HomeMy WebLinkAboutUS Marshals Service - signedU. S. Department of Justice
United States Marshals Service Modification of fntergovernmental Agreement
l. Agreement No.
85- I 0-0004
2. Effective Date
February 1.2022
3. Facility Code(s)
OBU
4. Modification No.
I
5. DUNS No.
N/A
6. Issuing Federal Agency
United States Marshals Service
Prisoner Operations Division
Intergovernmental Agreernents Branch
CG-3, Suite 300
Washi DC 20530-0001
7. Local Goyernment
KITTITAS COUNTY JAIL
205 W sTH AVE
ELLENSBURG, WA 98926
8. Appropriation Data
15x1020
9. Per-Diem Rate
NIA
10. Guard/Transportation Hourly Rate
N/A
11 EXCEPT AS PROVIDED SPECIFICALLY HEREIN, AL L TERMS AND CONDITIONS OF THE IGA
DOCUIVIENT REFERRED TO IN BLOCK 1, REMAIN UNCTIANGED. TERMS OF THIS
MODIFICATION:
The purpose of this rnodification is to add the following revisions to the current IGA:
I . Replacing 'oPurpose of Agreement and Security Provided" section with Addendum # I (see attached)2. Adding new language to "Medical Services" section pertaining to Covid-19 and other infectious diseases
(see Addendum #2 attached)
3' Adding'oPregnant or Post-Partum Prisoners" language to all Guard Services' sections (see Adderrdlm #3
attached)
4, Adding new "Video Teleconferencing" section (see Addendum #4 aftached)
5. Adding new "Voter Registration" section (see Addendum #5 attached)
6. Adding new "Body Camera Information Requests" section (see Addendum #6 attached)7. Adding new language to "Restrictive Housing and Suiclde Prevention" (see Addendum #7)
NO OTHERTERMS OR CONI}ITIONS ARE AFFECTED BY THIS CHANGE
12. lNs'fRU LOCAL GOVERNNIENT OF THIS
n. I locu covERNMENT ts Nor REeuTRED
TO SICN THIS DOCUMENT
n. ffi locar- covERNMENT ls REeutRED To srcN
TI]IS DOCUMIINT AND RETURN ALL COPIES TO
U, S. MARSHAL
13.
A, LOCAL GOVERNMEN
Signature
,1 l./ t, P- I It r hl -Lt " t2-
DATETITLE
B. FEDERALCOVERNMENT
TlFFANlEASONSftl.i'Ii;'J,:i.'i,',lT,ii,1,'ff 3-
--
Signature
A qsisfnnt Procrrrement
TITT,E DATE
U. S. Department of Justice
United States Marshals Service Modification of Intergovernmental Agreement
Agreement Number:
85-10-0004
Page lof !
a Administration
1 ' Federal prisoners shall be housed in a manner consistent r.vith the Federal Perfomrance Based Detention Standards
(FPBDS) subset utilized by the USMS Detention Facility Review Program. These standards are set fonh in Fonn
USM-2 l8 (provided as an aftachment to tltis modification). Facilities shall follorv the cument standards sumrnarized
in Fonn USM-218 and any otlter standards required by an authorized agency whose prisoners are housed by the
Local Govemment pnrsuant to this agreernent.
2. The FPBDS can be found at: http://www.usmarshals.gov/prisoner/detention-standards.htrn
3. KITTITAS COUNTY JAIL shall comply with Congressional mandates, federal laws, Executive Orders and all
existing KITTITAS COL}NTY JAIL policies. KITT'ITAS COUNTY JAIL shall provicle a means for verification of
any state inspections, accreditation, and, if applicable, any altemative correctional facility accreditations such as an
accreditation from the American correctional Association accreditation.
4. All work assignments for unsentenced Federal prisoners must be voluntary.
5' The Local Government shall conduct initial and periodic backgror.rnd and refercnce checks of appticants, employees,
contractoLs, and volunteers. All allegations of staff misconduct shall be investigated and reported to law enforcement
as appropriate. Staff misconduct involving or affecting USMS prisoners shall be reported to the local district United
States Marshal (USM), Chief, or their designee and to the USMS Prisoner Operations Division (pOD) at
PODCoClnq uiries@usdoi.gov.
6. The LocalGovernment shallmaintain written policies and prncedures that describe alt facets of f'acility operations,
maintenance, and administration. The Local Government shall maintain written contingency and ernergency plans
for situations including but not limited to riots, hunger strikes, disturbances, escapes, hostage situations, and mass
prisoner relocation.
7 . The Local Government shall maintain records of annual fi:'e safety inspections. The Local Government shall mai
dangerous materials in accordance with governrnent regulations.
8. The Local Govemtnent shall rnaintain an objective review, classification, and housing prccess. Federal prisoners
shall be clearly identified as USMS prisoners in the classification system.
9 - The Local Governtnent shall ensure Federal prisoners under the age of I 8 receive an age-appropriate diet, exercise.
and education.
10. The Local Government shall ensure Federal prisoners under the age of l8 or charged as ajuvenile shall be separated
by sight and sound and out of regular contact with adult prisoners, except in emergency situations or approval from
the court.
11. The Local Govemment shall keep the Facility clean and in good repair. Food service equipment shall meet
established health and safety codes. The Local Government shall provide a mininum of three (3) meals per.day that
are varied and nrttritionally adequate. The Local Government shall provide saf'e and clean space and items for proper
prisoner hygiene.
12. The Local Covernment will provide clean and serviceable bedding and clothing. Clothing ancl shoes shall be
properly sized and temperature and weather appropriate. The Local government shall provide appropriate attire
release.
13. The Local Covemment shall properly inventory, store, and return prisoner propefty npon release.
14. The Local Government shall provide adeqr"rate accommodations for prisoners with disabilities once accepted by the
Local Government.
15. The Local Covemment shall prohibit discrirnination on the basis of disability, race, gender, sexual orientation,
religion, and national origin in the provision of services, programs, and activities.
U. S. Depaftment of Justice
United States Marshals Service Modification of Intergovernmental Agreement
Agreement Number:
8s-10-0004
Page f of 5
a
16. The Local Government shall provide prisoners witlr reasonable opportunities to pa$icipate in religious pr.actices,
exercise. and access to mail, telephones, personal legal materials and legal reference materials or confidential
counsel.
17. The Local Government shall maintain a grievance program with at least one level of appeal. The grievance
procedures shall be made available to prisoners
Medical Services
l. The Local Governtnent shall maintain written procedures that describe actiorrs taken in the event of a prisoner's
death, assault, or medical emergency to include notification to the USMS.
2. The Local Governrnent shall provide a rnedical and mental health screening upon admission to the Facility. The
Local Government shall inform prisoners how to access hearth services.
3. The Locul Government shall notify the local USMS district off ce of aryt infectiotts clisease outbreak4. The Facility is encouraged to purchase non-OTC medications for USMS prisoners through the USMS' National
Managed Care Contmct (NMCC) Discount pharmacy program.
5. The USMS will not reimburse the detention facility for medical payments made on behalf of USMS prisoners in the
absence of a specific arrangement approved in rvriting by the USMS.
6. The Facility shallhave in place an adequate infectious disease control pmgram which includes testing of allFederal
prisoners for Tuberculosis (TB) in accordance with National Canunission on Correctional Health Care (NCCHC)
Standardsfor Health Service.s in Jails. TB testing shall occur with l4 days of intake (unless current TB tests results
are available), be prornptly documettted in the Federal prisoner"s medical record and the results forwarded to the
local USMS District within thirty (30) days of intake. Special requests lor expedited TB testing and clearance (to
incltrde time sensitive moves) shall be accomplished through advance coordination by the Federal Government and
Local Govemment.
