Fwd: Inmate Epstein #76318-054 From To Date 2019/07/30 13:36 Subject: Fwd: Inmate Epstein #76318-054 Attachments: TEXT.htm, 2019 07 30 12 36 08.pdf Boss, Here is the 583. If you like, I can print it for you to read on Thursday. >> > Good afternoon, 7/30/2019 12:44 PM > » Attached is a copy of inmate Epstein #76318-054 583 . Special Investigative Technician MCC New York 150 Park Row New York, NY 10007 SONY_00015009 Page 1412 Page 001 EFTA00138265
Incident #: NYM-19- O076 Form 583 Report of Incident Submitted By: Date/Time Of Incident 7/23/2O19 1 27 AM Section 1: General Information Staff Aware Date: 7/23/2O19 1:27 AM FBI Notified: No USMS Notified: No Indicate Where Incident Occurred: Main Facility Location Level 1: SHU Level 2: Housing Unit. Special (SHU) Level 3: 9 SOUTH SHU Typepf•Incldenf K Assault On Inmate K Assault On Staff K Assault, Attempted On Inmate K Assault, Attempted On Staff K Disruptive Behavior K Escape From Non-secure Facility K Escape From Secure Facility K Escape. Attempted From Non-secure Facility K Escape, Attempted From Secure Facility K Fight K Inmate Death K Institution Disturbance K Introduction Of Contraband K Lethal Weapons Discharge K Self Mutilation K Setting A Fire K Sexual Act, Non-consensual On Inmate K Sexual Assault On Staff K Sexual Contact, Abusive On Inmate K Sexual Harassment, Repetitive K Staff Homicide K Strike, Food K Strike, Work El Suicide Attempt K Use Of Force K Use Of Force/Applications Of Restraints K Use of Restraints, Pregnant/Postpartum Method: Hanging/Asphyxiation Institution Locked Down: No Modified Operations: No Cause Of Incident Known? No Cause Of Incident K Alcohol K Commissary K Debts K Disrespect Issue K Drugs K Ethnic Conflict K Food Issue 1:1 Geographical Conflict K Interfering with Staff duties K Property Issue K Racial Conflict K Recreation Equipment K Religious Issue K Security Threat Group Conflict K Sexual Pressure K Sporting Events K Telephone K Theft K Visiting K Work Issue Section 2: Inmates Involved UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document. or any segment/attachment thereof. may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity. the general public or those without a 'need to know.' It contains Information that may be exempt from public release under the provisions of the Privacy Act (5 U S.C. 552). 1 of 3 SONY 00015010 EFTA00138266
Form 583 Report of Incident Incident #: NYM-19- Submitted By: 0076 Date/Time Of Incident: 7/23/2019 1.27 AM Reg #: 76318054 Name: EPSTEIN, JEFFREY Role: Victim Medical Attention Required: No Weapon (per inmate): No Use of Force (per inmate): No CIMS: No STG: Yes Restraints (per inmate): Escort Only Death (per inmate): No Reg #: 78514054 Name: TARTAGLIONE, NICHOLAS Role: Not Known Medical Attention Required: No Weapon (per inmate): No Use of Force (per inmate): No CIMS: Yes STG: Yes Restraints (per inmate): No Death (per inmate): No Injury Category: Minor Injury Chemical Used (per inmate): No Injury Category: No Injury Chemical Used (per inmate): No Section 3: Others Involved Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Thomas, Michael Medical Attention Required: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof. may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a *need to know.' It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 2 of 3 SONY 00015011 EFTA00138267
