I

I

I

t············

I

I

i

IEAGLE POINTISUNRlSE

·

I

I

I

i

5. Docs the or,00I om cer
i.
i
.
'1 all
Is
.
ed
IF' d'
A ~~ftl P .
Is
!reconci e too ISSU to
i ID 109: t '"-"t;'e 01Dt, too are iI
iinma~ at the end ?f~e work Inot reconciled at the end of the work
lday, pnor to releasmg mmales ,day.
I'
Iback to the yard?
i
!
i

I

I

i

I

IR;~~;;~:-·

Concur

i

I

!
i
i

i

1

I
;

.-..--.J

I
i.'
.,
,
,
i
1

-..-~

;
i

lCompleted February 11,2011
I

1
I

I

;

;

;

!

iAlltools on Sunrise were engraved!
land/or labeled to meet the
i
lrequirements by policy. This
iCompleted January 25, 2011
Imanerwas completed on
,

............_ .._..._.._-,--.__.........__.

I

i

j

I

1°112512011

I

i

1Response: Concur
Hnventories for the "A" tool room
1 'U b dd d th
1'V1
ea e to eroom.

,

I

I

·
I

I

12 Are th

! !
i4. Are all tools permanently iFinding: At Sunrise, all tools are not,
iEAGLE POINT/SUNRISE iengraved/stamped and color- iengraved. A paint roller and several
1
1coded?
,brooms were not labeled.
I

!·"

y

,

I

1._

·

-_...................

IImmediatel

!

I
!

;

I

!

r

IThis was corrected on the spot.
lThe shadow board was updated.

I

_·· · _· ·_·--·-tl---

!Response: Concur

,

I

;

!

1

iThis was addressed with the Iwork .i
,crew supervISOr who routine y
I
'th
I
d d 'sed i
I;:~~ee:s f::a:,:e ~7 IImmediately
!
nI
d
th
I;
,room post.o crs an ensure at
,each tool IS accounted for at the
ibeginning and ending of each day. I

i "

':

I

,____~I_________.-----------------,I

1----

16.

Are

~:.::.~:~.~ ~I:-"-""""'k:::!~;;:~ ;:~!i;~~:i~:~:~r"-"'-""---"""""""'"

imaintained on a master
las #48. However, it could not be
i
d' d 'I
d th
I';
jIDventory system, as ou me ! ocate on e master too IOventory. i
!EAGLE POINT/SUNRISE j.
.
71202
. i;#48 was shadowed as a scooper.
,10 sectIOns
. , subsectlon
;i
;
; .
,
j 1.1 through 1.8 (Instrument jOven mlU # 120 was not labeled. 4 j
,jSectlons
.
60 to 104)
'
f
.
.
I'
isets 0 extra oven mItts were In too i
!
!area but
!

IR:::::::"'::::~''''''''''''''''''''''''''''''''''r'''''-----. . . . . . . . . . . .-.. . .-.---.. . . . . . .··············1
iE h fth
.
, ac 0
ese ISSUes were

i.

L_

....................___........1. . . . . . . . . . . . . __.. -. . . . . . . . _............._

I

~

INMATE SERVICES

[GLEPO=ruSE I=~;~~~;A;;=~~..
1..._._._

I

i

;

-

ICCr.

I

I;

i
;

i dd
d d fi ed th
i a resse an IX on e spot.

i
d' I
!l mme late y

!

!

i
i
,
,
i
i,

,
d fi
5
oven milts were remove rom!
lth
. b C
i
, e umt y a ni
teen.,
i
5
5The

i ...............................___........................l. . ___....................._............__. . _

!

..~

--'"'I-S.E;l,·,rop= -----l
lcomple~

I
i

i

i
iA "strip search" log has been
ldesigned for use to document all
.
Istrip searches.

!
i
jlmmediately
;
..,1.

!i

.

--i

--_·····..........·······-··-'--INMA--·W··M;\-N-AG-E-ME-·N'T-·········......----,-....................---'-...................- .......-..------'-..-..- ...........-.--.....- ...---.......··········t··..--········..·-......-····----··..-·....
r"-'-'"
....······················...·1--·················__··--···--r·········
-··················..·-....······--rR;;;~;~·;C~~~ur
..................'t.
····..·-......····-·········------·-i

!
i
ilEAGLE POINT/SUNRISE
i

.

t···········

~

t

I. Review 30 days of search i.' Finding: There is no daily record of ;.:
ilogs and records. Was there a lstrip searches recorded in log. Only !
idaily record of search reports? irandom documentation is used.
i
i i
i
II'

I

i

I ·

.......................... b~~·~·;::-~··~~~;:~o~-·l·········-··---·-·--·················.._·-·········--l--··. _···············. ·_--+I-R-~~~~;;···c~-nc-u-r--.......................

~

:'.iE.. ...G...LE pOn..._
1l't I I
of the
the !Finding:
ldisposed of
within
7 workingare
days.
.........'.S.. ........... SE ldays
idisposed
offiling
withindate
fiveofwork
Class
C violations
•. .
.._._...........
..1........_ ..........__....................................._
_---,.;...RE.;;,QUlRED SERVICES

IViolati~~:

I
1
1

!1Violations will be disposed of

_.................._.,__

--'I'-~~~.~~:.

[~PO=SE I=~~-.-::a-nlI-~-:-~~;

1
1........_____._..___................

rOt'

rom.... ,.,...,.. ,;,;"'ioo 'Ot

--'___....................___._....1._.............____,

I

!
!
..,1,

......................._-_....-.........................·...· 1

!l!mmediately

!i

.l... . . . _. _. ._. . . . . . . . _. ._........

:Ork days.:..........._ ..............

J

_. _ . . .

1~~~r.~~4=--- I

ivisitation staff have also been
Idoing all mail. The property post
!orders have been revised to

__

..i.la_d_d~,::.~is ~auer.
..

.
I.,

_..............................1....__..__..._..............__..._

- - - - , _.... - - - 1

---_ ........

-r--- ·---~--T-------'----·-·-···-·-----"'---

EAGLE ['OI/'.'TISUN RI SE

-- - - c - ---...

--,---------------~

Response: Con cur
2. Welc all obsCTved
moustaches. side-bums_ and
gootcc's meeting poli cy
rcqum:nlcms"

Finding. Not all obscn.:d
mous.aches werc: In complmncc wuh
policy.

,i

Staff continue to address Ihis
maHer witb the inmates Staff h3\'C [mmcdI3td)'
been di rected to enforce groom ing
maHer.; in writing \\llb discl phne
"hen necessary.

I

I!

Rcsponse: Concur

J Were non-unifonncd st.:lff
EAGI.E I'OINTIS UNRISE

dressed wuhin Ihe guidelines
orchiS policy?

5 Ne 10015 Slored on a shadow

bGard wrth Shadow

thai ~

Finding: NO! all non-umfomlcd
staff were dr~~d accunhn g \0
policy. Open-toe shoes "erc S4"en
worn.

Finding : MedlCCll Tools ~ 'e IIO..Id In.
r.linO cabinel Wllh no shadow

resemblelthe 100I?

Rio Salado siaffha,"c been
reminded orlbe policy
requm:mcnts concern ing this
mauer. $taffhavc also been
di rected to lum slaff away iflhe)'
do not mccl 1hc proper grooming
an d dress requirements.

Health ServICe Response, Eaeh
medical unit now ha s pictures in the
1001 and syringe bll'\der 10 reconcile

Immcdlntcl)

2118120 11

Wlth the inllentory.
2 Are IooIs being signed outl'in
Finding : NDI aI \oclb ~re COO<llillently or
approJHlatetv on the correct form? correctly bemo signed In/oul

Health ServICes Response: 00712
dlstrib<Jl ed and re~ by Medical

(Tool Check Oul Form 112...;)

Staff. Inventorylorms 712-4 . 712-15.
712_7.712-8. Are currently in use at
each medical unil

Buckley ·
CLASSIFICATION
1

Review 0 195 screen for
Review 01 0195 screens revealed
COlOt and C0-4 01
ca ses t hat were pa st lime frames
appointments. Are any out of for classll1cation actions.
dale?

Direction and tsa ining has been
given to all CO 1IIs 10 conduct a
019 5 review daity and complete
classification actions that are due
to ensure time frame compliancc .
The CO IV is reviewing the 0195
daity to track CO III compliance as
well as to complete

Buckley CLASSIFICATION

Does the CO IV superv ising
the Classifica tion officer
review all actions taken by the
classifica tion officer, review
AI MS da ta inpul and ensure
all time frames are being
met?