7 ' The Local Government shall immediately notiS the Federal Covernment to include the local district office of any
cases of suspected or active TB or any other highly comrnrinicable diseases such as but not limited to Coronavirus
Disease (COVID), severe acute respiratory syndrome (SARS), Avian Flu, Methicillin-Resistant Staphylococcus
Aureus (MRSA), Chicken Pox, etc., which might affect sclieduled transports or productions,
8' Irrdigent Federal prisoners shall not be denied medical evaluation and treatment for failLrre to provide a co-payment
Optional Guard/Transportation Services to/from Medical Facility
I ' The Local Government agrees to provide additional personnel if requested by the USMS to enhance specific
reqttirements for security, prisoner monitoring. and contraband control. Fedelal prisoners al.e not permitted to use
the telephone, internet or WIFI enabled devices, or to receive outside food, drinks, or deliveries (including flowers)
without consent fi'om the USMS, The Local Government shall restrain Federal prisoners by attaching at least one
extremify to the hospital bed, stretcher, or chair at all times r.vhen medically possible. pregnant or postpartum
prisoners should not be restrained. Postpartum is the twelve-week periocl following childbirth. miscarriage, or
abortion. See First Step Act provision for more information.
a
U. S. Department of Justice
United States Marshals Service Modification of Intergovernmental Agreement
Agreement Number:
85-10-0004
Page ! of5
t Optional GuardlTrnnsportation Seryices to/from U.S. Courthouse
Each prisoner lvill be fully restrained in handcuffs, waist chain, and leg restraints during transportation unless
otherwise authorized by the USMS. Pregnant or postpanum prisoners should not be rcstrained. Postpartr.rm is the
twelve-week period following childbirth, miscarriage, or abortion. See First Step Act provision for more i
Deviations fiom full restraints must be documented and reported monthly to the local district USM, Chief, or their
designee and to the USMS POD at PODCoClnquiries@usdoi.qov.
Optional Guard/Transportation Services to Justice Prisoner & Alien Transportation System (JPATS)
L Each prisoner will be fully restrained in handcuffs, waist chain, and leg restraints cluring transportation unless
otherwise authorized by the USMS. Plegnant or postpadum prisoners should not be restrained. Postpartum is the
twelve-lveek period follorving childbirth, miscariage, or abortion. See First Step Act provision for more information
Deviations from full restraints must be documented and reported monthly to the local district USM, Chief, or their
designee and to the USMS POD at PODCoCInquiries@usdoi.eov.
Optional Guard Services to Video Teleconference Hearings within Facility
l. Each prisoner r.vill be fully restrained in handcuffs, waist chain, and leg restraints during transportation unless
otherwise authorized by the USMS. Pregnant or postpartum prisoners should not be restrained. Postpartum is
the twelve-rveek period follorving childbirth, miscaniage, or abortion. See First Step Act provision for more
inlbrmation. Deviations from full restraints must be documented and reported rnonthly to the local district
USM, Chiel or their designee and to the USMS POD at PODCoCInquiries@usdoi.gov
Video Teleconference Hearings within the Facitity
L lf available, the facility shall furnish. as applicable to this agreernent, allthings necessary for, or incident to,
providing Video Teleconference (VTC) hearings within the f'acility. When VTC eqr.ripment is not available at the
facility, the Federal Government, in coordination with the Courts, may assist with providing VTC equipment and
ancillary items to the facility.
Ensuring Access to Voter Registration for Eligible Individuals in Federal Custody
l. The facility, to the extent practicable and appropriate, will provide federal prisoners educational materials related to
voter registration and voting and. upon request by the federal prisoner, facilitate voting by mail by prisoners who are
eligible to vote under the laws of the applicable jurisdiction. The facility will work with state and local election
officials and, in appropriate circumstancesr may also work with other reliable sorlrces of voter inforrnation to assist
federal prisoners lvith voter registration, voting by mail, and notification of upcoming elections. This clause does not
endorse or advocate in support of or in opposition to any candidate or political parfy.
a
a
U. S. Department of Justice
United States Marshals Service Modification of Intergovernmental Agreement
Agreement Numberl
8s-10-0004
Page 5 of!
a Body Worn Camera Information Requestsl. If the Local Government adopts a Body Worn Camera (BWC) use policy that mandates use of BWC for transport or
other activities covered under the IGA, the agency shall. upon request by USMS, provide USMS with the
audio/video footage and any metadata captured by the BWC pertaining to USMS prisoner incidents. The audi
footage and any metadata may be requested by the USMS Body Wom Camera Program and the USMS Office of
General Counsel' The agency agrees that no BWC footage depicting a USMS prisoner rvill be released without
advance written notification to the USMS.
r Restrictive Housing and Suicide Prevention
l. For the purposes of this agreement, o'vulnerable population" refers to prisonem who are rnore likely to be victimizecl
in confinement settings, including br.rt not lirnited to:juveniles; young adults (age l8-24 at time of admission through
conviction); prisoners with serious mental illness; lesbian, gay, bisexual, transgender. intersex, and gender
nonconforming prisoners; pregnant and postpartrnn prisoners; and prisoners with medical needs.
NO OTHER TNRMS OR CONDITIONS ARE AFFECTED BY THIS CHANGE
UNCLASSIFIED//LAW ENFORCEMENT SENS|TIVE (When Completed)
U.S. Department of Justice
United States Marshals Service Detention Facility Review
Date of Detention F Review D
FACILITY FACTS
Name of Detention Condu DFR
FACILITY OVERVIEW
Facil Name
Address
Phone Number
Number
Closest USMS Office Name
Fax Number
District
ent rivate
State Code
Date
Driving Time from Closest Driving Distance from
USMS Office Closest USMS Office
minutes miles
Points of Contact
{lf needed, use "Other Notes Section" on last
Date of Last USMS
Detention Faci Review
page to document more than one point of contact.)
Title Name
of Contact Phone Extension Email
NOTICE: This documenl is lntended FoR oFFlclAL usE oNLY and may contain LAW ENFORCEMENT SENS|TIVE oR ooNF|DENTIAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or diskibution is prohibited. lf you are not the intended
recipient. please contact the sender and destroy all copies of lhis document. Any Protected Health lnformation contained in this document is to be usecl
only to aid in providing healthcare services to federal prisoners. Any olher use is a violation of Federal HIPAA Law and/or the privacy Act and will bereporled as such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM.21B
Rev.07/21Page 1 of 22
UNCLASSIFIEDILAW ENFORCEMENT SENSITIVE (When Completed)
Prisoner lnformation (Annotate the number of prisoners per category)
Adult Male Adult Female Juvenile Male Juvenile Female Total
Facility Bed Capacity
Facility Average Daily
Population
(Last 12 Months)
USMS Average Daily
Population
Local/Non-Federal
Average Daily Population
Bureau of Prisons
Average Daily Population
tcE
Average Daily Population
Security Staff lnformation (Annotate number of authorized and filled positions per facility's staffing plan)
Authorized Filled
Warden
Assistant Warden
Chief of Security
Shift Supervisors
Other Supervisors
Corrections Officers
Transportation Officers
Perimeter Security
Restrictive Housing Security
Other Security
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENS|TIVE OR CONFTDENTIAL information
which is for the sole use of the inlended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. lf you are not the intended
recipient' please contact the sender and destroy all copies of this document. Any Protected Health Informalion contained in this document is to be used
only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPM Law andlor the privacy Act and will be
reporled as $uch.
UNCLASSIFIED/LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM.2,1B
Page 2 of 22 Rev. e7t?1
UNCLASSIFIED//LAW ENFORCEMENT SENStTIVE (When Completed)
Medical Staff lnformation (Annotate number of authorized and filled positions per facility's staffing plan)
Authorized Filled
Physician
Physician's Assistant
Nurse Practitioner
Registered Nurse
Licensed Practical Nurse
Mental Health Professional
Other Medical Staff
Contraband
List facility's total number of contraband incidents since last USMS DFR (if applicable)
D or Alcohol or Alcohol hernalia
Wea
Electronic Devices
ToolElectronic Device
lncidents
List facility's total number of incidents since last USMS DFR (if applicabte)
Suicides Suicide Esca
Ph Assaults on Prisoners icalAssaults on Staff
Health Care Grievances Natural Deaths Sexual Assaults on Prisoners
SexualAssaults on Staff Homicides Riots/Disturbances
Overdose Deaths Overdoses Use of Force Excessive Use of Force
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. lf you are not the intended
recipient, please conlact the sender and destroy all copies of lhis document. Any Prolected Health lnformation coniained in this document is to be used
only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPM Law and/or the privacy Act and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM-218
Page 3 of 22 Rev. 07/21
A
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Was the USMS notified of all incidents involving USMS prisoners?
