EFTA00036705.txt Text dataset_8 View on DOJ

Subject

Program Summary Report - FY 2019, 3rd Quarter

Sender

Assistant Director

Recipients

CHIEF EXECUTIVE OFFICERS

Document ID

—

Date

FY 2019, 3rd Quarter (April 1, 2019 through June 30, 2019)

Severity

suspicious

Description

The report mentions several instances of non-compliance with regulations and policies, which could potentially lead to legal issues or liabilities for the Bureau of Prisons. However, there is no direct evidence of illegal activity being committed, planned, or discussed by the participants in the communication.

Content Type

first_hand

The information is intended to highlight strengths and indicate areas of possible program weaknesses.

Non-compliance with ACA mandatory standards continues to have a huge impact on program review ratings and ACA accreditation.

Victim/Witness notifications were not always submitted immediately upon an inmate being placed on escapes status. RRO staff failing to notify victims/witnesses of escapes could have life threatening consequences.

• Repeat deficiencies in multiple programs indicate systemic issues.
• Lack of proper documentation and oversight in various areas raises concerns about accountability and compliance.
• Failure to notify victims/witnesses of escapes could have life threatening consequences.

Context

The document details internal reviews and compliance issues within the Bureau of Prisons, which could be of interest to media outlets focusing on government oversight and prison management.

Media Worthy

Yes

• Vacant SEPM and ROPC positions were not advertised within 30 calendar days.
• Newly selected SEPMs, alternate SEPMs, and ROPCs have not met training requirements.
• Not all AEP Meeting minutes document the review of the DVAAP, FEORP, and MD-715 reports.
• RPP CMA assignments are not always accurate
• State and local law enforcement officials are not always notified of inmates releasing to a term of supervision.
• Sex offender inmates are not always notified of the requirement to register.
• Required unit staff do not always work a late night.
• Unit managers do not always work a weekend/holiday each month.
• Unit staff do not always conduct daily SHU rounds.
• Locator Center staff do not always have the proper SENTRY verb access.
• Authorities holding detainers are not always notified of impending releases as required.
• Inmates in SHU are not observed each 30 minute period, on an irregular schedule, with rounds being no more than 40 minutes apart.
• Special Housing Unit Record, BP-A292.052, forms are not completed to document all required information.
• Literacy progress assignments, and 240-hour progress reviews, are not monitored and documented appropriately.
• Instructional staff do not spend a minimum of 50 percent of their work hours in direct class instruction.
• Operational reviews are not conducted and documented appropriately.
• Not all Institution Safety Committee requirements are being met.
• CA-7 forms were not always submitted timely to the respective Office of Workers' Compensation District Office.
• OSHA recordkeeping requirements were not always being met. OSHA 300 logs were not always accurately maintained, and did not always include all inmate recordable injuries.
• Fire inspections are not being conducted per NFPA.
• Refrigerant quantities reported in CMMS do not match what is entered in the technician's log.
• Operational reviews were not timely or incomplete.
• Physical, dental, and female examinations for new commitments were not always completed as required by policy.
• Inmates enrolled in chronic care clinics were not always evaluated timely, and/or had clinically indicated treatment completed as ordered.
• Inmates with HIV infection were not always managed according to guidelines.
• Inmates with latent TB infection (LTBI) did not receive chest radiographs timely, and/or offered treatment appropriately.
• Emergency disaster drills were not conducted as required, and did not always have appropriate critique and/or corrective actions.
• Medication Administration Records (MARS) were not always completed after administering narcotic medications.
• Licensed Independent Practitioner (LIP) privileges were not always granted and approved in accordance with policy, and/or licenses were not verified timely.
• Ancillary staff licenses were not always verified timely.
• Practice agreements were not always completed properly.
• Peer reviews for LIPs were not completed in accordance with policy.
• T&A files were not always accurate.
• Operational reviews were not always completed according to policy.
• T&As were not accurate.
• Not all mandatory payroll reports were run each pay period.
• Mandatory training standards were not in compliance.
• Not all staff received female offender training.
• Not all staff completed firearms training timely, and approved waivers and supporting documentation was not on file for the entire lapse period, nor did they contain projected completion dates.
• Critical and sensitive systems have not been identified in the current contingency plan.
• Staff are not aware of the proper procedures for protecting sensitive information.
• Suicide watch log books are not always utilized, in accordance with the post orders, to document constant observation of suicidal inmates.
• Suicide Risk Assessments are not always conducted and documented in PDS-BEMR within 24 hours of the referral.
• Identified high risk inmates are not always screened by a psychologist within 24 hours of SHU placement.
• Sexual Abuse Interventions are not always documented in PDS-BEMR within 24 hours.
• Inmates coded as CARE2-MH do not always have a rationale for their diagnosis and care level documented in PDS-BEMR.
• Inmates prescribed antipsychotic medication do not always have the rationale for frequency and type of care documented in PDS-BEMR.
• Inmates participating in follow-up drug treatment do not always have timely progress reviews documented in PDS-BEMR.
• Operational reviews were not conducted within the required time frames, and were not complete.
• Escape reports were not always completed on all escapes (actual or technical).
• Inmate performance pay continues to be a concern.
• Work measurement files need to be maintained for all products manufactured within the factory, and for all processes within factory operations.

Tone

Informative

Purpose

To provide a summary report of program reviews conducted during the 3rd quarter of FY 2019, highlighting strengths and areas of possible program weaknesses.

Significance

The document provides an overview of the performance and compliance of various programs within the Bureau of Prisons, identifying areas that require improvement and ensuring adherence to policies and regulations.

File Name

EFTA00036705.txt

Dataset

dataset_8

Type

Text

Model

gemini-2.0-flash-001

Processed

2026-02-07T18:44:47.002721

DOJ Source

View on DOJ