The newty assigned unit CO IV
news reviews and tracks all AIMS
da ta inpullo ensure time fra me
com pliance. This includes 0199,
OTOS 10. and 0161 en tries .

MedICal

2

The Unit COIV ha s nol reviewe d
all actlons taken by t he
clas sifica t ion officer; reviewed
AtMS d ata Input and ens ured all
tim e fra mes are being mel.

21 1812011

2141\ \

BuckleyCLASSIFICATION
3

Review the shared drive
reports for 0159 and/or 0161
actions to ensure they are
within time frames.

Buckley CLASSIFICATION

Review a random selection of Time frames are not being met on
actions based on information all classffication actions.
received during interviews or
review batch screens. Are
time frames met?

4

Buckley CLASSIFICATION

5

BuckleyCLASSIFICATION
6

Buckley-

COUNT MOVEMENT
1

The newly assigned unit CO IV
reviews and tracks an AIMS data
input and the shared drive reports
to ensure time frame compliance.
This includes 0199. OT08 10. and
0161 entries.
The newly assigned unit CO IV
reviews and tracks an AIMS data
input to ensure time frame
compliance. This includes 0199.
OT08 10. and 0161 entries.

A review of the 0159 andlor 0161
AIMS screens Indicates they are
within time frames.

Does a COIV assign inmates
to Education. Treatment and
Work Based Education
(WBE) programs in
accordance with the inmate's
individual Corrections Plan.
the applicable facility priority
ranking report(s) and actual
vacancies in work
assignments?

WIPP coordinator was unaware
of the "capacity report" to
determine Where the job
vacancies are at. Several Job
openings existed.

The WIPP coordinator has
received field training regarding
the location and use of tools such
as unit capacity reports and
priority ranking reports to assist in
placement into programming.
education. and work assignments.
The unit CO IV is also aware of

Determine if there are any
inmate as ·unasslgned" in
inmate work programs. Is
there a valid reason for the
inmate not being assigned to
a work program?

WIPP Coordinator advised there
are anywhere from 460 to 500
Inmates unassigned In WIPP.
Lack of available Jobs was cited
as the reason.

Unassigned work program
inmates are the result of a myriad
of circumstances unique to the
Buckley unit. These include the
use of four designator codes at
the unit (L 14. L28. L29. and L30).
the high number of intra·unit and
inter-unit ONHWs. the requireme
Aa:cuntability Officer will be directed
not to accept out counts that have
been pre-filled out wi1h inmate names.
Kitchen staff wiD be directed not to
submit preprinted out counts.

Does the Accountability

Kitchen out count was

Officer reject pre-printed

preprinted, some written names

count sheets?

were added and before being
signed and turned in.

BuckleyFOOD SERVICE
1

Are all doors/locking
During the inspection, some
devices secured and locked doors were observed
when not in use?
unsecured.

BuckleyFOOD SERVICE

Are equipment repairs

2

handled correctly. and in a
timely manner?"

Kitchen equipment repairs are
not always completed in a

.

Training Issue I Briefing Topic.
Supervisors to follow up wi1h
inspections and on UIe spot correction.

214/11

214/11

214/11

2118111

2118111

Buckley Unit will continue to document
and submi1 work orders for Kitchen
equipment items that are not working

timely manner. Lack of

properly. Additionally. the Buckley Unit

maintenance starr and awaiting

will maintain a list of open kitchen work
orders to be reviewed by the

parts are cited as the reasons
for the delay of repairs.

214/11

management team on a weekly bas

3115/11

Buckley INGRESSIEGRESS

1

BuckleyINGRESSIEGRESS
2

BuckleyINGRESSIEGRESS

3

BuckIeyINGRESSIEGRESS
4

Training Issue I Briefing Topic.
Supervisors to foO_ up with
inspections and on the spot correction.
/VI Ingress I Egress Post Order has
been eslablished to help clarify the
duties, responsibirrties, and
expectations of staff conducting
Ingress checks.

Test system repetitively
during course of inspection
to determine if procedures
arc applied on a constant
basis. Did staff consistently
apply security protocols
during the visit?

During the inspection of
ingress/egress the following
observation were made:
a. Not all food items were
required to be carried through
the metal detector.
b. One Officer was observed
being allowed to step around
Does the assigned officer The officer conducting the
question each person
searches never asked anyone
attempting to enter the unit questions about items they may
in regard to possession of have been carrying and not
contraband items?
disclosing, such as amount of
money.
Does the officer
The officers observed during
consistently inspect
the inspection do not
incoming property for
consistently inspect property
possible contraband?
for possible contraband.

a. Not all food items
were required to be
carried through the
metal detector.

Training Issue I Briefing Topic.
SUpervisors to follow up with
inspections and on the spot correction.
/VI Ingress I Egress Post Order has
been eslablished to help clarify the
duties, responsibilities, and
expectations of staff conducting
Ingress checks.

b. One Officer was Training Issue I Briefing Topic.
Supervisors to fo!Iow up with
observed being
inspections and on the spot correction.
/VI Ingress I Egress Post Order has
allowed to step
around the officer been eslabflshed to help clarify the
duties, responsibilities. and
conducting the
expectations of staff conducting
Ingress checks.
searches without
the knowledge of
the searcher.
Does the officer maintain During shift change. only one Co The inspector was One staff member can easily conduct
ingress - even during shift change an appropriate flow control officer was available to conduct not required to
with appropriate barriers and flow
during periods of high
ingress searches and was easily carry food through control in place.
traffic, allowing for ample overwhelmed by the number of the metal detector,
time to inspect staff and
persons entering the unit.
nor was he
property items during
challenges on items
ingress / egress?
that may have not
been authorized.

2118111

2118111

2118111

1128111

BuckleyINGRESSIEGRESS

5

Buclcley INGRESSIEGRESS

6

BuckleyINGRESSIEGRESS

7

Buclcley INGRESSIEGRESS

8

Observe break areas and
offices for personal
property items that are not
in compliance, or have not
been authorized. Are the
areas free of contraband I
unauthorized property?

A glass bottle of hot sauce was
observed inside the Buckley
main control room during the
inspection_ While conducting
inspections of other areas, there
were several Styrofoam and hot
cups that are not see through
observed in different areas of
the unit.

Training Issue I Briefing Topic.
SuperviSOrs to follow up with
inspections and en the spot conection.
An Ingress I Egress Post Order has
been established to help clarify the
duties,nas~bffities,and

expectations of staff conducting
Ingress checlcs.

2118111

Does the officer ensure all Not all food items were
food containers I packages required to be carried through
are brought through the
the metal detector.
metal detector?

Training Issue I Briefing Topic.
Supervisors to fo!Iow up with
inspections and en the spot correction.
An Ingress I Egress Post Order has
been established to help clarify the
duties, responsibilities, and
expectations of stall conducting
Ingress checlcs.

2118111

Observe break rooms I
lunch areas, or other
locations where staff
consume meals. Are
unauthorized I excessive
food items, utensils, or
related meal items present?

Training Issue I Briefing Topic.
SupeMsors to fo!Iow up with
inspections and en the spot correction.
An Ingress I Egress Post Order has
been established to help clarify the
duties,responsibruties,end
expectations of staff conducting
Ingress chacks.

A glass bottle of hot sauce was
observed inside the Buckley
main control room during the
inspection. While conducting
inspections of other areas, there
were several Styrofoam and hot
cup that are not see through
observe in different areas of the
unit.

Monitor access points to
Searches were inconsistent and
veritY all staff. and
ineffective.
associated personal
property are searched prior
to aecess being granted to
the unit. Were all staff
members searched
thoroughly prior to
entering?

Training Issue I Briefing Topic.
Supervisors to follow up with
inspections end en the spot correction.
An Ingress I Egress Post Order has
been established to help clarify the
duties, responsibruties, and
expectations of stall conducting
Ingress checlcs.

2118111

2118111

Buckley INGRESSIEGRESS
9

BuckIeyINGRESSIEGRESS

10

BuckleyKEYS AND RADIOS
1

BuckleyKEYS AND RADIOS

2

BuckIeyKEYS AND RADIOS

3

Do assigned staff members
inspect I search all personal
property to include food
items, and require
applicable items to be
cleared via the metal
detector?
Inspect unit ingress I egress
points and determine if
there are locations where
staff can by-pass and/or
defeat this procedure. Are
the locations secure to the
degree staff cannot by-pass
the security station?
Does the inventory list all
available keys, the total
number of each on hand,
along with the
corresponding locking
device each key will
access?
Does the inventory list all
authorized key sets,
including the number of
keys on each ring. and the
key set location?