CYes CNo
lncidents Not Reported
(lf needed , use "Other Notes Section" on last paqe to document more than one incident.)
lncident Use lncident listed a
Remarks
Court Action
lncident blan Date of lncident
(lf needed, use "Other Notes Section" on last paqe to document more than one action)
Are there any court orders or pending major litigation affecting the facility?
CYes C No
Case Functional Area
ADMI NISTRATION AND MANAGEMENT
Date of Court Fi
Policy Development and Monitoring
Does the facility maintain policies and procedures that describe facility operations, maintenance and administration?
CYes CNo
Do policies have a date documenting the last time the responsible facility manager/administrator reviewed them to
ensure they remain current, accurate and relevant to the facility's operation?
CYes CNo
lf 'Yes', Date of Last lnternal Review
Policy Communication and Access
Are policies and procedures communicated to all employees?
CYes CNo
Does staff have 24ft access to policies and procedures?
CYes CNo
Prisoner Property and Money
Does the facility properly inventory prisoner property?
CYes CNo
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTTAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. lf you are nol the intended
recipienl, please contact the sender and deshoy 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 prisoners, Any olher use is a violation of Federal HIPAA Law and/or the privacy Act and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Compteted)
Form USM-2'18
Page 4 of 22 Reu. OT1ZI
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Gompleted)
Does the facility properly store prisoner property?
CYes CNo
Does the facility properly return prisoner property?
CYes CNo
Does the facility properly inventory prisoner money?
CYes CNo
Does the facility properly store prisoner money?
CYes CNo
Does the facility properly return prisoner money?
CYes CNo
Prisoner Release
Has the facility erroneously released ANY prisoner(s) during the review period?
CYes CNo
Total number of non-USMS prisoners erroneously released
Accommodations for Prisoners with Disabilities
Total number of USMS prisoners erroneously released
lf the facility accepts prisoners with disabilities, are adequate accommodations made available for these prisoners?
CYes CNo
Contingency/Emergency Plans
threaten facility security? (e.9., riots, hunger
CYes CNo
ls a hard copy of the emergency plan available for incorporation into the district's detention plan?
CYes CNo
Does the emergency plan have a date documenting the last time the responsible facility manager/administrator
reviewed the policy to ensure it remains current, and relevant to the facility's operation?
CYes CNo
lf 'Yes', Date of Last E Plan Review
Does the facility have a written contingency plan in place for situations involving mass prisoner relocation? (e.g.,
weather, fire, flooding, facility not habitable.)
CYes CNo
ls a hard copy of the contingency plan available for incorporation into the district's detention plan?
CYes CNo
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFTDENTIAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or dlskibution is prohibited. lf you are not the intended
recipient, please contact the sender and deshoy all copies of this document. Any P.otected Health lnformation contained in this document is to be used
only to aid in providing healthcare services to federal prisoners. Any other use is a violaiion of Federal HIPAA Law and/or the privacy Act and will be
reported as such.
UNCLASSIFIED/LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM-218
Page 5 of 22 Rev, 07/21
Does the facility have a written
strikes, disturbances, escapes,
emergency plan in place for situations that
and hostage situations.)
UNCLASSIFIEDILAW ENFORCEMENT SENSITIVE (When Completed)
Does the contingency plan have a date documenting the last time the responsible facility manager/administrator
reviewed the policy to ensure it remains current, and relevant to the facility's operation?
CYes CNo
lf 'Yes', Date of Last Contingen Plan Review
Does the facility's contingency plan include the USMS prisoners housed at the facility?
CYes CNo
Staff Background Checks
Does the facility verify identity of employees, contractors and volunteers prior to hiring via
Fingerprints C Yes C No Social Security Number f Yes C No Date of Birth C yes C No
Are initial background checks completed for all employees, contractors, and volunteers prior to hiring?
CYes CNo
Does the facility conduct re-investigations of employees, contractors, and volunteers?
CYes CNo
lf 'Yes', how often? (Every 2 years, every 5 years, every 10 years, or more than 10 years)
Does the background check include verification of:
Employment history for the past five (5) years?
Residency for the past three (3) years?
Credit history to ensure no current delinquency?
Credit history to ensure no unresolved liens?
Credit history to ensure no accounts in collection?
Credit history to ensure no court-ordered judgments ?
Does the background check include verification that there are no
Felony convictions?
Disqualifying misdemeanor convictions?
Derogatory civil records?
Alcohol dependencies?
Drug dependencies?
C Yes
f Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
CNo
CNo
CNo
CNo
CNo
CNo
CNo
C trto
CNo
CNo
CNo
Repoding/lnvestigating Staff Misconduct
How many administrative allegations of staff misconduct were reported since the last USMS DFR (if applicable)?
How many criminal allegations of staff misconduct were reported since the last USMS DFR (if applicable)?
NOTICE: This document is intended FoR oFFlclAL usE ONLY and may contain LAW ENFoRCEMENT SENS|T|VE OR CoNFIDENTIAL information
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
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.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM-218Page6of22 Rev.07/21
UNCLASSIFIED/LAW ENFORCEMENT SE NSITIVE (When Completed)
How many criminal allegations of staff misconduct were reported to law enforcement since the last USMS DFR (if
applicable)?
Prisoner Anti-Discrimination
Does the facility have a prisoner anti-discrimination policy that addresses:
Age?
Disability?
Equal Pay/Compensation?
Genetic lnformation?
Harassment?
NationalOrigin?
Pregnancy?
RacelColor?
Religion?
Retaliation?
Sex?
Gender ldentity?
Sexual Preference?
Sexual Harassment?
Are services, programs, and activities provided to all eligible prisoners?
Prison Rape Elimination Act (PREA) Compliance
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
Does the facility have a PREA compliance program?
C Yes C trto
Does the program address the following items:
Zero tolerance toward all forms of sexual abuse and sexual harassment?
Prevention and response planning?
Prisoner training and education?
Employee training and education?
Screening for risk of sexual victimization?
Reporting and investigations?
Discipline?
Medical/ mental health care?
Auditing?
Corrective action?
State compliance?
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
Has the facility had an audit conducted by a DOJ certified PREA auditor within the past 3 years?
CYes CNo
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENS|T|VE OR CONFIDENTTAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclo$ure, or distributlon is prohibited. lf you are not the intended
recipient, please contact lhe sender and deskoy all coples of this document. Any Protected Heallh lnformation contained in this document is to be used
only to aid :n providing heallhcare services to federal prisoners. Any other use is a vlolation of Federal HIPM Law and/or the Privacy Act and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Compteted)
PageT ol22
Form USM-218
Rev. 07/21
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
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
lf 'No', when were results provided?
months days
Do all prisoners undergo mental health screening during the initial intake process?
CYes CNo
lf 'No', how long after intake does the mental health screening occur?
months days
Do all prisoners undergo dental health screening during the initial intake process?
CYes CNo
lf 'No', how long after intake does the dental health screening occur?
months days
Are all medicalscreening results reviewed by a physician?
CYes CNo
How long after intake does this occur?
months days
Are medical screening records maintained for every prisoner?
CYes CNo
Medical, Dental, and Mental Health
Does the facility have a medical unit staffed 2417?
CYes CNo
Does the facility employ an on-site mental health professional?
CYes CNo
Are prisoners with mental health issues identified as part of the vulnerable population?
CYes CNo
Are prisoners with mental health issues referred to qualified mental health professionals?
CYes CNo
Routine, Chronic, and Emergency Health Services
Are all prisoners made aware of the process for requesting health care services?
CYes CNo
Does the facility have a policy or procedures for identifying medical emergencies?
CYes CNo
Does lhe facility provide access to prescription medication?
