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ICE Detention Standards Compliance Audit - San Diego Correctional Facility, San Diego, CA, ICE, 2007

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Office o/Detention and Removal Operatiol1s
U.S. Depaatment of Homeland Secudty
425 I Street, NW
Washington, DC 20536

MEMORANDUM FOR:

b6, b7c

Officer in Charge
Otay Mesa Contra

I~
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b6, b7c

FROM:

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b6, b7c

SUBJECT:

Detention Review Notification

The Headquarters Office of Detention and Removal Operations intends to perform a review of your
facility on June 26, 2007. This review will be performed under the supervision of Headquarters staff
and will conclude on or about June 28, 2007. The review team will conduct a complete closeout and
share the preliminary findings of the review at that time.
In preparation for this inspection, you are requested to provide working space for the review team.
Additionally, a master copy of the facility's Policies and Procedures, Post Orders, and Emergency
Plans should be available to the review team during the review. The Reviewer-in-Charge (RIC) may
request additional materials during or prior to the scheduled review.
b6, b7c
The designated RIC for your review is
Should you or your staffhave any questions
regarding this review, please contact him at (202) 732- b6, b7c

cc: Field Office Director, San Diego

Office of Detention and Removal Operations

U.s. Department of Homeland Security
425 I Street, NW
Washington, DC 20536

u.s. Immigration

and Customs
Enforcement

clUL 2 7 2007
MEMORANDUM FOR:

IH

Robin Baker
Field Office Director
San Diego Fiel Office

(

A1

FROM:

John P. To es
Director

SUBJECT:

San Diego Contract Detention Facility 6-Month Review

The 6-Month Detention Review of the San Diego Contract Detention Facility conducted June
26-28,2007, in San Diego, California has been received. A final rating of Superior has been
assigned. No further action is required and this review is closed.
The rating was based on the Reviewer-In-Charge (RIC) Summary Memorandum and
supporting documentation. The Field Office Director must now initiate the following actions
in accordance with the Detention Management Control Program (DMCP):
I) The Field Office Director, Detention and Removal Operations, shall notify the facility
withiu five business days of receipt of this memorandum. Notification shall include
copies of the Form G-324A, Detention Facility Review Form, the G-324A Worksheet,
RIC Summary Memorandum, and a copy of this memorandum.
2) The Field Office Director shall schedule the next annual review on or before
June 26, 2008.

b6, b7c

(202) 732-

your staff have any questions regarding this matter, please contact
cting Deputy Assistant Director, Detention Management Division at
b2 high

cc: Official File
b2 high, (b)(6), (b)(7)(C)

www.ice.gov

0"

•

Detention and Removal Operations

U.S. Department of IIomeland Security
425 1 Street, NW

Washington, DC 20536

MEMORANDUM FOR:

FROM:

John P. Torres
b6, b7c

Detention and Deportation Officer
Detention Standards Compliance Unit
SUBJECT:

San Diego Contract Detention Center 6-Month Review

The Detention Management Division, Detention Standards Compliance Unit conducted a
Headquarters 6-Month Detention Review of the San Diego Contract Detention Facility (CDF)
located in San Diego, California from June 26 - 28,2007. This facility is owned and operated
by Corrections Corporation of America (CCA). Immigration and Customs Enforcement (ICE)
is the primary user of this facility for the detention of aliens in removal proceedings. The
review was performed under the supervision of
, Reviewer-In-Charge. Team
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ofICE's Buffalo Field Office,
ofICE's
members included
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Boston Field Office and
of the Miami Field Office, Division ofImmigration
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Health Services. This review was initiated as a result of an Annual Review conducted on
September 26-28,2006, in which the facility was assigned a rating of "Deficient".
Type of Review
This review is a scheduled 6-Month Headquarters Review and was conducted to determine
overall compliance with the Immigration and Customs Enforcement (ICE) National Detention
Standards. Additionally, this review was conducted to ensure that the deficiencies noted in the
September 2006 Annual Review had been corrected.
Review Summary
The American Correctional Association (ACA), the National Commission on Correctional
Health care (NCCHC) and the Joint Commission for Accreditation of Healthcare Organizations
(JCAHO) accredited the San Diego (CDF). The following information summarizes last dates
of successful accreditation and those standards that are not in compliance.

www.ice.gov

SUBJECT: San Diego Cact Detention Center 6-Month RevieA
Page 2

ACA:
NCCHC:
JCAHO:

September 2004
January 2005
August 2004

2006 Review
Acceptable
Deficient
Repeat Deficiency
At-Risk

34
4
0
0

2007 Review
Acceptable
Deficient
Repeat
At-Risk

38

o
o
o

RIC Observations:
The ICE Officer-In-Charge, CCA Superintendent and their respective staff were very
supportive of the review team and assisted the team completely throughout the inspection. ICE
and Facility staff along with a review of available records, provided all information obtained
throughout this review. Staff was observed communicating, assisting and working with the
detained population in an effective, congenial, professional and positive manner throughout the
review. Both ICE and CCA staff should be commended for ajob well done.

Areas of Best Practice
Access to Legal Materials
The San Diego (CDF) exceeds the ICE National Detention Standards by permitting detainees
to access the Law Library in excess of eight hours per week, instead of the specified five hours
per week.

Staff-Detainee Communication
Both Detention and Deportation Officers conduct weekly scheduled and unscheduled visits
with the detained population and respond to all inquiries within 72 hours. Request forms are
tracked in a logbook. Management Officials also conduct random unscheduled visits
throughout the facility. The detainees appeared to be content and well informed, and voiced no
concerns or complaints with regard to conditions of confinement.

Recreation
The facility greatly exceeds the ICE National Detention Standards by permitting detainees to
participate in Outdoor Recreation in excess of 17 hours per week. This exceeds the required 5
hours per week by over 300%. The detained population had no complaints about Recreation
and viewed it as a great opportunity to make the day go by more swiftly. Generally, detainees
are allowed to recreate for 2.5 hours per day, including weekends. CCA should be commended
for its efforts in this regard.

SUBJECT: San Diego Caact Detention Center 6-Month RevieA
Page 3

Tool Control
The tool room was found to be Superior. As required, the Maintenance Supervisor maintains a
computer generated Master Inventory List of all tools and equipment and the location in which
tools are stored. The logbooks were found to be 100% accurate during the review. There is an
excellent system in place to immediately identify lost, stolen, missing or broken tools.

Classification
Review team members noted that classification of detainees is prompt, organized and well
managed. All detainees in the facility are classified according to the ICE National Detention
Standards and records are maintained in a well-organized manner for both physical and
electronic copies. Files and records are easy to locate and during the review, reclassifications
appeared to be processed in a timely manner.

Hunger Strikes
The medical team created a checklist designed to ensure that established protocols and medical
policies and procedures are followed in every instance where a hunger strike and/or suicide
attempt has been identified. The checklist ensures that the established protocols are followed
without variation or deviation, and provides for continuity of care. Division of Immigration
Health Services (DIHS) should be commended for their efforts in this regard.

Advisories
Staff Detainee Communications
During the review, it was discovered that one female housing unit did not have the ICE
visitation schedule posted. This was corrected during the review.

Recommended Plan of Action
Ensure that all housing areas have the ICE visitation schedule posted.

Recommended Rating and Justification
It is the RIC recommendation that the facility receive a rating of "Superior." The facility
currently complies with 38 of 38 Immigration and Customs Enforcement, National Detention
Standards.

SUBJECT: San Diego CoAct Detention Center 6-Month Review.
Page 4

RIC Assurance Statement

Findings of compliance are documented on the G-324a inspection form and are fully supported
by documentation in the review file.

cc: Official File
HQDRO Chron File
b2 high, (b)(6), (b)(7)(C)

•

•

Department Of Homeland Secnrity
Immigration and Customs Enforcement

A. TVDe of Facilitv Reviewed
ICE Service Processing Center
D
ICE Contract Detention Facility
IZJ
ICE Intergovernmental Service Agreement
D

G. Accreditation Certificates
List all State or National Accreditation[ s] received:
ACA, NCCHC, JCAHO
D Check box iffacility has no accreditation[s]

B. Current InsDection
Type ofInspection
D Field Office IZJ HQ Insoection
Date[ s] of Facility Review
June 26-28, 2007
C. Previous/Most Recent Facilitv Review
Date[s] of Last Facility Review
Seotember 19-21, 2006
Previous Rating
D Sunerior D Good D Acceptable IZJ Deficient

Detention Facility Inspection Form
Facilities Used Over 72 hours

H. Problems / ComDlaints (Copies must be attached)
The Facility is under Court Order or Class Action Finding
D Court Order
D Class Action Order
The Facility has Significant Litigation Pending
IZJ Maior Litigation
D Life/Safetv Issues
D Check if None.
Facilitv History
Date Built
March 1999
Date Last Remodeled or Upgraded
March 2002
Date New Construction / Bedspace Added
None
Future Construction Planned
IZJ Ves D No Date: 2008-2009
Current Bedspace
Future Bedspace (# New Beds only)
1000
Number: 1440 Date: 2009

I.

D At-Risk

D. Name and Location of Facilitv
Name

San DieRO Correctional Facilitv
Address (Street and Name)
446 Alta Road Suite 5400
City, State and Zip Code

I

San Dicp'o, CA 92158
County

San niep"o
Name and Title of Chief Executive Officer (Warden/Ole/Superintendent)
Officer In Charnc
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Telephone # (Include Area Code)
619-710- b6, b7c
Field Office I Sub~Office (List Office with oversight responsibilities)
San Diego Field Office
Distance from Field Office
20 miles

E ICE Information
Name ofInspector (Last Name, Title and Duty Station)
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/ Detention and Deoortation Officer / HQDRO
Name of Team Member / Title / Duty Location
/ lEA / Buffalo Field Office
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Name of Team Member / Title / Duty Location
b6, b7c / lEA / Boston Field Office
Name of Team Member / Title / Duty Location
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/ Division Immigration Health Services

1

F. CDF/IGSA Information Onlv
Contract Number
Date of Contract or !GSA
ODT-5- C-003
July 7, 2005
Basic Rates per Man-Day
97.34
Other Charges: (If None, Indicate N/A)
Transo; Guard Service; 22.96 hour;
Estimated Man-days Per Vear
328,500

J. Total Facility Population
Total Facility Intake for previous 12 months
15,790
Total ICE Mandays for Previous 12 months
334,528
K. Classification Level (ICE SPCs and CDFs Onlv)
L-l
L-2
L-3
I AdultMale
311
153
61
Adult Female
128
9
3

r

L. Facility Ca acitv
Rated
Adult Male
800
Adult Female
200

D

Operational
995
276

Emere:ency
1200
200

Facilitv holds Juveniles Offenders 16 and older as Adults

M. Average Daily PODulation
ICE
r Adult Male
526
I Adult Female
140

USMS
232
56

Other
0
0

N. Facility Staffing Level

I

b2 high

I

b2 high

Form G-324A (Rev. 8/13/04) No Prior Version May Be Used After 10/1/04

•

•
Significant Incident Summary Worksheet

For ICE to complete its review of your facility, the following information must be completed prior to the scheduled review dates. The
information on this form should contain data for the past twelve months in the boxes provided. The information on this form is used
in conjunction with the ICE Detention Standards in assessing your Detention Operations against the needs of the ICE and its detained
population. This form should be filled out by the facility prior to the start of any inspection. Failure to complete this section will
result in a delay in processing this report and the possible reduction or removal ofICE' detainees at your facility.
Jan-Mar
Assault:

!

Oct-Dec

14

20

a

a

a

a

18

7

14

20

6

6

6

7

a

a

I

4

6

6

5

3

a

a

a

a

3

I

4

6

a

3

5

4

a

a

I

a

dll'Mon

a

a

a

a

~~e~(C~Ch~i:'r!~!ed,

a

a

a

a

IT

I

a

2

a

a

a

a

a

a

a

a

, etc.)