Not all food items were
required to be carried through
the metal detector.

Staff entering tbe unit have tbe
ability to walk past the tables in
the lobby area where searches
are being conducted. During
high traffic periods. the search
area is exceptionally
vulnerable.
The Master Key Inventory in
Buckley Unit Main Control
does not specify the total
number of key sets authorized
for the unit.

There were twelve key sets
available for review. On two
occasions the number of keys
on the inventory did not match
the number of keys on the ring
and the number stamped on the
chit.
Does the number of keys on There were twelve key sets
the key ring. key ring tag
available for review. On two
and the inventory coincide? occasions the number of keys
on the inventory did not match
the number of keys on the ring
and the number stamped on the
chit.

Training Issue 1 Briefing Topic.
Supervisors to fallow up with
inspections and on the spot correction.
An Ingress 1 Egress Post Order has
been established to help clarify the
duties, responsibilities, and
expectations of staff conducting
Ingress checks.

2118111

A plan was submitted to Physical Plant
to facilitate greater movement control
in the lobby area. Until this can be
implemented, barriers wim be sel up 10
help control movemenl

1128111

Masler Key Inventory wim be amended

to indude the number of NonRestricted, Restricted, and Emergency
Keysets authorized on the Unil

2118111

Corrected on the .pol

1/28111

Corrected on the spol

1128111

BuckleyKEYS AND RADIOS
4

BuckIeyKEYS AND RADIOS

5

BuckIeyKEYS AND RADIOS
6

BuckleyKEYS AND RADIOS
7

During monthly
inspections, are all keys and
locking devices inspected
for proper function, and
damaged keys and locking
devices fixed or replaced?
Each time a kcy set is
issued. or returned does the
officer responsible make
the appropriate entry in the
Key and Credit Card
Control sheet (Form 702-1)
specifYing at a minimum:
Key number, date of
issue/return, name of
authorized staff member,
initial 0
Does each emergency key
ring have a clearly visible
color coded tag to identifY
the portals and/or buildings
the key set will access?

Two keys sets with one key
each were observed with the
key on each ring being broken
and the lower portion of the
key was missing_

Corrected on the spot. The two keys
were re-cut. The missing portions
were extmded from the (2) keyboxes
in Main Control.

Of the seventeen times the
emergency keys were signed
out, seven times there was no
entry indicating the keys were
returned.

Training Issue I Briefing Topic.
Supervisors will be required to ensure
the Emergency Keys are properly
signed ou11 in as part of their action
taken I comments portion of the
emergency keyset access Infonnation
Report.

Emergency key rings do not
have a color coded tag in place.
Only the compression device on
the key ring is colored and in
some case is hard to determine
the color for the ring.

Compression rings wiD be re-painted
as necessary.

Does the staff member
demonstrate the ability to
obtain and utilize
emergency keys?
Randomly select a staff
member from each unit and
each shift and direct them
to gain access to the
emergency keys for a
specific location and
monitor their progress.

The staff member selected to
perform an emergency key test
had great difficulty in
obtaining the requested
emergency keys set and
performed poorly when trying
to access the request doors. Per
the unit Captain, the unit does
not perform training simulation

Treining Issue I Briefing Topic.
Monthly lreining end simulation
requirements for each shift wiU be
modified to require an emergency
ingress simulation.

1128111

2118111

2118111

2118111

BuckleyPERIMETERS AND TOWERS

1

BuckIeyPERIMETERS AND TOWERS

2

BuckleySECURITY DEVICES

1

Close custody units - Docs
the unit have an external
sand trap at least 15 feet in
width and sloped to provide
drainage without erosion of
sand material?

The perimeter on the east side
of the unit slope towards the
unit allowing rain water run on
water to erode under the
exterior security fence. Some of
the erosion was big enough for
a person to crawl through
unimpeded. The areas were
repaired at the time

Buckley Unit amtinue to refill drainage
areas where water has channelled
under the fences. and ensure fill dirt is
compacted in these areas.

Close custody units - Does
the unit have an electronic
detection system in place
that meets the requirements
listed above?

a. While observing a swing shift
officer conducting daylight
Security Device Inspection of
the Vindicator Alarm System,
the Buckley Unit Chief of
Security advised and
demonstrated he had the ability
to make it across the alarm
area without activating the

All Buckley zones have been
extensiVely tested to identify any areas
that can be aossed using the "heel
and toe- method desaibed in the
finding. The sensitivity in each of
these areas has been adjusted to the
point where it is no longer possible to

Does the Chief of Security
ensure SOl work order log
repairs are made within
time frames?

Some security device work
orders have been pending for a
considerable amount of time.
Reasons cited for the delay
were contract issue. waiting for
parts to come in. funding and
lack of maintenance staff.

1128111

era

b. The Captain
stated he had
elevated the issue to
Norment in the past
and was told to be
quiet about it.

Buckley Unit win continue to report
security device discrepancies to the
Physical Plant Manager and
communicate our concerns regarding
priority of deficiencies. Additionally.
the Warden has requested a quote
from Norment to repair items not
covered byt

1128111

Buckley SECURITY DEVICES
2

BuckleySECURITY DEVICES
3

BuckleyTOOLS
1

Does the documentation
demonstrate Dcputy
Wardens, Associate Deputy
Wardens and Chiefs of
Security spcnd a minimum
often hours per week
touring their unit?

Co While conducting
The December 1010 monthly
report for the Deputy Warden a nighttime lighting
inspection, the
only had documentation
indicting the Deputy Warden Vindicator alarm
had completed two tours of the system was tested
unit. The Unit Chief of Security again, where an
inspector and the
claims to spend the require
amount oftime on the unit, but shift sergeant were
able to cross the
admitted he does not alwa
perimeter in
different areas
without activating
the alarm.

Does the documentation
The tour inspection reports
support Deputy Warden's were not available for review.
and Chiers ofSeeurity
Captain advises he does not
submit exception reports
always complete the required
noting any deficiencies
reports all of the time.
observed during their tours?

Does the Chief of Security The Unit Chief of Security did
have a list of all authorized not have a written list oftool
Tool Control Storage areas? storage areas, but rather spoke
to the storage areas he was
aware of. During the inspection
it was evident the Chief of
Security was unaware ofthe
tools being stored to the
Lock/Key office an

703-1 forms wi~ be fd!ed out at the
condusion of d lOurs, and the
completed form wiD be induded in the
monthly 703 report.

2128111

703-1 forms wiD be tilled out at the
d. The following
condusion of d tours, and the
day, Security staff completed form wiD be included in the
members from the monthly 703 report.
unit were observed
testing the
Vindicator Alarm
System for other
weaknesses. The
security staff
member advised
they had located
two additional areas
where the alarm
would not activate.

The above
information
indicates the
Vindicator Alarm
System does not
function at a
desired level to
provide for
adequate prison
security for a close
custody unit.

Co

1/28111

A list of authorized Tool SlOrage Areas
has been generated and win be
induded on the next monthly report 10
the Deputy Warden. The lockIkey
tools have been relocated 10 the I0oI
room. The I0oI box has been
shadowed and inventorieS updated.

1/28111

Buckley TOOLS
2

BuckleyTOOLS
3

BuckIeyTOOLS
4

BuckIeyTOOLS
5

BuddeyTOOLS
6

BuddeyTOOLS
7

Buckley.
TOOLS
8

BuckleyTOOLS
9

The Chief of Security does not
ensure tool reconciliation is
completed for the medical area
ofthe Buckley Unit. The Unit
Captain did not seem to be
aware of the medical tool and
sharps being stored on the
Buckley Unit.
Are there any flammable I The tool room had spray paint
hazardous items stored
and the key shop had spray
within the authorized
LPS which is flammable when
locations?
spraved_
Are tools stored on a
The Lock/Key office does not
shadow board with shadow have the tools shadowed_ Tools
that closely resembles the are stored in tool box and
tool?
contain some class "A" tools_

Medical is in the process of removing
items from the area II1at are not
necessary. Medical will be sending
their tool inventofy to the Unit Chief of
Security at the end of each month for
indusion in the 703. The Chief of
Security w11l complete a monthly

Are tools being signed
oullin appropriately on the
correct form? (Tool Check
Out Form 712-4)
Does the officer signing out
the tools keep a copy of the
completed form? (Tool
Check Out Form 712-4)
Are the completed Tool
Check Out Forms (712-4)
kept on file in the tool room
for the previous thirty days?

Tools in the Lock /Key shop are
not being signed out when they
are used to do repairs.