CYes CNo
NoTlcE: This document is intended FOR oFFlclAL USE oNLY and may contain LAW ENFoRCEMENT SENslTlvE oR CoNFIDENT|AL information
which is tor the $ole use of the intended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. lf you are not the intended
recipient, please contact lhe sender and destroy all copies of this document. Any Protected Heallh lnformation contained in this document is to be used
only to aid in providing heallhcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be
reported as such.
UNCLASSIFIEDILAW ENFORCEMENT SENSITIVE (When Completed)
Page I of 22
Form USM-218
Rev.07121
U NCLASSI FIEDI/LAW ENFORCEMENT SENSITIVE (When Completed)
Does the facility participate in the NMCC?
CYes CNo
Does the facility have an onsite pharmacy?
CYes CNo
Does the facility document prisoner health care grievances?
CYes CNo
Response to Medical, Mental and Dental Heatth Needs
Are all prisoners
available?
CYes CNo
who require health care beyond the capacity of the facility transfe rred to a facility where such care is
Are facility staff CPR/First Aid certified?
CYes CNo
With the exception of emergencies, does the facility use POD Medical Management to request approval for outside
medical services?
CYes CNo
Does the facility immediately notify the district in the event of a USMS prisoner medical emergency?
CYes CNo
Suicide Prevention
Does the facility have a suicide prevention program?
CYes fNo
Does the facility document staff training for prisoner suicide prevention?
CYes CNo
Does the facility have procedures for identifying prisoners at risk for suicide?
CYes CNo
Does the facility have procedures for monitoring prisoners at risk for suicide?
CYes CNo
How often are welfare inspections conducted on suicidal prisoners?
Select.
Does the facility report suicidal gestures, remarks, tendencies and attempts to the USMS?
fYes CNo
Does the facility provide mental health services to suicidal prisoners?
(t Yes C No
Does the facility report restrictive housing of suicidal prisoners to the USMS?
CYes CNo
NOTICE: This document is lntended FoR oFFlclAL usE ONLY and may contain LAW ENFORCEMENT SENS|TIVE oR CONFIDENTTAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, dlsclosure, ordlslribution 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 t0 aid in providing healthcare services to federal prisoners, Any other use is a violation of Federal HIPM Law and/or the privacy Act and will be
reporled as such.
UNCLASSI FIED//LAW ENFORC EM ENT SENS|TIVE (When Compteted)
Form USM-218
Page 1A of 22 Rev. 0Zl21
- UNCLASSIFIEDILAW ENFORCEMENT SENSITIVE (When Completed)
How many suicidal prisoners were placed in restrictive housing during the rating period?
Prisoner Death
Does the facility have procedures to respond to a prisoner's death?
CYes CNo
Does the facility immediately notify the USMS in the event of a USMS prisoner death?
CYes CNo
Does the facility review each prisoner death?
CYes CNo
lnfectious Disease
Does the facility have policy or procedures to address the management and reporting of infectious and communicable
diseases?
CYes CNo
Does the plan include:
HIV?
Tuberculosis?
Hepatitis?
lnfluenza?
Chlamydia?
COVID?
Ebola?
HPV?
Salmonella?
Scabies?
Zika?
E. coli?
Chicken Pox?
C Yes
(^ Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
CNo
Does the facility have an infectious and communicable disease policy or procedures to:
lnclude identify prisoners with infectious and communicable diseases? C yes
Treat prisoners with infectious and communicable diseases? C yes
Quarantine prisoners with infectious and communicable diseases? C yes
Does the facility report all cases of infectious and communicable diseases to the USMS?
CYes CNo
CNo
CNo
CNo
Does the facility maintain adequate PPE for all staff in the event of a pandemic?
CYes CNo
NOTICE: This document is intended FoR oFFlclAL usE ONLY and may contain LAW ENFoRcEMENT sENSrTtvE oR coNFtDENTtAL information
whiah is for the sole use of the intended recipient(s). Any unauthorlzed review, use, disclosure, or distribulion is prohibited. lf you are not the intended
recipient, please conlact the sender and destroy all copies of lhis document. Any Protected Health lnformation contained in lhis document is to be used
only lo aid in providing healthcare services to federal prlsoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be
reporled as such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Page 11 of 22
Form USM-218
Rev, 07/21
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Does the facility maintain adequate PPE for all prisoners in the event of a pandemic?
CYes CNo
SECURITY AND CONTROL
Gorrectional Supervision
Are correctional officer posts located i
promptly to emergency situations?
n, or immediately adjacent to, prisoner living areas so officers can respond
CYes fNo
Are prisoners managed and supervised 24ft?
CYes CNo
Security Features
Are weekly inspections of all security devices conducted?
CYes CNo
Security Inspections
Does the facility conduct intermittent security sweeps of all areas prisoners occupy?
CYes CNo
Searches and Gontraband
Does the facil ity have procedures for searching prisoners for contraband upon arrival to the facility?
CYes CNo
Does the facility have procedures for searching prisoners for contraband prior to transporting the prisoner?
CYes CNo
Does the facility have procedures for searching prisoners for contraband after prisoner visitation?
CYes CNo
Does the facility have procedures for searching prisoners for contraband after work details?
CYes CNo
Does the facility notify the USMS if a USMS prisoner is found with contraband?
CYes CNo
Prisoner Accountability and Supervision
Does the facility have procedures for physically counting prisoners?
CYes CNo
Number of counts
NOTTCE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENS|T|VE OR CONFIDENTTAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. lf you are not the intended
recipient, please contact the sender and destroy all copies of this documenl. Any Protected Health lnformalion contained in this document is to be used
only to aid in providing healthcare services lo federal prisoners. Any olher use is a violation of Federal HIPM Law andlor the Privacy Act and will be
reporled a6 such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM-218
Rev.07/21Page 12 ol 22
UNCLASSIFIED//LAW ENFORCEMENT SENS|TIVE (When Compteted)
Use of Force
Does the facility have procedures for use of force?
CYes CNo
Does the facility document and report use of force?
CYes CNo
Does the facility investigate all use of force incidents?
CYes CNo
Non-routine Use of Restraints
Does the facility have procedures for use of restraints?
CYes CNo
ls the use of restraints on pregnant or postpartum USMS prisoners reported to the USMS?
CYes CNo
Number of pregnant USMS prisoners since the last USMS DFR (if appticable).
Number of times pregnant or postpartum USMS prisoners were restrained since the last USMS DFR (if applicable).
Key Gontrol
ls the use of keys controlled and inventoried?
CYes CNo
Tools and Gulinary Equipment Control
ls the use of tools and culinary equipment controlled and inventoried?
CYes CNo
How many missing items during the rating period?
Weapons Control
Does the facility have procedures for the control and use of firearms and less-than-lethal devices?
CYes CNo
Prisoner Handbook and Discipline
Do prisoners have 2417 access to a prisoner rule/handbook in English?
CYes CNo
NOTICE: This document is inlended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information
which is for the sole use of the intended recipient(s). Any unauthorlzod revlew, use, disclosure, or dishibution 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 seryices to federal prisoners. Any other use is a violalion of Federal HIPM Law andior the Privacy Act and will be
reported as such.
UNCLASSIFIEDI/LAW ENFORCEMENT SENSITIVE (When Completed)
Page 13 of 22
Form USM-z18
Rev. 07/21
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Does the English prisoner rule/handbook include facility rules and disciplinary procedures for violations?
CYes CNo
Do prisoners have 2417 access to a prisoner rule/handbook in Spanish?
CYes CNo
Does the Spanish prisoner rule/handbook include facility rules and disciplinary procedures for violations?
CYes CNo
Restrictive Housing
Does the facility have written procedures for restrictive housing?
CYes CNo
Does the facility have written procedures for monitoring prisoners in restrictive housing?
CYes CNo
Does the facility immediately report restrictive housing of any USMS prisoner in the vulnerable population?
CYes CNo
How many USMS prisoners in the vulnerable population were placed in restrictive housing since the last USMS DFR (if
applicable)?
Does the facility report restrictive housing of every USMS prisoner, monthly to the USMS?