Types'
With

w;,"
Assault:
Detainee on

I

Staff

w,

Types (Sexual Phv<;c,1, etc,)
With We,non

Number of Forced Moves,

incl. Forced Cell moves

Jul- Sept

7

Offenders on

Offenders 1

Apr-Jun

18

3

~~eapon

~~~~

Disturbances4

~~:~rJ;e~ iIlle,
~,um~:r,oi=es Special

~
~

# Times FourlFive Point
Restraints applied/used
• I

I

Refm,1,

Detainee Medical

as aresult of

injuries,
Escapes

~
Actual

104

50

93

97

#
# Resolved in favor of
Offender/Detainee

I

3

7

a

Reasont v , '~'~""

A-I

A-I

a

A-I

"';';~;rle
Number

a

0

0

0

#•
Cases referred for
Outside Care

62

47

40

38

#:

10

8

2

3

Grievances:

Deaths

Psychiatric (
Referrals

. Cases referred for

Out;ide Care

Any attempted physical contact or physical contact that involves two or more offenders
Oral, anal o.r vaginal penetration or attempted penetration involving at least 2 parties, whether it is consenting or non-consenting
Routine transportation of detainees/offenders is not considered "forced"
Any incident that involves four or more detainees/offenders, includes gang fights, organized multiple hunger strikes, work stoppages, hostage situations,
major fires, or other large scale incidents.

Form G-324A (Rev. 8113/04) No Prior Version May Be Used After 1011/04

•

•
Access to Legal Materials
Group Presentations on Legal Rights
Visitation
Access

5.
6.
7.
8.
9.
10.
II.
12.
!3.
14.
15.
16.

Admission and Release
Classification System
Correspondence and Other Mail
Detainee Handbook
Food Service
Funds and Personal Property
Detainee Grievance Procedures
Issuance and Exchange of Clothing, Bedding, and Towels
Marriage Requests
Non-Medical Emergency Escorted Trip
Recreation
Religious Practices

18.
19.
20.
21.

Hunger
Medical Care
Suicide Prevention and Intervention
Terminal
Advanced Directives and Death

22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.

Contraband
Detention Files
Disciplinary Policy
Emergency Plans
Environmental Health and Safety
Hold Rooms in Detention Facilities
Key and Lock Control
PopUlation Counts
Post Orders
Security Inspections
Special Management Units (Administrative Segregation)
Special Management Units (Disciplinary Segregation)
Tool Control
Transportation (Land management)
Use of Force
Staff 1 Detainee Communication (Added August 2003)
Detainee Transfer (Added September 2004)

findings (Deficient and At-Risk) reqnire written comment describing the finding and what is necessary to meet compliance.

Form G-324A (Rev. 8113/04) No Prior Version May Be Used After 10/1104

•
RIC Review Assurance Statement

•

By signing below, the Reviewer-In-Charge (RIC) certifies that all findings of noncompliance with policy or inadequate controls
contained in the Inspection Report are supported by evidence that is sufficient and reliable. Furthennore, findings of noteworthy
accomplishments are supported by sufficient and reliable evidence. Within the scope ofthe review, the facility is operating in
accordance with applicable law and policy, and property and resources are efficiently used and adequately safeguarded, except for the
deficiencies noted in the report.
Reviewer~In-Charge:

(Print Name)
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b6, b7c

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Title & Duty Location

Detention and Deportation Officer
Team Members
Print Name, Title, & Duty Location
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Print Name, Title, & Duty Location

, lEA, BUF

b6, b7c

b6, b7c

, DlRS, MIA

Print N arne, Title, & Duty Location

Print Name, Title, & Duty Location

, lEA, BOS

Recommended Rating:

~ Superior

o Good
o Acceptable

o Deficient
OAt-Risk

Comments:

Form G-324A (Rev. 8/13/04) No Prior Version May Be Used After 10/1104

•

•

HEADQUARTERS EXECUTIVE REVIEW

I Review Authority
The signature below constitutes review of this report and acceptance by the Review Authority. OIC/CEO will have 30 days from
receipt of this report to respoud to all findings aud recommendatio
HQDRO EXECUTIVE REVIEW: (Please Print Name)

John P. Torres
Title

Director

Final Rating:

[gJ Superior
DGood

D Acceptable

D Deficient

D At-Risk
D No Rating
Comments:
The Review Authority (RA) concurs with the recommended rating of "Superior" made by the ReviewerIn-Charge (RIC) as justified in the RIC Memorandum and the G-324A Worksheets.

Form G-324A (Rev. 8/1/01) No Prior Version May Be Used After 12/31101

•

•

Department of Homeland Security
Immigration and Customs Enforcement
Office of Detention and Removal

Condition of Confinement Review Worksheet
(This document must be attached to each G-324a Inspection Form)
This Form to be used for Detention Reviews of SPCs

Headquarters Detention and Removal Operations

Part 1

Headquarters Review Worksheet
D

ICE Service Processing Center
ICE Contract Detention Facility
~
Name
San Diego Correctional Facility (Otay Mesa, CDF)
Address (Street and Name)
446 Alta Road, Suite 5400
City, State and Zip Code
San Diego, CA 92158
County
San Diego
Name and Title of Officer In Charge
b6, b7c

Name and title of Reviewer-In-Charge
b6, b7c
, Detention and Deportation Officer
Date[s] of Review
June 26-28, 2007
Type of Review
~ Headguarters DS"ecial Assessment DOther

•

•

ACCESS TO LEGAL MATERIALS

Policy: Facilities holding ICE detainees shall permit detainees' access to a law library, and provide legal
materials, facilities, equipment and document copying privileges, and the opportunity to prepare legal
documents.
Components

Yes

No

The facility provides a designated law library for
detainee use.
The library contains a sufficient number of chairs, is well
lit and is reasonably isolated from noisy areas.
The law library is adequately equipped with typewriter,
computers or both and has sufficient supplies for daily
use by the detainees.
There is a designated ICE employee responsible for
ensuring the equipment is in good working order and
supplies are adequately stocked.
Outside persons and organizations are permitted to
submit published legal material for inclusion in the legal
library. Outside published material is forwarded and
reviewed by the Field Office prior to inclusion.
The law library contains all materials listed in the
"Access to Legal Materials" Standard, Attachment A.
The listing of materials is posted in the law library OR
the facilitY provides access throu'lh LEXUS NEXUS.
The Facility subscribes to updating Services where
applicable and legal materials requiring updates are
current.
There is a designated ICE employee who inspects,
updates, and maintain/replace legal material on a
routine basis. The designee properly disposes outdated
supplements and replaces damaged or missing material
promptly.
Detainees are offered a minimum 5 hours per week in
the law library. Detainees are not required to forego
recreation time in lieu of library usage. Detainees facing
a court deadline are 'liven priority use of the law library.
Detainees may request material not currently in the law
library. Each request is reviewed and where appropriate
an acquisition request is initiate and timely pursued.
Request for copies of court decisions are accommodate
within 5 business days.
The facility permits detainees to assist other detainees,
voluntarily and free of charge, in researching and
preparin'l le'lal documents, consistent with security.
The facility ensures that illiterate or non-Englishspeaking detainees without legal representation receive
more than access to English-language law books after
indicating their need for help.
Detainees may retain a reasonable amount of personal
legal material in the general population and in the
special management unit. Stored legal materials are
accessible within 24 hours of a written request.
Detainees housed in Administrative Segregation and
Disciplinary Segregation units have the same law library
access as the general population, barring security
concerns.

[8J

0

[8J

0

[8J

0

[8J

0

[8J

0

[8J

0

[8J

0

Remarks

10 Computers / 3 Typewriters.
The law library is very well
equipped.
Staffed by a CCA employee.

Lexus Nexus is on all computers
including the SMU law library.

Staffed by CCA employee.

[8J

[8J

0

0

[8J

0

[8J

0

[8J

0

[8J

0

[8J

0

Surpasses the standard by
authorizing a total of over 8
hours of law library time a week.
If information cannot be located
by the CCA employee, the
request is forwarded to the ICE
law clerk.

•

•

ACCESS TO LEGAL MATERIALS

Policy: Facilities holding ICE detainees shall permit detainees' access to a law library, and provide legal
materials, facilities, equipment and document copying privileges, and the opportunity to prepare legal
documents.
Components
When detainees are denied access to legal materials,
the reasons are documented and reviews are conducted
for for the purpose of removinQ sanctions.
All denials of access to the law library documented in
writing.
Facility Management is aware of each instance where
detainees are denied access to the law library or law
materials.
Indigent detainees are provided with free envelopes and
stamps for mail related to legal matters.
Indigent detainees may mail up to 3 first class letters at
no charQe while in ICE custody.
Detainees who seek judicial relief on any matter are not
subjected to reprisals, retaliation, or penalties.

IZI Acceptable 0

Deficient

0

Yes

No

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

At·Risk

0

Remarks

Repeat Deficiency

Remarks: (Record significant facts, obseNations, alternate source used for verification, etc.)

b6, b7c

•

ADMISSION AND RELEASE

•

Policy: All detainees will be admitted and released in a manner that ensures their health, safety, and welfare.
The admissions procedure will, among other things include: medical screening; a file-based assessment and
classification process; a body search; and a search of personal belongings, which will be inventoried,
documented, and safeguarded as necessary.
Components
In processing includes an orientation session. At a
minimum, orientation addresses: Unacceptable
activities and behavior, and corresponding sanctions.
How to contact his/her deportation officer. The
availability of pro bono legal services and how to
pursue such services. Schedule of programs, services,
daily activities, including visitation, telephone usage,
mail service, religious programs, count procedures,
access to and use of the law library and the general
library; sick-call procedures, etc and the detainee
handbook.
Medical screenings are performed by a medical staff or
persons who have received specialized training for the
purpose of conducting an initial health screening.
Accompanying documentation is used to identify and
classify each new arrival.
All new arrivals strip-searched in accordance with the
"Detainee Search" standard. An officer of the same
sex as the detainee conducts the search and the
search is conducted in an area that affords as much
privacy as possible.
The "Contraband" standard governs all personal property
searches. IGSAs use or have a similar contraband
standard. Staff prepares a complete inventory of each
detainee's possessions. The detainee receives a copy.
Excess funds and valuables accounted for and
safeguarded in accordance with the "Funds and
Personal Property" standard or a similar policy for
IGSAs and the detainee receives a receipt.
During detainee in-processing staff inventories every
item of personal property and baggage (except
funds/valuables) using personal property inventory
forms.
Each detainee receives a receipt for personal property.
Staff completes Form 1-387 for every lost or missing
property claim.
Detainees are issued appropriate and sufficient clothing
and beddinQ for the climatic conditions.
Clothes and wristbands are color-coded according to
classification placement.
The facility provides and replenishes personal hygiene
items as needed. Gender-specific items are available.
ICE Detainees are not charged for these items.
The admissions process includes the following
components:
Classification.
Medical screening.
Inventory of personal effects.

•
•
•

Yes

No

Remarks
The orientation video is played in
all holding tanks upon arrival.
The detainee also signs a form
confirming that they have viewed
and read the orientation form.

IZI

0

IZI

0

The detainee is medically cleared
within 12 hours.

IZI

0

Detention files were viewed and
all contained required forms.

IZI

0

IZI

0

IZI

0

IZI

0

IZI
IZI

0
0

IZI

0

IZI

0

IZI

0

IZI

0

•

ADMISSION AND RELEASE

•

Policy: All detainees will be admitted and released in a manner that ensures their health, safety, and welfare.
The admissions procedure will, among other things include: medical screening; a file-based assessment and
classification process; a body search; and a search of personal belongings, which will be inventoried,
documented, and safeguarded as necessary.
I

Components
All releases are in accordance with ICE and DRO
policy and include safeguards to prevent accidental
release.
Staff completes all paperwork/forms for release as
required.
ICE Staff enter all information on detainees admitted,
released, or transferred into the Deportable Alien
Control System (DACS) within 8 hours of admission or
release.

IZI Acceptable 0

Deficient

0

Yes

No

IZI

0

IZI

0

IZI

0

At-Risk

0

Remarks

Repeat Deficiency

'Remarks: (Record significant facts, observations, other sources used, etc.)
Every detainee that arrives to this facility has a chest x-ray and PPD test, which is read by the medical staff
within 3-4 hours. Once they are cleared, they are sent to general population. This all occurs with 12 hours. A
sample of 10 files pulled at random from the population of 1000. All files viewed were organized and
appeared to have all required documentation.

b6, b7c

•

CLASSIFICATION SYSTEM

•

Policy: All facilities will develop and implement a system according to which ICE detainees are classified. The
classification system will ensure that each detainee is placed in the appropriate category, physically separated
from detainees in other categories
Components
The facility uses the required Objective Classification
System as specified in the ICE Standard.
The facility classification system includes:
Classifying detainees upon arrival.
• Separating individuals who cannot be classified
upon arrival from the general population.
The first-line supervisor or designated
classification specialist reviewing every
classification decision.
The intake/processing officer reviews work-folders, Afiles, etc., to identify and classify each new arrival.
Each detainee is assigned a color-coded uniform and
wristband based on his/her classification level.
Files include original paperwork supporting the
classification and the detention file contains a copy.
Staff uses only information that is factual, and reliable
to determine classification assignments. Opinions and
unsubstantiated/ unconfirmed reports may be filed but
are not used to score detainees classifications.
Housing assignments are based on classificationlevel. Detainees are assigned to the least restrictive
housing unit based and are not assigned more than
one level higher or lower than their classification
designation.
A detainee's classification-level does not affect his/her
recreation opportunities. Detainees recreate with
persons of similar classification designations.
Detainee work assignments are based upon
classification designations.
The facility classification process includes
reassessment / reclassification. Reassessments are
conducted within 60 days after arrival and subsequent
reassessments are comQieted every 60 to 90 days.
The classification system includes standard procedures
for processing new arrivals' appeals. Only a
designated supervisor or classification specialist has
the authority to reduce a classification-level on appeal.
Classification appeals are resolved within five business
days and detainees are notified of the outcome within
10 business days.
Classification designations may be appealed to a
higher authority such as the Officer in Charge or
equivalent.
The Detainee Handbook explains the classification
levels, with the conditions and restrictions applicable to
each.
The Detainee Handbook speCifies the procedures a
detainee must follow to appeal his/her classification or
request reclassification.

Yes

No

C8J

0

•

•

C8J Acceptable 0

Deficient

0

C8J

0

C8J

0

C8J

0

C8J

0

C8J

0

~

0

C8J

0

C8J

0

C8J

0

~

0

C8J

0

C8J

0

C8J

0

C8J

0

At-Risk

0

Repeat Deficiency

Remarks

•

•

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Au

•

•

CORRESPONDENCE AND OTHER MAIL

Policy: All facilities will ensure that detainees send and receive correspondence in a timely manner, subject to
limitations required for the safety, security, and orderly operation of the facility. Other mail will be permitted,
subject to the same limitations. Each facility will widely distribute its guidelines concerning correspondence and
other mail.
Components
The admission process includes informing detainees of
the facility's correspondence and other mail policy.
Notification of the policy is made in the detainee
handbook in the detail required to comply with the ICE
standard.
Each detainee receives a detainee handbook upon
admittance.
The rules for correspondence and other mail are posted
in each housing or common area.
The facility provides key information in languages other
than English; In the language(s) spoken by significant
numbers of detainees. List any exceptions.
Incoming mail is distributed to detainees on the day it is
received by the facility and in no case more than 24
hou rs after it is received.
Outgoing mail routinely delivered to the postal service
within one day of its entering the internal mail system
_(excludinQ weekends and holidOlYs).
Staff records all priority, overnight, and certified mail
delivered by the U.S.P.S. and all deliveries from
commercial alternatives to the U.S.P.S.
Staff does not open and inspect incoming general
correspondence and other mail (including packages and
publications) without the detainee present unless
documented and authorized by the Officer-In-Charge or
equivalent for prevailing security reasons.
Staff does not ever read incoming general
correspondence without the OIC's prior approval.
Staff does not inspect incoming special
Correspondence for physical contraband or to verify the
"special" status of enclosures without the detainee
present.
Staff is prohibited from reading or copying incoming
special correspondence.
Staff is only authorized to inspect outgoing
correspondence or other mail without the detainee
present when there is reason to believe the item might
present a threat to the facility's secure or orderly
operation, endanger the recipient or the public, or might
facilitate criminal activity. Inspection of outgoing special
correspondence is done in the presence of the detainee
and for contraband onlv.
Correspondence to a politician or to the media is
processed as special correspondence and is not read or
copied.
The official authorizing the rejection of incoming mail
sends written notice to the sender and the addressee.

Yes

No

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

I:8l

D

Remarks

Incoming mail is delivered to the
detainee in the same day.
Outgoing mail is picked up by
8:00 a.m. and delivered to the
US Post Office by 9:00 a.m.

•

•

CORRESPONDENCE AND OTHER MAIL

Policy: All facilities will ensure that detainees send and receive correspondence in a timely manner, subject to
limitations required for the safety, security, and orderly operation of the facility. Other mail will be permitted,
subject to the same limitations. Each facility will widely distribute its guidelines concerning correspondence and
other mail.
The official authorizing censorship or rejection of
outgoing mail provides the detainee with signed written
notice.
Staff maintains a written record of every item removed
from detainee mail.
The facility monitors staff handling of discovered
contraband and its disposition. Records are accurate
and un to date.
The procedure for safeguarding cash removed from a
detainee is effective. The amount of cash credited to
detainee accounts is accurate. Discrepancies are
documented and investigated. Standard procedure
includes issuina a receint to the detainee.
Detainee identity documents (e.g., passports, birth
certificates) are maintained A-files. Only copies of
detainee identity documents are maintained in other
non-official files.
Staff provid~~the detain~~)an ICE-certified copy of
his/her identi document s upon reauest.
Staff disposes of prohibited items found in detainee mail
in accordance with the "Control and Disposition of
Contraband" Standard or the similar prevailing policy in
IGSAs.
Every indigent detainee has the opportunity to mail, at
government expense: Correspondence about a legal
matter: At least three other letters per week: Packages
deemed necessarv bv ICE.
The facility has a system for detainees to purchase
stamps and for mailing all special correspondence and a
minimum of 5 pieces of general correspondence per
week.
The facility provides writing paper, envelopes, and
pencils at no ccst to ICE detainees.

IZI Acceptable 0

Deficient

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

At-Risk

0

Repeat Deficiency

Remarks: (Record significant facts, observations, other sources used, etc.)
All required logbooks for mail and correspondence were reviewed and they appeared to be very well
organized and up to date.
b6, b7c

•
I

DETAINEE HANDBOOK

•

Policy: Every OIC will develop a site-specific detainee handbook to serve as an overview of, and guide to, the
detention policies, rules, and procedures in effect at the facility. The handbook will also describe the services,
