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U.S. Department of Justice Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office of the Warden November 13, 2019 MEMORANDUM FOR HUGH J. HURWITZ, ASSISISTANT DIRECTOR, REENTRY SERVICES DIVISION FROM: SUBJECT: J. Petrucci, Warden, MCC New York Institution Response to Psychological Reconstruction Inmate Epstein, Jeffrey (76318-054) This is the response to the psychological reconstruction of inmate Epstein, Jeffrey (76318-054) dated September 17, 2019. 1.Single Ceiling: It is recommended that all inmates be double-celled unless safety concerns or an odd number of inmates precludes this. Priority should be given to inmates with a history of mental illness, self-directed violence, recent stressors (e.g., losses, newly sentenced, etc.) It is recommended that a system of control be implemented explaining who will be notified when a Suicide Watch or Psychological Observation ends and how that communication will take place. Because this is a life safety issue, the system of control, once approved by the warden, should be reviewed in formal meetings such as staff recalls, department head meetings, and lieutenants meetings. Institution Response: 1. Single Cell Placement: A system has been put in place to ensure inmates are not single celled. A single cell report is completed during each shift by the SHU Lieutenant during Day Watch and the Operations Lieutenant during the Morning Watch and Evening Watch. Notifications are made to the Institution Duty Officer (IDO) and Executive Staff. Psychology discusses the status of inmates who are at-risk for suicidality, their housing needs, as well as their needs for cellmates during staff meetings, department head meetings, SHU meetings, morning meetings, and close out meetings. When inmates are placed on and off suicide watch, the Warden is notified verbally, regardless of the time of day. The Warden then determines which suicide watch area a suicidal inmate will be housed and if they will be observed with an inmate companions or a staff member. EFTA00049770

Psychology verbally notifies the Operations Lieutenant when inmates are removed from suicide watch and that they will need to be placed with a cellmate. Cellmates are recommended not only for SHU inmates being removed from suicide watch, but also for inmates returning to the general population setting. The C&A officer is responsible for entering the proper assignment. Once an inmate is removed from suicide watch, psychology staff sends an e-mail to the Executive Staff, IDO, and Lieutenants informing them the inmate is being removed from suicide watch and can return to a cell with a cellmate. The e-mail contains the name of the staff member whom psychology verbally spoke with. This recommendation for a cellmate and conversation with the Lieutenant is also documented in the Post Suicide Watch Report and placed in BEMR/PDS. Psychology Services has eliminated the use of Psychological Observation to avoid any confusion as to the needs of inmates on a watch status. 2. Rounds: 30-minute rounds are required by P5500.14, Correctional Services Procedures Manual. Institution Response: 2. Rounds: SHU training is conducted quarterly in which emphasis will be placed on the importance of diligent rounds within the policy guided timeframes. In addition, the SHU Lieutenant will review documentation (SHU Round Sheets) on a daily basis and provide the Captain with an assurance memorandum of their completion weekly. SHU Rounds sheets will be maintained on the specified range to ensure officers are completing required rounds. A staff member must observe all inmates confined in continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour, followed by another round in the second 30 minute period of the same hour, thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. Closer observation may be required for an inmate who is mentally ill, or who demonstrates unusual or bizarre behavior. These inmates have been identified with an orange photographic door tag to ensure staff are aware to take more security pre-cautions in dealing with this inmate. Two hour Captain video review and six hour 113O video review are being conducted. 3. Cellmate Assignments: When Mr. Epstein was placed in SHU on July 7, 2019, Executive Staff decided Mr. Tartaglione would be his cellmate. As explained by Dr. Miller, input was not sought from Psychology Services and it is not clear if or how sex offender-specific needs and associated risk were incorporated into the housing plan. Mr. Tartaglione was also a high profile inmate-an ex-police officer charged in multiple murders. However, he and Mr. Epstein did not share the risk associated with being a sex offender and their pairing may have aggravated Mr. Epstein's risk for self-directed violence. In an effort to treat Mr. Epstein the same as other inmates, a statement repeated by multiple staff, Executive Staff may have inadvertently overlooked the need to consider unique risk factors associated with individuals who have been charged with and convicted of a sex offense. On July 25, 2019, Dr. Miller sent an e-mail to Shirley Skipper-Scott, Associate Warden explaining a consultation between Dr. Miller and Dr. Nagle, National Suicide Prevention Coordinator. In the e-mail, Dr. Miller Reviewed the consult and recommendation from the Psychology Services Branch, Central Office that Mr. Epstein be housed with another inmate who had also been accused of committing a sex offense. There is no evidence this information was considered beyond this e-mail, and Mr. Epstein was never housed with another inmate charged or convicted of a sexual offense. It is recommended Executive Staff and Correctional Services staff include a psychologist in decisions about cellmates as a means of incorporating expertise about suicide risk, mental health needs, and interventions for psychological stability. 2 EFTA00049771

