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UNCLASSIFIEDULAW ENFORCEMENT SENSITIVE (When Completed) <br />If 'No' to the previous question, has a DOJ PREA audit been scheduled? <br />(— Yes (' No <br />Scheduled DOJ PREA Audit Date <br />Is a hard copy of the PREA audit available? <br />i Yes (' No <br />If 'Yes', Audit Date What was the name of the Auditor? <br />Is there a corrective action plan in place? <br />(' Yes (' No <br />Has corrective action taken place? <br />C Yes (, No <br />Was the facility re -inspected to ensure the violations were corrected properly? <br />C' Yes C No <br />HEALTH CARE <br />Intake and Screening <br />Does the facility have policy or procedures for medical screening during intake? <br />C, Yes C No <br />Do all prisoners undergo medical screening during the initial intake process? <br />(" Yes (— No <br />If'No', how long after intake does the screening occur? <br />months days <br />Is a comprehensive health appraisal for each prisoner completed within 14 -days after initial intake? <br />C Yes C, No <br />If 'No', how long after intake does the appraisal occur? <br />months days <br />Does the facility ensure TB testing during the initial intake process? <br />C Yes ( No <br />If 'No', how long after intake does the TB test occur? <br />months days <br />Are TB test results provided to the USMS within 14 days? <br />i Yes C' No <br />NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information <br />which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the'rntended <br />recipient, please contact the sender and destroy all copies of this document Any Protected Health Information contained in this document is to be used <br />only to aid in providing healthcare services to Federal prisoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be <br />reported as such <br />UNCLASSIFIEDULAW ENFORCEMENT SENSITIVE (When Completed) <br />Page 8 of 22 <br />Form USM -218 <br />Rev_ 07121 <br />