programs, and opportunities available through various sources, including the facility, ICE, private organizations,
etc. Every detainee will receive a copy of this handbook upon admission to the facility.
Components

Yes

No

The Facility has a detainee handbook.
The detainee handbook is written in English and
translated into Spanish or into the next most-prevalent
Language(s).
Detainees are required to sign for them to ensure
accountabilitv.
The handbook supplements the facility orientation
video or staff presentation.
All staff members receive a handbook and training
regarding the handbook contents.
The handbook is revised as necessary and there are
procedures in place for immediately communicating
any revisions to staff and detainees.
There an annual review of the handbook by a
designated committee or staff member.
The detainee handbook address the following issues:
Personal Items permitted to be retained
by the detainee.
Initial issue of clothes.
• Personal hygiene items issued.
The detainee handbook states in clear language basic
detainee responsibilities.

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

The handbook identifies: Initial issue of clothing and
bedding and initial issue of personal hygiene items.
The handbook states when a medical examination will
be conducted.
The handbook describes the facility, housing units,
dayrooms, In-dorm activities and special management
units.
The handbook describes; Official count times and
count procedures Meal times, feeding procedures,
procedures for medical or religious diets, additional
information, Smoking policy, Clothing exchange
schedules and if authorized, clothes washing and
drying procedures and expected personal hygiene
practices.
The handbook describe times and procedures for
obtaining disposable razors and allows that detainees
attending court will be afforded the opportunity to shave
first.
The handbook describes barber hours and hair cutting
restrictions.
The handbook describes; the telephone policy, debit
card procedures, direct and frees calls; Locations of
telephones; Policy when telephone demand is high;
Policy and procedures for emergency phone calls, and
the Detainee Message System.
The handbook addresses religious programming.

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

•
•
•

Remarks

•

DETAINEE HANDBOOK

•

Policy: Every OIC will develop a site-specific detainee handbook to serve as an overview of, and guide to, the
detention policies, rules, and procedures in effect at the facility. The handbook will also describe the services,
programs, and opportunities available through various sources, including the facility, ICE, private organizations,
etc. Every detainee will receive a copy of this handbook upon admission to the facility.
Components
The handbook states times and procedures for
commissary or vending machine usage. (where
available)
The handbook describes the detainee voluntary work
program procedures and pay procedures.
The handbook describes the library location and hours
of operation and law library procedures and schedules.
The handbook describes; attorney visitation hours;
Location of the list of pro bono legal organizations;
Group legal rights presentations schedule and sign up
procedures.
The handbook describes the facility search procedures
and contraband policy.
The handbook describes the facility visiting hours and
schedule and visiting rules and regulations.
The handbook describes the correspondence policy
and procedures.
The handbook describes the detainee disciplinary
policy and procedures: Including:
Prohibited acts and severity scale sanctions.
• Time limits in the Disciplinary Process.
Summary of Disciplinary Process.
The handbook describes the detainee grievance
procedures including app_eals.
The detainee handbook describes the sick call
procedures for general population and segregation.
The handbook describes the facility recreation policy
including:
• Outdoor recreation hours.
• Indoor recreation hours.
• In dorm leisure activities.
• Rules for television viewing.
The handbook describes the detainee dress code for
daily living; Work assignments and the meaning of
color-coded uniforms.
The handbook specifies the rights and responsibilities
of all detainees.

•

Yes

No

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

I2J

D

•

I2J Acceptable D Deficient D

At-Risk

0

Repeat Deficiency

Remarks: (Record significant facts, observations, other sources used, etc.)
b6, b7c

Remarks

•

•

FOOD SERVICE

Policy: Every facility will provide detainees in its care with nutritious and appetizing meals, prepared in
accordance with the highest sanitary standards.
Components
The food service program is under the direct
supervision of a professionally trained and certified
service administrator.
In larger facilities the Cook Supervisor (CS) assists the
FSA in day-to-day management of food service
operations.
Responsibilities of cooks and cook foremen are in
writing. The FSA determines the responsibilities of the
Food Service Staff.
The CS is on duty on days when the FSA is off duty
and vice versa.
The FSA provides food service employees with training
that specifically addresses detainee-related issues.

•

This includes a review of the ICE "Food
Service" standard

Knife cabinets close with an approved locking device
and the on-duty cook foreman maintains control of the
key that locks the device.
All knives not in a secure cutting room are physically
secured to the workstation and staff directly supervises
detainees using knives at these workstations.
The FSAICS monitors the condition of knives and
dining utensils.
Special procedures govern the handling of food items
that pose a security threat.
Standard operating procedures include daily searches
(shakedowns) of detainee work areas.
Food service personnel conduct shakedowns along
with detention staff.
The FSA monitor staffs implementation of the facilities
counting procedures. These procedures in written form
and staff are trained in counting procedures.
The detainees assigned to the food service department
look neat and clean. Their clothing and grooming
comply with the "Food Service" standard.
The FSA annually reviews detainee-volunteer job
descriptions to ensure they are accurate and up-todate.
The CS instructs newly assigned detainee workers in
the rules and procedures of the food service
department.
Training includes workplace-hazard recognition and
deterrence.
Training covers the safe handling of every
hazardous material the detainees are likely to
encounter in their work.

•

Yes

No

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

Remarks

Serv SAFE course and
continuing
on the job training.
No knifes are used in the kitchen.

No knifes are used in the kitchen.

lSI

0

lSI

0

lSI

0

lSI

0

lSI

0

Food items that are deemed a
security threat are secured.
The kitchen is searched prior to
after each of the two shifts.

Facility counts are conducted by
CCA security staff.
The detainees assigned to the
kitchen are inspected prior to
their respective shift.

•

•

FOOD SERVICE

Policy: Every facility will provide detainees in its care with nutritious and appetizing meals, prepared in
accordance with the highest sanitary standards.
Components
During orientation and training session(s), the CS
explains and demonstrates:
Safe work practices and methods.
Safety features of individual products! pieces of
equipment.
The CS documents all training in individual detainee
detention files.
Detainees are paid in accordance with the "Voluntary
Work Prooram" standard or prevailing IGSA standards.
Detainees are served at least two hot meals every day.
No more than 14 hours elapse between the last meal
served and the first meal of the following day.
IN SPCs only: The ICE supervisor on duty ensures
that ICE officers participate in dining room supervision.

•
•

A transparent "sneeze guard" protects both the serving
line and salad bar line.
The facility has a standard 35-day menu cycle. IGSAs
use a 35-day or similar system for rotating meals.
The FSA or facility considers the ethnic diversity of the
facility's detainee population when developing menu
cvcles. (Provide examples)
A registered dietitian conducts a complete nutritional
analysis of every master-cycle menu planned.
Are menus sometimes adopted without the dietitian's
certification?
• If yes, under what circumstances

The CS has established procedures to ensure that
items on the master-cycle menu are prepared and
presented according to approved recipes.
Does the CS have the authority to change menu items
if necessary?
• If yes, documenting each substitution, along
with its justification
• With copy to FSA

Yes

No

Remarks

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

A registered dietitian approves
the menus every 6 months.

IZI

0

The menus occasionally have
food substitutions due to vendor
supply shortages or equipment
failures. Documentation is
forward up the chain of
command.

IZI

0

Three hot meals a day.

Spanish Rice with meat.

IZI

0

All staff and volunteers know and adhere to written
"food preparation" procedures.

IZI

0

Detainees whose religious beliefs require the
adherence to particular religious dietary laws are
referred to the Chaplain or FSA.

IZI

0

The menus occasionally have
food substitutions due to vendor
supply shortages or equipment
failures. Documentation is
forward up the chain of
command.

•

•

FOOD SERVICE

Policy: Every facility will provide detainees in its care with nutritious and appetizing meals, prepared in
accordance with the highest sanitary standards.
Components

Yes

No

I:2l

0

I:2l

0

I:2l

0

I:2l

0

I:2l

0

I:2l

0

Satellite-feeding programs follow guidelines for proper
sanitation.

I:2l

0

Hot and cold foods are maintained at the prescribed,
"safe" temperature(s) after two hours.

I:2l

0

I:2l

0

Food is not used to punish or reward detainees based
upon behavior.

I:2l

0

When required, only food service staff prepares the
sack lunches for detainee transportation.

I:2l

0

A common-fare menu available to detainees whose
dietary requirements cannot be met on the main.
0
Changes to the planned common-fare menu
can be made at the facility level.
0
Hot entrees are offered three times a week.
0
The common-fare menus satisfy nutritional
recommended daily allowances (RDAs).
0
Staff routinely provides hot water for instant
beverages and foods.
0
Common-fare meals are served with:
0
Disposable plates and utensils?
0
Reusable plates and utensils?
0
Staff use separate cutting boards, knives,
spoons, scoops, etc., to prepare the commonfare diet items.
A Supervisor at the command level must approve a
detainee's removal from the Common -Fare Program.
0
Under what circumstances?
The OIC, in conjunction with the Chaplain and/or local
religious leaders, provide the FSA a schedule of the
ceremonial meals for the following calendar vear.
The common-fare program accommodates detainees
abstaining from particular foods or fasting for religious
purposes at prescribed times of the year.
0
Muslims fasting during Ramadan receive their
meals after sundown?
0
Jews who observe Passover but do not
participate in the Common-Fare Program
receive the same Kosher-for- Passover meals
as those who do participate.
0
Main-line offerings include one meatless meal
(lunch or dinner) on Ash Wednesday and
Fridays durinQ Lent.
IN SPCs the FSA prepares quarterly cost estimates for
the Common Fare Program.
0
This quarterly estimate is factored into the
quarterly budget.
The food service program addresses medical diets.

All meals provided in nutritionally adequate portions.

Remarks

A registered dietitian approves the
menus every 6 months.

•

•

FOOD SERVICE

Policy: Every facility will provide detainees in its care with nutritious and appetizing meals, prepared in
accordance with the highest sanitary standards.
Components

Yes

No

IZl

0

IZl

0

The food service staff instructs detainee volunteers on:
Personal cleanliness and hygiene;
Sanitary techniques for preparing, storing, and
serving food, and;
The sanitary operation, care, and maintenance
of equipment.
Everyone working in the food service department
complies with food safety and sanitation requirements.
If not, explain non-compliance.
Standard operating procedures include weekly
inspections of all food service areas, including dining
and food-preparation areas and equipment.
who conducts the inspections?

IZl

0

Either the FSA or the CS inspects all food service
areas once every week.

IZl

0

•
•

Remarks

•

•

•

Equipment is inspected for compliance with health and
safety codes and regulations.
How often?
When
was the most recent inspection?
•
Which
aQencv conducted the inspection?
•
Reports of discrepancies are forwarded to the OIC or
AOIC and corrective action is scheduled and
completed.
Standard procedure includes checking and
documenting temperatures of all dishwashing
machines durinQ each meal.
Staff documents the results of every refrigerator/
freezer temperature check.
The cleaning schedule for each food service area is
conspicuously posted.
Do procedures include inspecting all incoming food
shipments for damage, contamination, and pest
infestation?
Staff complies with the ICE requirements for "food
receipt and storage.
Stock inventory levels are monitored and adjusted to
cerrect overage and shortage problems.
Storage areas are locked.

•

Staff complies with all ICE "Housekeeping,
Storeroom/Refrigerator" requirements
•
Identify and explain shortcominQs.

IZl Acceptable 0

Deficient

0

The contract kitchen staff inspects
the kitchen prior to opening and
after closing on a daily basis. A
weekly inspection is completed by
the FSA and Safety and Security
Manager.

California State Health Department
conducts the inspections.

IZl

0

IZl

0

IZl

0

IZl

0

IZl

0

IZl

0

IZl

0

IZl

0

IZl

0

IZl

0

At-Risk

0

This is posted on the outside of
the refrigerator and freezer.

Repeat Deficiency

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

•

•
FUNDS AND PERSONAL PROPERTY

Policy:
All facilities will implement procedures to control and safeguard detainees' personal property.
Procedures will provide for the secure storage of funds, valuables, baggage and other personal property; the
documentation and receipting of surrendered property; and the initial and regularly scheduled inventorying of all
funds, valuables, and other property.
Components
Detainee funds and valuables are properly separated
and stored away.
Detainee funds and valuables are accessible to
designated supervisor(s) only.

Detainees' large valuables are secured in a location
accessible to designated supervisor(s) or processing
staff only.
Staff itemizes the baggage and personal property of
arriving detainees, including funds and valuables, using
a personal property inventory form that meets the ICE
standard.
Staff gives the detainee the original inventory form, filing
copies in the detainee's detention file and the personal
property container.
Staff forwards an arriving detainee's medicine to the
medical staff.
Staff searches arriving detainees and their personal
property for contraband.
Staff obtains a forwarding address from each detainee.
There is a written policy for returning forgotten property
to detainees and staff follows procedures.
It is standard procedure for two officers to be present
when removing/documenting the removal of funds from
a detainee's possession.
Staff issues and maintains property receipts (G-589s) in
numerical order.
Staff completes and distributes the G-589 in accordance
with the ICE standard.
The processing officer records each G-589 issuance in
a G-589 logbook. The record includes the initials and
star numbers of receipting officers.
Staff tags large valuables with both a G-589 and an 1-77.
The supervisor verifies the accuracy of every G-589.
The supervisor ensures that:
Detainee funds are, without exception,
deposited into the cash box;
Every property envelope is sealed.
• All sealed property envelopes are placed in the
safe.
• Large, valuable property is kept in the secured
locked area.
Staff tags every baggage/facility container with an 1-77,
completed in accordance with the ICE standard.

Yes

No

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI

0

IZI
IZI
IZI

0
0
0

IZI

0

IZI

0

IZI

0

IZI

0

IZI
IZI

0
0

IZI

0

IZI

0

Remarks

Only accessible with two key
system. One is held by the
intake supervisor and one by the
business officer supervisor.
They can only gain access with
both keys simultaneously.

A form is utilized.

CCA uses forms of equivalent
nature.

CCA uses forms of equivalent
nature.

•
•

CCA uses forms of equivalent
nature.

•

•

FUNDS AND PERSONAL PROPERTY

Policy: All facilities will implement procedures to control and safeguard detainees' personal property.
Procedures will provide for the secure storage of funds, valuables, baggage and other personal property; the
documentation and receipting of surrendered property; and the initial and regularly scheduled inventorying of all
funds, valuables, and other property.
Staff secures every container used to store property with
a tamper-proof numbered strap.
A logbook records detainee name, A- number/detaineenumber, baggage-checkll-77 number, security tie-strap
number, property description, date issued and date
returned.
Property discrepancies are immediately reported to the
CDEO or Chief of Security.
In SPCs, the Detention Operations Supervisor (DOS),
accompanied by a detention staff member conducts a
comprehensive weekly audit.
The OIC has established quarterly audits of baggage
and non-valuable property as facility policy, the audits
occur each quarter and audits are entered in the daily
log.
The facility positively identifies every detainee being
released or transferred.
Staff follows written procedures when returning property
to detainees.
Staff routinely informs supervisors of lost/damaged
property claims. Claims are properly investigated and
missing or damaged propertY claim reports are filed.
Every lost/damaged property report completed in
accordance with the ICE standard on an 1-387 (or
equivalent). The OIC receives a copy and staff places
the original in the detainee's A-file, retaining a copy in
facility' files.
The SPC uses the Form SF-95 for all detainee
missing/damaged property claims against the
government. The claimant signs every SF-95.
The facility attempts to notify an out-processed detainee
when he/she left property in the facility.
By sending written notice to the detainee's last
known address;
• Via certified mail;
• The notice state that the detainee has 30 days
in which to claim the property, after which it will
be considered abandoned.
The facility disposes of abandoned property in
accordance with written procedures. (based on ICE'
"Personal Property Operations Handbook")

~

0

~

0

~

0

~

0

~

0

~

0

~

0

~

0

~

0

~

0

~

0

~

0

Audits are conducted on
holidays and weekends.

CCA uses forms of equivalent
nature.

•

~ Acceptable

0

Deficient

0

At-Risk

0

Repeat Deficiency

ions, other sources used, etc.)
b6, b7c

GROUP LEGAL RIGHTS PRESENTATIONS

•

•

Policy: Facilities housing ICE detainees shall permit authorized persons to make presentations to groups of
detainees for the purpose of informing them of U.S. immigration law and procedures, consistent with the
security and orderly operation of each facility. ICE encourages such presentations, which instruct detainees
about the immigration system and their rights and options within it
Components
The Field Office is responsive to requests by attorneys
and accredited representatives for group presentations.
Upon receipt of concurrence by the Field Office Director,
the OIC ensures proper notification to attorneys or
accredited representatives in a timelv manner.
The facility follows policy and procedure when rejecting
or requesting modifications to objectionable material
provided or presented by the attorney or accredited
representative.
Posters announcing presentations appear in common
areas at least 48 hours in advance and sign-up sheets
are available and accessible.
Documentation is submitted and maintained when any
detainee is denied permission to attend a presentation
and the reason(s) for the denial.
When the number of detainees allowed to attend a
presentation is limited, the facility allows a sufficient
number of presentations so that all detainees signed up
may attend.
Detainees in segregation and unable to attend for
security reasons may request separate sessions wtth
presenters. Such requests are documented.
Interpreters are admitted when necessary to assist
attorneys and other legal reQresentatives.
Presenters are afforded a minimum of one hour to make
the presentation and to conduct a question-and-answer
session.
Staff permits presenters to distribute ICE-approved
materials.
The facility permits presenters to meet with small groups
of detainees to discuss their cases after the group
presentation. ICE Staff are present but do not monitor
conversations with legal providers.
Group presenters who have had their privileges
suspended are notified in writing by the OIC and the
reasons for suspension are documented. The District
Director is notified when a group or individual is
suspended from making presentations.
The facility plays ICE-approved videotaped
presentations on legal rights, at regular opportunities at
the request of outside organizations.
A copy of the Group Legal Rights Presentation policy,
including attachments, is available upon request

[ZJ Acceptable

0

Deficient

0

Yes

No

[ZJ

0

[ZJ

0

[ZJ

0

0

[ZJ

[ZJ

0

[ZJ

0

[ZJ

0

[ZJ

0

[ZJ

0

[ZJ

0

[ZJ

0

[ZJ

0

[ZJ