Institution Response: 3. Cellmate Assignments: Inmates with serious mental illness and those at-risk for suicidality are discussed during staff meetings, department head meetings, SHU meetings, morning meetings, and close out meetings. The Captain, Associate Wardens, Warden and Psychology Services discuss the inmate's needs. The Legal Department also assists when the inmate's attorney or court are concerned about an inmate's mental health. Psychology Services are involved in making recommendations regarding the types of cellmates with whom inmates at-risk for suicidality should celled. Psychology Services takes into consideration the suicide risk factors involved with a particular inmate and shares their knowledge with Executive Staff. The psychological reconstruction team suggests MCC New York Executive Staff did not take into account Mr. Epstein's sex offender-specific needs in assigning him a cellmate in SHU. However, that is not correct. MCC New York Executive Staff considered a variety of factors in determining the most appropriate cellmate for Mr. Epstein, including but not limited to history of sex offenses, nature of the inmate, cooperation status, etc. MCC New York administrators initially housed Mr. Epstein with Mr. Tartaglione as both had high profile cases. Mr. Tartaglione is also a certified death penalty eligible inmate and, thus, based on correctional judgment, less likely to assault or otherwise try to harm Mr. Epstein. Indeed, Mr. Tartaglione notified staff immediately when he realized Mr. Epstein first made a possible suicide attempt/gesture on July 23, 2019. Prior to Mr. Epstein being taken off suicide watch, MCC New York Executive Staff, with input from Psychology staff, assessed all the inmates in SHU at that time and narrowed the list down to the most appropriate candidates. Mr. Tartaglione was not chosen as the investigation at the time had not yet cleared him of any wrongdoing. Most of the other inmates in SHU at the time were there for disciplinary reasons and were otherwise not appropriate to be housed with Mr. Epstein. The other notable inmate in SHU with a history of sex offenses, Mr. Hoyt, was deemed dangerous to Mr. Epstein due to his threatening nature. Accordingly, MCC New York Executive Staff narrowed the possibilities to cooperators. Specifically, Efrain Reyes, Register Number 85993-054, was placed in SHU for claims he was being threatened and extorted on his unit, and he was confirmed as proffering with the U.S. Attorney's Office. As both he and Mr. Epstein were in SHU for safety reasons, Mr. Reyes was deemed an appropriate cellmate. Based on the above, consideration was made for Mr. Epstein's sex-offender-specific needs in choosing his cellmate in SHU. His charged crime was just one of the factors reviewed in making the determination. MCC New York Executive Staff also considered high publicity inmates with ample reasons not to hurt Mr. Epstein, and cooperators who are not only vulnerable themselves, but also had a lot to lose should they harm Mr. Epstein. 4. Documentation Accuracy: On July 23, 2019, Mr. Epstein was found unresponsive in his cell. He had abrasions on his neck and knee. There are inconsistencies between documents describing the circumstances of the scene. In a General Administrative Note in PDS-BEMR, Dr. Miller documented information received from Operations Lieutenant Glenda Anderson that Mr. Epstein, "was found with a string loosely hanging around his neck." In contrast, Officer Wilson Silva, who responded to this emergency, wrote a memorandum dated July 23, 2019. In that memorandum, Officer Silva wrote he saw Mr. Epstein "laying down near his bunk with what appeared to be a piece of handmade orange cloth around his neck." It is critical that all descriptions of the incident accurately reflect objective evidence. Officer Joseph Masullo wrote Mr. Epstein an incident report for Self-Mutilation on July 23, 2019, after he was found unresponsive in his cell but prior to having the necessary facts to determine whether he likely engaged in a Bureau violation. BOP Policy expects staff to write an incident report within 24 hours of having the information that an inmate likely violated BOP rules but without making a presumptive decision about guilt. A Special Investigative 3 EFTA00049772

Services Threat Assessment was completed August 2, 2019, but results were inconclusive as to whether Mr. Epstein engaged in self- directed violence, willingly fought with his cellmate, or was assaulted by his cellmate. It is recommended that staff remain open to all reasonable explanations for a behavior and take the appropriate actions when a final determination is made. Although the incident report was later expunged, inmates frequently experience significant stress when they contemplate the potential consequences associated with findings of guilt. Dr. Schlessinger entered a Psychology Services Intake Screening into PDS-BEMR on July 8, 2010. The document has three typographical errors. She selected the No Sexual Offense Convictions check box when, in fact, Mr. Epstein was previously convicted of Solicitation of Prostitution and Procuring a Person Under the Age of 18 for Prostitution. Second, Mr. Epstein was erroneously identified as a Black male in this document. Finally, there is one instance where he was mistakenly referred to as Mr. Brown. Dr. Schlessinger completed a Risk of Sexual Abusiveness document on July 8, 2019. She marked "History of prior prison sexual predation" in the affirmative. This is not accurate. Ysmael Joaquin, Mid-Level Practitioner, completed a History and Physical on July 9, 2019. An Intake Screening should have been conducted within 24 hours of his entry into Bureau custody which was on July 6, 2019, according to P6031.04, Patient Care. Officer Alwin Thomas was responsible for observing Mr. Epstein and documenting his behavior while on suicide watch on July 23, 2019. Officer Thomas mistakenly used a Suicide Watch Log Book intended for inmate companion documentation between 1:40 a.m. and 6:00 a.m. on July 23, 2019, when he should have been using the Staff Suicide Watch Log Book. Ms. Kenya Coates, Drug Treatment Specialist, reportedly noticed this error and subsequently hand copied all of Officer Thomas' entries from 1:40 a.m. to 6:00 a.m. into a Staff Suicide Watch Log Book. She then initialed these entries, and this makes it appear as if she was the one conducting the watch. This information was discovered and conveyed in an e-mail from Ms. Charisma Edge, Associate Warden to Dr. Schlessinger with a carbon copy to Warden N'Diaye on August 12, 2019. Of note, Ms. Coates did not make an entry explaining why she was making the log book changes. Additionally, Ms. Coates then wrote entries for 6:15, 6:30, 6:45 and 7:00 a.m. in the Staff Suicide Watch Log Book. These were not a part of the original entries made by Officer Thomas nor was Ms. Coates assigned to work the Suicide Watch post. Due to the inability to interview staff at this time, it is unknown why Ms. Coats attempted to correct Officer Thomas' error, or made any of the subsequent log entries. It is recommended that if a staff member makes an entry error (e.g., writes in the incorrect suicide watch log book), the staff member should describe the error in the correct log book, to include indicating when they became aware of the error. The staff member should then notify the Chief Psychologist. A review of Special Housing Unit Records (BP-A0292) revealed a number of incomplete entries. This document is used to monitor provision and receipt of basic services such as recreation, medical rounds, showers, meal consumption, etc. The Officer in Charge signature is missing on 10 occasions and a medical provider's signature is missing in seven instances. There are six instances in which it is not clear if Mr. Epstein ate his meal. There are nine instances in which it is not clear if Mr. Epstein took a shower. There are ten instances in which it is not clear if Mr. Epstein was offered recreation. P5500.15, Correctional Services Manual requires accurate and complete information on the BP-A0292. A review of Psychology Observation Log Books revealed significant discrepancies from the approved Psychological Observation Procedural Memorandum, dated April 15, 2019. A Correctional Officer is required to complete hourly rounds and sign the log book. 179 out of 183 round signatures were missing. The lieutenant is required to sign the log book one time per shift and signatures were missing in 10 of 23 instances. A Physician Assistant is required to sign one time per shift and 16 of 4 EFTA00049773

