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UNGLASS|F|EDT/LAW 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 Conti 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 C 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 facil1y conduct re-investigations of employees, contractors, and volunteers? <br />CYes CNo <br />tf 'Yes', how ofien? (Every 2 years, every 5 years, every 10 years, or more than 10 years) <br />Does the background check include verification of: <br />Employmdnt 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 />Disqualiffing misdemeanor convictions? <br />Derogatory civil records? <br />Alcohol dependencies? <br />Drug dependencies? <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 />C Yes <br />C Yes <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />C tto <br />CNo <br />CNo <br />CNo <br />Reporti ng/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 />NOTTCE: This document is antended FOR OFF|C|AL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL informalion <br />wttich is for the sole use of lhe intended recipient(s). Any unaulhorized review. use. disclosure, or distribution is prohibited. lf you are not lhe intended <br />,ectpient, please contact lhe sender and destroy all copies of this documenl. Any Prolecled Heallh lnformation conlained in thls document is to be used <br />onli to aid in provlding healthcare services lo federal prisoners. Any olher use is a violalion of Federal HIPAA Law and/or the Privacy Act and will be <br />reported as such. <br />U NCLASSIFIEDT/LAW E NFORC EMENT SENSITIVE (When Gompleted) <br />Page 6 ot 22 <br />Form USM-218 <br />Rev.07/21