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UNCLASSTFTED//LAW ENFORCEMENT SENSIT|VE (When Completed) <br />How many suicidal prisoners were placed in restrictive housing during the rating period? <br />Prisoner Death <br />Does the facility have <br />CYes CNo <br />procedures to respond to a prisoner's death? <br />Does the facirity immediatery notify the usMs in the event of a USMS prisoner death?CYes CNo <br />Does the facility review each prisoner death?CYes CNo <br />lnfectious Disease <br />the or procedures to management and <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />CNo <br />Does the facility have an infectious and communicable disease policy or procedures to:lncrude identify prisoners with infectious and communicabre diseases? c yes <br />Treat prisoners with infectious and communicable diseases? C yes <br />Quarantine prisoners with infectious and communicabre diseases? c yes <br />Does the facility report all cases of infectious and communicabte diseases to the usMs?CYes CNo <br />Does the facirity maintain adequate ppE for ail staff in the event of a pandemic?CYes CNo <br />diseases? <br />CYes CNo <br />Does the plan include: <br />HIV? <br />Tuberculosis? <br />Hepatitis? <br />lnfluenza? <br />Chlamydia? <br />COVID? <br />Ebola? <br />HPV? <br />Salmonella? <br />Scabies? <br />Zlka? <br />E. coli? <br />Chicken Pox? <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 />C Yes <br />C Yes <br />and comm <br />Fom USM-218 <br />Rev. OZl21 <br />CNo <br />CNo <br />CNo <br />NorlcE: This documenl is inlendedFoR oFFlclAL usiglly a1d 1ay conrain LAWENF.R.EMENT sENsrtvE.oR ..NFTDENTTAL lnformarion <br />which is for the sole use ot the intencleo il;ili;' ;; unaurhorized ,*i"*,Ir"loir.b.ur", oi oirlrr'orr,in i.-pror,'ired. rf you are nor rhe inrended <br />recipienl' please conlact the:ei]9€-r.r.o o-"-t'i''ov iiii*,::-"i.I,:.".'"lii n"v Fl.Jr".r"o i.lin-riri,#i'ion"rlnraineo in rhis documenr is ro be usecr <br />only lo aid in providing heallhcare services lo f"i;;J;;roners. Anv otner use is'a utr"rion <br />"r <br />r"o"iririii;an Ll* <br />"noro, <br />*" privacy A* and wi, be <br />reporled as such. <br />UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (WhEN COMPIEIEd) <br />Page 11 of 22