16 instances were missing. It is recommended that a further review of Psychological Observation procedures be conducted. Institution Response: 4. Documentation Accuracy: The Reconstruction team indicates it is critical that all descriptions of the incident accurately reflect objective evidence, and references Psychology staffs reliance on differing statements from two different staff regarding the July 23, 2019 incident. Psychology staff considers the information from more than one source when making decisions about suicide watch placement. Clinical judgment is used to make determinations taking into consideration each person's self-report of a situation as they may be perceived differently. In reference to typographical errors noted in PDS/BEMR notes, the Chief Psychologist has spoken to all psychology staff members concerning proof reading all documents entered to reduce typos and to improve information accuracy. Additionally, there is a second Staff Psychologist in the department which helps reduce the workload on current psychologists, allowing more time for documentation review. Regarding the Reconstruction team's concerns in reference to Mr. Epstein's expunged incident report, Special Investigative Services staff will conduct all investigations in matters of attempted suicide and make a determination as to whether an incident report is warranted. The Reconstruction team stated medical staff conducted Inmate Epstein's Intake Screening late. SENTRY records reflect Inmate Epstein arrived in MCC New York's Receiving and Discharge (R&D) area on July 6, 2019, at approximately 9:24 p.m. His medical Intake Screening was conducted at approximately 9:38 p.m., by Physician Assistant (PA) Kang on the same night and approximately 14 minutes after his arrival in R&D. On July 9, 2019, he was placed on Psychological Observation and at approximately 12:38 p.m., he was escorted from Psychological Observation to Health Services for a Medical Assessment and a History and Physical, which was performed by PA Joaquin within three (3) days of his arrival. According to Program Statement 6031.04, Patient Care, a provider must perform a History and Physical within 14 days of the inmate arriving at BOP facility. The History and Physical and Intake Screening were conducted timely and in accordance to policy. Regarding use of the incorrect Suicide Watch Log and the re-creation thereof, the Chief Psychologist and Drug Abuse Coordinator counseled the Drug Treatment Specialist (DTS) concerning her documentation in the suicide watch log book. There was no ill-intent on the part of the DTS as all log books were maintained; the original log book written by the officer and the one documented by the DTS. The DTS indicated a desire to assist the officer as he had written in the wrong log book. Specifically, he wrote in the inmate companion log book rather than the staff log book. However, she was informed that this is not her role and she is not to document in a log book for anyone else observing an inmate on suicide watch. In the future, only the staff member watching the inmate on suicide watch and Operations Lieutenants document in the suicide watch log book. Log books are now being closely monitored on a daily basis by the Chief Psychologist. Incomplete entries were noted in the BP-292s. SHU training is conducted quarterly, in which emphasis will be placed on the importance of proper 292 documentation. In addition, the SHU Lieutenant will review 292s on a daily basis and provide the Captain with an assurance memorandum. 292s will be printed for the previous week every Sunday, and the SHU Lieutenant will acquire any needed signatures from the respective OICs in a handwritten manner. The Reconstruction team findings noted discrepancies in the procedures approved for Psychological Observation. The Psychology Department has eliminated Psychology Observation at MCC-NY. Both Staff and the Lieutenants received additional training on when they are required to complete rounds and sign Suicide Watch log books. With 5 EFTA00049774

regard to suicide watch log books signatures, correctional staff are required to perform routine rounds every hour. The 2 Sally Officer on Monday- Friday during Day Watch is required to perform rounds on suicide watch inmates as prescribed by the Captain. After-hours, the Unit 2 Officer will be responsible for making rounds, serving meals, collecting trash in the area, and performing the count with the Internal 1 or Internal 2 assisting with duties as assigned by the Captain. Additionally, Psychology staff check the suicide watch logs daily when they interview the inmates on suicide watch. If it is noted hourly rounds are not being conducted by the Unit Officer and/or the Lieutenants are not rounding and signing the books each shift, the Associate Warden over Programs and the Captain are notified immediately and enforce accountability. 5. Telephone Calls: In a PDS-BEMR note written by Dr. Miller on July 16, 2019, she was informed by an unnamed staff member that a lieutenant facilitated two telephone calls for Mr. Epstein. It is unknown when and to whom these calls were placed and no evidence that they took place on a monitored telephone. According to a memorandum from Unit Manager Nathaniel Bullock on August 10, 2019, Mr. Epstein terminated his legal visit early on August 9, 2019, in order to place a telephone call to his family. Mr. Bullock (who was the Institutional Duty Officer that week) escorted Mr. Epstein to SHU around 7:00 p.m. that evening and he was placed in the shower area on G tier. While there, he was provided the telephone to make a call. Since Mr. Epstein reportedly did not have his PAC or PIN number, which is required to use the inmate telephone system, the Unit Manager placed the call, dialing a number that reportedly began with area code 347. Mr. Epstein told Mr. Bullock he was calling his mother who, according to public records, has been deceased since 2004. It is recommended that all telephone calls, other than legal calls, be made on monitored lines to be available for post- call review or on a speaker phone so staff can monitor what is discussed. Institution Response: 5. Telephone calls: There is no documentation to substantiate that a Lieutenant facilitated two telephone calls to Mr. Epstein. However, there is documented evidence that Unit Manager Proto provided a call to Mr. Epstein on July 30, 2019, at 5:15 p.m., to a Karina Shaliak, friend, on a monitored telephone/speaker phone. The call was documented in a log that is maintained in the Correctional Systems Department. Mr. Epstein was provided a call because he had not been able to conduct voice recording on the inmate telephone. This is standard procedure by the Unit Team at MCC New York, to occasionally provide a call to new arrivals, when necessary. 6. Direct Observation: Mr. Epstein was on suicide watch from July 23, 2019, until July 24, 2019. While on suicide watch on July 23, 2019, Mr. Epstein attended an Attorney visit from approximately 12:40 p.m. until 7:15 p.m. During this time, he was without "direct, continuous observation" by a dedicated BOP staff member as required by P5324.08. While on Psychological Observation, he attended attorney visits on July 24, 2019, for 11.25 hours; on July 25, 2019, for 11.25 hours; on July 26, 2019, for 9.25 hours; on July 27, 2019, for 11.33 hours; on July 28, 2019, for 10.5 hours; and on July 29, 2019, for 8 hours. On July 30, 2019, Psychology Observation was terminated. During these visits, continuous observation by a dedicated BOP staff member was not maintained as required by MCC New York's Procedural Memorandum for Psychological Observation. Institution Response: 6. Direct Observation: The Psychology Department has eliminated Psychology Observation at MCC-NY. Inmates on Suicide Watch are only provided legal visits under special circumstances as deemed by the Court. 7. Follow-Up: Mr. Epstein arrived at MCC New York on Saturday, July 6, 2019. While conducting the 10:00 p.m. 6 EFTA00049775