CYes CNo
How many USMS prisoners were placed in restrictive housing since the last USMS DFR (if applicable)?
How does the facility report restrictive housing to the USMS?
I Email I lnvoices I Restrictive Housing Module
Does the facility have procedures for reintegration of a prisoner from restrictive housing into the general population?
CYes fNo
Does the facility notify the prisoner of the reason for restrictive housing?
CYes CNo
Criminal Organization
(lf needed, use "Other Notes Section" on last page to document more than one orqan ization.)
Does the facility collect criminal organization or security threat group information?
CYes CNo
Name of Criminal ization olD
NOTICEi This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information
which is for lhe sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or dislribution 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 prisone.s. Any other use is a violalion of Federal HIPAA Law andior the Privacy Act and will be
reported as such.
UNCLASSI FIE DllLAW ENFORCEMENT SENSITIVE (When Compteted)
Page 14 of 22
Form USM-218
Rev. 07121
UNCLASSIFIEDILAW ENFORCEMENT SENS|T|VE (When Compteted)
FOOD SERVICE
Sanitation Requirements
Has the facility been inspected by an exte rnal party within the past 1 2 months to ensure that the food service and
equipment meets established health, sanitation, and safety protocols?
CYes CNo
lf 'Yes', Date of lnspection
Were any violations identified?
C Yes t^ No
Have those violations been corrected?
CYes CNo
Was the facility re-inspected to ensure the violations were corrected properly?
CYes CNo
Adequate and Varied Meals
Does the facility provide 3 meals per day?
CYes CNo
Does the facility provide a minimum of 2 hot meals per day?
CYes CNo
Does the facility provide meals that are nutritionally adequate and varied, as approved by a dietitian?
CYes CNo
Does the facility serve meals that match the approved meal menus?
CYes CNo
Does the facility provide special meals for prisoner religious or medical needs?
CYes CNo
SAFETY AND SANITATION
Fire Safety
Are annual fire safety inspections conducted by state or localfire officials?
CYes CNo
lf 'Yes', Date of lnspection
NOTICE: This document is intended FoR oFFlclAL usE oNLY and may contain LAW ENFoRCEMENT sENStTtvE oR coNFtDENTIAL information
which is for the sole use of the intended recipient(s). Any unauthorized revlew, use, disclosure, or distribution ls prohibited. lf you are not the iniended
recipient, please contact the sender and destroy all copies of this document. Any Protected Health lnformation conlained in this document is to be used
only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or lhe privacy Act and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT SENStTtVE (When Compteted)
Page 15 ot22
Form USM-218
Rev. 07/21
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Were any violations identified?
CYes CNo
Have those violations been corrected?
CYes fNo
Was the facility re-inspected to ensure the violations were corrected properly?
CYes CNo
Control of Dangerous Materials
Does the facility have
and chemicals?
procedures for the maintenance, inventory , and storage of flammable, toxic, and caustic materials
CYes CNo
Does the facility have adequate personal protective equipment for the safe handling of chemicals?
CYes CNo
Does the facility receive training on the safe use of each chemical?
CYes CNo
lf yes to the above question, is the training documented?
CYes CNo
Clothing, Laundry and Bedding
Are all prisoners
uniforms, socks,
CYes CNo
issued at least two clean sets of temperature appropriate and properly sized clothing, to include
undenivear, t-shirts, braziers, and shoes?
Do prisoners have access to laundry facilities, or the ability to have lheir clothing items washed?
CYes CNo
Do all prisoners receive adequate bedding, to include blanket, sheels, mattress and pillow?
CYes CNo
How often is bedding washed or exchanged? (Weekly, Every 2 weeks, Every 3 weeks, Monthly, Every other month,
Never)
Are exceptions to the laundry schedule made when clothes are soiled?
CYes CNo
Are exceptions to the linen schedule made when linen and mattresses are soiled?
CYes CNo
Are mattresses a minimum of 12 inches from the floor?
CYes CNo
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENS|TIVE OR CONFIDENTIAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use. disclosure, or diskibution is prohibited. lf you are not the iniended
recipient. please conlact the sender and deslroy all copies of lhis document. Any Protected Health lnformation contained in this document is to be used
only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law andlor the privacy Act and will be
reporled as such.
UNCLASSIFI ED//LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM-218
Page 16 o! 22 Rev. 07i2.,1
UNCLASSIFIED//LAW ENFORCEMENT S ENSIT|VE (When Completed)
Housing
Are single cells a minimum of 56 square feet?
CYes CNo
Are double cells a minimum of 72.5 square feet?
CYes CNo
Does the facility triple bunk or use boat beds?
CYes CNo
How many times did the facility triple bunk or use boat beds since the last USMS DFR (if applicable)?
Personal Hygiene
Are the following available at no cost:
Soap?
Toothpaste?
Razors?
Shampoo?
Sanitary Napkins?
Tampons?
C Yes
C Yes
C Yes
C Yes
C Yes
C Yes
CNo
CNo
CNo
CNo
CNo
CNo
Do all prisoners have 2417 access to an operable toilet?
(.Yes CNo
Do all prisoners have 2417 access to a washbasin with hot and cold running water?
CYes CNo
Physical Facility and Equipment
ls the facility kept clean and in good repair?
CYes CNo
ls all facility equipment in proper working order?
CYes CNo
ls there any evidence or sign of moid?
CYes CNo
ls there any evidence or sign of insects?
CYes CNo
ls there any evidence or sign of rodents?
CYes CNo
NOTICE: This document is intended FOR OFFICIAL USE ONLY 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 dishibution is prohibited, lf you are nol the intended
recipient, please conlact the sender and destroy all copies of lhis document. Any Protected Health lnformation contained in this document is to be used
only to aid in providing healthcare services to federal prisoners, Any olher use is a vlolation of Federal HIPAA Law and/or the privacy Act and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT SENS|T|VE (When Compteted)
Page 17 of 22
Form USM-218
Rev.07l21
U NCLASSI FIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Does the facility have adequate environmental controls to provide for indoor prisoner living conditions with air
temperatures maintained between 69 and 76 degrees?
CYes CNo
SERVICE AND PROGRAMS
Classification, Review, and Housing
Does the facility have a procedure for prisoner classification, placement, and management?
CYes CNo
Does the facility regularly review a prisoner's behavior or circumstances to determine housing placement?
CYes CNo
Are all USMS prisoners clearly identified in the facility's ctassification system?
CYes CNo
Copay and Fees
Are prisoners charged a fee for haircuts?
CYes CNo
lf 'Yes', are all prisoners charged the same fee?
CYes CNo
Are prisoners charged a fee for meals?
CYes CNo
lf 'Yes', are all prisoners charged the same fee?
CYes fNo
Are prisoners charged a fee for medical co-pay?
CYes CNo
lf yes, are all prisoners charged the same fee?
CYes CNo
Religious Practices
Do prisoners have the opportunity to participate in the religious practice of their faith?
CYes CNo
Volunteer Work Assignments
Does the facility ensure that un-sentenced prisoners are not required to work unless they volunteer to do so?
CYes CNo
Does the facility pay prisoners forwork?
CYes CNo
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTTAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or distributlon is prohibited. lf you are not the intended
recipient, please contact lhe sender and deshoy all copies of this document. Any Protected Heallh lnformation contained in this document is to be used
only to aid in providing healthcare services to federal prisoners, Any other use i$ a violatlon of Federal HIPM Law and/or lhe Privacy Act and wiil be
reported as such.
UNCLASSI FIED/LAW ENFORC EMENT SENSIT|VE (When Compteted)
Page 18 of22
Form USM-218
Rev.07121
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Are USMS prisoners assigned to work outside of the secure perimeter of the facility?
f- Yes C No
Does the facility document all USMS prisoner work assignments?
CYes CNo
Prisoner Grievance Prog ram
ls a grievance procedure that includes at least one level of appeal available to all prisoners?
CYes CNo
Juveniles
Does the facility house juveniles? lf 'No', move to next section
CYes CNo
Does the facility have procedures for housing juveniles?