0

[ZJ

0

At-Risk

0

Remarks

There were no group
presentations conducted within
the last 12 months.

Repeat Deficiency

Remarks: (Record significant facts, observations, alternate source used for verification, etc.)

b6, b7c

•

•

•

DETAINEE GRIEVANCE PROCEDURES

Policy: Every facility will develop and implement standard operating procedures (SOPs) for addressing
detainee grievances in timely fashion. Each step in the process will occur within the prescribed time frame.
Among other things, a grievance will be processed, investigated, and decided (subject to appeal) in accordance
, with the SOPs; a grievance committee will convene as provided in the SOPs. Standard procedure will include
providing the detainee with a written response to any formal grievance, which will include the basis for the
decision. The facility will also establish standard procedures for handling emergency grievances. All
grievances will receive supervisory review. Reprisal against the filer of a grievance will not be tolerated.
No
Yes
Remarks
I of
Written procedures "'v •• ~~ for the informal
oral grievances.
IS]
0
• If yes, the detainee has up to five days within
which to make his/her concern known to a
of the staff.
Detainees have access to the ~""v<,,,,,,,committee (or
equivalent in IGSA), using formal procedures.
• Detainees may seek help from other detainees
IS]
or facility staff when preparing a grievance.
0
Illiterate,
disabled,
or
non-English-speaking
•
detainees receive special assistance when
.~

In

...

~

's. the detainee has five days,after the

",,,,u,,,,, or "u, "",...grievance outcome to file a formal

i
Every member of the staff knows how to identify
emergency grievances, including the procedures for
i ,"them.
In SPCs and CDFs, when a
, does not accept
the grievance committee's decision, he/she files an
appeal with the ICE OIC.
In all facilities written procedures cover detainee
appeals and are included in the detainee
handbook
There are no documented substantiated cases of staff
harassing, disciplining, penalizing, or otherwise
retaliating against a detainee who lodges a complaint.
•
If ves.
.
,~" r.
in~" ,1'1", '"'''' ''''''
a
Log.
• If not, an alternative acceptable record keeping
system is maintained.
• "Nuisance complains" are identified in the
records.
• For quality control purposes, staff documents
nu
received but not filed.
Staff is requ .. "J to
any grievance that '" I
officer" ,,~vv, ,~uct to a higher official or, in a CDFIIGSA
facility, to ICE.

•

IS]

0

IS]

0

IS]

0

IS]

0

""ld

The au" ,b",u, '" process il
~ h';~d'I"'ld, each new
arrival with a copy of the detainee
book (or
equivalent).

IS]

0

IS]

0

IS]

0

The Detainee Grievance Log
was reviewed and found that all
detainee grievances were
handled within 7-10 days of
original complaint, from
beginning to end.

•

•

DETAINEE GRIEVANCE PROCEDURES

Policy: Every facility will develop and implement standard operating procedures (SOPs) for addressing
detainee grievances in timely fashion. Each step in the process will occur within the prescribed time frame.
Among other things, a grievance will be processed, investigated, and decided (subjectto appeal) in accordance
with the SOPs; a grievance committee will convene as provided in the SOPs. Standard procedure will include
providing the detainee with a written response to any formal grievance, which will include the basis for the
decision. The facility will also establish standard procedures for handling emergency grievances. All
grievances will receive supervisory review. Reprisal against the filer of a grievance will not be tolerated.
Components
The grievance section of the handbook explains all
steps in the grievance process - Including:
• Informal and formal grievance procedures;
• The appeals process and step-by-step
procedures;
Staff/detainee availability to help during the
grievance process
Guarantee
against staff retaliation for
•
filing/pursuing a grievance.
How to file a complaint about officer misconduct
with the Department of Justice.

•

Yes

No

I2$l

0

•

I2$l Acceptable 0

Deficient

0

At-Risk

0

Repeat Deficiency

Remarks: (Record significanf facts, observations, other sources used, etc.)

b6, b7c

Remarks

•

•

ISSUANCE AND EXCHANGE OF CLOTHING, BEDDING, AND TOWELS

I Policy: ICE requires that all facilities housing ICE detainees provide clean clothing, bedding, linens and towels
to every ICE detainee upon arrival. Further, facilities shall provide ICE detainees with regular exchanges of
clothing, linens, and towels for as long as they remain in detention.

Components
The facility has a policy and procedure for the regular
issuance and exchange of clothing, bedding, linens and
towels.
The supply of these items exceeds the
minimum required for the number of detainees.
All new detainees are issued clean, temperatureappropriate, presentable clothing during in processing.
Detainees receive
• One uniform shirt and one pair of uniform pants
or one jumpsuit.
One pair of socks.
One pair of underwear (Daily change).
One pair of facility-issued footwear.
Additional clothing is available for changing weather
conditions or is seasonally appropriate.
New detainees are issued clean bedding, linens and
towel. They receive
• One mattress
• One blanket
• One pillow
• Two sheets
One pillowcase
One towel
Additional
blankets are issued based on local
•
weather conditions.

•

Yes

No

I2SI

0

I2SI

0

I2SI

0

I2SI

0

I2SI

0

I2SI

0

I2SI

0

I2SI

0

NA

I

•
•
•

•
•

Detainees assigned to special work areas are clothed in
accordance with the requirements of the job.
Detainees are provided clean clothing, linen and towels.
Socks and undergarments exchanged daily.
• Outer garments at least twice weekly.
Sheets at least weekly.
Towels at least weekly.
• Pillowcases at least weekly.
Food service detainee volunteer workers permitted to
exchanqe outer garments dailv.
Detainee workers are permitted to exchanges of outer
garments more frequently.

•
•
•

I2SI Acceptable

0

Deficient

0

At-Risk

0

Repeat Deficiency

Remarks: (Record significant facts, obseNations, other sources used, etc.)
b6, b7c

Remarks

•

MARRIAGE REQUESTS

•

Policy: All detainee marriage requests will receive case-by-case consideration from ICE management.
Components

Yes

No

The OIC/ICE considers detainee marriage requests on a
case-by-case basis.

t8J

0

t8J

0

t8J

0

t8J

0

t8J

0

t8J

0

t8J

0

t8J

0

In SPCs the DIG or highest-ranking ICE official on-site
is the only officer authorized to approve a request to
marry.
The Field Office Director reviews every marriage
request rejected by an DIG or IGSA. Rejections are
documented.
It is standard practice to require a written request for
permission to marry.
The written request includes a signed statement or
comparable documentation from the intended spouse,
confirminQ marital intent.
The OIC provides a written copy of his/her decision to
the detainee and his/her leqal representative.
When permission is denied, the OIC states the basis for
his/her decision.
The OIC provides the detainee with a place and time to
make weddinQ arranqements.
The detainee handbook explains the marriage request
process.

IZl Acceptable 0

Deficient

t8J
0 At-Risk 0

0
Repeat Deficiency

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks

•

•

NON-MEDICAL EMERGENCY ESCORTED TRIPS
Policy: The Immigration and Naturalization Service (ICE) may provide detainees with staff-escorted trips into the
community for the purpose of visiting critically ill members of the detainee's immediate family, or for attending
funerals.
Components
The OIC considers and approves, on a case-by-case
basis, trips to immediate family member's:
• Funeral
• Deathbed
The facility recognizes mother, father, brother, sister,
spouse, child, stepparent, and foster parent as
"immediate family".
The Field Office Director is the approving official for
non-medical escorted trips.
The detainee's Deportation Officer reviews the file
before forwarding a detainee's request, with
recommendation, to the approving official. Each
recommendation addresses the individual's suitability for
travel, e.g., the kind of supervision required?
Detainees who require overnight housing are placed in
approved IGSA facilities.
Facility procedures comply with the following ICE
Standards:
Non-Medical Emergency Escorted Trips
Transportation (Land Transportation)
Restraints applied strictly in accordance with the
Use of Force standard.
Each escort includes at least two officers.
The detainee under constant, direct visual
supervision of escortinQ staff.
The Chief Detention Enforcement Officer responsible for
training escort officers to follow written procedures.
Escorting officers report unexpected situations to the
originating facility as a matter of procedure and the
ranking supervisor on duty has the authority to issue
instructions for completion of the trip.
Escorting officers have the discretion to: a. Increase or
decrease minimum restraints in accordance with written
instruction, procedures and classification level of the
detainee.
Escort officer training includes ICE Firearms Policy.
Escort officers do not accept gifts/gratuities from a
detainee, detainee's relative or friend for any reason.
Escort officers ensure that detainees:
• Conduct themselves in a manner that does not
bring discredit to the ICE.
• Do not violate federal, state, or local laws.
• Do not purchase, possess, use, consume, or
administer narcotics, other drugs, or intoxicants.
• Do not arrange to visit family or friends unless
approved before the trip.
Make no unauthorized phone calls.
Know they are subject to search, urinalysis,
breathalyzer, or comparable test upon return to
the facilitv.

•
•
•
•

•
•

Yes

No

~

D

~

D

~

D

~

D

~

D

~

D

~

D

~

D

~

D

~

D

~
~

D
D

~

D

Remarks

•

•

NON-MEDICAL EMERGENCY ESCORTED TRIPS
Policy: The Immigration and Naturalization Service (ICE) may provide detainees with staff-escorted trips into the

community for the purpose of visiting critically ill members of the detainee's immediate family, or for attending
funerals.
Components

Yes

No

Standard procedure requires the immediate return to the
facility of any detainee who violates trip rules.

[8]

D

[8] Acceptable

D Deficient D

At-Risk

D Repeat Deficiency

ations, other sources used, etc.)
b6, b7c

A

Remarks

II

•

•

RECREATION

Policy: It is ICE policy to provide access to recreational programs and activities to all ICE detainees, to the
extent possible, under conditions of security and supervision that protect their safety and welfare.

D

D

I popul
are granted 1 .5 hours a week
of recreation, which far exceeds

a written explanation
i

I

programs or
Volunteers are required to
before enteri ng a secu re
detainees are
of detainees are not all

IZI

D

IZI

D

IZI

D

IZI

D

IZI

D

IZI

D

Remarks:
b6, b7c

RELIGIOUS PRACTICES

•

•

Policy: Facilities will provide ICE detainees of all faiths with reasonable and equitable opportunities to

participate in the practices oftheir faith, limited only by the constraints of safety, security, the orderly operations
of the facility and budgetary considerations.
Components

Yes

No

Detainees are allowed to enQaQe in reliQious services.
Space is available for detainees to conduct religious
services.
The facility allows detainees to observe the major "holy
days" of their religious faith.
a. List any exceptions.
The facility accommodates recognized holy-day
observances by:
• Providing special meals, consistent with dietary
restrictions.
Honoring
fasting requirements.
•
Facilitating
religious services.
•
AliowinQ
activilY
restrictions.
•
Each detainee is allowed religious items in his/her
immediate possession.
Volunteer's credentials are checked and verified before
letting him/her participate in detainee programs.

~
~

0
0

~

0

~

0

~

0

Members of faiths not represented by clergy conduct
may request to present their own services within security
allowances.
Detainees in the Special Management Unit to participate
in religious practices unless otherwise documented for
the safelY and security of the facility.
~ Acceptable

0

Deficient

0

~

0

~

0

~

0

At-Risk

0

Candidates willing to volunteer
are subjected to a DHS/ICE
background check prior to being
allowed to volunteer.

Visited weekly by the chaplain so
that he can provide any needed
religious services.

Repeat Deficiency

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks

•

•

DETAINEE TELEPHONE ACCESS

Policy: All facilities housing ICE detainees will permit detainees' reasonable and equitable access to
telephones.
Components

Yes

No

IZl

0

IZl
IZl
IZl

0
0
0

IZl

0

IZl

0

IZl

0

The facility administration prompHy reports out-of-order
telephones to the facility's telephone service provider.

IZl

0

The facility administration monitors repair progress and
take appropriate measures to ensure that the required
repairs are begun and completed timely.

IZl

0

IZl

0

IZl

0

IZl
IZl

0
0

IZl

0

IZl

0

IZl

0

The facility has a system for taking and delivering
detainee telephone messages.

IZl

0

Emergency phone call messages are immediately
given to detainees.

IZl

0

IZl

0

IZl

0

Detainees allowed access to telephones during
established facility waking hours.
Upon admittance, detainees are made aware of the
facility's telephone access policy.
Notification of this policy is in the detainee handbook.
The telephone access rules are posted in each unit.
The facility makes a reasonable effort to provide key
information to detainees in languages spoken by any
significant portion of the facilitls population.
Telephones are provided at a minimum ratio of one
telephone per 25 detainees in the facility population.
Telephones are inspected daily by facility staff to
ensure that they are in good working order.

Detainees are afforded a reasonable degree of privacy
for legal phone calls.
A procedure exists to assist a detainee who is having
trouble placing a confidential call.
The facility provides the detainees with the ability to
make non-collect (special access) calls.
Special Access calls are at no charge to the detainees.
No restrictions are placed on detainees attempting to
contact attorneys and legal service providers who are
on the approved "Free Leqal Services List".
Special arrangements are made to allow ICE detainees
to speak by telephone with an immediate family
member detained by ICE in another facility.
Use of general access phones is ordinarily not
restricted.

Detainees are allowed to return emergency phone calls
as soon as possible.
Detainees in disciplinary segregation are allowed
phone calls relating to the detainee's immigration case
or other legal matters, including consultation calls.

Remarks

Ratio found in all housing units
was 1 telephone per 8
detainees.
CCA conducts tests on a daily
basis and the Compliance Officer
or his designee conduct weekly
tests on various detainee
telephones around the facility and
are documented on an electronic
loq.
PCS is notified immediately.

At the request of the detainee.

Only restricted time from the
phones is during the facility count
times.
A logbook is utilized to record all
detainee messages.

•

•

DETAINEE TELEPHONE ACCESS

Policy: All facilities housing ICE detainees will permit detainees' reasonable and equitable access to
telephones.
Components

Yes

No

Detainees in disciplinary segregation are allowed
phone calls to consular/embassy officials.
Detainees in disciplinary segregation allowed phone
calls for familv emerQencies.
Detainees in administrative segregation and protective
custody afforded the same telephoning privileges as
those in oeneral population.
When detainee phone calls are monitored, notification
is posted by detainee telephones that phone calls
made by the detainees may be monitored.
Special Access calls are not monitored.

[2J

0

[2J

0

[2J

0

[2J

0

[2J Acceptable

0

Deficient

0

A mobile phone is brought to
their holding cell.

0

[2J

At·Risk

Remarks

0

Repeat Deficiency

Remarks: (Record significant facts, observations, alternate source used for verification, etc.)
On a sampling of 15 calls made to various consulates, government hotlines, courts, and the Office of the
Inspector General, all calls connected immediately. The only issue noticed was that some consulates
have restricted any calls coming from this facility or have changed their numbers without providing any
forwarding telephone number.
b6, b7c

•

•

Telephone Serviceability Worksheet

Name of Facility:

Otay Detention Facility, San Diego Field Office

Name of DRO Officer:
Date I Time of Arrival:
Date I Time of Departure:
Phone System (Did Toll-Free Numbers Work):

EOIR - (800) 898-7180

List of Consulates Called (minimum of five):

Pro Bono Legal Services Hotline:
Were there any inoperable telephones? Was PCS I Facility notified? Outcome?

Did any preprogrammed numbers not work? Which ones? Outcome?

Were previous telephone issues resolved?

General Observations and Comments:

DRO Officer Signature:
Date:

•

•
VISITATION

Policy: ICE shall permit detainees to visit with family, friends, legal representatives, special interest groups and
the news media.
Components

Yes

No

IZI

D

IZI

D

IZI

D

IZI
IZI

D
D

Visitors are searched and identified according to
standard requirements.

IZI
IZI
IZI
IZI

D
D
D
D

Provision for visits by children and stepchildren, when
requested, are made within the first 30 days.

IZI

D

IZI
IZI
IZI

D
D
D

On regular business days legal visitation hours provide
for a minimum of eight (8) hours per day and a
minimum of four hours per day on weekends and
holidays.

IZI

D

On regular business days, detainees are given the
option of continuing a meeting with a legal
representative through a scheduled meal.

IZI

D

IZI

D

IZI

D

IZI

D

IZI

D

IZI

D

There is a written visitation schedule and hours for
general visitation.
The visitation hours tailored to the detainee population
and the demand for visitation.
Upon admittance detainees are made aware of the
facility's visitation policy and the hours of visitation for
the following categories: general visitation (including
visitation by minors), legal visitation, consultation
visitation for expedited removal, consular visitation, and
special family visits, in the detainee handbook.
The visitation schedule/rules are available to the public.
The hours for all categories of visitation are posted in
the visitation waiting area.
A written copy of the rules regulating visitation and the
hours of visitation is available to visitors.
A general visitation log is maintained.
A visitor dress code is available to the public.

At a minimum, monthly visits are allowed for minor
children.
Detainees in special housing are afforded visitation.
Legal visitation is available seven (7) days a week,
including holidays.

The facility has a written procedure allowing legal
service providers and assistants to telephone the
facility in advance of a visit to determine whether a
particular detainee is detained in that facility.
After consultation with a detainee, the attorney files the
appropriate Form EOIR-28 with the court and a copy is
maintained in the detainees file.
The call ahead inquiry policy is available to legal
service providers.
Private consultation rooms are available for attorney
meetings. There is a mechanism for the detainee and
his/her representative to exchange documents.
There are written procedures governing detainee
searches. The procedure is also listed in the detainee
handbook or equivalent.

Remarks

•

•

VISITATION

Policy: ICE shall permit detainees to visit with family, friends, legal representatives, special interest groups and
the news media.
Prior to each visit, legal service providers and
assistants are identified per the standard.

0

0

The current list of pro bono legal organizations is
posted in the detainee housing areas and other
appropriate areas.

0

0

The decision to permit or deny a tour is not delegated
below the level of Field Office Director.

0

0

Provisions for NGO visitation are complied with in
accordance with established ORO policy.

0

0

Law enforcement officials, requesting to visit with a
detainee, are referred to the OIC for approval.

0

0

Former detainees or aliens in proceedings, requesting
to visit with a detainee, are referred to the OIC.

0

0

Procedures are in place, consistent with the detention
standard, for examinations by independent medical
service providers and experts.

0

0

ISJ Acceptable 0

Deficient

0

At-Risk

0

Repeat Deficiency

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

•

•
VOLUNTARY WORK PROGRAM

Policy: In every facility offering a voluntary work program, ICE detainees will have the opportunity to work and
earn money by participating. While not legally required, ICE affords detainee workers basic Occupational
Safety and Health Administration (OSHA) protections.
Components
The facilitv has a voluntary detainee work prOQram.
Staff maintains a written chart with work assignments
and the corresponding classification levels.
On a case by case basis, level-three detainees have the
opportunity to participate in special details, however, are
never allowed to work outside the secure perimeter.
Written procedures govern selection of detainees for the
Voluntary Work Program.
The same procedures apply for replacement
workers as for "new" workers.
Where possible, physically and mentally challenged
detainees participate in the program.
The facility complies with work-hour requirements for
detainees, not exceeding:
• Eight hours a day and Forty hours a week .
Detainee volunteers generally work according to fixed
schedule.
Detainees receive a maximum of $1/dav stipend.