institution count that evening, Elba Torres, Facilities Assistant reported she observed Mr. Epstein in his cell. In an e- mail she sent to Drs. Miller and Imeri and Lieutenant David Medina later that evening, she described Mr. Epstein as "distraught, sad and a little confused." She said she then asked Mr. Epstein if he was okay, and he reportedly said he was. However, Ms. Torres noted in her e-mail she was not convinced of this, adding, "He seems dazed and withdrawn." She went on to say, "So just to be on the safe side and prevent any suicidal thoughts can someone from Psychology come and talk with him." Despite the fact that Lieutenant Medina opened the e-mail there is no evidence that he contacted the on-call psychologist as is required by P5324.08, Suicide Prevention Program. Additionally, if Ms. Torres was concerned about suicide risk, P5324.08, Suicide Prevention Program, requires her to maintain direct, continuous observation of Mr. Epstein. When Dr. Miller opened the e-mail the following Monday morning, Mr. Epstein was evaluated by Dr. Schlessinger at approximately 9:30 a.m. Mr. Epstein was denied bail on Thursday, July 18, 2019. This was a significant disappointment for Mr. Epstein and likely challenged his ability and willingness to adapt to incarceration. Given the potential impact of the judge's decision, a psychologist should have assessed Mr. Epstein's mental status upon his return to the institution. The BOP developed a SENTRY assignment of PSY ALERT for purposes such as this. Specifically PSY ALERT is used "to ensure, if movement occurs, that all staff consider the special psychological and management-related risks associated with the inmate." Furthermore, P5324.07, SENTRY Psychology Alert Function states, "When a decision to move [any PSY ALERT] inmate occurs, any special psychological needs of the inmate are reviewed and considered by Psychology Services staff [and] any safety and security concerns are highlighted for non-Psychology Services staff." Psychologists should use the PSY ALERT assignment more frequently with high profile cases and with inmates who have a history or charge of sex offense. Both of these groups of inmates are susceptible to exaggerated or unrealistic fears about correctional settings and experience stress associated during movement and periods of transition (e.g., cell/unit changes, movement to and from court, institutional movement, and release of information through the media). Mr. Epstein was reportedly in court on July 31, 2019. It is unknown what time he departed or returned to MCC New York because this information was not entered in SENTRY. Regardless, upon his return, the United States Marshals Service (USMS) provided R&D staff with a Prisoner Custody Alert Notice regarding Mr. Epstein. The notice indicated Mr. Epstein had "MTL Mental Concerns Suicidal Tendencies." The USMS requested R&D staff sign the form, and they then departed with the signed copy. On August 1, 2019, at 8:46 a.m., Dr. Imeri sent Dr. Miller an e- mail reporting she had just become aware of the above information. In the absence of additional information about this notation, this should have been considered a referral to Psychology Services about a potentially suicidal inmate and procedures should have been followed as outlined in P5324.08, Suicide Prevention Program. Specifically, when a staff member becomes aware an inmate may be thinking about suicide during normal working hours, that staff member must contact Psychology Services and maintain the inmate under direct,continuous observation until he is placed on Suicide Watch or seen by a psychologist. There is no evidence Mr. Epstein was monitored under these conditions from the time he returned from court until he was seen by Dr. Imeri for a suicide risk assessment on August I, 2019, at approximately 1:30 p.m. Institution Response: 7. Follow Up: Staff have been trained that it is required that they make verbal contact with either Psychology Staff or a Lieutenant when they have concerns for an inmate's mental health. If Psychology Staff is not in the institution, an inmate is placed on suicide watch, and the on-call psychologist and Warden are notified. As part of their signature block, all Psychology staff have added the following: "If you are emailing about an inmate that may be at risk for suicide or self-harm, this is an emergency situation. Please make sure that you make contact (verbally) to Psychology Staff or the on-call psychologist. Please ensure to maintain constant visual observation of the inmate until formal steps can be taken to ensure his/her safety pending a formal assessment by a Psychologist." 7 EFTA00049776

The Psychology Department uses PSY ALERT codes more frequently with high profile cases and with inmates with a history or charge of a sex offense. The PSY ALERT code is applied immediately on classification and/or identification, and not just when an inmate is about to leave the institution. If an inmate is moved in and out of our institution for court, etc., the inmate is assessed immediately prior to being released to a unit. R&D staff have been reminded of the U.S. Marshal and Court alert notices. Psychology Staff are notified immediately if there are suicidal concerns noted by the Courts. If Psychology Staff is not in the institution, an inmate that enters the institution with an alert notice is placed on suicide watch, and the on-call psychologist and Warden are notified. These inmates receive a suicide risk assessment by a psychologist before being released to the general population. Inmates who initially enter and/or transfer into the institution with a PSY ALERT assignment will be seen by a member of the Psychology Services Department immediately and prior to being released to the general population. R&D will review the PP44 code and Intake Screeners will utilize the PPM to determine if inmates entering the facility have a PSY ALERT assignment. If there is not a psychologist in the building when a PSY ALERT inmate is identified and/or if it is during non-duty hours, the Operations Lieutenant will immediately be notified and will then contact the on-call psychologist. The on-call psychologist will come in after hours to screen the inmate in R&D and determine their appropriateness for general population, as well as any other pertinent housing considerations, prior to the inmate's release to general population. Inmates may also be assigned a PSY ALERT function code by a psychologist while housed at this institution. Psychologists will consider not only inmates with substantial mental health concerns for a PSY ALERT assignment, but will use PSY ALERT codes frequently with high profile cases and with inmates with a history or charge of a sex offense. The PSY ALERT code is applied immediately and not just when an inmate is about to leave the institution. The attached institutional procedural memorandum has been reviewed by Central Office Psychology Services and implemented by MCC New York Psychology Services to outline the follow-up procedures when existing PSY ALERT inmates return from trips such as court proceedings and hospital trips. If any movement occurs with an existing PSY ALERT inmate, psychology must be verbally notified immediately when the inmate returns back to the institution. This would include movement from court, institutional movement, or hospital trips. The Psychology Department will also be notified of a PSY ALERT inmate's movement prior to the inmate leaving. The Psychology Department will be provided with the court lists as well as the Prisoner Schedule Report on a daily basis. These reports will be reviewed daily by a member of the psychology department to assess whether a PSY ALERT inmate is scheduled to go out to court the following day. When an existing PSY ALERT inmate who has already been initially screened by the Psychology Department returns from court with a notice from the Judge or Marshal's Office indicating imminent mental health concerns or concerns related to suicidality, the PSY ALERT inmate will be seen by a psychologist immediately and prior to their return to general population. A psychologist will determine at that time if a PSY ALERT inmate is ready to return to general population, their psychological stability, and their treatment needs. If the inmate returns after hours and there is no psychologist in the institution, the PSY ALERT inmate will be placed on suicide watch pending a suicide risk assessment by a psychologist. The Operations Lieutenant, On-Call Psychologist and Warden will be notified. When an existing PSY ALERT inmate who has already been initially screened by the Psychology Department returns from court routinely, and without a notice from the Judge or Marshal's Office, they will be screened by a 8 EFTA00049777