Tool box has been moved back to the
Toot Room and sealed. Tool Box was
shadowed and inventories updated.
Tools win be signed out when used.

There are no tool sign out
forms in the Lock/Key office to
keep on the person utilizing the
tools.
There are no tool sign out
forms in the Lock/Key office on
file for the last thirty days.

Unit will order 2 part forms.

Tool box has been moved back to the
Tool Room and sealed. Toot Box was
shadowed and inventories updated.
Tools win be signed out when used.

2118111

There was no indication if the
Lock/Key Officer conducts a
beginning and ending tool
inventory in the Lock/Key tool
control stora2e area.
Tool Room Supervisor advised
unserviceable tools were
destroyed by placing them in
the compactor on the unit.

The Tool Officer win keep a
Correctional Journal to document among other things - his beginning and
ending inventories.

2118111

Expandible items such as brooms are
disposed of. Control items such as
shovels and mkes are disposed of
through the Comptex Tool Room.

1128111

Has the Chief of Security
ensured a monthly
reconciliation has been
conducted of all authorized
Tool Control Storage areas?

Did the person responsible
for tool control ensure all
tools were accounted for at
the beginning and ending of
the shift?
Are unserviceable tools
disposed of appropriately,
as prescribed in D.O. 304
Equipment and Inventory
SYstem?

2128111

Items removed.

1/28111

Tool box has been moved back to the
Tool Room and sealed. Tool Box was
shadowed and inventories updated.
1128111

2118111

1128111

BuckleyTOOLS
10

Buckley TOOLS
11

BuckleyTOOLS
12

BuckleyTOOLS
13

BuckleY TOOLS
14

The Chiehf Security or
designee does not reconcile the
Master Tool Inventory on a
monthly basis for the medical
area ofthe Buckley unit. Unit
Chief of Security seemed to be
unaware of the sharps and tools
being stored in the medical area
of the Buckley

Medical is in the process of removing
items from the area that are not
necessary. Medical wiD be sending
their tool inventory to the Unit Chief of
Securtty at the end of each month for
inclusion in the 703

Are Class A tools stored in
an area separate from Class
B tools, on an individual
hanging device and
shadow, to avoid confusion
I misidentification?

Tools in the Lock/Key office
had A & B tools combine in a
tool box in the office and did
not have any shadows.

The tools in question do not lend
themselves to being individually
shadowed. They are currently stored
behind three locked enclosures in a
tool box that has been security sealed
and has an individual inventory in

Are Class A tools stored in
tool pouches I boxes clearly
marked, and shadowed
within the tool carrier, for
ease of inventory and visual
monitoring?

Tools in the Lock/Key office
had A & B tools combine in a
tool box in the office and did
not have any shadows.

Does the Tool Officer
maintain a list of all tools
checked out during their
shift to aid in immediate
accountability?
Are master inventories
completed monthly, with
appropriate reconciliation
documentation, and
forwarded to the Chief of
Security via the Health
Services Administrator?

The Lock/Key officer does not
sign out the tools to ensure for
immediate accountability, if it
is needed.

All tools will be signed out through the
Tool Room.

Monthly tool reconciliation of
the heath services area is not
completed and forwarded to
the Unit Chief of Security.

Medical is in the process of removing
items from the area that are not
necessary. Medical wiD be sending
their tool inventory to the Unit Chief of
Security at the end of each month for
indusion in the 703

Does the Chief of Security
or designee reconcile the
Master Tool Inventory on a
monthly basis?

2/28/11

1128/11

place.

The tools in question do not lend
themselves to being individually
shadowed. They are currently stored
behind three locked enclosures in a
tool box that has been security sealed
and has an individual inventory in

1128/11

place.

1128/11

2/28/11

BucldeyDART
1

BuckleyDETENTION SERVICES
1

BucldeyDETENTION SERVICES
2

BucldeyDETENTION SERVICES
3

Are the DART members
designated as part of the B
Level (may be referred to as
a Task level 4 team)
response identified at the
beginning of each
appropriate shift?
Inspect detention facility
(including cells). Is the
area clean and sanitary?

a meal service. Are meals
served in the same manner
as general population (food
quality)?

Review a month of logs and
records. Are records
complete? Are inmates
receiving required
notifications and services?

Staff members were not
advised of DART designations
during the briefing.

Training Issue. Supervisors directed
to ensure staff are aware of their Level
5. !evel 4 and DART team
assignments.

2118/11

Building 4 D pod is handling
Detention Unit overflow and is
being operated as a detention
Unit. The showers in the pod
area are not clean and have
mold growing in the showers.
Some shower doors will not
open.
Meals are delivered to the pod
are in Styrofoam trays. Trays
are not delivered in a
temperature control box and
there is no way to track the
temperatures of the food when
delivered_ Cold and hot items
are being served in the same
tray.
During tbe review of records
and performance inspection. it
was noted inmates are not
receiving all required service
on a consistent basis. Inmates
are missing showers.
recreation. phone calls. hair
cuts, etc. It was also noted
inmates are not allowed ac

Area has been thoroughly deaned. An
Inmate has been designated to be the
porter. Sanitation will be checked by
supervisors as part of their post
checks. Work oRlefs IIR subitted on ~
shower doors. 11-L29-0273 WIO
#8n46 were submitetd on the doors.

1/28/11

Canteen has been notified of the need
for temperature control boxes.
Separate hot I cold trays are being
ordered by Complex.

2118/11

A schedule for showefs. recreation and
phone calls has been established and
is being monitored by Buckley
Administration. Clippers will be made
available to inmates during Day Shift.
Razors are not authorized for detention
status inmatas.

1/28/11

Buckley·
DETENTION SERVICES
4

Buckley.
INMATE SERVICES
1
Buckley·
INMATE MANAGEMENT
1

Buckley·
INMATE MANAGEMENT

2

Buckley.
INMATE MANAGEMENT
3

During the review of records
and performance inspection, it
was noted inmates are not
receiving all required service
on a consistent basis. Inmates
are missing showers,
recreation, phone calls, hair
cuts, etc.
Does the Unit have a Post The unit does not have a post
Order #43 Urinalysis
order for the Urinalysis
Security Officer?
Security Officer.
Are staff aware of their
Staff members interviewed did
responsibilities if an
not seem to be aware of the
Infonnal Complaint or
responsibilities if an Informal
Fonnal Grievance at their Complaint or Formal
level that describes activity Grievance at any level which
that may be in violation of describes an activity may be in
the Sexual Assault
violation ofthe Sexual Assault
Procedure?
Iprocedure.
Are staff members aware of Staff members interviewed did
the required time frames
not seem to be aware of the
and the action that is taken required time frames and the
in the event the time frame action that is taken in the event
is violated?
the time frame is violated.

A schedule for showers. recreation and
phone calls has been established and
is being monitored by Buddey
Administration. Clippers wiD be made
available to inmates during Day Shift.
Razors are not authorized for detention
status inmates.

Does the log reflect that
grievances were addressed
by the unit Deputy Warden
within 15 days?

The griavance files are under review
by the current Unit COIV. The Unit
COIV has established a tracking
mechanism to provide a checks and
balance system.

Review a random selection
of Individual Inmate
Detention Record. fonn
804-3. Do the logs include
infonnation listed under 1.4
1.4.2?

The log did not have any
grievances filed for December
2010 or January 2011. During
the inspection, grievance
documents filed by inmates for
those two months were
observed in different areas of
the unit.

A Post Order for Urinalysis Security
Officer has been established.

Buckley Unit staff are weD aware of the
actions they must take immediately
when they become aware that a PREA
issue may have occurred • regardless
of how an Inmate chooses to
communicate the informallon.