Every participating detainee signed the Voluntary Work
Program agreement.
Staff places the written justification in the detainee's
detention file when a detainee is removed from a work
detail for cause.
Staff, in accordance with written procedure, ensures that
detainee volunteers understand their responsibilities as
workers before they join the work prOQram.
The voluntary work program meets required safety
standards such as OSHA, NFPA, and ACA.
Medical staff screens and formally certifies detainee
food service volunteers before the assignment beQins
Detainees receive safety equipment! training sufficient
for the assiQnment
The facility reviews and follows the latest safety
guidelines and requirements.
Proper procedure is followed when a detainee is injured on
the job.

•

I:8J Acceptable 0

Deficient

D

Yes

No

I:8J
I:8J

D
D

I:8J

D

I:8J

D

I:8J

D

I:8J

D

I:8J
I:8J
I:8J

D
D
D

I:8J

D

I:8J

D

I:8J

D

I:8J

D

I:8J

D

I:8J

D

I:8J

D

At-Risk

0

Repeat Deficiency

Remarks: (Record significant jacts, observations, other sources used, etc.)

b6, b7c

Remarks

•

•

Department of Homeland Security
Immigration and Customs Enforcement
Office of Detention and Removal

Condition of Confinement Review Worksheet
(This document must be attached to each G-324a Inspection Form)
This Form to be used for Inspections of ICE Service Processing Center

Headquarters Detention and Removal Operations

Part 2

Headquarters Detention Review Worksheet

o

ICE Service Processing Center
lSJ ICE Contract Detention Facility
Name
San Diego Correctional Facility
Address (Street and Name)
446 Alta Road, Suite 5400
City, State and Zip Code
San Diego, CA 92158
County
San Diego
Name and Title of Chief Executive Officer (Warden/OIC/Superintendent)
b6, b7c
Officer in Charge
Name and title of Reviewer-In-Charge
Date[s] of Review
Type of Review
Headquarters

o

DS~ecial Assessment

DOther

•

•
HUNGER STRIKES

I

Policy: All facilities will follow standard guidelines for the medical and administrative management of ICE
detainees engaging in hunger strikes. By monitoring of the health and welfare of the individual detainees,
facilities will strive to sustain their lives.
Components
When a detainee has refused food for 72 hours, it is
standard practice for staff to refer him/her to the medical
department.

Yes

No

NA

r8J

0

0

The OIC of an SPC immediately reports a hunger strike
to the Field Office Director.

r8J

0

0

The facility has established procedures to ensure staff
respond immediately to a hunger strike.

r8J

0

0

r8J

0

0

r8J

0

0

Medical staff records the weight and vital signs of a
hunger-striking detainee at least once every 24 hours.

r8J

0

0

The facility obtains a hunger striker's consent before
medical treatment.

r8J

0

0

A signed Refusal of Treatment form is required of every
detainee who rejects medical evaluation or treatment.

r8J

0

0

During a hunger strike, staff documents and provides
the hunger-striking detainee three meals a day.

r8J

0

0

Staff maintains the hunger striker's supply of drinking
water/other beverages.

r8J

0

0

During a hunger strike, staff removes all food items from
the hunger striker's living area.

r8J

0

0

Policy and procedure require that staff isolate a hungerstriking detainee from other detainees.
Medical personnel are authorized to place a detainee in
the Special Management Unit or a locked hospital room.

Remarks

Using monitoring tool to
ensure continuity of care

SPECIAL NEEDS FORM
initiated for Hunger Strike

"Encourages importance
-maintaining proper diet"

Staff is directed to record the hunger striker's fluid intake
and food consumption, does staff always use Hunger
Strike Monitoring Form 1-839.

r8J

0

0

The medical staff has written procedures for treating
hunger strikers.

r8J

0

0

Powerpoint on hunger
strike protocol

Staff documents all treatment attempts, including
attempts to persuade hunger striker of medical risks.

r8J

0

0

Discusses side effects of
prolonged hunger strike

Staff has received training in identification of hunger
strikes. Medical staff receives early training in hungerstrike evaluation and treatment. Staff remains current in
evaluation and treatment techniques.

r8J Acceptable 0

Deficient

0

Form I 839 implemented

Training Documented

r8J

0

Repeat Deficiency OAt-Risk

*Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

0

•

ACCESS TO MEDICAL CARE

•

Policy: Every facility will establish and maintain an accredited/accreditation-worthy health program for the
general well being of ICE detainees.
Components
A Health Services Administrator (HSA) position exists
and this administrator directs both the health care
program and medical facilities.
The health program in compliance with NCCHC
standards and the facility is currently accredited by
NCCHC.
The medical facility has current JCAHO accreditation.
The facility's in-processing procedures of arriving
detainees include medical screeninQ.
All detainees have access to and receive medical care.
The facility has access to prearranged specialized
health care and hospitalization arrangements in the local
community.
The medical staff is large enough to examine and treat
the facility's detainee population.
The facility has sufficient space and equipment to afford
each detainee privacy when receiving health care.
The medical facility has its own restricted-access area.
The restricted access area is located within the confines
of the secure perimeter and no detainees have gained
access in the past twelve months.
The medical facility entrance includes a holding/waiting
room.
The medical facility's holding/waiting room under the
direct s~ervision of custodial staff.
Detainees in the holding/waiting room
have access to a toilet and a drinking fountain.
Medical records are kept apart from other files. They
are:
Secured in a locked area within the medical
unit.
• With physical access restricted to authorized
medical staff.
Procedurally,
no copies made and placed in
•
detainee files.
Pharmaceuticals are stored in a secure area behind a
minimum of two locked doors. They are stored in a
manner consistent with all requirements of the ICE
standard.
Medical screening includes a Tuberculosis (TB) test.
• Every arriving detainee receives a TB test.
• During the admission process.
• Detainee's TB-screening does not occur more
than one business day after his/her arrival at the
facility.
• Detainees not screened are housed separate
from the general population.

Yes

No

NA

I2:J

0

0

I2:J

0

0

I2:J
I2:J
I2:J

0
0
0

0
0
0

I2:J

0

0

I2:J

0

0

I2:J

0

0

I2:J

0

0

I2:J

0

0

I2:J

0

0

I2:J

0

0

I2:J

0

0

I2:J

0

0

Remarks

•

Teleradiology-CXR

I2:J

0

0

•

ACCESS TO MEDICAL CARE

•

Policy: Every facility will establish and mainlain an accredited/accreditation-worthy health program for the
general well being of ICE detainees.

All detainees receive a mental-health screening upon
arrival. It is conducted:
• Bya health care provider or specially trained
officer;
Before a detainee's assignment to a housing
unit.
Findings are recorded on the in-processing health
screening form (1-794).
The facility health care provider promptly reviews all 1794s (or equivalent) to identify detainees needing
medical attention.
The health care provider physically examines/assesses
arrivin~ detainees within 14 days of admission.
Detainees in the Special Management Unit have access
to health care services.
Staff provides detainees with health- services request
slips daily, upon request.
• Request slips are available in the languages
other than English, including every language
spoken by a sizeable number of the facility's
detainee population.
• Service-request slips are delivered in a timely
fashion to the health care jlI"ovider.
The facility has a written plan for the delivery of 24-hour
emergency health care when no medical personnel are
on duty at the facility, or when immediate outside
medical attention is required.
The plan includes an on-call provider.
The plan includes a list of telephone numbers for local
ambulances and hospital services.
The plan includes procedures for facility staff to utilize
this emergency health care consistent with security and
safety.
The health authority approved the contents, number,
location, and procedures for monthly inspection of the
first-aid kit(s).·
The health authority has developed written procedure for
use of the first-aid kits by non-medical staff.
Detention staff is trained to respond to health-related
emerqencies within a 4-minute response time.
Detention/custody staffs do not distribute medication to
detainees.
The medical unit keeps written records of medication
that is distributed.
The 1-819 (or CDF equivalent) is used to notify the
OIC/Facility of a detainee that has special medical
needs.
A signed and dated consent form is obtained from a
detainee before medical treatment is administered.
Detainees use the 1-813 to authorize the release of
confidential medical records to outside sources.
The OIC is notified, in writing, by the medical staff when
a detainee needs medical clearance prior to being
transferred or released.

26 question screening
tool + 1-794

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ
[;gJ

0
0

0
0

[;gJ

0

0

[;gJ

0

0

0

0

[;gJ

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

[;gJ

0

0

•

CCA trains own staff

•

ACCESS TO MEDICAL CARE

•

Policy: Every facility will establish and maintain an accredited/accreditation-worthy health program for the
general well being of ICE detainees.
This notification wHI is forwarded from the HSA or
Clinical Director of the medical facility on a
Medical/Psychiatric Alert form (1-834j.
When an alert has been received on a detainee, the
detainee's Booking Record (1-385) is appropriately
flagged to ensure appropriate consultation with medical
staff before release or transfer.
The facility health care provider is given advance notice
prior to the release, transfer, or removal of a detainee.
Detainee'S medical records or a copy thereof, are
available and transferred with the detainee.
Medical records are placed in a sealed envelope or
other container labeled with the detainee's name and Anumber and marked "MEDICAL CONFIDENTIAL".
Formal documented meetings are held at least quarterly
between the OIC of the facility and the HSA of the
medical facility.
~ Acceptable

0

Deficient

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

Repeat Deficiency

0

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

D'-a"1t&----c.~!:.-~Z<>erl

At-Risk

•

•

SUICIDE PREVENTION AND INTERVENTION
Policy: All detention staff working with ICE detainees will be trained to recognize suicide-risk indicators. Staff
. will handle potentially suicidal individuals with sensitivity, supervision, and referrals. A clinically suicidal detainee
will receive preventive supervision and treatment.
Components

Yes

No

NA

Every new staff member receives suicide-prevention
training.
Suicide-prevention training occurs during the employee
orientation proqram.
Training prepares staff to:
• Recognize potentially suicidal behavior;
• Refer potentially suicidal detainees, following
facility procedures;
• Understand and apply suicide-prevention
techniques.
A health-care provider screens all detainees for suicide
potential as part of the admission process.
• Screening does not occur later than one working
day after the detainee's arrival.
Written procedures cover when and how to refer at-risk
detainees to medical staff and procedures are followed.
The facility has a designated isolation room for
evaluation and treatment.
The designated isolation room does not contain any
structures or smaller items that could be used in a
suicide attempt.
Medical staff has approved the room for th·ls purpose.
Staff observes a suicide-watch detainee at least once
every 15 minute.

[g]

0

0

[g]

0

0

[2';1 Acceptable

0

Deficient

0

Using monitoring tool to
ensure continuity of care

[g]

0

0

[g]

0

0

[g]

0

0

[g]

0

0

[g]

0

0

[g]

0
0

0
0

le---"-<!,--Z-6 ~

/:1--dtI--'

"Safety Cells"
"Safety Cells"

[g]

Repeat Deficiency OAt-Risk

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks

•

•

TERMINAL ILLNESS, ADVANCED DIRECTIVES, AND DEATH
Policy All facilities housing ICE detainees shall have pOlicies and procedures addressing the issues ofterminal
illness or injury, medical advanced directives, and detainee death, to include the procedures to ensure proper
notification is provided to ICE officials, family members and other interested parties in the event of a detainee
becoming terminally ill or injured or death of a detainee occurs. In addition, the policy will cover procedures to
be taken if the death of a detainee occurs while in transit.
Components
Yes
No
NA
Remarks

Detainees, who are chronically or terminally ill, are
transferred to an appropriate offsite medical facility.
The facility or appropriate ICE office promptly notifies
the next of kin of the detainee's: medical condition.
• The detainee's location.
• The limitations placed on visitin~.
The facility has guidelines addressing State Advanced
Directive Form for Implementing Living Wills and
Advanced Directives.
• The guidelines include instructions for detainees
who wish to have a living will other than the
generic form the DIHS provides or who wish to
appoint another to make advance decisions for
him or her.
The guidelines provide the detainee the opportunity to
have a private attorneyflrepare the documents.
There is a policy addressing "Do Not Resuscitate
Orders."
Detainees with a "Do Not Resuscitate" order in the
medical record receive maximal therapeutic efforts short
of resuscitation.
The facility notifies the DIHS Medical Director and
Headquarters' Legal Counsel of the name and basic
circumstances of any detainee with a "Do Not
Resuscitate" order in the medical record.
The facility has written procedures to address the issues
of organ donation by detainees.
The facility has written procedures to notify deceased
family members and consulates, when a detainee dies
while in Service.
The facility has a policy and procedure to address the
death of a detainee while in transport. The procedures
adhere to the reguirements in the detention standard.

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

•

•

TERMINAL ILLNESS, ADVANCED DIRECTIVES, AND DEATH
Policy All facilities housing ICE detainees shall have policies and procedures addressing the issues of terminal
illness or injury, medical advanced directives, and detainee death, to include the procedures to ensure proper
notification is provided to ICE officials, family members and other interested parties in the event of a detainee
becoming terminally ill or injured or death of a detainee occurs. In addition, the policy will cover procedures to
be taken if the death of a detainee occurs while in transit.
Components
Yes
NA
Remarks
No
At all ICE locations the detainee's remains disposed of
in accordance with the provisions detailed in this
standard.
• The family has seven calendar days of the date
of notification (in writing or in person) to claim
the remains.
If the family chooses to claim the body, they are
told that they will assume responsibility for
making the necessary arrangements and paying
all associated costs (transportation of body,
burial, etc.).
• If the family wants to claim the remains, but
cannot afford the transportation costs, they are
aware that ICE may assist the family by
transporting the remains to a location in the
United States.
The
consulate is notified.
•
When family members cannot be located or
decline, orally or in writing, to claim the remains,
the consulate is notified in writing.
• The consulate is given seven calendar days to
claim the remains.
In the event that neither family nor consulate claims the
remains, the Field Office Director schedules an
indigent's burial, consistent with local procedures.
• If the detainee's is a U.S. military veteran is the
Department of Veterans Affairs notified.
An original or certified copy of a detainee's death
certificate is placed in the subject's a-file.
The facility follows established policy and procedures
describing when to contact the local coroner regarding
such issues as
Performance of an autopsy.
Who
will perform the autopsy.
•
Obtaining
State approved death certificates.
•
Local transportation of the body.
ICE staff follows established procedures to properly
close the case of a deceased detainee.

•

[2J

D

D

[2J

D

D

[2J

D

D

[2J

D

D

[2J

D

•

•
•

[2J Acceptable

D

Deficient

D

Repeat Deficiency

D
D At-Risk

'Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Auditors Signature I Date

~.1'1-817-00f

~(~

,

'

'

,

•

•

Best Practices Observed:

Continuity of Care: All medical and ancillary staff participate during mandatory evening
shift reports-discussing Airborne Isolation patients, medical patients, mental health
patients, and pending workload appointments, such as physical exams, intakes, and sick
calls. This comprehensive, multidisciplinary exchange, in addition to visual tracking aids
such as dry erase boards, maximizes safe continuity of care.
Hunger Strike/Suicide Attempt Monitoring: Nursing Services, Health Services
Administration, Mental Health Care, the Clinical Director, Pharmacy, and Medical
Records are required to follow an internally developed "interdisciplinary monitoring
tool" for Hunger Strikes and Suicide Attempts. This collaborative team effort ensures all
detention standards are met, but more importantly provides safe healthcare.
Clinic and ICE Communication: The Health Services Administrator, in conjunction with
the key clinical departments, developed a weekly reporting tool for communication with
Local ICE Leadership, JPATS Division, the DRO Supervisor, and the Case Management
Supervisors. This provides real time and accurate detainee information for a safe
environment for the facility staff and detainees. Likewise, this team approach promotes
efficient use of manpower and economic resources by minimizing unnecessary
movement.

•

Department of Homelan!curity
Immigration and Customs Enforcement
Office of Detention and Removal

Condition of Confinement Review Worksheet
(This document must be attached to each G-324a Inspection Form)
This Form to be used for Inspections of Service Processing Centers

Headquarters Detention and Removal Operations

Part 3

Security and Control
Headquarters Detention Review Worksheet

o

ICE Service Processing Center
ICE Contract Detention Facility
Name

o

Address (Street and Name)
City, State and Zip Code
County
Name and Title of Chief Executive Officer (Warden/OIC/Superintendent)
Name and title of Reviewer-In-Charge
Date[sJ of Review
Type of Review
Headquarters

o

DSpecial Assessment

o Other

•

•

CONTRABAND

Policy: All detention facilities will ensure the proper handling and disposal of all contraband. Documentation of
contraband destruction is required.
Components
The facility follows a written procedure for handling
illegal contraband. Staff inventories, holds, and reports
it when necessary to the proper authority for
action/possible seizure.
Contraband that is government property is retained as
evidence for potential disciplinary action or criminal
prosecution.
Staff returns property not needed as evidence to the
proper authority. Written procedures cover the return of
such property.
Altered property is destroyed following documentation
and usinQ established procedures.
Before confiscating religious items, the OIC or
designated investigator contacts a religious authority.
Staff follows written procedures when destroying hard
contraband that is illegal.
Hard contraband that is illegal (under criminal statutes)
may be retained and used for official use, e.g. training
purposes.
If yes, under specific circumstances and using
specified written procedures. Hard contraband is
secured when not in use.

IZI Acceptable 0

Deficient

0

No

NA

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

D

All identity documents (birth certificates, passports, etc.)
are held in A-files. Detainees receive copies upon
request. The detainee handbook provides that a copy of
each identity document is available upon request.
Upon admittance, detainees receive notice of items they
can and cannot possess.
New arrivals receive copies of the rules regarding
contraband.
Detainees receive notification of contraband rules and
procedures in the detainee handbook.

Yes

D

~

D

D

~

D

D

~

D

D

~

D

D

All contraband is secured
and destroyed if
applicable.

Placed in file at ICE
Office

Updated Handbook dated
May 2007

Repeat Deficiency OAt-Risk

"Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

~

Remarks

•

•

DETENTION FILES

Policy: Every facility will create a detention file for every ICE detainee booked into the facility, excluding only
detainees scheduled to depart within 24 hours. The detention file will contain copies and, in some cases, the
original of specified documents concerning the detainee's stay in the facility: classification sheet, medical
questionnaire, property inventory sheet, disciplinary documents, etc.
Components
A detention file is created for every new arrival whose
stay will exceed 24 hours. Written procedures for in
processinQ cover creation of the detention file.
The OIC or staff designate ensures that necessary
equipment and supplies, including copier(s) and copier
paper, are available; that all equipment is maintained in
good working order, and that equipment has the
capacity to handle the volume of work Qenerated.
The detainee detention file contains either originals or
copies of documentation and forms generated during
the admissions process.
