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Investigation and Review of the Federal Bureau of Prisons' Custody, Care, and Supervision of Jeffrey Epstein at the Metropolitan Correctional Center in New York, New York * * * INVESTIGATIONS DIVISION 23-085 JUNE 2023 EFTA00039025 EXECUTIVE SUMMARY Investigation and Review of the Federa
rtified in the count slips that they had conducted the required counts. Additionally, the OIG investigation revealed that the staff assigned to the MCC New York SHU did not conduct any required 30-minute rounds of inmates after approximately 10:40 p.m. on August 9, 2019. Again, however, SHU staff on duty during
ion and Review The OIG's investigation and review identified numerous and serious failures by MCC New York staff, Including multiple violations of ma New York and BOP policies and procedures. The OIG found that MCC New York staff failed on August 9 to carry out the Psychology Department's directive that
on August 10, 2019, both she and Thomas failed to conduct the mandatory 12 a.m., 3 a.m., and 5 a.m. counts and mandatory 30-minute rounds within the MCC New York SHU. The indictment further alleged that Noel and Thomas created, certified, and submitted false documentation indicating that the counts and rounds had
tated that she received the August 8, 2019 will from Epstein. The OIG confirmed via attorney visitor logs that this attorney also visited Epstein at MCC New York on August 8, 2019. The OIG's investigation and review revealed that MCC New York personnel were unaware that Epstein had changed his will 2 days befor
ministered medication and fluids in their efforts to revive him. At approximately 7:10 a.m., Epstein was transported by the EMTs in an ambulance to New York Presbyterian Lower Manhattan Hospital, where he was pronounced dead by an emergency room physician at 7:36 a.m. On August 11, 2019, the Office of the Chief Medical Examiner, City of New
Investigation and Review of the Federal Bureau of Prisons' Custody, Care, and Supervision of Jeffrey Epstein at the Metropolitan Correctional Center in New York, New York * * * INVESTIGATIONS DIVISION 23-085 JUNE 2023 EFTA01656708 EXECUTIVE SUMMARY Investigation and Review of the Federa
rtified in the count slips that they had conducted the required counts. Additionally, the OIG investigation revealed that the staff assigned to the MCC New York SHU did not conduct any required 30-minute rounds of inmates after approximately 10:40 p.m. on August 9, 2019. Again, however, SHU staff on duty during
ion and Review The OIG's investigation and review identified numerous and serious failures by MCC New York staff, Including multiple violations of ma New York and BOP policies and procedures. The OIG found that MCC New York staff failed on August 9 to carry out the Psychology Department's directive that
on August 10, 2019, both she and Thomas failed to conduct the mandatory 12 a.m., 3 a.m., and 5 a.m. counts and mandatory 30-minute rounds within the MCC New York SHU. The indictment further alleged that Noel and Thomas created, certified, and submitted false documentation indicating that the counts and rounds had
tated that she received the August 8, 2019 will from Epstein. The OIG confirmed via attorney visitor logs that this attorney also visited Epstein at MCC New York on August 8, 2019. The OIG's investigation and review revealed that MCC New York personnel were unaware that Epstein had changed his will 2 days befor
ministered medication and fluids in their efforts to revive him. At approximately 7:10 a.m., Epstein was transported by the EMTs in an ambulance to New York Presbyterian Lower Manhattan Hospital, where he was pronounced dead by an emergency room physician at 7:36 a.m. On August 11, 2019, the Office of the Chief Medical Examiner, City of New
an Hospital on 08/10/2019 EMS found the decedent to be in cardiac arrest and with ligature markings of the neck following an unknown "down" time at the Metropolitan Correction Center (MCC). The decedent was intubated and was given epinephrine x 4 and bicarbonate x2 along with CPR. ACLS was continued at the ED. The decedent was g
/ILI S Othr Wamrs Page 137 of 21 • VtidAY: EFTA00130118 BP-A0288 JUN 10 U.S. DEPARTMENT OF JUSTICE Part I - Incident Report 1. Institution: MCC New York • 2. Inmate's Name Epstein , Jeffery 3. Register Number 76318-054 4. Date of Incident 07/23/2019 1:30 . Time am 6. Place of Incident SHU M-Tier
arrive 7:30 am: Department Head meeting conducted 8:45 am: Regional Director arrives EFTA00130123 UNITED STATES GOVERNMENT ' MEMORANDUM 4"; Metropolitan Correctional Centetiew York, New York DATE: August 10i11, 2019 TO: • IIIIIMMIN PROM: IIIIS Correctional Officer SUBJECT': Response to Institution 44e) ----- at the requ
sy. PMH information is pending on receipt of the correction facility medical health services records. Subiective Findings As per Dr. of the ED at New York Presbyterian Lower Manhattan Hospital on 08/10/2019 EMS found the decedent to be in cardiac arrest and with ligature markings of the neck following an unknown "down" time at the Metropo
FOR PUBLIC RELEASE IN SPEC DRAFT Investigation and Review of the Federal Bureau of Prisons' Custody, Care, and Supervision of Jeffrey Epstein at the Metropolitan Correctional Center in New York, New York * * March 202-:; Notice: This Draft Is Restricted to Limited Official Use. This document is a WORKING DRAFT prepared by the