This was in response to a CO III being
unaware of the emergency grievance
process. The unit CO IVIGrievance
coordinator wiD hold a training session
with programs staff regarding
emergency grievances and requisite
time frames during the next programs
me

1128111

2118/11

1128/11

3115111

2118111

ro;;sl he Discipl inary
•
findin!!
I~~~i'i; '~OI1l:Jin :J st:J1emen~

..

inspection of the
It was noted there were
capt:li llS
dUlies
or 1)11 0. Olle
I;e-I-i~d- Wh<ll evidence
;
.
upon Ihm
co mmen ts wcre
the fi nding of
I
The cOOlmenlS made
by Ihe Olher Ca plain were
tl rtllili ng
what e\'idence was rtlied upon
I
. reporl
~Ihc Unit DepulY
Varden and Warden hal'e a
1 is gencrJlteti Jlnd sent
. the monthly report to the Unit C nplaill. There WRS
i
by the
no informatio n :u':lil:lhle 10
;
I , . coordinator?
Ihe reporl is senl
I" .h. lJ" h OW,
~filcs Te\·jewed. docs ~Iell records reviewed,
levcry 91 1-1 havc the
Ifive records did 1101 cOllt:lin :111
1 visilOrs full name. loflhe rl'lluir("d informatiun on
Iform 9 11-1 \'isilaliol1 list.
address.
h
number :Jnd
filled out?
•
;
m" ' , none of
i . including the
; copies recd\'("d ill
I
I
ItI:'-I~- on Ihe reverse side?
w('r(' slampcd
I
, induding Ihc dale

"

I~o~,':'·"'';' ,

"

,

1/28111

I;,';i"

~

SERVICES

~~~~'103

and i :ed

~~~-IO!he Warden

Inih~s;t;~
212811 1

". • po<iq
.

,,,~'""

212!!11

I~~~n:fbirth.

,

"h.,

~

,

11l"'h~'

ItI~s the l·isitalion Slaff
Isubmi t JI memorandum
IliSling all inm;\lcs
Ion non conillel visil:J1ion 10

,

I.he

" "rr

,

;

policy
212811 1

... =,;,,.:'::,:

,,,,,,.

Ido 1I0t produce Ihe monlhly
Ire porl for Ihe O(' pUI), WJlrd cn.

Iw~;.j~~~' and t

-U P' n )' Ofli cer d id not
Iha\'e hc required Clj Uiplllenl
Idurin g the inspection.

