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Document DOJ-OGR-00027287

AI Analysis

Summary: The document details an audit or inspection report that identifies several critical issues within a correctional facility, including inaccurate inmate tracking, failure to secure attorney log books after Epstein's death, and various operational deficiencies. These issues indicate a lack of adherence to established policies and procedures. The report covers multiple areas of concern, including the handling of attorney log books, the management of Automatic External Defibrillators, compliance with Post Orders and Special Housing Unit (SHU) Training, and staffing issues.
Significance: This document highlights multiple operational failures and procedural deficiencies within a correctional facility, particularly in the context of the death of Mr. Epstein, indicating potential systemic issues and lack of adherence to policies.
Key Topics: Inaccurate inmate movement tracking Inadequate securing of attorney log books after Epstein's death Deficiencies in various operational procedures (AEDs, Post Orders, SHU Training, Staffing)
Key People:
  • Mr. Epstein - Inmate whose death triggered the reconstruction and review of procedures
  • Officer [b(6); b(7)(C)] - Staff member who failed to sign post orders
  • Officer [b(6); (b)(7)(C)] (multiple instances) - Staff members who did not attend or receive SHU Training

Full Text

Inmate movement and assignments are not accurately reflected in SENTRY as required by P5500.14, Correctional Service Procedures Manual. 9. Attorney Log Books: Four log books were not secured following Mr. Epstein's death. Specifically, three Attorney Log Books located in the Attorney Visiting and Front Lobby areas and an Inmate Search Log Book located in the Attorney Visiting area were not secured. All four books were still in use at the outset of the reconstruction and after the reconstruction team advised staff to secure them. P5324.08 states, "In the event of a suicide, institution staff, particularly Correctional Services staff, and other law enforcement personnel, will handle the site with the same level of protection as any crime scene in which a death has occurred." This policy further states, "All possible evidence and documentation will be preserved to provide data and support for subsequent investigators doing a psychological reconstruction." Further, a review of the attorney log books identified many errors and signify a systemic concern. For example, there were two concurrently open attorney log books in the Attorney Visiting area. Further, the different purposes of the two attorney log books, one in the Attorney Visit area and one in the Front Lobby, could not be explained. BOP staff were unable to articulate a system of control for the log books, and during the reconstruction, some of the log books could not be accounted for. Within the log books, entries were made out of chronological order, attorneys did not consistently sign in and out, significant information was illegible or missing, columns were not consistently labeled, log book opening and closing dates were inconsistent, and the cover had been torn off of several books. At the current time, these log books are not functioning as an adequate system of control and monitoring. 10. Automatic External Defibrillators: A review of available AEDs in the institution revealed that the list used for accountability and inspection purposes was inaccurate and incomplete. 11. Post Orders & SHU Training: SHU Post Orders Sign-In Sheets were reviewed for the 3rd Quarter, spanning June 9, 2019, to September 7, 2019. Office [b(6); b(7)(C)] failed to sign post orders for SHU #3 post. Quarterly SHU Training Sign-In Sheets were reviewed. The 2019 3rd Quarter SHU Training was conducted on June 6, 2019. Three staff assigned to the 3rd Quarter SHU Roster in SHU did not attend or receive the SHU Training: Officer [b(6); (b)(7)(C)], Officer [b(6); (b)(7)(C)], and Officer [b(6); (b)(7)(C)]. 12. Staffing: The Drug Abuse Program Coordinator positon at MCC New York was abolished during Phase I of the staff realignment during fiscal year 2018. Re-establishing