afety as well as the safety of staff and other inmates. Correctional Officer Tova Noel and Material Handler Michael Thomas began working together in MCC New York SHU at 12:00 a.m. on August 10, 2019.5 During their shift, they each created and submitted falsified official BOP forms documenting inmate counts (often
+ 1". Figure 5.1: 10:00 p.m. Count Slips from the SHU and Receiving and Delivery on August 9 Metropolitan Correctional Center New York, New York Simi opulitan Correctional Center Official Count Slip "IS 4- i Official Count Slip 4 Unit: ZA Wm eaaja W --n Unit: Date: Comm _ Time: ( 0 " COMA: i Time: O.OG I. Pri
dministered medication and fluids in their efforts to revive him. At approximately 7:10 a.m., Epstein was transported by the EMTs in an ambulance to New York Presbyterian Lower Manhattan Hospital, where he was pronounced dead by an emergency room physician at 7:36 a.m. On August 11, 2019, the Office of the Chief Medical Examiner, City of New
ICIAL USE - PROPRIETARY INFORMATION Investigation and Review of the Federal Bureau of Prisons’ Custody, Care, and Supervision of Jeffrey Epstein at the Metropolitan Correctional Center in New York, New York I N V E S T I G AT I O N S D I V I S I O N 2 3 - 0 8 5 JUNE 2023 * * * HEADER TEXT GOES HERE i E X E C U T I V E S
tified in the count slips that they had conducted the required counts. Additionally, the OIG investigation revealed that the staff assigned to the MCC New York SHU did not conduct any required 30-minute rounds of inmates after approximately 10:40 p.m. on August 9, 2019. Again, however, SHU staff on duty during
ated that she received the August 8, 2019 will from Epstein. The OIG confirmed via attorney visitor logs that this attorney also visited Epstein at MCC New York on August 8, 2019. The OIG’s investigation and review revealed that MCC New York personnel were unaware that Epstein had changed his will 2 days befo
inistered medication and fluids in their efforts to revive him. At approximately 7:10 a.m., Epstein was transported by the EMTs in an ambulance to New York Presbyterian Lower Manhattan Hospital, where he was pronounced dead by an emergency room physician at 7:36 a.m. On August 11, 2019, the Office of the Chief Medical Examiner, City of Ne
MEDINA Reason: AWAITING TRANSFER Psychology Services Comments: Unit Team Comments: VS Comments: Awaiting placement by the USMS cannot be housed al MCC New York. Santiago was moved when he was previously incarcerated from MCC by the Marshals but he came back on a violaban. }Wrath Services Comments: Correct
is cell without further incident. EFTA00049477 EFTA00049478 .011 frah. UNITED STATES GOVERNMENT MEMORANDUM TO: LT AN FROM: S/O/S SUBJECT: uth Metropolitan Correctional Center, New York, Now York .luly 23, 2019 On July 23, 2019 at approximately 1:27, I, S.O.S D. Clarke responded to a body alarm on the Special Housing Uni
as advised and the inmate was prepared for transport to local hospital while continuing CPR. At 7:10 a.m. the EMS departed institution en route to New York Presbyterian Lower Manhattan Hospital. At 7:36 a.m. the inmate was pronounced dead by the ER Physician. EFTA00049555 24 Hour Death Report Page I of I 24 Hour Death Notification Reci
II 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. (b)(6); (b)(7 )(C) 08/10/2019 6:49 AM Page 3172 (b)(6); (b)(7)(C) lieurenant ·s Office Metropolitan Correctional Center New Yorkl N.Y. Type of Incident Date and Time oflncident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet
I INMATE SWCIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. (b)(6) (b)(7)(C) 08/10/2019 6:49 AM Page 3164 Lieutenant's Office Metropolitan Correctional Center New YorJ~ N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name/ Reg. No.
s advised and the inmate was prepared for transport to local hospital while continuing CPR. At 7:10 a. m. the EMS departed institution en route to New York Presbyterian Lower Manhattan Hospital. At 7:36 a.m. the inmate was pronounced dead by the ER Physician. Page 3231 24 Hour Death Report Page I of 1 24 Hour Death Notification Reciev
an Hospital- on 08/10/2019 EMS found the decedent to be in cardiac arrest and with ligature markings of the neck following an unknown "down" time at the Metropolitan Correction Center (MCC). The decedent was intubated and was given epinephrine x 4 and bicarbonate x2 along with CPR. ACLS was continued at the ED. The decedent was g
le Saint James Island, Madison Avenue/5 Avenue, St. I nomas, 00802 Reporter Information: From: Medical Facility Caller Namp Sixty-One N Facility: New York Presbyterian Lower Manhattan Hospital Shield : Tel: Aided No: Chart No: 8604592 Circumstances of Death: App. Manner: Undetermined Hospital and Physician Information: Facility: New
Entities connected to both Metropolitan Correctional Center and New York Presbyterian Lower Manhattan Hospital

Jeffrey Epstein
PERSONFederal Bureau of Prisons
ORGANIZATION
Department of Justice
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONPark Row
LOCATION
Ghislaine Maxwell
PERSONFBI
ORGANIZATION
New York
LOCATIONthe Southern District
LOCATION
George W. Bush
PERSONLeon Black
PERSON
Geoffrey S. Berman
PERSONNicholas Tartaglione
PERSONCentral Office
ORGANIZATION
South
LOCATION
Virginia Giuffre
PERSONTova Noel
PERSON
Stephen Hawking
PERSONReyes
PERSON
Mark Epstein
PERSON