!Sii'.. .. .
".",,'
~~~"
I~;;;;;s io f~ up ... \tl unifOfm

',

~ security sl<ltThave
hand-culTs and

••

10"h.

2128111

.

,

2/ I!!I

I

One com appointment is out of date.

Rast

Classification: 1. Review 0195
screen for C0301 and C0401
appointments. Are any out of
data?

Rast

Count Movement 1. Does the
Unit is using the "red tining" tag on the
institution have an approved
count board for maintanance items such
protocol for "red fining" a spec:iIic as toilet repair wiUlout administration
bed?
notifications. cells _re found off line for
over one week.

The magnetic tags labeled "Red Une" Completed
that count movement staff generated
as a device to mark a cell that needed
a maintenance repair have been
removed from service. Cells that are
in need of maintenance have work
orders iSSUed. If the repair can be
made

Rast

Count Movement: 2. Does the
unit have a picture board that is
updated and matches the unit
inmate count?

The unit's picture board is out of date
and is missing 69 pictures.

Completed
The 69 pictures have been obtained
and added to the picture board. If an
inmate arrives without a picture board
picture, the count movement officer wiD
generate a picture board picture from
the ACC Inmate Data Search.

Rast

Food Setvice: 1 Are all inmate
workers inspected for personal
hygiene, ffiness, open sores or
cuts before being aDowed to
perform duties in the kitchen?

Staff not documenting inspection of P.M.
c;rew in the Service JournalS.

The kitchen officer shift for Day shift is Completed
0130 hours to 1130 hours on a 10 hoU1
schedule. The kitdlen officer shift for
Swing shift is 1100 hours to 2100
hours, also a 10 schedule. The am
kitchen inmate worker tum out is at
0200 hours. The pm kitchen

Rast

Keys and Radios: 1. Does the unit The Master Key Inventory was off by
have an accurata Master Key
three keys sets in non-restricted box and
Inventory· Review Master Key
one key set in the restricted key box.
Inventories and associated
documentation for past 12
months.

The key count in the key cabinets was Completed
accurate to the key inventory where
the keys are secured. The master
inventory of the Best EIedronic
System was not updated when the
keys in question _
removed from
the Rast Unit key cabinets. The Best
masterinv

Rast

Keys and Radios: 2. Does the
The Master Key Inventory was off by a
Master Key Inventory specify the total of three key sets.
total number of key sets
authorized for the institution I
unit?

The key count in the key cabinets was Completed
accurate to the key inventory where
the keys are secured. The master
inventory of the Best EIedronic
System was not updated when the
keys in question were removed from
the Rast Unit key cabinets. The Best
masterinv

There was one inmate on the 0195
screen that was in need of
redassification. This inmate is
temporarily absent as out to court
since 7122110 and is sliD out to court.
On 11/15/10. the 0195 triggered for a
reclassification as his custody point
total de

Completed

Rast

Keys and Radios: 3. Does the
The InvenlOfy was listing three extra key
inventory list all available keys,
sets have been pulled making the totaJ
the totaJ number of each on hand, number inaccurate.
aJong with the corresponding
locking device each key wiD
access?

The key count in the key cabinets was Completed
accurate to the key inventory where
the keys are secured. The master
inventory of the Best EJectronic
System was not updated when the
keys in question were removed from
the Rast Unit key cabinets. The Best
master Inv

Rast

Keys and Radios: 4. Does the
inventory match up with existing
key stock on hand? Compare
inventory with available keys.

When compared with the key sets on
hand it was discovered the inventory hac
three extra key sets.

The key count In the key cabinets was Completed
accurate to the key inventory where
the keys are secured. The master
inventory of the Best ElectroniC
System was not updated when the
keys in question were removed from
the Rast Unit key cabinets. The Best
masterinv

Rast

Keys and Radios: 5. Does the unit
have a monthly report on file
showing the inspection and
inventory of keyslkey rings,
emergency keyslkey rings and
locking devices for the past twelvE
months?

The monthly reports on hand for the past
twelve months the totals on the monthly
reports were off November, December,
and January.

The two monthly reports for November, Completed
and December are on fole in Rast
adminstration building and were
available for the auditor when the audit
was conducted. January's report was
not completed as the audit took place
in January and had not yet been comp

Rast

Perimeter and TCMeIS: 1. Close
Ughts activate but 2 in zone 13 are out
custody units - Do the lights in the and 1 in zone 5 is out.
adjacent zones to either side of
the alarmed zone activate when
an alarm condition triggers the
quarts lights associated with the
alarmed zone? Interview random
staff assigned to the con

Completed
The lights mentioned as not
functioning have been repaired.
During each shift. perimeter alarm and
light inspections are conducted. If
lights are discovered as not
functioning, the inspecting officer will
complete an Information Report, a
work order wil

Rast

Security Devices: 1. Are the
security device inspections
conducted accurately, timely and
adequately documented to be in
compliance with department
written directives?

When a security device Inspection is
conducted it is not adequately
documented i.e. not Including the IR
number.

New process Implemented 2-5-2011,
includes weekly security device report
maintained and updated by the COS.
The COS will inspect aD SOl issues
reported for repairs made weeldy.

Rast

Security Devices: 2. Were
appropriate entries made in the
Correctional Service Journal?

Observed radio remote base stations not
functioning, sliders in both dorms, and
noted the fire alarm system is not
functional these items are not being
entered in the Correctional Service
Joumal.

Ongoing
The weekly reconaJation of security
device work orders reports aD items as
previously documented. Weekly
reconaliation to be provided to each
location with the service joumal with
the purpose of pass on information
regarding previously documented des

Ongoing

Rast

Security Devices: 3. "
deficiencies were discovered,
were aD appropriate documents
submitted (information report and
work order)?

Monday during the inspection the slider
doors in bo1h dorms where not operating
correctly. Thursday it was observed no
IR or WO had been submitted.

1127/11, documented IR 11-l27-O328, On going
WO- 872n, 2A slider. 1128111,IR 11l27-0341, WO - 87298 for 10 and 20
sliders.

Rast

Security Devices: 4. When
deficiencies are noted, does aD
documentation contain the cross
referenced information report
number from the corresponding
information report(s)?

The SOl list provided by the COS was
used to check joumaIs entries containing
cross refes enced IR etc. the journals did
not contain the IR number.

Post orders state the policy requirment On going
to document in the post joumal for SOl
desrepancies include the IR number
and work order submitted. Briefing
topic and supervisor and
administration tour topic of discussion
and review of post joumaIs to ensure
st

Rast

Security Devices: 5. Were
deficiencies requiring immediate
attention addressed as
"emergencies· and appropriately
managed by the Chief of
Security?

The Chief of Security was with me on
Monday during the inspection when we
noticed the slider doors having to be
manuaDy opened and shut by the
inmates and staff. The deficiency was
not reported I10f appropriately managed
by the Chief of Security.

New process implemented 2-5-2011, Ongoing
includes weekly security device report
maintained and updated by the COS.
The COS wiD inspect
SOl issues
reported for repairs made weekly.

an

Rast

Security Devices: 6. Does the
The Chief of Security does maintain a
Chief of Security maintain a
list but the list is not current.
current file of aD documentation
relating to inspections,
maintenance requests, folJow..up
actions, and preventive
maintenance programs within the
institutiOn/unit?

New process implemented 2-5-2011, 21512011
includes weekly security device report.
Monthly report as per DO 703.

Rast

Security Devices: 7. Does the
Deficiencies noted on Monday and still
Chief of Security ensure SCI work have not been identified or anything

Completed
SCt WOrk orders are logged and
tracked by the COS. Arty SOl work
orders not completed in trime frames
are discussed daily during the Unit
management meeting and weekly with
the Warden, the OWOP, and the
Physical Plant Director for those SOl
work orders ne

order log repairs are made within done three days later.
time frames?

Rast

Security Devices: 8. Do the duty
ofIicef and EEO Uaison submit
reports to the Wardens Offtce?

There is no evidence of the EEO Uaison
submitting reports to the Wardens office.

Ongoing
Rest does have a Unit EEO, and
conference meeting was held with the
Unit EEO and the EEO was instructed
to provide a monthly report regarding
shift tours and briefing meetings by the
third week of the month.

Rast

Security Devices: 9. Do intetviews There is no evidence of the EEO Uaison
with staff indicate if the EEO
conducting tours or attending
Liaison conduct tours or attend
briefings/meets each month on the unit
briefings/meetings each month on
the Unit?

Ongoing
Rast does have a Unit EEO. and
conference meeting was held with the
Unit EEO and the EEO was instructed
to provide a monthly report regarding
shift tours and briefing meetings by the
third week of the month.

Rast

Security Devices: 10. Does a
review of random EEO Liaison
reports indicate the assigned

Ongoing
Rast does have a Unit EEO. and
conference meeting was held with the
Unit EEO and the EEO was instructed
to provide a monthly report regarding
shift tours and briefing meetings by the
third week of the month.

There were no reports to review.

EEO liaison is making required
tours?

Rast

TooIs:1. Has the Chief of Security There is a monthly reconciliation but it
ensured a monthly reconciliation does not address any medical toots.
has been conducted of an
authorized Tool Control Storage
areas?

Medical staff to include the FHA have On going
been addressed to provide the COS a
monthly medical tool inventory and the
COS will reconcile the monthly
inventory with the toots on site in the
Health Unit

Rast

Tools: 2.. Are tool stored in a
secure area. inllCQlSSib!e to
inmates?

The Hazardous Material locker was
unsecured during inspection with
inmates an around and the sanitation
tool area is in an open area with no
accountability.

The hazardous material locker in the Completed
sanitation area of the B Building does
have a lock and the key is availble in
Rest main control. The box will remain
locked.

Rast

Tools: 3. Are there excess
amounts of tools stored on the
unit?

There are large amount of brooms and
mops unaccounted for in various
locations. wheel chair in the vehicle sally
port closet that has been there for
months no one has any idea where it
belongs

The brooms and mops assigned to anll Completed
on inventory In the housing units have
been removed from the housing units.
are now secured in the sanitation B
building and issued daily and retumed
daily to the sanitation building with
inventories conducted prior to

Rast

Tools: 4. Are there any flammable During the inspection it was noticed that
I hazardous items stored within
there was paint and other chemicats
the authorized locations?
some said caustic stored in the vehicle
sally port closet

Rast

Tools: 5. Does the storage area