The detainee's detention file also contains documents
generated during the detainee's custody.
Any G-589s and/or 1-77s closed-out during the
detainee's stay
Disciplinary forms/Segregation forms
Grievances, complaints, requests, and the
disposition(si of same
The Chief Detention Enforcement Officer (CD EO) or
equivalent directs certain documents be added to an
alien's detention file.
The detention files are located and maintained in a
secured area. If not the cabinets are lockable and
distribution of the keys is limited to supervisors.
The detention file remains active during the detainee's
stay. When the detainee is released from the facility,
staff adds copies of completed release documents, the
original closed-out receipts for property and valuables,
the oriQinall-385 and other documentation.
The officer closing the detention file makes a notation
that the file is complete and ready to be archived.
Staff makes copies and sends documents from the file
when appropriately requested by supervisory personnel
at the receiving facility or office.
Archived files are purged after three (3) years by
shreddinQ or burning.
Staff access to the detention files are restricted as
needed and departmental requests are accommodated
by making a request for the file. Each file is properly
logged in and out by a representative of the responsible
department.

rz:J Acceptable D

Deficient

Yes

No

NA

Remarks·

rz:J

D

D

Both CCA and ICE
maintain Detention
Files

rz:J

D

D

rz:J

D

rz:J

D

D

rz:J

D

D

rz:J

D

D

rz:J

D

D

rz:J

D

D

rz:J

D

D

rz:J

D

D

rz:J

D

D

D Repeat Deficiency D

Both CCA AND ICE
maintain documents in
respective files to include
property forms.

At-Risk

'Remarks: Examined (10)Detention Files at Intake on 612612007. All files were properly maintained and

classified. Reviews were conducted every 30145 day period and reclassification was conducted as required.

b6, b7c

Auditor's Signature / Date

•

•

•

DISCIPLINARY POLICY

•

Policy: All facilities housing INS detainees are authorized to impose discipline on detainees whose behavior is
not in compliance with facility rules and reQulations.
No
NA
Remarks
Components
Yes
The facility has a written disciplinary system using
progressive levels of reviews and appeals.

[8:J

0

0

The facility rules state that disciplinary action shall not
be capricious or retaliatory.
Written rules prohibit staff from imposing or permitting
the following sanctions:
corporal punishment
deviations from normal food service
clothing deprivation
bedding deprivation
denial of personal hygiene items
loss of correspondence privileges
deprivation of physical exercise
The rules of conduct, sanctions, and procedures for
violations are defined in writing and communicated to all
detainees verballv and in writinQ.
The following conspicuously posted in Spanish and
English or other dominate languages used in the facility:
Rights and Responsibilities
Prohibited Acts
Disciplinary Severity Scale
Sanctions
If so, where posted
When minor rule violations or prohibited acts occur,
informal resolutions are encouraged.
If informal resolutions are not appropriate, incident
reports and Notice of Charges are promptly forwarded to
the INS/CDF supervisor.
Incident reports are investigated within 24 hours of the
incident report. The Unit Disciplinary Committee (UDC)
or equivalent does not convene before investigations
have ended.

[8:J

0

0

[8:J

0

0

[8:J

0

0

[8:J

0

0

[8:J

0

0

[8:J

0

0

[8:J

0

0

An intermediate disciplinary process is used to
adjudicate minor infractions.
A disciplinary panel adjudicates infractions. The panel:
Conducts hearings on all charges and allegations
referred by the UDC
Considers written reports, statements, physical
evidence, and oral testimony
Hears pleadings by detainee and staff
representative
Bases its findings on the preponderance of
evidence
Imposes onlv authorized sanctions
A staff representative is available, if requested for a
detainee facing a disciplinary hearing
The facility permits hearing postponements or
continuances when conditions warrant such a
continuance. Reasons for are documented.

[8:J

0

0

Policy #15J2

All Supporting
Documentation
maintained in the
Detention File.

[8:J

0

0

[8:J

0

0

[8:J

0

0

•

DISCIPLINARY POLICY

•

Policy: All facilities housing INS detainees are authorized to impose discipline on detainees whose behavior is
not in compliance with facility rules and regulations.
Components
Yes
No
NA
Remarks
The duration of punishment set by the
Ole/recommended by the disciplinary panel does not
exceed established sanctions. The maximum time in
disciplinary segregation does not exceed 60 days for a
single offense.
Written procedures govern the handling of confidentialinformant information. Standards include criteria for
recognizing "substantial evidence"
All forms relevant to the incident, investigation,
committee/panel reports, etc., are completed and
distributed as required.

[gJ Acceptable

0

Deficient

0

IZI

0

0

IZI

0

0

IZI

0

0

Repeat Deficiency OAt-Risk

'Remarks: Reviewed (2) records at SMU for compliance with the disciplinary panel standards. (AKINYCLE,A
and Maradiaga, D) Both Records in compliance with written procedures.

b6, b7c

~

•

•

EMERGENCY (CONTINGENCY) PLANS

Policy All facilities holding INS detainees will respond to emergencies with a predetermined standardized plan to
minimize the harming of human life and the destruction of property. It is recommended that SPCs and CDFs enter
into agreement, via Memorandum of Understanding (MOUl, with federal, local and state agencies to assist in times
of emergency.
Components
Yes
Remarks
No
NA
No Detainee or detainee groups exercise control or authority
over other detainees.
Detainees are protected from:
Personal abuse
Corporal punishment
Personal injury
Disease
Property damage
Harassment from other detainees
Staff are trained to identify signs of detainee unrest.
What type of training and how often?
Staff effectively disseminates information on facility climate,
detainee attitudes, and moods to the Officer In Charge (Olci
There is a designated person or persons responsible for
emergency plans and their implementation. Sufficient time
is allotted to the person or group for development and
implementation of the plans.
The plans address the following issues:
Confidentiality
Accountability (copies and storage locations)
Annual review procedures and schedule
Revisions
Contingency plans include a comprehensive general section
with procedures applicable to most emergency situations.
The facility has cooperative contingency plans with
applicable:
Local law enforcement agencies
State agencies
Federal agencies
All staff receives copies of Hostage Situation Management
policv and procedures.
Staff is trained to disregard instructions from hostages,
regardless of rank. Within 24 hours after release hostages
are screened for medical and psychological effects. The
OIC has a plan that includes the use of a victim assistance
team for released hostages and hostage families.
A Headquarters review team visits the facility after every
hostage taking.
Emergency plans include emergency medical treatment for
staff and detainees durinQ and after an incident.
The food service department maintains at least 3-days'
worth of emergency meals for staff and detainees.
Written plans locate shut-off valves and switches for all
utilities (water, Qas, electric).
Emergency plans describe alternative routes to the facility.
EmerQencv procedures include notification of neiQhbors.
Plans specify procedures for post-emergency debriefings
and discussion.

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

~

D
D
D
D

D
D
D
D

~
~

~

All staff are required to
Attend 40hrs of annual
refresher training.

•

•

EMERGENCY (CONTINGENCY) PLANS

Policy All facilities holding INS detainees will respond to emergencies with a predetermined standardized plan to

minimize the harming of human life and the destruction of property. It is recommended that SPCs and CDFs enter
into agreement, via Memorandum of Understanding (MOU), with federal, local and state agencies to assist in times
of emergency.
Components

The OIC periodically schedules emergency "drills" to test the
facility's emergency preparedness (readiness to implement
continqency plan(s"))· The plans reviewed annually.
Written procedures cover:
Work/Food Strike
Disturbances
Escapes
Bomb Threats
Adverse Weather
Internal Searches
Facility Evacuation
Detainee Transportation System Plan
Internal Hostages
Civil Disturbances

!ZI Acceptable 0

Deficient

0

Yes

No

NA

!ZI

0

0

!ZI

0

0

Repeat Deficiency

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

0

Remarks

At-Risk

•

•

ENVIRONMENTAL HEALTH AND SAFETY

Policy: Every facility will control flammable, toxic, and caustic materials through a hazardous materials
program. The program will include, among other things, the identification and labeling of hazardous materials in
accordance with applicable standards (e.g., National Fire Protection Association [NFPA]); identification of
incompatible materials, and safe-handling procedures
Components
The facility has a system for storing, issuing, and
maintaining inventories of hazardous materials.

Constant inventories are maintained for all flammable,
toxic, and caustic substances used/stored in each
section of the facility.
The manufacturer's Material Safety Data Sheet (MSDS)
file is up-to-date for every hazardous substance used.
The files list all storage areas, and include a plant
diagram and legend.
The MSDS and other information in the files are
available to personnel managing the facility's
safety program.
All personnel using flammable, toxic, and/or caustic
substances follow the prescribed procedures. They:
Wear personal protective
Equipment.
Report hazards and spills to the
Designated official.
The MSDS are readily accessible to staff and detainees
in the work areas.
Hazardous materials are always issued under proper
supervision.
quantities are limited.
Staff always supervises· detainees using these
substances.
"Flammable" and "combustible" materials (liquid and
aerosol) are stored and used according to label
recommendations.
Lighting fixtures and electrical equipment are installed in
storage rooms and other hazardous areas meet
National Electrical Code requirements.
The storage rooms meet the security and structural
requirements specified in the standard. Storage
cabinets meet the physical requirements specified in the
standard.
All toxic and caustic materials stored in their original
containers in a secure area.
Excess flammables, combustibles, and toxic liquids are
disposed of properly and in accordance with MSDS.
Staff directly supervises and accounts for products with
methyl alcohol. Staff receives a list of products
containing diluted methyl alcohol, e.g., shoe dye. All
such products clearly labeled as such. "Accountability"
includes issuing such products to detainees in the
smallest workable quantities.
Every employee and detainee using flammable, toxic, or
caustic materials receives advance training in their use,
storage, and disposal.

Yes

No

NA

I:8J

D

D

D

D

I:8J

I:8J

D

D

Remarks

Materials are not used in
the Facility

Not used in the Facility

D

D

I:8J

I:8J

D

D

I:8J

D

D

All Binders readily
available and
reviewed.

Not used in the Facility

D

D

I:8J

I:8J

D

D

I:8J

D

D

D

D

I:8J

D

D

I:8J

Not used in Facility
Not used in Facility
Alcohol; not used in
facility

I:8J

I:8J

D

D

D

D

Detainee's do not have
access these materials
Staff receive annuale
training

•

•

ENVIRONMENTAL HEALTH AND SAFETY

Policy: Every facility will control flammable, toxic, and caustic materials through a hazardous materials
program. The program will include, among other things, the identification and labeling of hazardous materials in
accordance with applicable standards (e.g., National Fire Protection Association [NFPAI); identification of
incompatible materials, and safe-handling procedures
Components

The facility complies with the most current edition of
applicable codes, standards, and regulations of the
National Fire Protection Association and the
Occupational Safety and Health Administration (OSHA).
A technically qualified officer conducts the fire and
safety inspections. Inspections are conducted informally
on a weekly basis and formally monthly. Every written
inspection report forwarded to the OIC.
The Safety Office (or officer) maintains files of
inspection reports, includinQ corrective actions taken.
The facility has an approved fire prevention, control, and
evacuation plan.
The plan requires:
Monthly fire inspections.
Fire protection equipment strategically located
throughout the facility.
Public posting of emergency plan with accessible
building/room floor plans.
Exit signs and directional arrows.
An area-specific exit diagram conspicuously posted
in the diagrammed area.
Fire drills are conducted and documented monthly.
A sanitation program covers barbering operations.
The barbershop has the facilities and equipment
necessary to meet sanitation requirements.
The sanitation standards are conspicuously posted in
the barbershop.
Written procedures regulate the handling and disposal
of used needles and other sharp objects.
All items representing potential safety or security risks
are inventoried and a designated individual checks this
inventory weeklv.
The Health Services Administrator (HSA) has
implemented a program supporting a high level of
environmental sanitation.
The HSA conducts medical-facility inspections every
day. Each inspection includes noting the condition of
floors, walls, windows, horizontal surfaces, and
equipment.
Standard cleaning practices include:
Using specified equipment; cleansers; disinfectants
and detergents.
An established schedule of cleaning and follow-up
inspections.
The facility follows standard cleaning procedures.
List any discrepancies between the ICE standard
and facility procedures.
Isolation-cleaning procedures have been
implemented as required by the standard.
Spill kits are readily available.

Yes

No

NA

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J
[8J
[8J

0
0
0

0
0
0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

[8J

0

0

Remarks

Reviewed FY2007
inspections

Same as Above

Monthly/Quarterly Drills

Responses to all Safety
Alert Messages

•

•

ENVIRONMENTAL HEALTH AND SAFETY

Policy: Every facility will control flammable, toxic, and caustic materials through a hazardous materials
program. The program will include, among other things, the identification and labeling of hazardous materials in
accordance with applicable standards (e.g., National Fire Protection Association [NFPA]); identification of
incompatible materials, and safe-handling procedures
Components

Yes

No

NA

A licensed medical waste contractor disposes of
infectious/bio-hazardous waste.
Staff is trained to prevent contact with blood and other
body fluids and written procedures are followed.
The methods for handling/disposing of refuse meet all
regulatory requirements.
A Iicensed/CertifiedlTrained pest-control professional
inspects for rodents, insects, and vermin.
At least month Iy.
The pest-control program includes preventive
spraying for indigenous insects.
Drinking water and wastewater is routinely tested
according to a fixed schedule.
Emergency power generators are tested at least every
two weeks.
Other emergency systems and equipment receive
testing at least quarterly.
Testing is followed-up with timely corrective actions
(repairs and replacements).

I:]

0

0

I:]

0

0

I:]

0

0

I:] Acceptable

0

Deficient

0

I:]

0

0

I:]

0

0

I:]

0

Repeat Deficiency

O'i~(}I'{)07
/w

b{"'"
Auditors

Date

Enserv Services
conducts monthly pick
ups

Annually Tested
Tested by the East Mesa
Detention Facility

'Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks

0
0

At-Risk

•

•

HOLD ROOMS IN DETENTION FACILITIES
Policy: Hold rooms will be used only for temporary detention for detainees awaiting removal, transfer, EOIR
hearings, medical treatment, intra-facility movement, or other processing into or out of the facility.
Components

Yes

No

NA

The hold room is situated in a location within the secure
perimeter.
Single occupant hold rooms contain a minimum of 37
square feet (7 unencumbered square feet for the
detainee, 5 square feet for a combination lavatory/toilet
fixture, and 25 square feet for a wheelchair turn-around
area).
If multiple-occupant hold rooms are used, there is
an additional 7 unencumbered square feet for
each additional detainee.
The hold rooms well ventilated, well-lighted and all
activating switches located outside the room.
The hold rooms contain sufficient seating for the
number of detainees held.
No bunks/cots/beds or other related make shift
sleepinQ apparatuses are permitted inside hold rooms.
In SPCs constructed after 1998 the hold rooms are
equipped with stainless steel combination lavatory/toilet
fixtures with modesty panels. They are:
Compliant with the American Disabilities Act.
Small hold rooms (1 to 14 detainees) have at least
one combi-unit.
Large hold rooms (15 to 49 detainees) are
provided with at least two combi-units.
In SPCs constructed after 1996 the hold room have
floor drain(s).
The walls of the hold rooms escape proof.
The hold room ceilings are escape and tamper
resistant.
In SPCs constructed after 1996 the door to the hold
room swings outward the door complies with the
specifications outlined in the standard.
Individuals are not held in hold rooms for more than 12
hours.
In SPCs. CDFs are family units, persons of advanced
age (over 70), females with children, and
unaccompanied juvenile detainees (under the age of
18) placed in hold rooms?
Male and females are segregated from each other at
all times.
Every effort is made to ensure that detained detainees
under the aQe of 18 are not held with adult detainees.
Detainees are provided with basic personal hygiene
items such as water, soap, toilet paper, cups for water,
feminine hVQiene items, diapers and wipes.
In older facilities officers are within visual or audible
range to allow detainees access to toilet facilities on a
regular basis.
Officers inspect all property, including parcels,
suitcases, bags, bundles, boxes, before accepting the
property.

[gJ

D

D

[gJ

D

D

[gJ

D

D

[gJ

D

D

[gJ

D

D

Remarks

CDF

D

D

[gJ

D

D

[gJ

[gJ

D

D

D

D

[gJ

[gJ

D

D

CDF

CDF

D

D

[gJ

[gJ

D

D

[gJ

D

D

[gJ

D

D

[gJ

D

D

[gJ

D

D

See Remarks
No Family ,Children or
Juveniles placed in
Holding Cells(CCAlICE)

•

•

HOLD ROOMS IN DETENTION FACILITIES
Policy: Hold rooms will be used only for temporary detention for detainees awaiting removal, transfer, EOIR
hearings, medical treatment, intra-facility movement, or other processing into or out of the facility.
Components

Yes

All detainees are given a putdown search for weapons or
contraband before being placed in the room.
Each detention facility maintains a detention log
(manually or by computer) for each detainee placed in
a hold cell.
The log includes the required information specified
in the standard.
Officers provide a meal to any detainee detained more
than six hours.
Juveniles, babies and pregnant women have
access to snacks, milk or juice.
Meal are served to juveniles regardless of time in
custody
Officers closely supervise the detention hold rooms
using direct supervision (Irregular visual monitoring,),
Hold rooms are irregularly monitored every 15
minutes.
Unusual behavior or complaints are noted,
Policy prevents an officer to enter an occupied
detention hold room unless another officer is stationed
outside the door.
When the last detainee has been removed from the
hold room, it is given a thorough inspection.
Cleaning,
Evidence of tampering with doors, locks, windows,
grills, plumbing or electrical fixtures is reported
to the shift supervisor for corrective action or
repair.
There is a written evacuation plan,
There is a designated officer to remove detainees
from the hold rooms in case of fire andlor
building evacuation.
An appropriate emergency service is called
immediately upon a determination that a medical
emergency may exist.

I2J Acceptable 0

Deficient

D

No

NA

IZl

D

D

IZl

D

D

IZl

D

D

Remarks
Reviewed Log Book

Spot checked I Reviewed
Log Book

IZl

D

D

IZl

D

D

IZl

D

D

IZl

D

D

IZl

D

D

Repeat Deficiency

D

At-Risk

"Remarks: CCA and ICE Staff have taken corrective measures to ensure the 12 hour limitation in holding
areas is enforced. Log Books were reviewed in compliance. Detainee's held over 12 hours are relocated to a

he next day.
b6, b7c

b/J 'iJjlOor

I

•

•

KEY AND LOCK CONTROL
(SECURITY, ACCOUNTABILITY AND MAINTENANCE)
Policy It is the policy of the INS Service to maintain an efficient system for the use, accountability and
maintenance of all keys and locks.
Components
Each facility has the position of Security Officer. If not
A staff member appointed the collateral duties
of security officer.
The security officer has a written position description.
The security officer has attended an approved
locksmith-training program.
The security officer has responsibly for all administrative
duties and responsibilities relatinq to keys, locks etc.
The security officer provides training to employees in
key control.
The security officer maintains inventories of all keys,
locks and locking devices.

•

The security officer follows a preventive maintenance
program and maintains all preventive maintenance
documentation.
Facility policies and procedures address the issue of
compromised keys and locks.
The security officer develops policy and procedures to
ensure safe combinations integrity.