CYes CNo
Does the facility house prisoners between 18-21 who are charged as juveniles?
CYes CNo
Does the facility ensure the special diet, exercise, and education needs of juvenile prisoners are met?
CYes CNo
Does the facility place prisoners under 21 who are charged as juveniles in restrictive housing?
CYes CNo
Does the facility ensure that voluntary and involuntary restrictive housing of prisoners under 21 who are charged as
juveniles are removed from restrictive housing every 3 hours?
CYes CNo
Does the facility immediately report juvenile segregation or restrictive housing of USMS juvenile prisoners?
CYes CNo
Exercise and Out-of-Gell Opportunities
Does the facility provide prisoners with opportunity for exercise and out-of-cell time?
CYes CNo
Telephone Access
Do prisoners have adequate access to telephones?
CYes CNo
NOTICE: Thi$ document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTTAL informaiion
which is for the sole use of the lntended recipient(s). Any unaulhorized .eview, use, disclosure, or distribution is prohibitecl. lf you are nol 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 ptoviding healthcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM-218
Page 19 of22 Rev.07/21
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Gompleted)
Access to the Courts and Legal Materials
Do prisoners have access to the courts?
CYes CNo
Do prisoners have access to legal material/law library?
CYes CNo
Access to Legal Representation
Do the prisoners have confidential access to counsel via telephone?
CYes CNo
Do the prisoners have confidential access to counsel via written correspondence?
CYes CNo
Do the prisoners have confidential access to counsel via visitation?
CYes CNo
Visitation
Does the facility have a prisoner visitation program?
CYes CNo
Does the prisoner visiting room have barriers to prevent contact visitation?
CYes CNo
NoTICE; This document is intended FOR oFFlclAL USE ONLY and may contain LAW ENFoRCEMENT SENS|TIVE OR CONFTDENTIAL information
which is for the sole u$e of lhe intended recipient(s). Any unauthorized roview, use, disclosure, or dishibution is prohibited. lf you are nol the intended
recipienl, please contact the sender and destroy all copies of lhis document. Any Protected Health lnformation contained in this document is to be used
only to aid in providing healthcare services to federal prisoners. Any other use is a vlolation of Federal HIPM Law and/or the privacy Acl and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT S ENSITIVE (When Compteted)
Page 20 of 22
Form USM-218
Rev. 07/21
U NCLASSI FIED//LAW ENFORCEMENT SENSITIVE (When Completed)
CONCLUSION
Other Notes
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information
which is for the sole use of the intended recipient(s). Any unauthorized review, use, disclosure, or diskibution is prohibited. lf you are not the inlended
recipient, please contact the sender and destroy all copies of this document. Any Protected Health lnlormation contained in this document is to be used
only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPM Law and/or the Privacy Act and will be
reported as such.
UNCLASSIFtED//LAW ENFORCEMENT SENS|TIVE (When Completed)
Form USM-218
Page21 ot22 Rev.07/21
!
UNCLASSIFIEDTLAW ENFORCEMENT SENSITIVE (When Completed)
Additional Points of Contact
Title Name
of Contact Phone Number n EmailAddress
Detention Facility Review (DFR) Gertification
I certify that this facility was rnspecfed by an 0082 or 1811 with a current USM-222, Additionat Duty Designation
designating them as a Detention Facility Inspector and that applicable Correclive Action Recommendations were
provided to the facility.
Date
NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTTAL informarion
which ls for the sole use of lhe intended recipient(s). Any unauthotized review, use, disclosure, or distribution is prohibiled. lf you are not the intended
recipient, please contacl the sender and destroy all copies of this document. Any Protected Health lnformation contained in this documenl is io be used
only to aid in providing heallhcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be
reported as such.
UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (When Completed)
Form USM-218Page22of22 Rev.07t21
U. S. Department of Justice
United States Marshals Service
Kil illAlt ti{JrrilrY gnEttlFr
' 1.-. ':. .: ': , ,!'; r
' i , i . : . " . t, :, , t'l_j
Detention Services
Intergovern mental Ag reement
1. Agreement Number
B5-10-0004
2. Effective Date
See Block 19
3, Facility Code(s)
OBU
4. DUNS Number
01-020^2547
5, Issulng Federal Agency
United States Marshals Service
Prisoner Operations Division
2604 Jefferson Davis Hwy
Alexandria , VA 223A1
6. Local Government
Kittitas County
205 W 5th Avenue Suite l/Jail
Ellensburg, WA 98926
Tax ID#: 91-6001349
7. Appropriation Data
15X1020
B, Local Contact Person
Paula Hoctor, Commander
9. Tel:
Email:
(509) 962-761e
paula. hoctor@co. kittitas.wa, us-. .-j ' Per-Diem Rate
10, This agreement is for the houslng,
safekeeping, and subsistence of federal
prisoners, in accordance with content set
forth herein.
11,
Male: 10
L2.
$50.00
13, Optional Guard/Transportation Services to:
I Medical Facility
tr U.S. Courthouse
L4,
Guard/Transportation Hourly Rate: $N/A
Mlleage shall be relmbursed by the Federal Government at the GSA
Federal Travel Regulation Mileage Rate,
15. Local Government Certification
To the best af my knowledge and belief,
information submitted in support of this
agreement is true and correct, this document
has been duly authorized by the bady governing
the Department or Agency and the Department
or Agency will comply with all provisions set
forth herein.
16. Signature Pe orized to Sign (Local)
Signature
Gene Dana
Print Name
Sheriff )
Title Date
lT.Prisoner and
Detainee Type
Authorized
Xndult t,tale
tr RAutt Female
E Juvenile Mate
E Juvenile Female
18. Other Authorized
Agency User
N BOP
f] ICE
19. Signature of Authorized to Sign (Federal)
Signa
Marv Horsev
Print Name
Grants Specialist litAR - 2 huf,
Title Date
Page 1 of 11
Agreement Number 85-1O-O0O4
Authority 3
3
3
4
4
5
6
6
7
7
7
BI
9
9
9
9
Purpose of Agreement and Security provlded
Period of Performance
Assignment and Outsourcing of Jail Operations.
Medical Services
Receiving and Discharge of Federal Detainees
optional Guard/Transportation services to Medical Facil ity
Optional Guard/Transportation Services to U.S, Courth ouse
Special Notifications....
Prisoner Rape Elimination Act (PREA) ,..,.....
Service Contract Act .
Per-Diem Rate.
Billing and Financial Provisions
Payment Procedures .......
Modifications and Disputes
Inspection of Services ..
Litigation
Prisoner Rape Elimination Act Reporting Information 11
Page 2 of 11
Agreement Number 85-1O-00O4
Authority
Pursuant to the authority of Section 119 of the Department of Justice Appropriations
Acts of 2001 (Public Law 105-553), this Agreement is entered into between lhe United
States Marshals Service (hereinafter referred to as the "Federal Government,,) andKittitas County (hereinafter referred to as the "Local Government"), who heieby agree
as follows:
Purpose of Agreement and Security provided
The Federal Government and the Local Government establish this Agreement that allowsthe United States Marshals Service (USMS) to house federal detainees with the Local
Government at the Kittitas county sheriff's office (hereinafter referred to as..thefacility")
The population (hereinafter referred to as "federal detainees") will include individuals
charged with federal offenses and detained while awaiting trial, individuals who have
been sentenced and are awaiting designation and transport to a Bureau of Prisons (BOp)facility, and individuals who areiwaiting a hearing on their immigration status or
deportation.
The Local Government shall accept and provide for the secure custody, safekeeping,
housing, subsistence and care of federal detainees in accordance with all state and-local
laws, standards, regulations, policies and court orders applicable to the operation of thefacility. Detainees shall also be housed in a manner that is consistent with federal law
and the Federal Performance-Based Detention standards.
The USMS ensures the secure custody, care, and safekeeping of USMS detainees.
Accordingly, all housing or work assignments, and recreation or other activities for USMS
detainees are permitted only within secure areas of the building or within the secure
external recreational/exercise areas,
At all times, the Federal Government shall have access to the facility and to the federal
detainees housed there, and to all records pertaining to this Agreement, including
financial records, for a period going back three (3) years fromlhe date of requ"rl by the
Federal Government.