comply with fire and safety
codes?

The paint and other chemicals in the Completed
vehicle sally port office have been
removed from the sally port and placed
in the hazardous material locker and
secured.
This finding pertains to the paint found Completed
in the vehicle sally porl The paint and
has been removed from the saDy port
and secured in the hazardous material
locker and secured.

A closet does not meet fire or safety
codes for any flammable or hazardous
item.

Rast

Tools: 6. Are tools being signed Tools in the key area are not being
ou1Iin appropriately on the correct signed out; a ball ping hammet" and two
form? (Tool Check Out Form 712- stamps sets out when the inspection
4)
took place.

This finding pertains to the key control Completed
officer issuing severaJ of his key
control tools from the key control
office, specifically a hammer and two
stamps. The key control officer did not
ublize the tool check out form, nor did
he and the officer recei

Rast

Tools: 7. Does the person who
The officer did not have a copy of the
signed oullin the tools keep a
sign out sheet on hand.
copy of the sign out sheet in there
possession while they have the
tools signed out?

This finding pertains to the key control Completed
officer issuing severaJ of his key
control tools from the key control
office, specifically a hammer and two
stamps. The key control officer did not
utilize the tool check out form, nor did
he and the officer recei

Rast

Tools: 8. Does the officer signing The key eontrol officer does not sign out
his tools and does not have eopy of the
eompleted form? (Tool Check Out eompleted form.
Form 712-4)

This finding pertains to the key eontrol Completed
officer issuing severaJ of his key
eontrol tools from the key eontrol
office, specifically a hammer and two
stamps. The key control officer did not
utilize the tool check out form, nor did
he and the officer recei

out the tools keep a eopy of the

Rast

Tools: 9. Are the completed Tool
Check Out Forms (712-4) kept on
file in the tool room tor- the
previous thirty days?

There is no record of the tools being
signed out the key tool storage area. A
review of thirty days of forms from the
food seMce area showed 6 of them not
signed.

This finding pertains to the key control Completed
officer issuing several of his key
control tools from the key control
office, specifica!ly a hammet" and two
stamps. The key control officer did not
ub1ize the tool chec:k out form, nor did
he and the officer recei

Rast

Tools: 10. Did the person
responsible for tool eontrol ensure
aD tools were accounted for at the
beginning and ending of the shift?

The Tool Control Officer is posted before
the end of shift so there is no ending
shift Inventory. The Key Control Officer
does not account for aU tools at the
beginning or ending of each shift.

The tool eontrol officer is a support
servlces postion at Rast and
occassionaUy, the tool eontrol officer is
posted to Day shift do to officer
shortages for the shift The shift
commander of Day shift and the tool
control officer have been instructed to

Rast

Tools: 11. Are inventory sheets
There are no inventories tor- sanitation
placed in aD areas where tools are tools in aD buildings except dorms.
stored within the authorized
location?

~------

The housing unit sanitation equipment
(brooms, mops, mop buckets) utilized
by inmate porters has been placed on
carts and are kept in the sanitation bay
and ISSUed daily to the housing unit
porters and retumed daily. Beginning
and ending inventories are

I
Rast

Rest

Tools: 12. If a tool is removed
In food service tool storage area tile
permanenUy, is the shadow board shadow board has a silhouette of a cable
updated immediately?
that is not on tile inventory.

The kitchen shadow board silouetter Completed
for the cable has been removed from
the shadow board. For any other tools
that are removed permanenUy, the
shadow board will be updated
imediately. The Tool rooom officer
post order wiD be updated to include
instruct

Tools: 13. Do nursing staff

There is no recotd of the tools being
inventoried or aoccunted for on a reguIaJ
basis only wilen accessed.

212512011
The health unit is used only on
Tuesdays and Thursdays. AD other
days of the week. the health unit is not
utilized. Nursing staff conduct
inventories at the begiMing and end 01
their shifts and utilize form 712-7 for
accounting for tools and sharps.

There was no documentation to review.

The auditors conducted the audit when Completed
no medical staff were in the health unit
Daily and monthly inventories were
available for review. Rast Unit does
not have have any dental tools on site.
AD dental procedures are conduded at
the Lewis Medical Can

inventory and account for tools

assigned to the medical areas?

Rast

Tools: 14. 00 dental staff
inventory and account for tools
assigned to the dental areas?

Rast

Tools: 15. Are tools, and
No evidence that a daily seals were
instruments in long term storage checked.
sealed in tamper proof containers,
locked with a break away seal,
and the seals checked daily by
staff responsible for conducting
inventories?

Rest

Tools: 16. Where these seated
containers are used for storage.
are the boxes opened once per
month for inventories, and or if
the seal is discovered to have
been broken?

Rast

Tools: 17. Is only the minimum
There was no documentation on hand to
number of syringes, needles, or review.
laboratory supplies kepi on-site or
in storage? (Four days supply for
institutions with a pharmacy onsite, or seven days for remote
locations.)

There was no evidence that boxes were
opened once per month.

212512011
Tools are stored in a tamper proof
container, but there not any tools
stored long term. The container is
openned twice per week when medical
staff are working in the health unit. At
the beginning and end of the shift, the
tools are inventoried by nursin
212512011
Tools are stored in a tamper proof
container, but there not any tools
stored long term. The container is
openned twice per week when medical
staff are working in the health unit. At
the beginning and end of the shift, the
tools are inventoried by nursin
During the audit. the auditor inspeded Completed
the health unit while no health unit staff
were present The container that was
locked and sealed with a break away
tag was not openned and inspeded by
the auditor nor did the auditor retum
wilen nursing staff was

Rast

Tools: 18. Are health services
staff conduct a tool inventory and
reconciliation of aD tools,
instruments, and portable sharps
disposal containers at the
beginning and end of each shift?

There was no evidence that health
services staff conduct a tool inventory
and reconciliation of all tools at the
beginning and end of each shift.

The health unit is used only on
212512011
Tuesdays and Thursdays. All other
days of the week, the health unit is not
utilized. Nursing staff conduct
inventories at the beginning and end of
their shifts and utilize form 712-7 for
acc:ounting for tools and sharps.

Rast

Tools: 19. Are the tool inventories In interview with security staff they are
not involved in conducting Inventories
conducted in tandem with a
uniformed security officer, or if an with the health services staff.
ofIicef is not immediately

212512011
The health unit is used only on
Tuesdays and Thursdays. All other
days of the week, the health unit is not
utilized. Nursing staff conduct
inventories at the beginning and end of
their shifts and utilize form 712-7 for
acc:ounting for tools and sharps.

a~bIe,asecondhealth

services employee?

Rast

Tools: 20. Are master inventories The Chief of Security has no
documentation on health service tool
completed monthly, with
appropriate reconciliation
inventories.
documentation, and forwarded to
the Chief of Security via the
Health Services Administrator?

The health unit master inventories are Completed
being completed monthly, however, the
unit COS was not provided copies
from the FHA. This issue has been
rectified and the FHA will provide the
montly master inventories to the COS.
The unit tool room ofIicef will

Rast

Tools: 21. Are missing I lost
No Inventofy on hand.
health services tools or
instruments reported immediately
to the Shift Commander, with
notifications made to the Health
Services chain of c:ommand up to
Division Oirector of Program

On the day the auditor inspected the 212512011
Rast health unit. no health unit staff
were present The daily and monthly
inventories were in the health unit
The container for sharps was locked
and sealed with a break away tag. The
health unit post order indud

ServiCeS?
Rast

Tools: 22. Are aD kitchen tools
A review of the tool chedt out forms for
checked in I out using Tool Check thirty days revealed 6 of them where not
Out forms, which are kept on-sita signed.
for 30 days by the Food Service
Supervisor?

Rast

Detention Services: 1. Review a
month of logs and records. Are
records complete? Are Inmates
receiving required notifications
and services?

There is no mention of inmates receiving
medical or recreation services.

This finding pertains to tool check out Completed
forms on file for 30 days with the food
service manager in the kitchen not
being c:omp!ete for signatures. The
kitchen staff were utilizing photo
copied tool check out fonns to write in
tools that were chedted out

212512011
In consultation with the FHA. when
medical staff c:omplete daily health and
welfare checks of inmates in Rast
detention, the ofIicef assigned to
detention will c:omplete an entry on the
Individual Inmate Detention records
and in the post service journal. T

I
Rast

Detention Services: 2. Review a
random selection of Individual
Inmate Detention Record, fonn
804-3. Do the logs indude
information listed under 1.41.4.21

Rast

Detention Services: 3. Review
Roviewed records and there is no
records; Are mental health Slaff
evidence of mental health staff
conducted daily evaluations of the conducting daily evaluations.
inmates on watches?

212512011
Inmates are housed In Rest cells on
mental health watches as the
designated watch cells at Stiner CDU
are occupied. In consulIatiOn with
mental health staff, when mental health
staff conduct their daily evaluations of
inmates at Rast on mental health wat

Rast

Detention Services: Review
records; Are medical health care
staff completed health and welfare
checks at least once each day
during non-business hours.

During document review records show
no evidence of medical health care staff
completing health and welfare checks at
least once each day during business or
non-business hours.

212512011
In consultation with the FHA. when
medical staff complete daily health and
welfare checks of inmates in Rast
detention, the offICer aSSigned to
detention will complete an entry on the
Individual Inmate Detention records
and in the post service journal. T

Rest

Detention Services: 5. R~
In review of documentation it was
historical records for proper
discovered obsefvation times where not
documentation. Does the record staggered.
indicate staggered observation
tirnes within the required time
frames to indude at shift change?

Inmates on mental health watches at 212512011
Rast are conducted by officers from
the units the inmates originated from,
thus, every day dilfement officers are
assigned to observe the inmates on
watches. The supervisors of Rast are
weD versed in the observation

Rast Duplication of Detention
Services#S

Detention Services: 6. Review
In review of documentation it was
historical records for proper
discovered observation times were not
documentation. Does the record staggered.
indicate staggered observation