Form 583 Report of Incident Incident #: NYM-19- 0076 Submitted By: Date/Time Of Incident: 7/23/2019 1:27 AM Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Section 4: Lethal Weapon Discharge No data found. Section 5: Use of Force No data found. Section 6: Description of Incident DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the chemical agent and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear about cause(s) of the incident in your description. On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAD. I observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP for a circular tine of erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee. Section 7: Attachments Flle Date No data found File Name Approved By: NOT COMPLETED Original UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated. with proper attribution, to active Law EaurteiliClIt, DOD. or U.S. Intelligence Agencies. This document or any segment/attachment thereof. may not be released without the approval of the Bureau of Prisons to any media sources. any non-law enforcement entity, the general public or those without a "need to know.' It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 3 of 3 SONY 00015012 EFTA00138268
MCC NEW YORK Tuesday July 23, 2019 NEW YORK, NY Page 1 Daily Assignment Roster 6 07:00 - 15:00 Post Spilt Shift 2 00:00 • 08:00 3 06:00 • 14:00 8 08:00 - 16:00 9 12:00 - 20:00 10 14:00 - 22:00 12 16:00 - 00:00 CAPTAIN CAPTAIN SEC OPSU ACT LT -8.M1 $ 12=B .a)$ OT ADMIN LT I. 5 SHU LT "10 <unassigned> SIS LT 8 <unassigned> 8 <unassigned> 8 <unassigned> SIS LT #2 SIA SIS TECH #1 8 <unassigned> SIS TECH #2 3MS PHONE MONITOR $ SEC OFFICER #1 3 <unassigned> SEC OFFICER #2 BEIMI $ "6 <unassigned> TOOL ROOM SEARCH OFFICER 2 SALLY OFF 8 3 SALLY OFF LOBBY CONTROL 01 CONTROL #2 $ 2 H INTERNAL "2 Thomas, M OT (NC) 00:0001:30 INTERNAL #2 ATTY CONF OT 12 115 UNIT 2 2 11 5 UNIT 3 "2 $ OT "21.11$ OT 8 12=1 $ 5 NORTH 12 5 SOUTH OT 8 <unassigned> ISE 7 NORTH OT 7 SOUTH 8 <unassigned> v 12- It 12 9 NORTH "8 12 OT SHU #1 "2a OT $ SHU #2 OT OT 12 <unassigned> SHU ft3 (NC) 10 SHU #4 OT "12 <unassigned> 10 SOUTH #1 2 12 10 SOUTH #2 3 <unassigned> "10 OT 7/23/2019 7:02:27 AM SDNY_00015013 Page 005 EFTA00138269
Tuesday July 23, 2019 Page 2 REC OFFICER #1 3 Dubenezic, d $ REC OFFICER #2 3 Menge, M 11 NORTH •• 11 SOUTH OT —8 <unassigned> 11 SOUTH #2 REAR GATE OSP #1 is s 1 SANITATION OFF VISIT #1 OT VISIT #3 . d "Special Assignments" EPO OFFICE 8 ESCORT OFF 01 ESCORT OFF 02 BM d s LOBBY 02 8 s, a 3. 9 <unassigned> PHONE RM 8la 8 TOWN DRIVER 10_,S SUICIDE WATCH "2 Thomas, M OT (NC) 01:30 08:00 8 <unassigned> 12 <unassigned> "Back Page Categories" DAY OFF SICK LEAVE _J ANNUAL LEAVE LWOP SUSPENSION OFFICIAL TIME 7,212019 7 02 34 AM SONY 00015014 EFTA00138270
Tuesday July 23, 2019 Page 3 COP IF TRAINING ""Change Records"" Post Relieved Officer's Spit Shft Officer New Status TOOL ROOM 6 (Sick / Annual) [Sick / Annual) [Removed) CONTROL 02 3 Annual Leave (sp)PHONE RM 2 8 3 CONTROL 02 SHU 01 8 LWOP(M) INTERNAL 8 Annual Leave INTERNAL 8 <Unassigned> UNIT 3 2 <Unassigned> ATTY CONF 8 <Unassigned> 7 SOUTH 8 <Unassigned> SHU LT 10 Sick Leave LWOP 8 PHONE RM 2(sp) 5 SOUTH 2 <Unassigned> [Inserted NCSI Thomas. M [Sick/Annual) INTERNAL 2 <Unassigned> 10 SOUTH #2 10 <Unassigned> ACT LT 10 <Unassigned> SHU #2 2 <Unassigned> VISIT #2 9 <Unassigned> Relieving Officer's Rot Relieving Officer Previous Statue Shft Changed By <Unassigned> KS 7/1413:31 KS 7/1413:52 <Unassigned> KS 7/18 07:54 <Unassigned> KS 7/18 07:54 <Unassigned> KS 7/18 09:22 <Unassigned> KS 7/18 09:29 Marcus, E 8 7 SOUTH KS 7/1812:07 $ Shift UNIT 3 Annual Leave Annual Leave Y RW 7/17 15:58 OT/CT Start End OT $ Shift ATTY CONF Annual Leave Annual Leave $ 2 9 NORTH bli$s Y FtW 7/18 08:00 OT/CT Start End OT Shift 7 SOUTH 9 NORTH Y RW 7/1810:11 OTICT Start End OT <Unassigned> KS 7/18 10:19 Shift 5 SOUTH 10 SOUTH 01 KS 7/18 11:35 8 10 SOUTH 01 Y RW 7/1812:10 OT/CT Start End OT RW 7/1910:19 Thomas. M Shift 10 SOUTH #2 Annual Leave s [Sick / Annual] Annual Leave RW 7/19 10:19 Y RW 7/1912:15 Ili OT OT/CT Start End Shift ACT LT OPS LT $ 8 OPS LT III' Y JD 7/21 14:10 OT/CT Start End OT $ 12 SHU 14 Shift SHU #2 SHU 04 Dubenezic. D $ 3 REC OFFICER #1 Shift Staff VISIT #2 REC OFFICER #1 $ $ Y RW 7/22 08:21 OT/CT Start End OT Y RW 7/22 08:26 OT/CT Start End OT 7/23/2019 7:02:35 AM SONY 00015675 EFTA00138271
