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UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed) lf 'No' to the previous question, has a DOJ PREA audit been scheduled? CYes CNo Scheduled DOJ PREA Audit Date ls a hard copy of the PREA audit available? CYes CNo lf 'Yes', Audit Date What was the name of the Auditor? ls there a corrective action plan in place? fYes CNo Has corrective action taken place? CYes CNo Was the facility re-inspected to ensure the violations were correcled properly? CYes CNo HEALTH CARE lntake and Screening Does the facility have policy or procedures for medical screening during intake? CYes CNo Do all prisoners undergo medical screening during the initial intake process? CYes CNo lf 'No', how long after intake does the screening occur? months days ls a comprehensive health appraisal for each prisoner completed within 14-days after initial intake? CYes CNo lf 'No', how long after intake does the appraisal occur? months days Does the facility ensure TB testing during the initial intake process? CYes CNo lf 'No', how long after intake does the TB test occur? months days Are TB test results provided to the USMS within 14 days? CYes CNo NOTICE: This document is intended FOR OFFICIAL USE ONtY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information which is for the sole use of the intended recipient(s). Any unaulhorized review, use, disclosure, or diskibution is prohibited. lf you are not the intended recipient, please contact the sender and destroy all copies of this document. Any Protected Health lnformation contained in this document is to be used only to aid in providing healthcare services to federal pri$oners. Any olher use is a violation of Federal HIPAA Law and/or the Privacy Act ancl will be reported as such, UNCLASSIFI ED//LAW ENFORCEMENT SENSITIVE (When Completed) Form USM-218 Rev,07/21Page 8 of 22