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UNCLASSIFIEDILAW ENFORCEMENT SENSITIVE (When Completed) <br />Does the contingency plan have a date documenting the last time the responsible facility manager/administrator <br />reviewed the policy to ensure it remains current, and relevant to the facility's operation? <br />CYes CNo <br />lf 'Yes', Date of Last Contingen Plan Review <br />Does the facility's contingency plan include the USMS prisoners housed at the facility? <br />CYes CNo <br />Staff Background Checks <br />Does the facility verify identity of employees, contractors and volunteers prior to hiring via <br />Fingerprints C Yes C No Social Security Number f Yes C No Date of Birth C yes C No <br />Are initial background checks completed for all employees, contractors, and volunteers prior to hiring? <br />CYes CNo <br />Does the facility conduct re-investigations of employees, contractors, and volunteers? <br />CYes CNo <br />lf 'Yes', how often? (Every 2 years, every 5 years, every 10 years, or more than 10 years) <br />Does the background check include verification of: <br />Employment history for the past five (5) years? <br />Residency for the past three (3) years? <br />Credit history to ensure no current delinquency? <br />Credit history to ensure no unresolved liens? <br />Credit history to ensure no accounts in collection? <br />Credit history to ensure no court-ordered judgments ? <br />Does the background check include verification that there are no <br />Felony convictions? <br />Disqualifying misdemeanor convictions? <br />Derogatory civil records? <br />Alcohol dependencies? <br />Drug dependencies? <br />C Yes <br />f Yes <br />C Yes <br />C Yes <br />C Yes <br />C Yes <br />C Yes <br />C Yes <br />C Yes <br />C Yes <br />C Yes <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />C trto <br />CNo <br />CNo <br />CNo <br />Repoding/lnvestigating Staff Misconduct <br />How many administrative allegations of staff misconduct were reported since the last USMS DFR (if applicable)? <br />How many criminal allegations of staff misconduct were reported since the last USMS DFR (if applicable)? <br />NOTICE: This document is intended FoR oFFlclAL usE ONLY and may contain LAW ENFoRCEMENT SENS|T|VE OR CoNFIDENTIAL information <br />which is for the sole use of the intended recipient(s). Any unaulhorized revlew, use, disclosure, or diskibution is prohibited. lf you are not the intended <br />recipient, please contact the sender and destroy all copies of this document. Any Protected Health lnformation contained in this document is to be usedonly to aid in providing healthcare services to federal prisoners. Any olher use is a violation of Federat HlpAA Law and/or the privacy Act and wiil bereported as such. <br />UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed) <br />Form USM-218Page6of22 Rev.07/21