member of the Psychology Department within 24 hours to assess if they are experiencing any significant distress regarding their court proceedings that may be exacerbating their mental health difficulties and/or risk factors. Per guidance from Central Office Psychology Division, the Psychology Department will conduct a training with R&D staff to help train them about PSY ALERT inmates and to recognize signs of psychological distress and suicidality. Suicide Prevention and PSY ALERT Trainings have recently been conducted by the Psychology Services Department with Lieutenants and during a recent Department Head Meeting. Further, an e-mail regarding PSY ALERT procedures was sent to all Lieutenants, Receiving and Discharge (R&D), Psychology and Health Services staff. 8. Inmate Accountability and Assignment Accuracy: According to a SENTRY quarters roster generated on August 10, 2019, at 12:51 a.m., there were three inmates assigned to Mr. Epstein's SHU cell, Z04-206LAD, including him, at the time of his death. However, his SHU cell was only a double occupancy cell. Inmate Patrick Avila (#86710- 054), inmate Gregory Ferrer (#79793-054), and Mr. Epstein were all assigned to the same cell. On August 13, 2019, at 12:06 p.m. and 12:08 p.m., a quarters history roster was generated for inmate Avila and Ferrer, respectively. Inmate Avila's cell assignment was Z04-206LAD from August 5, 2019, until August 11, 2019, when he was moved to cell Z04-212UAD. Inmate Ferrer's cell assignment was Z04-206UAD from August 1, 2019, until August 11, 2019, when he was moved to cell 2.04-207LAD. A quarters history roster was generated for Mr. Epstein on August 13, 2019, at 9:07 a.m. His cell assignment was Z04-206LAD from July 29, 2019, until August 10, 2019. On Monday, August 12, 2019, photographs of nametags on SHU cell doors and SHU locator forms were sent to the Correctional Service Department in the Northeast Region. The SHU locator form is dated August 9, 2019. It shows inmate Ferrer in cell 207L (SENTRY states he was moved to this cell on August 11, 2019), inmate Avila in cell 2I2U (SENTRY states he was moved to this cell on August I I, 2019), inmate Epstein in cell 220L (SENTRY never shows him in this cell) along with inmate Reyes (#85993- 054). The locator shows inmate Copper (#92299-054) and inmate Dockery (#60685-050) in cell 206. The photo sheets show the cell being 220 with inmates Epstein and Reyes' identification cards on the door. Inmate Reyes, Efrain, Reg. No. 85993-054 was in cell Z06-220U from August 5, 2019 to August 9, 2019. MCC New York has four suicide watch cells and each is for single occupancy use. The suicide watch cells are located in Health Services. Each cell is abbreviated with the unit code HOI in SENTRY followed by the four-digit cell number. The doors are identified by a painted number from one to four. Two reviews were conducted. The first revealed Mr. Epstein was in H01-001L according to SENTRY but the Suicide Watch Log Books indicate he was in cell 4. A second review was conducted on August 13, 2019, while there were four inmates on in these cells. SENTRY showed two inmates assigned to HO1-001L, one assigned to H01-002L, and the fourth inmate assigned to a general population housing unit. Through physical observation of the dedicated suicide watch cells there were four H0I cells, however a review of the BOPWARE Inmate Housing Format, only shows three cells. Inmate movement and assignments are not accurately reflected in SENTRY as required by P5500.14, Correctional Service Procedures Manual. Institution Response: 8. Inmate Accountability and Assignment Accuracy: With regard to the accuracy and accountability of inmates placed on suicide watch status in the hospital area, Psychology Services now runs a daily Sentry roster of all the inmates on suicide watch in that area. The roster is examined to ensure that the inmates placed on suicide watch in a suicide watch cell are keyed into SENTRY with the correct cell assignment noted. The Associate Warden, Programs, is notified if there are any inconsistencies. Moreover, the four suicide watch cells now all have SENTRY Assignments of H01-001L - H01-004L. Further, 9 EFTA00049778

Psychology Services Department reviews suicide watch log books on a daily basis to assess whether the Lieutenants have conducted rounds during each shift and whether the Unit 2 Sallyport and Unit 2 Officer are conducting hourly rounds. Any inconsistencies noted in the logbooks by Psychology staff will be reported immediately to the Captain and the Associate Warden over Programs to address appropriately. The Operations Lieutenant will physically check the PP30 Cell Assignment Roster when inmates are quartered on suicide watch. The Lieutenant will ensure the Counts and Assignments (C&A) Officer keys cell assignments correctly and annotate any errors in the daily log and contact the Captain immediately. Guidance was sent to the Lieutenants regarding keying of suicide watch bed assignments after hours. The Lieutenants were instructed that upon placing an inmate on suicide watch, they are responsible for contacting C&A and providing the cell assignment. Additionally, the Lieutenant will run a PP30 with the selection category for suicide watch. The Operations Lieutenant will email the roster to the Captain, as he will be responsible for verifying that each inmate is in the appropriate cell. This verification process will ensure inmates placed on suicide watch are keyed into accurate bed assignments and will eliminate inmates being keyed into the same cell. Additionally, the Lieutenants were instructed to contact the Captain and on-call Psychology staff by telephone when the need for suicide watch placement is determined after hours. Psychology staff have been instructed to contact the Warden upon receiving said notification. After consultation with the Warden, Psychology staff will designate whether a staff or inmate companion will be assigned. Psychology staff will in turn inform the Shift Lieutenant of this determination. To ensure inmates are assigned to the correct cell inside the Special Housing Unit, periodic and unannounced checks are conducted. Specifically, SENTRY Roster PP30 Quarters assignments are audited daily by the SHU Lieutenant. Executive Staff also conduct routine bed book counts in all units. Any and all discrepancies identified are addressed. Results will be maintained by Correctional services in the Lieutenants Log. Morning Watch Lieutenant is responsible for observing one count during his or her shift in SHU which is documented daily in the Lieutenants Log. In order to properly account for inmates in the unit, staff have been informed not use the Inmate Locator Form, due to the forms being unreliable in accounting for inmates and cell assignments. A Unit Accountability Board along with a SENTRY PP30 Quarters Roster have been placed in the unit to establish better oversight over inmate accountability. Correctional Staff are required to perform routine rounds of the second floor suicide watch area every hour. On Day watch, Monday through Friday, the 2 Sally Officers are required to perform rounds on suicide watch inmates, as prescribed by the Captain. After hours, the Unit 2 Officer will be responsible for making rounds, serving meals, collecting trash in the area, and performing the count with the Internal I or Internal 2 Officer assisting with duties as assigned by the Captain. To ensure that staff are informed of the importance of Suicide Prevention and responsibilities when one occurs. Lieutenants will reinforce the message through conference calls with staff. Roll Call notes will be placed on TRU Scope to notify staff of which inmates are currently on suicide watch. 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." 10 EFTA00049779