Period of Performance
This Agreement is effective upon the date of signature of both parties, and remains ineffect unless terminated by either party with written notice. fne Local Government shallprovide no less than thirty (30) calendar days notice of their intent to terminate. Wherethe Local Government has received a Cooperative Agreement Program (CAp) award, thetermination provisions of the CAp prevail.
Page 3 of 11
Agreement Number 85-10-O0O4
Assignment and Outsourcing of Jail Operations
Overall management and operation of the facility housing federal detainees may not be
contracted out without the prior express written consent of the Federal Government.
Medical Services
The Local Government shall provide federal detainees with the full range of medical care
inside the detention facility. The level of care inside the facility should be the same as
that provided to state and local detainees. The Local Government is financially
responsible for all rnedical care provided inside the facility to federal detainees. This
includes the cost of all medical, dental, and mental health care as well as the cost of
medical supplies, over the counter prescriptions and, any prescription medications
routinely stocked by the facility which are provided to federal detainees. The cost of all
of the above-referenced medical care is covered by the federal per diem rate. However,
if dialysis is provided within the facility, the Federal Government will pay for the cost ofthat service.
The Federal Government is financially responsible for all medical care provided outside
the facility to federal detainees, The Federal Government must be billed directly by the
medical care provider not the Local Government. In order to ensure that Medicare rates
are properly applied, medical claims for federal detainees must be on Centers for
Medicare and Medicaid (CMS) Forms in order to be re-priced at Medicare rates in
accordance with Title 18, USC Section 4006. The Local Government is required to
immediately forward all medical claims for federal detainees to the Federal Government
for processing.
All outside medical care provided to federal detainees must be pre-approved by the
Federal Government. In the event of an emergency, the Local Government shall
proceed immediately with necessary medical treatment. In such an event, the Local
Government shall notify the Federal Government immediately regarding the nature of
the federal detainees illness or injury as well as the types of treatment provided.
Medical care for federal detainees shall be provided by the Local Government in
accordance with the provisions of USMS, Publication 100-Prisoner Health Care Standards
(www..Usmarshals.gov/pri$qn-er/standards.htln) and in compliance with USMS Inspection
Guidelines, Form USM-218 Detention Facility Investigative Report. The Local
Government is responsible for all associated medical recordkeeping,
The facility shall have in place an adequate infectious disease control program which
includes testing of all federal detainees for Tuberculosis (TB) as soon as pbssible after
intake (not to exceed 14 days). When Purified Protein Derivative (PpD) skin tests are
used, they shall be read between 48 and Tzhours after placement.
TB testing shall be accomplished in accordance with the latest Centers for Disease
Control (CDC) Guidelines and the result promptly documented in the federal detainee:s
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Agreement Number 85-1O-OOO4
medical record' Special requests for expedited TB testing and clearance (to includetime-sensitive moves) will be accomplished through advance coordination by the FederalGovernment and Local Government.
The Local Government shall immediately notify the Federal Government of any cases ofsuspected or active TB or any other highly communicable disease such as Severe Acute
Respiratory Syndrome (SARS), Avian Flu, Methicillin-Resistant Staphylococcus Aureus(MRSA), Chicken Pox, etc,, which might affect scheduled transports or productions sothat protective measures can be taken by the Federal Government.
When a federal detainee is being transferred and/or released from the facility, all unusedprescription medication will go with the prisoner to the next facility. When possible,
generic medications should be prescribed. Medical records must travel with the federaldetainee. If the records are maintained at a medical contractor's facility, it is the LocalGovernment's responsibility to obtain them before a federal detainee is moved.
Federal detainees may be charged a medical co-payment by the Local Government in
accordance with the provisions of Title 18, USC Section 4013(d). The Federal
Governrnent is not responsible for medical co-payments and cannot be billed for thesecosts even for indigent federal prisoners.
Receiving and Discharge of Federal Detainees
The Local Government agrees to accept federal detainees only upon presentation by alaw enforcement officer of the Federal Government with proper agency credentials.
The Local Government shall not relocate a federal detainee frorn one facility under itscontrol to another facility not described in this Agreement withou't permission of theFederal Government.
The Local Government agrees to release federal detainees only to law enforcement
officers of the Federal Government agency initially committing the federal detainee (i.e.,
Drug Enforcement Administration, Immigration and Customs Enforcement, etc,) or to aDeputy United States Marshal (DUSM). Those federal detainees who are remanded tocustody by a DUSM may only be released to a DUSM or an agent specified by the DUSMof the Judicial District.
USMS federal detainees sought for a state or local court proceeding must be acquiredthrough a Writ of Habeas Corpus or the Interstate Agreement on Detainers and thenonly with the concurrence of the district united states Marshal (usM).
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Agreement N umber 85-IO-OOO4
optional Guard/Transportation services to Medical Facility
If Medical Facility in block 13 on page one (1) of this Agreement is checked, the Local
Government agrees, subject to the availability of its personnel, to provide transportation
and escort guard services for federal detainees housed at their facility to and from a
medical facility for outpatient care, and transportation and stationary guard services for
federal detainees admitted to a medical facility.
These services should be performed by at least two (2) armed qualified law enforcement
or correctional officer personnel. If the Local Government is unable to meet this
requirement, the Local Government may seek a waiver of this requirement from the
local USM.
The Local Government agrees to augment this security escort if requested by the USM to
enhance specific requirement for security, prisoner monitoring, visitation, and
contraband control.
If an hourly rate for these services has been agreed upon to reimburse the Local
Government, it will be stipulated on page one (1) of this Agreement. Mileage shall be
reimbursed in accordance with the current GSA mileage rate.
Optional Guard/Transportation Services to U,S, Gourthouse
If U.S. Courthouse in block 13 on page one (1) of this Agreement is checked, the Local
Government agrees, subject to the availability of its personnel, to provide transportafion
and escort guard services forfederal detainees housed at its facility to and from the U.S.
Courthouse.
These services should be peformed by at least two (2) armed qualified law enforcement
or correctional officer personnel. If the Local Government is unable to meet this
requirement, the Local Government may seek a waiver of this requirement from the
local U.S. Marshal.
The Local Government agrees to augment this security escort if requested by the USM to
enhance specific requirements for security, detainee monitoring, and contraband control.
Upon arrival at the courthouse, the Local Government's transportation and escort guards
will turn federal detainees over to a DUSM only upon presentation by the deputy of
proper law enforcement credentials.
The Local Government will not transport federal detainees to any U.S. Courthouse
without a specific request from the USM who will provide the detain€€:s name, the U.S.
Courthouse, and the date the detainee is to be transported.
Each detainee will be restrained in handcuffs, waist chains, and leg irons during
transportation.
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Agreement Nurnber 85-1O-OOO4
If an hourly rate for these services has been agreed upon to reimburse the Local
Government, lt will be stipulated on page one (1) of this Agreement, Mileage shall be
reimbursed in accordance with the current GSA mileage rate.
Special Notifications
The Local Government shall notify the Federal Government of any activity by a federal
detainee which would likely result in litigation or alleged criminal activity.
The Local Government shall immediately notify the Federal Government of an escape of
a federal detainee. The Local Government shall use all reasonable means to apprehend
the escaped federal detainee and all reasonable costs in connection therewith shall be
borne by the Local Government. The Federal Government shall have primary
responsibility and authority to direct the pursuit and capture of such escaped federal
detainees, Additionally, the Local Government shall notify the Federal Government as
soon as possible when a federal detainee is involved in an attempted escape or
conspiracy to escape from the facility.
In the event of the death or assault of a federal detainee, the Local Government shall
immediately notify the Federal Government.
Prisoner Rape Elimination Act (PREA)
The facility is requested to post the Prisoner Rape Elimination Act brochure/bulletin in
each housing unit of the facility. All detainees have a right to be safe and free from
sexual harassment and sexual assaults. (See Attached)
Service Contract Act
This Agreement incorporates the following clause by reference, with the same force and
effect as if it was given in full text, Upon request, the full text will be made available.