Post Spit Shft Officer Relieved Officer's New Status VISIT #2 9 S (Sick / Annual) [Sick / Annual) $ (Removed] 7 NORTH 2 <Unassigned> 11 NORTH 2 <Unassigned> (sp)PHONE RM 2 8 Sick Leave SHU #1 2 <Unassigned> [Inserted NCS) (Sick/Annual] SHU #3 3 <Unassigned> SHU #4 8 <Unassigned> SHU #1 8 <Unassigned> SHU ft2 8 <Unassigned> 7 NORTH 2 MM [Sick / Annual] (Sick / Annual] IMM [Removed) 9 NORTH 8 <Unassigned> 11 NORTH 8 <Unassigned> 5 NORTH 8 <Unassigned> INTERNAL #2 2 <Unassigned> 7 NORTH 2 <Unassigned> VISIT #2 9 <Unassigned> 5 NORTH 2 <Unassigned> Relieving Officer Relieving Officer's Previous Status Tuesday July 23, 2019 Page 4 Ret Shft Changed By <Unassigned> RW 7/22 08:27 RW 7/22 08:27 MIL Shift 7 NORTH 7 NORTH 12 7 NORTH Y RW 7/22 08:34 OT/CT Start OT End Shift 11 NORTH Day Off $ Day Off Staff Adams, G $ Adams. G $ 't FtW 7122 08:45 OT/CT Start OT End KS 72209:05 Shift SHU #1 SHU #1 12 SHU #1 Y RW 7/22 0920 OT/CT Start OT End RW 7/22 09:39 [Sick / Annual) RW 7/22 09:39 • $ 2 SANITATION OFF Y RW 7/22 10:04 Shift OTICT Start End SHU #4 $ OT SANITATION OFF $ 8 SHU #2 RW 7/22 10:19 Day Off Y RW 72210:19 Shift OT/CT Start End SHU #2 OT Day Off IS <Unassigned> FtW 7/22 10:43 RW 72210:43 2 UNIT 2 Y RW72211:04 Shift OT/CT Start End 9 NORTH $ OT UNIT 2 2 11 SOUTH MR 7/22 14:34 2 5 NORTH MR 7/22 14:37 Annual Leave Y RW 7/22 14:45 Annual Leave INTERNAL #2 OT/CT Start CT End Shift MME Shift 7 NORTH Day Off Dubenezic, D $ 3 REC OFFICER #1 Y RW 7/22 15:28 Shift Staff OT/CT Start End VISIT #2 $ OT REC OFFICER #1 $ Day Off Y RW 7/22 14:58 OT/CT Start End OT $ Shift 5 NORTH UNIT 3 12 UNIT 3 ES Y MR 7/22 18:12 OT/CT Start End OT 7/23/2019 7:02:35 AM SDNY_00015016 Page CCS EFTA00138272
Post Spit Shft Officer Relieved Officer's New Status Relieving Officer Relieving Officer's Previous Status Tuesday July 23, 2019 Pago 5 Ret Shft Changed By 11 SOUTH 2 <Unassigned> Shift 11 SOUTH UNIT 2 12 UNIT 2 Staff Y SJ 7/22 19:21 OT/CT Start OT End INTERNAL 12 <Unassigned> 12 SHU #4 SJ 7/22 19:22 Still #2 2 (Sick / Annual) <Unassigned> al 7122 21:14 [Sick / Annual] (Removed) SJ 7/22 21:14 SHU 02 2 <Unassigned> Shift SHU 02 INTERNAL #2 12 INTERNAL 02 Staff = Y SJ 7)22 21:14 OT/CT Start OT End 5 SOUTH 2 !Sick /Annual) <Unassigned> GA 7/22 22:08 [Sick / Annual] [Removed] GA 7/22 22:08 5 SOUTH 2 <Unassigned> $ 12 INTERNAL Shift Staff 5 SOUTH $ INTERNAL $ Y GA 7/22 22:12 OT/CT Start OT End [Inserted NCS) Thomas. M [Sick/Annual) GA 7/23 04:30 (sp)Suicide Watch 2 <Unassigned> Thomas. M [Sick / Annual) GA 7/23 04:31 (sp)Suicide Watch 2 Thomas. M [Time Change] Shift Suicide Watch Staff Thomas. M GA 7/23 04:31 OT/CT Start OT 01:30 End 08:00 INTERNAL 2 Thomas. M [Time Change] Shift INTERNAL Staff Thomas, M GA 7/23 04:32 OT/CT Start OT 00:00 End 01:30 11 SOUTH 8 Sick Leave <Unassigned> GA 7/23 05:05 " -"Recapitulation"" Morning Watch 8 AM Watch 7 Day Watch 23 PM Watch 6 Evening Watch 17 - Back Page Categories" Sick Leave 4 Day Off 20 Annual Loavo 7 LWOP 1 LWOP(M) 4 AWOL 9 SUSPENSION 1 OFFICIAL TIME 1 COP 2 IF TRAINING 3 Total Correctional Svcs. Staff: 113 Non Correctional Svcs. Staff: 2 Overtime Occurrences: 18 Comptime Occurrences: 1 Ops Lt. Evening Watch Signature: Captain's Signature: 7/23/2019 7:0236 AM SONY -150' / EFTA00138273
Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: Encounter Date: 07/23/2019 06:20 Provider: MLP Reg #: 76318-054 Facility: NYM Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: Work Related: Pain Location: No Work Assignment: UNASSG Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): "I do not know. Just went to drink a little water and wake up snorting". "O ilk Symptoms (as reported by inmate): /rib None 07/23/2019 08:25 OBJECTIVE: Temperature: =it Time Fahrenheit Celsius Location 07/23/2019 06:30 NYM 97.5 36.4 Oral Provider MI MLP Pulse: Date. Time Bate Per Minute Location Rhythm provider 07/23/2019 06:30 92 Via Machine Regular MLP Respirations: Data Time Bate Per Minute Provider 07/23/2019 06:30 NYM 16 MLP Blood Pressure: Date Time Value Location position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular MLP SaO2: Da Time Valuer/el Air Provider 07/23/2019 06:30 NYM 96 Room Air . MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled. Generated 07/2312019 09:05 by MLP Bureau of Prisons • NYM Page I of 2 SONY_00015018 Page 010 EFTA00138274
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Sex: M Race: Provider: MLP Reg #: 76318-054 Facility: NYM Unit: 1101 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified. T1490 - Current - R/O self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Toole Mi. Outcome 07/23/2019 Counseling Access to Care Verbalizes Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by MLP on 07/23/2019 09:05 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by MLP Bureau of Prisons • NYM Page 2 of 2 SDNY_00015019 Page 011 EFTA00138275
ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEVVYORK MCC insululon Date/ Time. 07-10-2019 TO: Special H mg Unit Officer ... i ii n FROM: IEUTENANT . (Name/Title) SUBJECT : Placement of EPSTEIN. JEFFERY Reg. No. 7-10-2019 . in Administrative Detention (a) Is pending an investigation for a violation of Bureau regulations: (b) Is pending an SIS investigation. (0) Is pending investigation or trial for a criminal act (d) Is to be admitted to Administrative Detention (1) Since the inmate has requested admission for protection. I hereby request placement in Administrative Detention for my own protection. Inmate Signature/Register No.: Staff Witness Printed Name Signature. (2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admtssion, referral of the necessary information will be forwarded for an appropriate heanng by the SRO. (e) Is pending transfer or is in holdover status during transfer. V (f) Is pending classification: or (9) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. It is this Correctional Supervisor's decision based on all the circumstances that the above named inmate's continued presence in the general population poses a serious threat to Ide property. Self. staff, other inmates. or to the seointy or orderly running of the institution because' PENDING CLASSIFICATION Therefore, the above named inmate is to be placed in Administrative Detention until hither notice. The inmate received a Copy of this Order on (date /Mit) Z - f ° Staff Witness Signature/Printed Name Supervisor 24 hour review of placement. Signature/Printed name Date / ' In the case of DHO action. reference to that order is sufficient. In other cases, the Correctional supervisor vein make an independent review and decision. which is documented here. Record Copy - Inmate Concerned (not necessary 4 placement IS a result of holdover status); Copy - Captain; Copy - Unit Manager; Copy - Oper • n limo, Q - AdrniristraWe Detention Unit: Copy — Psychology: Copy - Central File PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88 ) 1 8 COPY SDNY_00015020 Page 012 EFTA00138276
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