Further, a review of the attorney log books identified many en-ors 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. Institution Response: 9. Attorney Log Books: On August 10, 2019, log books deemed relevant to the investigation were removed from various locations throughout the facility. The Reconstruction Team did identify pertinent logbooks that had not been secured. At this time, all relevant logbooks have been removed and replaced. In addition, a logbook audit was conducted to ensure accuracy of the documentation and compliance with policy. Measures are being taken to ensure in the future that all relevant logbooks are identified, secured immediately and replaced with new ones to ensure the institution can continue to run efficiently. 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. Institution Response: 10: Automatic External Defibrillators: A review of the Automatic External Defibrillators (AED) report presented by Great Lakes Biomedical Services dated July 22, 2019, revealed that all AEDS were accounted for and were placed in the correct respective areas. The report was accurate and complete. New AEDs have been purchased and will be inspected Great Lakes Biomedical Services upon their arrival. The list reviewed by the reconstruction team was an old and outdated list from January 8, 2018. Medical staff have prepared and are awaiting approval of training and procedures to allow them to inspect institutional AEDs locally in between/in between outside inspections by Great Lakes Biomedical Services. A copy of the proposed procedures is attached hereto. II. Post Orders & SHU Training: SHU Post Orders Sign-In Sheets were reviewed for the 3rd Quarter, spanning June 9, 2019, to September 7, 2019. Officer L. Grey 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 David Dubenezic, Officer Miguel Monge, and Officer Roberto Grijalva. Institution Response: 11. Post Orders & SHU Training: The Suicide Watch Post Orders are located in the Lieutenant's Office and SHU with a quarterly sign-in sheet. A copy of the Suicide Watch Post Orders will also be placed in a secure container outside of the suicide watch cells on Tier H in SHU. This container will also hold signature sheets and additional Staff Suicide Watch Log Books. All staff members assigned to a suicide watch post are responsible for signing the post orders prior to performing the staff suicide watch. Attached please find a copy of the NERO Waiver permitting staff monitored suicide watches in SHU. 11 EFTA00049780

With regard to SHU Suicide Prevention training, this continues to be carried out on a quarterly basis. However, the sign-in sheets for this training are now be examined by the SHU Lieutenant for accuracy. If a staff member who is assigned to SHU misses the training, the sign-in sheet will be routed to the Captain, who will coordinate with the Chief Psychologist and schedule a time to receive a make-up session for the SHU Suicide Prevention Training. SHU training is conducted quarterly two weeks from the beginning of the new quarter. A representative from Psychology will provide the required suicide prevention training. In addition, the SHU training on BOPLEARN will be completed by all staff assigned to SHU that day of training. SHU staff will be allotted time during that day to complete all prescribed web-based training as identified on the agenda. Staff who are assigned to SHU but have not received the mandatory training before assuming the post will be roster-adjusted to attend another training day as assigned by the Captain. Staff assigned to suicide watch shall maintain a chronological log of the inmate's behavior. Blank log books will be maintained in the Lieutenants office and on the 2nd Floor. A chronological record of events will commence immediately upon the initiation of watch. It is the responsibility of the staff member initiating the watch to obtain a blank log book prior to initiating the watch. Different log books will be used for each inmate on suicide watch; each log book will contain entries for one suicide watch only. The name and register number of the inmate on watch shall be clearly printed on the front cover of the log book and at the top of each page in the log book on which entries are made. During some suicide watches, staff observers may cover some shifts and inmate companions may cover others. In this instance, two separate log books must be used: one for the shifts during which staff are maintaining constant visual observation (blue) and another for shifts during which inmate companions are providing constant visual observation (yellow). When separate inmate companion log books are used, staff must sign the inmate companion log book every 60 minutes. Lights will remain on inside the cell 24 hours day to ensure the inmate on watch can be seen. A Lieutenant will make rounds every shift and remove the inmate from the cell and perform a cursory search. No food items, trays, eating utensils, milk cartons, toilet paper, plastic bags, reading materials, pens, pencils, or anything else not prescribed by Psychology staff should be in the cell. The inmate will be outfitted in a suicide preventive smock, suicide preventive blanket, suicide preventive mattress and if necessary a suicide preventive helmet. Inmate Companions will be searched prior to assuming duties. Inmate Companions are not allowed to have radios, mp3 players, magazines, books or anything that would distract them from maintaining constant supervision. Inmate Companions will not have direct or physical contact with inmates on suicide watch. 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 the Drug Abuse Program Coordinator position would provide the institution with an additional supervisory psychologist to provide critical clinical services. Staffing in the Correctional Services department is relevant to the reconstruction. However, the details about this topic are provided in an After Action Review completed separately from this report. Institution Response: 12. Staffing: The Drug Abuse Coordinator position is currently a shared position. The Warden has re-established the Drug Abuse 12 EFTA00049781