Only dead bolt or dead lock functions are used in detainee
accessible areas.
Non-authorized locks (as specified in the Detention
Standard) are not used in detainee accessible areas.
The facility does not use qrand master keyinq systems.
All worn or discarded keys and locks cut up and properly
disposed of .
Padlocks and/or chains are not used on cell doors.
The entrance/exit door locks to detainee living quarters,
or areas with an occupant load of 50 or more people,
conform to
Occupational Safety and Environmental Health
Manual, Chapter 3
National Fire Protection Association Life Safety
Code 101.
The operational keyboard sufficient to accommodate all
the facility key rings including keys in use is located in a
secure area.
Key cabinet's are constructed so keys will not be visible
except durinq issue.
Procedures in place to ensure that key rings are:
Identifiable
Numbers of keys on the ring are cited.
Keys cannot be removed from issued kel'rings
Emerqency keys are available for all areas of the facility.
The facilities use a key accountability system.
Authorization is necessary to issue any restricted key.

Yes

No

NA

I8J

D

D

I8J
I8J

D
D

D
D

I8J

D

D

I8J

D

D

I8J

D

D

I8J

D

D

I8J

D

D

I8J

D

D

I8J

D

D

I8J
I8J
I8J
I8J

D
D
D
D

D
D
D
D

I8J

D

D

I8J

D

D

I8J

D

D

Remarks

Reviewed Certification
Certificate

Shadowboxes used
throughout the Facility

Reviewed Key flock
disposable log

All key rings are welded

I8J

D

D

I8J
I8J
I8J

D
D
D

D
D
D

Inventoried every shift

•

•

KEY AND LOCK CONTROL
(SECURITY, ACCOUNTABILITY AND MAINTENANCE)
Policy It is the policy of the INS Service to maintain an efficient system for the use, accountability and
maintenance of all keys and locks.
Components

Yes

Individual gun lockers are provided.
They are located in an area that permits constant
officer observation.
In an area that does not allow detainee or public
access.
The facility has a key accountability policy and procedures
to ensure key accountability. The keys are physically
counted daily.
The designated key control officer the only employee
who is authorized to add or remove a key from a ring.
The splitting of key rings into separate rings is authorized
in writinQ and documented.
All staff members are trained and held responsible for
adhering to proper procedures for the handling of keys.
Issued keys are returned immediately in the event
an employee inadvertently carries a key ring
home.
When a key or key ring is lost, misplaced, or not
accounted for, the shift supervisor is
immediately notified.
Detainees are not permitted to handle keys
assiQned to staff.

[8J Acceptable

0

Deficient

0

No

NA

All Gunlockers located
outside the Facility

[8J

0

0

[8J

0

0

[8J

0

0

0

0

[8J

[8J

0

0

Repeat Deficiency

"Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks

0

Inventoried continuously
and after every
shift

Splitting of key rings is
not authorized.

At-Risk

•

POPULATION COUNTS

•

Policy: All detention facilities shall ensure around-the-clock accountability for all detainees. This requires that
they conduct at least one formal count of the detainee population per shift, with additional formal and informal
counts conducted as necessary.
Components

I

Yes

No

NA

Staff conducts a formal count at least once each shift.

[g]

0

0

Activities cease or are strictly controlled while a formal
count is being conducted.
Do certain operations continue during formal counts.

[g]

0

0

[g]

Formal counts in all units take place simultaneously.
At least two officers participate in the count in each
area/unit.
Count procedures include sending a count slip to the
control officer after each count.
Both officers conducting the count prepare and sign the
count slip in indelible ink,
Officers do not allow detainee participation in the count.
Every area/unit conducts a recount whenever an
incorrect count is reported.
A face-to-photo count follows each unsuccessful
recount.
The two officers conducting the area/unit count switch
positions for the recount.
Officers positively identify each detainee before
counting him/her as present.
Written procedures cover informal and emergency
counts,
They followed during informal counts,
DurinQ emerQencies,
The control officer (or other designated position)
maintains an out -count record of all detainees
temporarily leaving the facility.
All officers are trained to follow all requirements of the
ICE "Population Count Detention Standard",
This training is documented in each officer's training
folder,

[g]
[g]

0
0
0

0
0
0

[g]

0

0

[g]
[g]

0
0
0

0
0
0

[g]

0

0

[g]

0

0

[g]

0

0

[g]

0

0

[g]

0

0

[g]

0

0

[g]

0

0
0

[g] Acceptable

0

Deficient

0

[g]

Repeat Deficiency

'Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks
Every shiN Twice
Dailv

Kitchen/Medical/Legal
Reviewed Count Slips

At-Risk

I

•

•

POST ORDERS
Policy: leE provides officers all necessary guidance for carrying out their duties. This guidance includes the
post orders established for every post, which are reviewed at least annually, and given to each officer upon
assignment to that post.
Components
Every Fixed post has a set of post orders and contains
the latest inserts and revisions.
One individual or department is responsible for keeping
all post-orders current with revisions.
Management maintains a complete set (central file) of
post orders and the file is accessible by staff.
The ole has signed and dated the last page of every
section.
All post orders contain the required information.
A review/updating/reissuing of post orders occurs
regularly and at a minimum, Annually.
The ole initiates the annual review by soliciting
suggestions from affected staff.
Staff has sufficient notice to prepare and submit
written suggestions by the due date
The ole retains all written suggestions, whether
accepted or rejected, in a historical file.
The records are retained for two years.
The historical file includes comments, if any, from
the reviewing official(s).
Procedures keep post orders and logbooks secure from
detainees at all times.
Emergency changes to post orders are made in writing.
Post orders for armed posts provide instructions for:
Recognizing conditions when use of weapons is
authorized and the care and safe handling of
firearms.
Every armed-post officer qualifies with the post
weapon(s) before assuming post duty.
Armed-post post orders clearly state that if an official is
taken hostage, he/she loses all authority normally
associated with his/her position, regardless of rank or
seniority.
Armed-post post orders provide instructions for escape
attempts.
The post orders for housing units track the event
schedule.
Housing-unit post officers record all detainee activity in a
log. The post order includes instructions on maintaining
the logbook.
The shift supervisor visits each housing area and
reviews the loqbooks at least once per shift.
~ Acceptable

0

..

DefIcIent

0

Yes

No

NA

~

0

0

~

0

0

~

0

0

~
~

0
0
0

0
0
0

~

0

0

~

0

0

~
~

0
0

0
0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0
0

~

Repeat DefIcIency

'Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks
Every location reviewed
had Post Orders
available

At-RIsk

•

SECURITY INSPECTIONS

•

Policy: Post assignments in the facility's high-risk areas, where special security procedures must be followed,
will be restricted to experienced personnel with a thorough grounding in facilitY 0 erations.
Components
Yes
No
NA
Remarks
The facility has a comprehensive security inspection
policy. The policy specifies:
Posts to be inspected
Required inspection forms
Frequency of inspections
Guidelines for checking security features
Procedures for reporting weak spots,
inconsistencies, and other areas needing
improvement
Every officer is required to conduct a security check of
his/her assigned area. The results are documented.
Documentation of security inspections is kept on file.
A officer been assigned responsibility for ensuring the
security inspection process covers all areas of the
facility.
Procedures ensure that recurring problems and a failure to
take corrective action are reported to the appropriate
manaQer.
The front entrance has a sallyport-type entrance, with
interlocking electronic doors or grilles.
The front-entrance officer checks the ID of everyone
entering or exiting the facility.
All visits officially recorded in a visitor logbook or
electronically recorded.
The Control Center maintain employee Personal Data
Cards (Form G-74 or contract equivalent).
The facilitv has a secure visitor pass system.
Every Control Center officer receives specialized
training.
The Control Center is staffed around the clock.
Policy restricts staff access to the Control Center.
Detainees do not have access to the Control Center.
Communications are centralized in the Control Center.
Recall lists include the current home telephone number
of each employee. Phone numbers are updated as
needed.
Staff makes watch calls every half-hour between 6 PM
and 6AM.
Officers monitor all vehicular traffic entering and leaving
the facility.
The facility maintains a log of all incoming and departing
vehicles to sensitive areas of the facility. Each entry
contains:
The drive~s name
Company represented
Vehicle contents
Delivery date and time
Date and time out
Vehicle license number
Name of employee responsible for the vehicle
during the facililyvisit

IZI

D

D

IZI

D
D

D
D

IZI

D

D

IZI

D

D

IZI

D

D

IZI

D

D

IZI

D

D

IZI
IZI
IZI
IZI
IZI
IZI
IZI

D
D
D
D
D
D
D

D
D
D
D
D
D
D

IZI

D

D

IZI

D

D

IZI

D

D

Reviewed 13 areas

Reviewed Rear Entrance
Procedures.

IZI

D

D

•

SECURITY INSPECTIONS

•

Policy: Post assignments in the facility's high-risk areas, where special security procedures must be followed,
will be restricted to experienced personnel with a thorouQh Qrounding in facility 0 erations.
Components
Yes
No
NA
Remarks
Officers thoroughly search each vehicle entering and
leavinQ the facility:
The facility has a written policy and procedures to
prevent the introduction of contraband into the facility
or anv of its components.
Tools being taken into the secure area of the facility are
inventoried before entering and prior to departure.
The SMU entrance has a sallyport.
Written procedures govern searches of detainee housing
units and personal areas.
HousinQ area searches occur at irregular times.
Every search of the SMU and other housing units
documented.
Storage and supply rooms; walls, light and plumbing
fixtures, accesses, and drains, etc. undergo frequent,
irregular searches. These searches are documented.
Walls, fences, and exits, including exterior windows, are
inspected for defects once each shift.
Daily procedures include:
Perimeter alarm system tests.
Physical checks of the perimeter fence.
Documenting the results.
The maintenance supervisor and CDEO I Chief of
Security make monthly fence checks.
Visitation areas receive fre-,!uent, irregular inspections.
~ Acceptable

D Deficient D

~

D

D

~

D

D

~

~

D
D
D
D
D

D
D
D
D
D

~

D

D

~

D

D

~

D

D

~

D
D

D
D
D

~
~
~

~
Repeat Deficiency

'Remarks: (Record significant facts, observations, other sources used, etc.)
b6, b7c

Auditors Signature I bate.

£/)0/Jr)()7

At·Risk

•

•

SPECIAL MANAGEMENT UNIT (SMU)
Administrative Segregation

Policy: The Special Management Unit required in every facility isolates certain detainees from the general
population. The Special Management Unit will consist of two sections. One, Administrative Segregation,
houses detainees isolated for their own protection; the other for detainees being disciplined for wrongdoing (see
the "Special Management Unit [Disciplinary Segregation]" standard).
Components

Yes

No

NA

l8l

0

0

l8l

0

0

•

l8l

0

0

•
•

l8l

0

0

l8l

0

0

l8l

0

0

l8l

0

0

l8l

0

0

The Administrative Segregation unit provides
non-punitive protection from the general population and
individuals undergoing disciplinary segregation.
Detainees are placed in the SMU
(administrative) in accordance with written
criteria.
In exigent circumstances, staff may place a detainee in
the SMU (administrative) before a written order has
been approved.
A copy of the order given to the detainee within
24 hours.
The OIG regularly reviews the status of detainees in
administrative detention.
A supervisory officer conducts a review within
72 hours of the detainee's placement in the
SMU (administrative).
A supervisory officer conducts another review after the
detainee has spent seven days in administrative
segregation.
• Every week thereafter for the first month.
Every 30 days after the first month.
Does each review include an interview with the
detainee.
Is a written record made of the decision and
the justification.
The detainee is given a copy of the decision and
justification for each review.
If not, why not
The detainee is given an opportunity to appeal
the reviewer's decision to someone else in the
facility.
The OIG routinely notifies the Field Office Director any
time a detainee's stay in administrative detention
exceeds 30 days.
• Upon notification that the detainee's
administrative segregation has exceeded 60
days, the Field Office Director forwards written
notice to the Deputy Assistant Director,
Detention Management Division for DRO.
The OIG reviews the case of every detainee who
objects to administrative segregation after 30 days in
the SMU.
A written record is made of the decision and
the justification.
• The detainee receives a copy of this record.
The detainee is given the right to appeal to the OIG the
conclusions and recommendations of any review
conducted after the detainee has remained in
administrative seqreqation for seven consecutive days.

•

•

•
•
•

•

Remarks

•

•

SPECIAL MANAGEMENT UNIT (SMU)
Administrative Segregation

Policy: The Special Management Unit required in every facility isolates certain detainees from the general
population. The Special Management Unit will consist of two sections. One, Administrative Segregation,
houses detainees isolated for their own protection; the other for detainees being disciplined for wrongdoing (see
the "Special Management Unit [Disciplinary Segregation]" standard).
Components
Administratively segregated detainees enjoy the same
general privileges as detainees in the general
population.
The SMU well ventilated.
Adequately lighted.
• Appropriately heated.
Maintained in a sanitary condition.
All cells are equipped with beds.
• Every bed securely fastened to the floor or
wall.
The number of detainees in any cell does not exceed
the occupancy limit.
The OIG approve excess occupancy on a
case-by-case basis.
• When occupancy exceeds recommended
capacity, do basic living standards decline?
Do criteria for objectively assessing living
standards exist?
If yes, are the criteria included in the written
procedures?
The segregated detainees do not have fewer
opportunities to exchange/launder clothing, bedding,
and linen than detainees in the qeneral population.
Detainees receive three nutritious meals per day.
• From the general population's menu of the day.
Do detainees eat only with disposable utensils.
Is food ever used as punishment.
Each detainee maintains a normal level of personal
hygiene in the SMU.
• The detainees have the opportunity to shower
and shave at least three times a week.
If not, explain.
The detainees are provided:
Barbering services.
Recreation privileges in accordance with the
"Detainee Recreation" standard.
Non-legal reading material.
Religious material.
• The same correspondence privileges as
detainees in the general population.
Telephone access similar to that of the general
population.
Personalleqal material.
A health care professional visits every detainee at least
three times a week.
• The shift supervisor visits each detainee daily.
Weekends and holidavs.

•

Yes

No

NA

lSI

D

D

lSI

D

D

lSI

D

D

lSI

D

D

lSI

D

D

lSI

D

D

lSI

D

D

lSI

D

D

lSI

D

D

•

•
•
•

•
•

•

•
•
•
•

•
•

•

Remarks

•

•

SPECIAL MANAGEMENT UNIT (SMU)
Administrative Segregation

Policy: The Special Management Unit required in every facility isolates certain detainees from the general
population. The Special Management Unit will consist of two sections. One, Administrative Segregation,
houses detainees isolated for their own protection; the other for detainees being disciplined for wrongdoing (see
the "Specia[ Management Unit [Discip[inary Segregation]" standard).
Components
Procedures comply with the "Visitation" standard.
• The detainee retains visiting privileges.
• The visiting room available during normal
visitinq hours.
Visits from clergy are allowed.
Detainees in segregation are afforded the same [awlibrary access as the general population.
• Are they required to use the law library
separately, as a group? If so:
• Legal materials brought to them.
The SMU maintains a permanent log.
• Detainee-re[ated activity, e.g., meals served,
recreation, visitors etc.
SPC procedures include completing the SMU Housing
Record (1-888) immediately upon a detainee's
placement in the SMU.
• Staff completes the form at the end of each
shift.
Staff records whether the detainee ate; showered,
exercised and took any medication during every shift.
• Does the log record all pertinent information,
e.g., a medical condition, suicidal/assaultive
behavior, etc.?
Does
the medical officer/health care
•
professional sign each individual's record
during each visit?
• Does the housing officer initial the record when
a[[ detainee services are completed or at the
end of the shift?
A new record is created for each week the detainee is
in Administrative Segregation.
These weekly records are retained in the SMU
until the detainee's return to the general
popu [ation.

•

~ Acceptable

Yes

No

NA

~

D

D

~

D

D

~

D

D

~

D

D
CFA

D

D

leo?

~
Reviewed Log Book!
Check List

~

D

D

~

D

D

D Deficient D Repeat Deficiency D

"Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

Remarks

At-Risk

•

•

SPECIAL MANAGEMENT UNIT
(Disciplinary Segregation)

Policy: Each facility will establish a Special Management Unit in which to isolate certain detainees from the
general population. The Special Management Unit will have two sections, one for detainees in Administrative
Segregation; the other for detainees being segregated for disciplinary reasons.
Components

Yes

No

NA

Officers placing detainees in disciplinary segregation
follow written procedures.
The sanctions for violations committed during one
incident do not exceed 60 days.
A completed Disciplinary Segregation Order
accompanies the detainee into the SMU.
The detainee receives a copy of the order
within 24 hours of placement in disciplinary
segregation.
Standard procedures include reviewing the cases of
individual detainees housed in disciplinary detention at
set intervals.
Who conducts the review?
What is reviewed?
How is the review documented?
Does the reviewer interview the detainee?
Can the reviewing officer recommend an early
release from the SMU?
If yes, under what circumstances?
After each formal review, does the detainee
receive a written copy of the decision and
reason(s) for it?
The conditions of confinement in the SMU are
proportional to the amount of control necessary to
protect detainees and staff.
Living conditions in disciplinary SMUs are modified to
reinforce acceptable behavior.
If yes, does staff prepare written
documentation for this action.
Does the OIC sign to indicate approval.
Every detainee in disciplinary segregation receives the
same humane treatment, reQardless of offense.
The quarters used for segregation are:
Well-ventilated.
• Adequately lighted.
• Appropriately heated.
• Maintained in a sanitary condition.

0

D

D

0

D

D

0

D

D

0

D

D

0

D

D

0

D

D

0

D

D

0

D

D

0

D

D

0

D

D

0

D

D

•

•
•
•
•
•
•
•

•
•
•

All cells are equipped with beds.
• The beds securely fastened to the floor or wall of
the cell.
The number of detainees confined to each cell or room
does not exceed the number for which the space was
designate.
• Does the OIC approve excess occupancy on a
temporary basis.
Is a dry cell part of the disciplinary SMU?

Remarks

•

•

SPECIAL MANAGEMENT UNIT
(Disciplinary Segregation)

Policy: Each facility will establish a Special Management Unit in which to isolate certain detainees from the
general population. The Special Management Unit will have two sections, one for detainees in Administrative
Segregation; the other for detainees being segregated for disciplinary reasons.
Components
When a detainee is segregated without clothing,
mattress, blanket, or pillow, a justification is made and
the decision is reviewed each shift. Items are returned
as soon as it is safe.
Detainees in the SMU have the same opportunities to
exchanae clothina, beddina, etc., as other detainees.
Detainees in the SMU receive three nutritious
meals/days.
• Selected from the Food Service's menu of the
day.
• Food is not used as Dunishment.
Detainees are allowed to maintain a normal level of
personal hygiene, including the opportunity to shower
and shave at least three times/week.
The detainees receive, unless documented as a threat
to security:
• Barbering services.
• Recreation privileges.
• Other-than-Iegal reading material.
• Religious material.
• The same correspondence privileges as other
detainees.
• Personal leaal material.
When phone access is limited by number or type of calls,
limits do not apply to the following:
Calls about the detainee's immigration case or
other legal matters.
Calls to consular/embassy officials.
• Calls during family emergencies (as determined
bv the Olel.
A health care professional visits every detainee in
