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UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (WhEN COMPIEIEd)Were any violations identified? <br />C Yes (- No <br />Have those violations been conected? <br />CYes CNo <br />was the facirity re-inspected to ensure the viorations were corrected properry?CYes CNo <br />Control of Dangerous Materials <br />Does the facility procedures for the inventory,and storage of <br />have <br />and chemicals?toxic,and caustic materialsCYes CNo <br />:T::t" ?u,,|/"n*" <br />adequate personar prorecrive equipmenr for rhe safe handrins of chemicars? <br />Does the facirity receive training on the safe use of each chemicar?CYes CNo <br />lf yes to the above question, is the training documented?CYes CNo <br />Clothing, Laundry and Bedding <br />at least two sets of temperature properlyuniforms, socks, undenrrrear,t-shirts, braziers,and shoes?ing, toCYes CNo <br />Do prisoners have access to laundry facilities, or the ability to have their clothing items washed?CYes CNo <br />Do allprisoners receive adequate bedding, to include blanket, sheets, mattress and pillow?CYes CNo <br />ffy;*t is bedding washed or exchanged? (weekry, Every 2weeks, Every 3 weeks, Monthry,Every other month, <br />NorlcE: This document is intended FoR oFFlclAL us: 9N-Ly and may contain LAW ENFoR.EMENT sENsrt)/F.oR ..NFTDENTTAL inrormarion <br />which is for the sole use orure inGn-d'eJ;il;i;:;; unaurhorize<t re'vi"r,'rrl]ot.rorr,., oi oirr,r'urriinis'pronio'eo. rryou are nor rhe rnrended <br />recipienl' please contact he€ender and c"riiJv iii.il["_orrnis Jocffii n"v Fliggpo i;;,h;;;;;;iioi".lnrrin"o in this crocumenr is ro be used <br />onlv lo aid in providins healthcare tt';t b'a;,.iili.on"rr. Anv orher use iJ" ,Lrrrion "ii;;;;;iilh#Llw anolor *re privacy Acr and wi, be <br />reporled as such, <br />UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (WhEN GOMPIEIEd) <br />Are exceptions to the laundry schedule made when clothes are soited?CYes CNo <br />Are exceptions to the rinen schedute made when rinen and mattresses are soired?CYes CNo <br />Are mattresses a minimu m of 12 inches from the floor?CYes CNo <br />Form USM.21B <br />Rev.0lt21 <br />Page 16 of 22