Coordinator position as a full-time position to provide the Psychology Department with an additional supervisory psychologist to perform critical clinical services. At the current time, the position is pending selection. We are currently in the process of requesting to hire a Staff Psychologist position to provide additional psychological services to inmates in the SHU, including therapy sessions with PSY ALERT, CC2-MH and CC3-MH inmates who are currently housed there. An additional psychologist could also monitor Hot List inmates arriving to the SHU and ensure they are housed with appropriate cellmates. This psychologist could conduct daily rounds to look for signs of psychological distress and address the concerns of our Long Term SHU inmates. Finally, an additional Staff Psychologist could assist with our daily crisis interventions and suicide risk assessments. 13. Sex Offense Risk Factors: A broad understanding of risk factors associated with sex offenders, by staff at MCC New York, did not appear to be present in all staff but was vital to his adjustment and safety in prison. A more focused management strategy is recommended, particularly in complex and high profile cases. Supplemental training on sex-offender specific risk factors is recommended for all staff and should be provided by Executive Staff and Psychology Services. Institution Response: 13. Sex Offense Risk Factors: The Chief Psychologist is a member of the Executive Staff. The Chief Psychologist or her designee continues to be present at all Executive Staff Meetings, Department Head Meetings, and SHU meetings. During these meetings, the Chief Psychologist offers feedback regarding the treatment and management of sex offender inmates. Additionally, the Chief Psychologist continues to educate all staff during Introduction to Correctional Techniques (ICT) and Annual Training (AD about the sex offender specific risk factors and suicidality. DOCUMENTS EXAMINED TRU-INTEL Download Report of Incident (583), 586, & Global Report TRUVIEW - Money Exchanged; Phone, Email, & Visitor Lists; Calls; Messages; Visits; Timeline TRU-SCOPE - Logs, High Risk Inmates, Inmates Lists, etc. Staff Memorandums Staff E-Mail Photographs of Scene; Deceased, Autopsy Video Showing Scene and Staff Response Sentry Documentation SIS Case File Index Psychology File PDS-BEMR Psychological Observation Procedural Memorandum Post Orders Lieutenant Logs Attorney Logs Staff Roster Medical Information/Records (BEMR) BOP Twenty-Four Hour Death Report Pre-Sentence Report Note(s) Left Behind by Deceased Time Line Autopsy Request & Report Inmate Central File Court Return Screening Form Prisoner Remand Form (If applicable) USM 129 Individual Custody/Detention Report (If applicable) Prisoner Custody Alert Notice 13 EFTA00049782

Staff Sign-In Log I Week Prior to Suicide (If applicable) Detention Orders (If applicable) 30 minute SHU rounds BP 292's 14 EFTA00049783

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: Register #: C is to) 4-4 co 9 ;" in vi E ct. 0 = (0 1631i —O"" .7,°1( ^- +ai 2 ▪ 44 cc O ,_ ...x . O O O -O i.,.. ..Y ... 4.0 Institution: . 4.1) O C 4, ifn O., .0 E cc as ---, cr) 46 1.. 8 i-- El _... (1) O tn MICC LLI v) CD G.) CU U 1:2- ."'" C r... (13 I- O Date Watch Began / Ended ,1-2. :C; 73 7.1 co O. co n. G OA C 5 3 3 c' .....c (.0 mivt72.4.1F) (i) u) tr) 0. v, u_ i- To be completed by Chief Psychologist at conclusion of watch: Booklet \ of I SWCL - INMATE EFTA00049784

STAPLE LOCAL PROCEDURES HERE Check one of the following: K This is the initial log book for this suicide watch. Enter date and time watch began: This is a continuation log book for this watch. Enter date and time this watch book was Initiated: —I -2,Z 00 60a,11 S I • Instructions to Observer: Document your observations every minute& Legibly print and sign your name at the beginning of your shift. EFTA00049785

PP37 Page 1 of I OmP.• •••••••• NYMBJ 531.01 * PAGE 001 OF 001 * INMATE HISTORY MED DY ST REG NO..: [7631r054 NAME EPSTEIN, JEFFREY EDWARD CATEGORY: DS FUNCTION: DIS FORMAT: * , 07-24-2019 12:32:30 FCL NYM ASSIGNMENT DESCRIPTION NOT MED CL NOT MEDICALLY CLEARED START DATE/TIME STOP DATE/TIME 07-06-2019 2124 CURRENT . NYM SUIC WATCH SUICIDE WATCH 07-23-2019 0140 07-24-2019 0845 G000S TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED • https://bop.tcp.doj.gov:9049/SENTRY/J1 PP I 60.do 7/24/2019 EFTA00049786

Suicide Wu ch Observation Log Name_of inmate Mt f • 2 V/4 Initials Reg *: WA93,/g COWC dale: 1/ Time Observations: Briefly note your observations. initial all entries. nt • , .- alas petferneav c",:.%.•,1/4 , , . , 1 \ 1 179 -14 -7 - tir "A‘' • •*&e.ter2:1, neriMaaWerwitjr:":' • Igics; r a , b..:e: stt-:.7 alt .- 3/4:6.7c- Ci. as..e0e r s M•10 /. 4; A ela >dCW)A S'a ZA7 .1. N ,cair. miclo tiLiSredera Vi41. 0 ; ; CgelesAr . -rtrisos, t7:4421124,14t4 tirai; trelibl te".41;tja N.1\- c a a •• . 400- ;•,. 4 — a t t rAirO fbiefri • 1 . 30 4411 es•inne , 6 era r6 1' ••€Z6 1 ;• 5 . 9 eef e ---S edit eri_ -4SW . tir e 1 :4 darn- ejth.rbdr2fr `k.. i.ja,,i, _ <7, ‘t..ZI! --ary • r‘st.% 1 .. 4 -5Oneh r „..inelaSe 2:9-)-Zoe:pi %AC; laWy : , • (,:t. : V: :.ir-÷- i 2. \ - apa Cre 1. 9 0 Yr .1.4E 01;647 ‹. ” 1/4 till ik nitne."6 . 'ti aake-iir: ,:0,447,6 /49t444,1‘r`i -•,,..: / CIC ‘).‘ sine;06) , ' -4 'ersPect..;eetcoxio , i .N r g: I ZaTh - ' I- t-E72,tkretly! eathei. , g vs-a- _S-1.41-tr2,432--‘0-..,66esi?, -1; frippinevo, gp#7,14: -4; a er..--/ e ti %6 4: 5-re -edr el-A7,4** OA 'd a•-• p- eita (Dr ---C-ete-6,---,SL. e:3 Oat" 2 Cl/flint/O "7- , er "Or Dit, -ecd-al tr .‘ -Arta -6Les, Note to all observers: Legibly print and sign your name at the beginning of your shift. • 1 EFTA00049787