The full text of this provision may be accessed electronically at this address:
www.arnet.gov.
Federal Acquisition Regulation Clause(s) :
52.222-41 service contract Act of 1965, as Amended (July 2005)
52.222-42 statement of Equivalent Rates for Federal Hires (May 1gB9)
52.222-43 Fair Labor Standards Act and the Service Contract Act - Price Adjustment
(Multiyear and Option Contracts) (May 19Bg)
The current Local Government wage rates shall be the prevailing wages unless notified
by the Federal Government,
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Agreement Number 85-1O-OOO4
Per-Diem Rate
The Federal Government will use various price analysis techniques and procedures to
ensure the per-diem rate established by this Agreement is considered a fair and
reasonable price. Examples of such techniques include, but are not limited to, the
following:
1, Comparison of the requested per-diem rate with the independent governrnent
estimate for detention services, otherwise known as the Core Rate;
2. Comparison with per-diem rates at other state or local facilities of similar size and
economic conditions;
3. Comparison of previously proposed prices and previous Federal Government and
commercial contract prices with current proposed prices for the same or similar
items;
4. Evaluation of the provided jail operating expense information;
The firm-fixed per-diem rate for services is $6O.OO, and shall not be subject to
adjustment on the basis of Kittitas County actual cost experience in providing the
service, The per-diem rate shall be fixed for a period from the effective date of
the Agreement forward for thirty-six (36) months. The per-diem rate covers the
support of one (1) federal detainee per"federal detainee ddy", which shall include the
day of arrival, but not the day of departure.
After thirty-six (36) months, if a rate adjustment is desired, the Local Government shall
submit a request through the Electronic Intergovernmental Agreements area of the
Detention Services Network (DSNetwork). All information pedaining to the jail on the
DSNetwork will be required before a new per-diem rate can be considered,
Billing and Financial Provisions
The Local Government shall prepare and submit for certification and payment, original
and separate invoices each month to each Federal Government component responsible
for federal detainees housed at the facility.
Addresses for the components are:
United States Marshals Service
Eastern District of Washington
888 Thomas S. Foley U.S. Courthouse
920 W. Riverside Ave.
Spokane, WA 99201
(509) 3s3-2781
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Agreement Number 85-1O-O0O4
To constitute a proper monthly invoice, the name and address of the facility, the name
of each federal detainee, their specific dates of confinement, the total days to be paid,
the appropriate per-diem rate as approved in the Agreement, and the total amount
billed (total days multiplied by the per-diem rate per day) shall be listed, along with the
name, title, complete address and telephone number of the Local Government official
responsible for invoice preparation.
Nothing contained herein shall be construed to obligate the Federal Government to any
expenditure or obligation of funds in excess of, or in advance of, appropriations in
accordance with the Anti-Deficiency Act, 31 U.S.C, 1341.
Payment Procedures
The Federal Government will make payments to the Local Government on a monthly
basis, promptly after receipt of an appropriate invoice; The Local Government shall
provide a remittance address below:
Kittitas County
2O5 W. sth Avenue Suite Lllall
Ellensburg, WA 98926
Modifications and Disputes
Either party may initiate a request for modification to this Agreement in writing. All
modifications negotiated will be effective only upon written approval of both parties.
Disputes, questions, or concerns pertaining to this Agreement will be resolved between
appropriate officials of each party, Both parties agree they will use their best efforts to
resolve the dispute in an informal fashion through consultation and communication, or
other forms of non'binding alternative dispute resolution mutually acceptable to the
parties.
Inspection of Services
The Local Government agrees to allow periodic inspections of the facility by Federal
Government inspectors, Findings of the inspection will be shared with the facility
administrator to promote improvements to facility operations, conditions of confinement,
and levels of services,
Litigation
The Federal Government shall be notified, in writing, of all litigation pertaining to this
Agreement and be provided copies of any pleadings filed or said litigation within five (5)
working days of the filing.
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Agreement Number 85- 10-OOO4
The Local Government shall cooperate with the Federal Government legal staff andlor
the United States Attorney regarding any requests pertaining to Federal Government or
Local Government litigation.
Page 10 of 11
Pfisoner Rape Eliminatiqn ActReoortinE InformationSEXUAL ASSAULT A\PARENESSThis document is requested to be posted in eachHousing Unit Bulletin Board at all ContractDeteation Facilities. This docunrent may be usedand adapted by IntergovcrUrrental ServiceAgreement Providers.'While detained by the Depa^ttment ofJustice,United States Mamhals Servicg you have a right tobe safe and free from sexual harassment andsexual assaults.DefinitionsA. Detainee-on-Detainee SexualAbuse/AssaultOne ot more detainees engaging in orattempting to ergage in a sexual act.erithanother detainee or the use of threats,intimidatiorq inappropriate touching orother actions and/or communications by oneot mo:re detainees aimed at coercing atd/orpressudng another detainee tq sngrge is asexual zct-B. Staff-on-Detainee Sexual Abuse /AssaultStaffmember engaging nr, or attempfing toeflgage in a sexual act vrith any detainee or &eintendonal touching of a detaineds genitalia,anus, groin, breast, inner thigh, or buttocks withthe intent to abrrse, humiliate" harass, degrade,afouse, ot grati$r the sexual desircs of anyperson. Sexual abuse/assault of detaineesby staffor other detainees is aninappropriate use of power and isprohibited by DO] policy and the law.C. StaffSexual Misconduct is:Sexual behavior betrveen a staff member anddetainee which can include, but is not limited toindecerrg profane or abusive language orge€fiffes and inapptopriate visual surveillance ofdetainees-PtohibitedA€sA detaineq who engages in inappropdate sexualbehaviot with or directs it at others, can bechatged with the following Prohibited Acts urrderthe Detainee Disciplinary Policy.flsing A-busive or Obscene Langu4geSexualAssaultMaking a Sexual ProposalIndecent ExposureEngaging in SexActDete_nlion as a Safe Em'ironmeat\X&ile you are detained, no one has the right topressure you to engage in squal acts or engage inunwanted sexual behavior regardless ofyour age,6ize, frce, or ethnicity. Regardless of your sexualotieotadoa, you have the dglt to be safe ftomunwanted sexual advaoces and acts.Confi.dentialiwInfornation conceuring the identity of a detaineevictim reporting a sexual assaulg and the facts ofthe teport itself shall be limited to ihose whohave the need to know in order to make decisionsconcerning the detainee-vicdrn's welfzre and fotlaw enforcement investigative pu{pos es.Report AII Assaults!Ifyou becorne a victirn of a sexual assaulq youshould rq>ort it irxnediately to axy saff personyou trust, to include housing officers, chaplains,Page 11 of 11medical staff, supenrisots or Deputy U.S.I\{arshals. Staffmerrrbers keep the reportedinforrnation confidential and onty discuss it withthe appropriate officials on a need to know basis.If you are not cornfortable repo*ing the assault tostaf{ you have other options:r Sfrite a letter reporting the sexual misconductto rhe person in charge or the United StatesMarshai. To esrsure coofrdentiality, use specialG.grl) nail procedures.I File an Emergenry Detainee Gtievance - Ifyou decide your comple'int is too sensitive tofile with the Officer in Chatge, you can fileyour Grievance directiy with the Field OfficeDirector" You cao get fhg forms from yourhousing unit officer, ot a farility superuisor.c Write to the Office of Inspectot General(OIG), which investigates allegations of staffmisconducl The address is: Office ofInspector Geoetal U-S- Department ofJusticg 950 Pennsylvania Ave. Room 4706,Y/ashington, DC.20530. CaJt at no expense to you, rhe Office offnqpector General (OiG). The phooe nr:mberis 1-800-869-4499.Individuals who sexually abuse or assaultdetainees c^rr only be disciplined orptosecuted if the abuse is rcportedA publication of the Office of theFedoal Detentioa TrusteeWashiogton,DC *"J:J#S;$t'_.Published February 200 I