times within the required time
frames to indude at shift change?

Inmates on mental health watches at 212512011
Rast are conducted by officers from
the units the inmates originated from,
thus, every day diffement officers are
assigned to observe the inmates on
watches. The supervisors of Rast are
weD versed in the observation

Reviewed 804-3 and there was not
record of inmates being offered
recreation or medical services.

212512011
In consultation with the FHA. when
medical staff complete daily health and
welfare checks of inmates in Rast
detention, the officer assigned to
detention will complete an entry on the
Individual Inmate Detention records
and in the post service joumal. T

"""....,

Rut

Detention SeMces 7 Renew the There " no ~ CJI menial ~ 01
records; have the rnentM I'Ie:alIh
medical eve s\afl ClOnductiog daily
c.a.. staft or medocaJ heaIIn c.a ... evahJations as 'equ'reo;I.
staff ClOnduded daily evaluations
as reql.lI.ed7

In oonsuttallcn with IIWI FHA. wnen
medical staff QOITlplete daly health and
welfare check$ oIlIVNItes in Rut
detention. the otfocer a»lgned 10
detention wiI QOITlple\e an entry on the
Individual lnmale Detention flICOfds
and in the post 5efVIC"4 puma/. I

RaLI

DelenbOn Servoces fI Are meals
served aQI;lOfd<ng .... th the pr:*;;y
and any mstrucbOnS 'rom the
health are staft?

11M Greattoo...se 2.9lf1t was pIaoed
11'"110 a Rut Urwt eel on. ten minute
mental health wald"! and .m~ al
Rasl Unit on l 11MII at 0910 hours
and came lrom Shner CDU
ObeNabon Record waS started at
0911) hours at Rut well alter breakl as
and his b

Do_~

[)oaJmentabOn on ontmIle Gteall>DuMl
1/1"'11 did not '"lhCllte lllat he rec:erve-d
any meab

'"

Ralt

Detention Services : 9 . Does tOe No record 01 menlalllllaHh CDre statl
visiting every four houri.
mental heaHhlheaHh CIIre staff
Visit the inma te every ' OIII" hours?
Ale the visits documented on the
ObservallOn Recon:Is?

Pe r 00 807 , .$Clion Lavels of
Obse ...... ation, for alll,veis of
wat,hes, m ental hullh lta ff are to
evalu ate the Inmiltes on wat(.hu al
least on,e per day, not every four
hOurs.DO 807 , Se<:tlon 807.05
(Level s of Obse ...... atlonll .2.2.2,
1.3.6, and l A .6 s tate men

00 r.ot o::oneur.

RUI

In""'te Managemem 1 Does the Disciplinary Coon:Imator takes up to 5
diSCIplinary (XIOfdlna!OI iruhale an days waiting on papefWOO"k belore
ObiectIve invest;galklrt Wllhln 2_
initiating an objective investigation
tlours 01 rI!OI!Ivlng !tie bC:kel?

AI disciplinary reports are rev~
during the mormng admirustraWf!
bnefings along With the dlsciphnary
COOfdinator The reports are
presented at thaI bnIe 10 !/Ie DC.
sta/"lIng the obJec;We IIlvesugabOn
Rut now has a ful_ DC and no
longer r

Com.....

Rut

tn""'le Management 2 Are Clas It is talung between lG-20 days 10
C VlCIatlOns d isposed oI ....lhIn
dispose 01 Cliln C VIOlatIOns
~ wort< days CJI the IMg date 01
tne VIOIaIlOn?

AI disciplinary reports are ff!'IIf!W'ed
dunng the mom'"ll adrTIIIIISlfatlVe
briefings along WIth IIlf! dlsoplonary
coordinator The reports are
presented at that lime to the DC.
starting lhe objeellve Investigation
Rast now has a fill lime DC and no
longer r

Com. . .

COUn! movement

Not aI reqUIred Item1 are addressed in
InShlulionai Ordef

New InsbtullOOaI Order 10 be wrlnen

313012011

COunt movement

insmutional order does not 1pegty tIltI
requirements 01 the masterpau system

New InstitullOnal Ordef to be wnnen

313012011

Keys and radios

during in.pect>On Inmales wt'J re
observed in POSseSSIOn 01 keys. Ihele
was wrinen authorizat,on1 signed by the
Warden. Deputy Warden or
Administrator

Memo·s be ing oompleled for Tram
dnvc(s MolorpOOi and pIIy3<CDI planl
inmales Ihal an could be in possession
of keys

212612011

Comple.

Complex

-

Keys and radios

Key Control Officer does not have a file
on writen Authorizations for inmates 10

Key control Officer has opened a file
that wiD indude aD written
authorizations for inmates 10 possess

211812011

Complex

possess keys

Keys and radios

Key control Officer has opened a me
that wiD indude aD written
authorizations for key duplications for
aD units and complex.

211812011

Complex

Institutional Order authorizes the Deputy
Warden 10 approve Key duplications.
there was no fde 10 indicate who
authoried any key dupliactions for the
complex or units

Keys and radios

Emergency Key Duplications are not
authorized by the warden or designee
and there were no documents on file 10
review

Key control Authorizations are now
being authorized by complex warden
and written authorizations are being
kept on file by complex key control.

211812011

Security Devices

Chief of Security does not ensure that
SOl Work orders log repairs are made
within time frames

Chief of Security will review SOl Work
Orders daily with PPS 10 ensure aD
repairs are made within time frames

211112011

Security Devices

EEO Liaison does not conduct monthly
tours or attend briefings/meetings each
month on the unit

Security Devices

EEO Liaison does not submit reports to
the Warden's office Monthly

Security Devices

EEO Liaison is not condudng required
lOurs

Tools

Complex canine area has a large supply
of unnecessary toots, last tool check
completed Oct 1, 2010

Complex

Complex

Complex

Complex

Complex

Complex

Tools

Canine and water treatment currently
has no system of accountability for tools
stored in authorized area.

Complex

Tools
Complex

Fleet is non compliant with the person
having in their possesion a copy of the
toot signout sheet while they have the
tools signed out

keys

Comlplex EEO uaison win complete
monthly tours of briefing and submit a
report by the 25th of every month to
the warden's office.
Complex EEO Liaison will complete
monthly reports 10 the warden's office
document lours and if any findings or
issues.
Complex EEO uaison wiD completed
monthly reports 10 the warden's office
document tours and if any findings or
issues.
AD unnBQesssry tools being removed
from area, and beginning of shift tool
accountability and end of shift tool
accountability 10 be completed and
documented in the main control
service journal.

212812011

212812011

212812011

211012011

Water treatment toots have been
removed and staff wiD conduct
beginning of shift tool accountability
and end of shift tool accountability to
be completed and documented in the
main contral service journal.

211012011

Security staff have been instucted to
_ure that aD toots signed out of the
tool room are documented
appropriately and the documentation
with on the person who is repsonsible
for that tool.

2111/2011

Tools

Canine and water treatment plant are do
nOI ensure thaI am tools were accounted
for at the beginning and ending of the
shift

Watet' treatment tools have been
removed and Staff assigned wim
conduct beginning of shift tool
accountability and end of shift 1001
accountability 10 be completed and
documenled in the main control
service journal for the canine area.

2128120"

Tools

Fleet and water treatment do not follow
the 1.0 regarding the color ceding of
tools

Water treatment tools have been
removed and Fleet Is currenUy painting
am tools assigned to the tool room

31'0120"

Tools

Canine and waler treatment plant
currenUy have no records. service
journals. that reflect the 1001 Inventories
being logged

Water treatment tools have been
removed and staff wim conduct
beginning of shift tool accountability
and end of shift tool accountability to
be completed and documented in the
main control service journal.

2128120' ,

Tools

Fleet is non-ccmpliant with each inmate
receiving a tool having a copy of the tool
check out fOfl'll on their person at am
times when using the tool.

security staff have been instructed to
ensure that am tools signed out of the
tool room are documented on the Tool
Checkout Form and the documentation
is on the inmate who is repsonsible for
that tool during the entire time while he
is using the tool.

211'12011

Weapons

Canine handlers are not included in the
fist of staff authorized to enter the
armory. but do so routinely to access the
narcotics safe fOt training aides

Narcotics sefe has been removed from
the Armory

214120"

Weapons

The armory is currenUy not being used
for weapons stomge. A safe In the
armory contains narcotics for for training
narcotics dogs.

Narcotics safe has been removed from
the Armory

214120"

Weapons

There is no systet'n in place to address
after hours entry into of the armory
regarding which staff are authorized.

MajOr's office has given direction as to
the process for entering the armory
and who is allowed to enter the
armory.

212812011

Weapons

Narcotics Canine Handlers enter the
armory on a routine basis and do not
write an IR or c:onduct and inventory
when entering the armory

Complex

Complex

Complex

Complex

Complex

Complex

Complex

Complex

Weapons
Complex

Ooor seals are not being routinely
entered into the Com!ctional OffICer's
Journal to demonstmte that the dOOt
seals have been checked and verified.

Narcotics safe has been removed from
the Armory. Narcotics Canine Handlers
wim no longer need to regularly enter

21412011

the armory for tmining aids.
All staff and supervisors have been
given instruction to ensure that
beginning and ending inventories of
door seaJs are being c:onducting and
entered into service joumaJs.

214120' ,

The Weeldy in~enlory of al assIgned
firearms . OperabOnal ammunItIon.
Cllemoc:al ag.en~ and omer equIpment is
not being o;ompleted weekly USIng me
Weel<Jy Inventory. IDml 716-3 The
InvenlOfy " bemg o;ompleted on the dilly

COITect Form is alfeady In use and Ihe
armor .... has been gIVen onstruc1>On 10
ensure that weekly on~enlones Ind
ched<s 0111 _apons .re betng
completed

21"12011

AI staff ;nd supe ..... son h;lIe been
grven instrucbOn 10 en,",re th;I
begInnIng and endIng inventorres of
DART seals are beIng conductmg and
entered 1010 servICe joumals

21"1201 I

Wu""",

Staff are 001 on compliance .... th DO 716
regardIng the ;l<;l';QUntat*ty 01 i1e~
u&ed on the DART locker

AI 51:111 and SUpeMs.orllla-.. been
g!Vet1 instrUCllOn 10 ensure lllal
beginnIng and enchng II'Ivenlones 01
DART seals are betfI\I conducting and
entered inlO i1eMQe JOUr~

21'120 11

Weapons

The Armory has no COfrectiOMI ServIce
Journal 10< the records 10 be kept in
rellectJng proper inventories being
o;ompleled for the IIISI 180 days.

Service Joornals are now being
IXImpieted and submitted 10 the
01 Seamtv

21"12011

Weapons

Complex maIntaIns Stun Devices and
does not 1Ia..... a system in place to
ensure that they ale only Issued 10 those
stuff thaI are traIned In lhei, use and as
ouUrned in the Appocable 10

Tr.ll/Ung and F"ea.rms onstruclOf is
compiling. hll of allewos complex
stall Ihal huve been traIned and
certofied in Ihe use 01 SIUn DeVIceS
Warden to complete Insrlutoon Order

2128120 11

Weapons

The Ins1!lulJOn oroer is outdated ~
ind<Jd •• 1hI ERP. Fire EV3cuallorl plano
respona 10 bOmb threats and Ior;.;ol
requirementllor sect>on 706.03

Warc!en to o;omplete updated I 0

313012011

Inmate Servoees

The reqUIred Insr~tutx:>n order regardIng
ume limIts is OUl 01 date

Warden 10 complete updated I 0

313012011

Requrred Se",ices

The insibtubon Old .... regarding ma~
addressing. outgo<ng and incoming ma~.
Inter-,elabon mail. ma~ rOOm operat.oons
and mail contraband is not dated WlIh 90
days 01 the Department Order

Warden to complete updated ' O.

31301201 \

We.opons

Complex

'~m
Comple~

Weapons

is 001 on compliance Wlth

logging me seal numbets for the OART
Loekert in a correc\lOrlal service JOUlnai
each woO: shrft

Complex

Complex

Com"",

Complex

Complex
Complex

C~"'"

Ch~f