disciplinary segregation every day, Monday through
Friday.
• The shift supervisor visit each segregated
detainee daily
• Weekends and holidays.
SMU detainees are allowed visitors, in accordance with
the "Visitation" standard.
SMU detainees receive legal visits, as provided in the
"Visitation" standard.
• Legal service providers notified of security
concerns arisina before a visit.
Visits from clergy are allowed.
• The clergy member given the option of
visiting/not visiting the segregated detainee.
• Violent/uncooperative detainees denied access
to religious services when safety and security
would otherwise be affected.

•
•

Yes

No

NA

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

~

0

0

Remarks

•

•

SPECIAL MANAGEMENT UNIT
(Disciplinary Segregation)

Policy: Each facility will establish a Special Management Unit in which to isolate certain detainees from the
general population. The Special Management Unit will have two sections, one for detainees in Administrative
Segregation; the other for detainees being segregated for disciplinary reasons.
Components
SMU detainees have law library access.
• Violent/uncooperative detainees retain access
to the law library unless adjudicated a security
threat in writing.
Legal material brought to individuals in the
SMU on a case-by-case basic.
Staff documents every incident of denied
access to the law library.
All detainee-related activities are documented, e.g.,
meals served, recreation activities, visitors, etc.
The Special Management Housing Unit Record (1-888)
is prepared as soon as the detainee is placed in the
SMU.
• All 1-888s filled out by the end of each shift
• The CDFIIGSA facility use Form
• 1-888 (or equivalent local form).
SMU staff records whether the detainee ate, showered,
exercised, took medication, etc.
Details about the detainee logged, e.g., a
medical condition, suicidal/violent behavior,
etc.
The health care official sign individual records
after each visit.
• The housing officer initials the record when all
detainee services are completed or at the end
of the sh ift.
• A new record is created weekly for each
detainee in the SMU.
• The SMU retains these records until the
detainee leaves the SMU.

•

Yes

No

NA

[g]

D

D

[g]

D

D

[g]

D

D

[g]

D

D

Remarks

•

•

•

~ Acceptable

0

Deficient

0

Repeat Deficiency

'Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

D

At-Risk

JI

•

•

TOOL CONTROL

Policy: It is the policy of all facilities that all employees shall be responsible for complying with the tool control
policy. The Maintenance Supervisor shall maintain a computer generated or typewritten Master Inventory list of
tools and equipment and the location in which tools are stored. These inventories shall be current, filed and
readily available for tool inventory and accountability during an audit.
Components
There is an individual who is responsible for developing
a tool control procedure and an inspection system to
insure accountability.
Department heads are responsible for implementing this
standard in their departments.
Tool inventories are required for:
0
Maintenance Department
0
Medial Department
0
Food Service Department
0
Electronics Shop
0
Recreation Department
0
Armory
The facility has a facility policy for the regular inventory
of all tools.
0
The policy sets minimum time lines for physical
inventory and all necessary documentation.
0
INS facilities use AMIS bar code labels when
required.

Yes

No

NA

~

D

D

~

D

D
Inspected 10 items from
each area. All in
compliance.

~

D

D

~

D

D

Tool inventories are conducted as specified in the
detention standard.

~

D

D

The facility has a tool classification system. Tools
classified according to:
0
Restricted (dangerous/hazardous)

~

D

D

0

Remarks

Non Restricted (non-hazardous).

Department heads are responsible for implementing
tool-control procedures. They are required to:
0
Prepare a computer-generated inventory of
all class "R" tools.
0
Post a copy of the class "R" tool inventory
with the equipment, in a prominent position.
0
Post a copy of the class "R" tool inventory
with the equipment, in a prominent position.
0
Submit a second copy of the inventory to
the CDEO.
0
Repeat the class "R" tool inventory on a
regular schedule (at least weekly, monthly,
or quarterly), as follows:
0
Food service department-weekly
0
Maintenance department
medical facility-monthly
0
Electronics work area, recreation area(s),
and armory-quarterly.
0
Send a copy of inventory report to the OIC.
0
Report missing tools in accordance with
procedures in the standard. (see section
III.H., below).
The facility has policies and procedures in place to
ensure that all tools are marked and readily identifiable.

Shadow boxes used in all
areas

~

D

D

~

D

D

•

•

TOOL CONTROL

Policy: It is the policy of all facilities that all employees shall be responsible for complying with the tool control
policy. The Maintenance Supervisor shall maintain a computer generated or typewritten Master Inventory list of
tools and equipment and the location in which tools are stored. These inventories shall be current, filed and
readily available for tool inventory and accountability during an audit.
Components
The facility has an approved tool storage system.
• The system ensures that all stored tools are
accountable.
Commonly
used tools (tools that can be
•
mounted) are stored in such a way that
missing tool are readily notice.
Each facility has procedures for the issuance of tools to
staff and detainees.
• Restricted tools are issued only to the individual
who will be using it.
• Detainees are not permitted to use nonrestricted tools except under supervision.
• A metal or plastic chit receipt used to sign out
tools.
The OIC has established site-specific
procedures for the control of ladders, extension
cords, and ropes.
The
CDEO or contract equivalent approves the
•
issuance of tools to a specified project for
extended periods.
The facility has policies and procedures to address the
issue of lost tools. The policy and procedures include:
Verbal and written notification.
Procedures for detainee access.
• Necessary documentation/review for all
inCidents of lost tools.
Broken or worn out tools are surveyed and disposed of
in an appropriate and secure manner.
All private or contract repairs and maintenance workers
under contract to the ICE, or other visitors, submit an
inventory of all tools prior to admittance into or departure
from the facility.

Yes

No

NA

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

Remarks

•

•
•

~ Acceptable

D Deficient D Repeat Deficiency D

'Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

At-Risk

•

•

TRANSPORTATION
(Land Transportation)

Policy: The Immigration and Customs Enforcement will take all necessary precautions to protect the lives,
safety, and welfare of our officers, the general public, and those in ICE custody during the transportation of
detainees. Standards have been established for professional transportation under the supervision of
experienced and trained Detention Enforcement Officers or authorized contract personnel.
Components
Transporting officers comply with applicable local, state,
and federal motor vehicle laws and regulations. Records
support this findinQ of compliance.
Every transporting officer required to drive a commercial
size bus has a valid Commercial Driver's License (COL)
issued by the state of employment.
Supervisors maintain records for each vehicle operator.
Officers use a checklist during every vehicle inspection.
Officers report deficiencies affecting operability.
• Deficiencies are corrected before the vehicle
_goes back into service.
Transporting officers:
Limit driving time to 10 hours in any 15-hour
period.
Drive only after eight consecutive off-duty hours.
Do not receive transportation assignments after
having been on duty, in any capacity, for 15
hours.
• Drive a 50-hour maximum in a given work week;
a 70-hour maximum during eight consecutive
days.
During emergency conditions (including bad
weather), officers may drive as long as
necessary and safe to reach a safe
area-exceedinQ the 10-hour limit.
Two officers with valid CDLs required in any bus
transporting detainees.
• When buses travel in tandem with detainees,
there two qualified officers per vehicle.
An unaccompanied driver transports an empty
vehicle.
Before the start of each detail, the vehicle is thoroughly
searched.
Positive identification of all detainees being transported is
confirmed.
All detainees are searched immediately prior to boarding
the vehicle bv staff controllinq the bus or vehicle.
The facility ensures that the number of detainees
transported does not exceed the vehicles manufacturers
occupancy level.
Protective vests are provided to all transportinQ officers.
The vehicle crew conducts a visual count once all
passengers are on board and seated.
• Additional visual counts are made whenever the
vehicle makes a scheduled or unscheduled
stop.
Policies and procedures are in place addressing the use of
restraininQ equipment on transportation vehicles.

•

Yes

No

NA

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

I3J

D

D

Remarks

CCAand ICE
aggressively pursuing
license

•

•
•

•

•

See attached Inspection
Sheets

I3J

D

D

I3J

D

D

•

•

TRANSPORTATION
(Land Transportation)

Policy: The Immigration and Customs Enforcement will take all necessary precautions to protect the lives,
safety, and welfare of our officers, the general public, and those in ICE custody during the transportation of
detainees. Standards have been established for professional transportation under the supervision of
experienced and trained Detention Enforcement Officers or authorized contract personnel.
Components
Officers ensure that no one contacts the detainees.
0
One officer remains in the vehicle at all times
when detainees are present.
Meals are provided during long distance transfers.
0
The meals meet the minimum dietary standards,
as identified by dieticians utilized by the Service.
The vehicle crew inspects all Food Service pickups
before accepting delivery (food wrapping, portions,
quality, quantity, thermos-transport containers, etc.).
0
Before accepting the meals, the vehicle crew
raises and resolves questions, concerns, or
discrepancies with the Food Service
representative.
0
Basins, latrines, and drinking-water
containers/dispensers are cleaned and sanitized
on a fixed schedule.
ICE Vehicles have:
0
Two-way radios.
0
Cellular telephones.
0
Equipment boxes stocked in accordance with the
Use of Force Standard.
The vehicles are clean and sanitary at all times.
Personal property of a detainee transferring to another
facility is inventoried, inspected and accompanies the
detainee.
The following contingencies are included in the written
procedures for vehicle crews:
0
Attack
0
Escape
0
Hostage-taking
0
Detainee sickness
0
Detainee death
0
Vehicle fire
0
Riot
0
Traffic accident
0
Mechanical problems
0
Natural disasters
0
Severe weather
0
Passenger list is not exclusively men or
women or minors

[8J Acceptable

No

NA

IZI

0

0

IZI

0

0

IZI

0

0

IZI

0

0

IZI

0

0

IZI

0

0

IZI

0

0

Yes

0

Deficient

0

Repeat Deficiency

0

Remarks

See below comments

At-Risk

"Remarks: Both Vehicle Fleets(C6AiICE) warrant a commendable evaluation. Action has been taken since
last audit to correct the deficiencies noted. A contract with Delux Mobil Detailing for cleaning of vehicles and
buses has been established to clean vehicles weekly. Also, aggressive actions have been taken by the VCO

or an,,!~
b6, b7c

a~~~,e~e,rYde~::

10 /l~1, ,d-fJ v ,

Auditors Signature I Date

•

•

•

•

USE OF FORCE

Policy: The Immigration and Customs Enforcement authorizes the use of force only as a last alternative
after all other reasonable efforts to resolve a situation have failed. Only that amount of force necessary to
gain control of the detainee, to protect and ensure the safety of detainees, staff and others, to prevent
serious property damage and to ensure institution security and good order may be used. Physical restraints
necessary to gain control of a detainee who appears to be dangerous may be employed when the detainee:
Components

Yes

No

NA

~

D

D

~

D

D

~

D

D

~

D

D

~

D

D

Remarks

Staff:

•
•

Does not use force as punishment.
Attempts to gain the detainee's voluntary
cooperation before resorting to force
• Uses only as much force as necessary to
control the detainee.
• Uses restraints only when other nonconfrontational means, including verbal
persuasion, have failed or are impractical.
Medication may only be used for restraint purposes
when authorized by the Medical Authority as medically
necessary.
Only authorized restraint equipment is used.
Use-of-Force Teams follow written procedures that
attempt to prevent injury and exposure to communicable
disease(s).'
The OIC contacts higher command before restraining a
detainee beyond eight hours.
Standard procedures associated with using four-point
restraints include:
Soft restraints (e.g., vinyl)
Dressing the detainee appropriately for the
temperature.
A bed, mattress, and blanket/sheet.
Checking the detainee at least every 15
minutes.
• Logging each check.
Turning the bed-restrained detainee often
enough to prevent soreness or stiffness.
Medical evaluation of the restrained
detainee twice per eight-hour shift.
When qualified medical staff is not
immediately available, staff positions the
detainee "face-up".
The shift supervisor monitors the detainee's
position/condition every two hours.
• He/she allows the detainee to use the rest
room at these times under safeQuards.
All detainee checks are logged.
In immediate-use-of-force situations, staff contacts
medical staff once the detainee is under control.
When the OIC authorizes use of non-lethal weapons:
• Medical staff is consulted before staff use
pepper spray/non-lethal weapons.
• Medical staff reviews the detainee's medical
file before use of a non-lethal weapon is
authorized.
Special precautions are taken when restraining pregnant
detainees.
• Medical personnel are consulted

Not used

•
•
•
•

~

D

D

•
•
•

Constant supervision

~

D

D

~

~

D
D

D
D

~

D

D

~

D

D

•

•

USE OF FORCE

Policy: The Immigration and Customs Enforcement authorizes the use of force only as a last alternative

after all other reasonable efforts to resolve a situation have failed. Only that amount of force necessary to
gain control of the detainee, to protect and ensure the safety of detainees, staff and others, to prevent
serious property damage and to ensure institution security and good order may be used. Physical restraints
necessary to gain control of a detainee who appears to be dangerous may be employed when the detainee:
Components

Protective gear is worn when restraining detainees with
ooen cuts or wounds.
Staff documents every use of force and/or non-routine
aoolication of restraints.
It standard practice to review any use of force and the
non-routine aoolication of restraints.
An After-Action Review Teams review the videotape for
the following:
• Professionalism
• Use of Force Team's protective gear
• Appropriate/excessive use of force
• Proper application of restraints
• Time needed to restrain the detainee
• Removal of protective gear before entering
the cell or area
• Prompt medical examination of the detainee
after the move
• Proper use of chemical agents or pepper
mace
• Opportunity for detainee to submit
voluntarily to the placing of restraints before
the team enters the cell
• Derogatory, demeaning, taunting, or other
inappropriate language between team
members and the detainee, or between
team members and individuals outside the
cell or area
An After-Action Review Report is completed within two
workina davs of the detainee's release from restraints.
If the reviewers decide the matter requires further
investigation, the Office of Internal Affairs, the Office of
the Inspector General, and/or the FBI are notified.
All officers receive training in self-defense,
confrontation-avoidance techniques and the use of force
to control detainees.
• Specialized training is given Officers are
certified in all devices thev use.
The officers are thoroughly trained in the use of soft and
hard restraints.

[gJ Acceptable

0

Deficient

0

Yes

No

NA

[gJ

0

0

[gJ

0

0

[gJ

0

0

[gJ

0

0

[gJ

0

0

[gJ

0

0

[gJ

0

0

[gJ

0

0
0

Repeat Deficiency

'Remarks: (Record significant facts, observations, other sources used, etc.)
b6, b7c

Auditor's Signature

-$J)UOl

Remarks

At-Risk

II

•

•

STAFF DETAINEE COMMUNICATIONS
Policy: Procedures must be in place to allow for formal and informal contact between key facility staff and ICE
staff and ICE detainee and to permit detainees to make written requests to ICE staff and receive an answer in
an acceptable time frame.
Components
The ICE Field Office Director ensures that weekly
announced and unannounced visits occur.
Detention and Deportation Staff conduct scheduled
weekly visits with detainees.
Scheduled visits are posted in ICE detainee areas.
Visiting staff observe and note current climate and
conditions of confinement at each facilitv.
ICE information request Forms are available at the for
use by ICE detainees.
The facility treats detainee correspondence to ICE staff
as Special Correspondence.
ICE staff respond to a detainee request within 72 hours.
ICE detainees are notified ion writing upon admission to
the facility of their right to correspond with ICE staff
regarding their case or conditions of confinement.
II

IZJ Acceptable

D Deficient

D

Yes

No

NA

IZJ

D

D

IZJ
IZJ
IZJ

D
D
D

D
D
D

IZJ

D

D

IZJ
IZJ

D
D

D
D

IZJ

D

D

At-Risk

'Remarks: (Record significant facts, obselYations, other sources used, etc.)
b6, b7c

lIn Q1·~i\ 07

-o )") ,

01../

Remarks

D Repeat Finding

II

•

•

DETAINEE TRANSFER STANDARD

I Policy: ICE will make all necessary notifications when a detainee is transferred. If a detainee is being
I transferred via the Justice Prisoner Alien Transportation System (JPATS), ICE will adhere to JPATS
protocols. In deciding whether to transfer a detainee, ICE will take into consideration whether the detainee
is represented before the immigration court. In such cases, the Field Office Director will consider the
detainee's stage within the removal process, whether the detainee's attorney is located within reasonable
driving distance of the facility, and where the immigration court proceedings are taking place.
Comoonents
When a detainee is represented by legal counselor a
legal representative, and a G-28 has been filed, the
representative of record is notified by the detainee's
Deportation Officer.
The notification is recorded in the detainee's file
• When the A File is not available, notification is noted
within DACS
Notification includes the reason for the transfer and the
location of the new facility,
The deportation officer is allowed discretion regarding
the timing of the notification when extenuating
circumstances are involved.
The attorney and detainee are notified that it is their
responsibility to notify family members regarding a
transfer.
Facility policy mandates that:
• Times and transfer plans are never discussed
with the detainee prior to transfer.
• The detainee is not notified of the transfer until
immediately prior to departing the facility.
The
detainee is not permitted to make any
•
phone calls or have contact with any detainee in
the oeneral population.
The detainee is provided with a completed Detainee
Transfer Notification Form.
• Form G-391 or equivalent authorizing the
removal of a detainee from a facility is used.
For medical transfers:
• The Detainee Immigration Health Service
(DIHS) Medical Director or designee approves
the transfer.
• Medical transfers are coordinated through the
local ICE office.
A medical transfer summary is completed and
accomoanies the detainee.
Detainees in ICE facilities having DIHS staff and
medical care are transferred with a completed transfer
summary sheet in a sealed envelope with the detainee's
name and A-number and the envelope is marked
Medical Confidential.
For medical transfers, transporting officers receive
instructions reaardina medical issues.
Detainee's funds and valuables and property are
returned and transferred with the detainee to his/her
new location.
Transfer and documentary procedures outlined in
Section C and D are followed.
Meals are provided when transfers occur during
normallv schedule meal times.

Y

N

NA

[8]

D

D

[8]

D

D

[8]

D

D

[8]

D

D

[8]

D

D

D

D

[8]

[8]

D

D

[8]

D

D

[8]

D

D

[8]

D

D

[8]

D

D

[8]

D

D

[8]

D

D

•

•

Remarks

Verbally

•

•

DETAINEE TRANSFER STANDARD
Policy: ICE will make all necessary notifications when a detainee is transferred. If a detainee is being
transferred via the Justice Prisoner Alien Transportation System (JPATS), ICE will adhere to JPATS
protocols. In deciding whether to transfer a detainee, ICE will take into consideration whether the detainee
is represented before the immigration court. In such cases, the Field Office Director will consider the
detainee's stage within the removal process, whether the detainee's attorney is located within reasonable
driving distance of the facility, and where the immigration court proceedings are taking place.
Components
An A File or work folder accompanies the detainee when
transferred to a different field office or sub-office.
A Files are forwarded to the receiving office via
overnight mail no later than one business day following
the transfer.
~ Acceptable

D Deficient

D

Y

N

NA

~

D

D

~

D

D

At-Risk

Remarks: (Record significant facts, observations, other sources used, etc.)

b6, b7c

b/l't/~'07

Remarks

D Repeat Finding