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s received prescribed weekly exorcise: K Yot O No Proper documentation and justification in the Central File (Incident Report. OHO Radon, copies of Special Housing Review Form): O Yes: O No if no, why not? Is there a written psychiatric or psychological assessment on ale inmate who has spent 30 days in a special housing
. why not? ONO ONO Acbon taken on the above date by the Segregation Review Official or the Reviewing Authority. O Released torn Specie! Housing; El Continue in Special Housing Did inmate In AdmiNstrathe Detention meow a written copy of staffs decision and tne basis for the finding at each 30 day review?
s received presented weekly exercise El Yes, K No Proper documentation and justification In the Central Fee (Incident Report. OHO Report copies of Special Housing Review Form) Yes; no, why not? Is there a written psythiatC or psychobgical assessment on the inmate who lea spent 30 days in e special hewing Status? 0 Yes
. why not? ONG ONO Acbon token on the above date by the Segregation Review Official or the Reviewing Authority: O Released torn Specie! Housing; El Continue in Special Housing Die inmate In AdmiNstrative Detention receive a *Mien copy of decision and me basis for the finding at each 30 day review? g y
s received presented weekly exercise: K Yea: K No Proper documentation and Justification in the Centel File (Incident Report. OW Report, copies of Special Housing Review Form): Yes: K No if no. why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housmg st
why not? O No ONO Action liken on the above data by the Segregation ReNew Official or the Reviewing Authority: O Released torn Special Housing; El Continue In Special Housing Did inmate In AdmINstrathe Detention receive a written copy Of staffs decision and me basis for the finding at each 30 day review
received prescribed weekly exercise: D Yes: K No Proper documentation and justification in the Central File (Incident Report, DHO Report, copes of Special Housing Review Form): O Yes; O No if no. why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing
if no, why not? Owe Adorn taken on me above date by me Segregation Review Official or the Reviewing Authority: 0 Reteased from Special Housing, El Continue in Special Housing Did ornate ri Administrative Detention receive a written copy of staffs decision and the basis for the ending at earn 30 day revi
Entities connected to both Special Housing Review Form and El Continue
Special Housing Unit
ORGANIZATIONLeon Black
PERSONNext Review
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATION
Julie K. Brown
PERSONMedical Staff
ORGANIZATIONthe Segregation Review
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONOHO Report
ORGANIZATIONActon Taken
LOCATIONR. PROTO
ORGANIZATIONthe Central File (Incident Report
ORGANIZATIONSHU Review
ORGANIZATIONUNT MGR
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONPGM REVIEW
ORGANIZATIONMedical Stall
ORGANIZATIONIL RECORD REVIEW
ORGANIZATION