Suicide Watch Observation Log Name of Inmate on watch: *J' sgita .7 Reg #: leigts --05---cr- Date:07. z.:3 4? Time Observations: Briefly note your observations. Initial all entries. Initials 54 :;Jaen tYentik: 7 V ' -: alste", - Clr . c: 44a 0 7 CAina r,e' er e- al --4 19--16 1 • re4 frPld . .-'14e -'4; C 46 1 5 44C1n Clinna& *12a iOr /4 . .,../410 .(kieCA421tisitirt.vteaS S -a4;Vitrieeers. -- • •C ‘ir 6t :00or teknisto eepa.a.4:2 - 6 .5ler-eity.e4-zer;rizi_. , '. 1,12-e3en.,---44/i44:sen*.;., 7,fiegit- 7),. .tte-32•54t. "0,-(4,r-L--N.73-).)- \ .. - %... ,:its.r...,.: .. . . -- a clirce. xez :-,e,te .ellrn,),-r.t.- ... .,.. ... .. 1 rar• pt. /fr.iii.7. A. _stint .t/we(Artriet V4. . . ,-- ; • - i Vrints.41. ---!--_,.. --rc- .-... .,-c...t.:-. ir/404,014, - 0t• 4 :Um" hinialr -7.1.6firli-se),),;: ittkit0a1... \ t .' • • ' trekildwt.. .`s.:-:. ,,.., : , ... '..,, .,, . .,:•• . ef-^-'4.1 ebt h'1'7 des, 1 ze.+14CA - 4 •••4t S 4 A; t 1 4 114- 49 g r i t• ' c " ' ' t rra q - AC aVil Ari riaits., pc4rAi ._14 Staity Jittegrakitimi :tig7; ' ' • /0 I 00 (ypyi a. 4-e _ Eps-4,410rark4as 40 Reek pet:411' ...;. v IS 5 4 4 9.corect ;-ivatuttetalattgilin lac Aitsti • - .-:::::: ;, %J.:6 - U . • - ficei:-.491, 3--)c-nat--n . :"..:......% . '.- ' ' 14 • . 4-- •.:1 .- • 0 IQ k SO Yr kindr 6. 4)5Yeal it 3?1, ,k).5. ifelgh.tai , . . - An, 0 pr. re-.), a ii--/-p--?.. ..eof Woi>4_07 ttr:,...,.. ,:1: 6c-- 10 -.161P byna : •Etc- .-ki /2-7m-7//017-07Y 714; "ti -e.:•• , t• .1 73/4 CP 4 line") SaiPl: 4 ,Xei,Vor.filit/ • . ju::-7,00)In 4,-Id P..), Ayirlik-ort*Einti kfradoK --•- Oet•:•...„ Note to all observers: Legibly print and sign your name at the beginning of your shit 2 EFTA00049788

( Suicide Watch Observation Log ourneatoethinmate Fps. vezyki Reg #: 1 /23/ .6"--6 :1- Date: 7 .23 91 Time Observations: Briefly note your observations. Initial all entries. Initials 09Th ic; --. --A7- --76)2 2 5---/e)aey)". .07-6henv — 7'f-So., -7-11/21472ta riThS'Idl- , j -I - r-lifi . 0, i O1-'1-'1 C::: - /le is r,, .t 4-t.//ti hirh ear, o7.5A Je-ri 71)2, C:3e Oral / ga, i ck 4A 7 - ,n ---( i /p :53am OC . ) rt--1,-,A, 1//7/9-7 ,Z i r r-, q 1/2 5.75 t ) :mann lorpt_A F74:54 iv,. 15 5-24/14,9 Oh -AA -Owl ac__ i e° hie be, o 11.-)069t) J Mm4 ir EA5-Afil7 psierbp/Ak i-7 erk — C5.- --- II -15arn fhtrur k -61:- 74-h-, /13- ri l!, &Ina, - C--)t- ii.3/9n- t er iiii--"44--, Cpcir- in 2_3 p.if- r-ii15 I ., O44.,,— 0C'. I 1 ;4'fil 7,12/2-101,- eftriroy.i-, ; S- 7.--1-1/pi a-71 litA ha 06.--- ea/..9t <eh; 5- i rt; 00P7 -iiime A- £ps 744-7 ic 5-thin'? Q -1 7 4k( .e. dir ° r hi C A ?CPI/ ailAhs- %:--55,-1-nrs,-274-- c€2--- 0 -W-45 bm-mic e`-ta-.74,-,)., /o,d ez4., - (2 :/ti A a dq,j eateu) cc° , 0, Aiii,(1.4 O la- e. a % is- tn, , _inmoie -cp)-741--, r .5- divn /241 A4-0 itcy • luopir _7nrnop-i-e ep,i-lein .1 t S' -11 ,}7 2 OA IL / 0-167m bra9le Etir47.fri irhe712 A/ A C> • 7C-, --reb-' /7/S c 7 -1 -911117# I/ 14 9n, Yen?" i fle P.41- 5 i 4 - do i 5 5-,1) /( A/4-1Yr ,,i,„,, Ce- P0oPh-, 2--Ty-ng,ie -nr_PLin is S/7// -5-7/ / 1-t/..q.--i2fr OC Note to all observers: Legibly print and sign your name at the beginning of your shift. 3 EFTA00049789

Suicide Watch Observation Log Name of inmate on watch: 'in fr7 Reg #: -7. bK -- (rd - Date: 7 . z3 . - ) li Time Observations: Briefly note your observations. Initial all entries. Initials / ;Kr), 77707411, l 'S- kv/a7/161,der d7 CC- ..4)/Z" I .;(0-}, /rim it ° d'ii.-. . / 1-1-1lcafrocap Or 51140-x- 4 betr. --- WC "PSte: Pft, 546 S \----____ • ( 5R>N5la, \ % ditP Situ ei c-- ' '-. - --r1 ,.. ____--- m i. ets-76,o asiv utt_t - 2:3-19 l ei " ..1)(U4 6 )n etki tkias (24-,,,,41.1 Ca....'., C-6GA C_ Ikr o . - C i vb., ePc kit- , \ S Abac.r.,0 a cc.4.4- eta, -- ----1-Z , M .145. . "-/s.4 .63-j-6 0 Is --CPsuc VO 6 RAT( Cptoca, _...--*/ eat/'6U -ti M CleSie 4°) is $ritt-43 sa•-ti 504'N L2. --- ---1 it•-•T gel ; --t- I AI\ epe„).e, 0 is ;TA C (C WC, Peor 5C i e No- ----litn . (4 0613 0 t lit^ r 1)(-)Cef.v..> . -S krAC(C, >Q t., PaeCt( n.ApNly. -- --(A- r 2SW 5/a^ 4-?Sit- w\J (S ict(C kA.0 4 ThaUvt cbiPityCe_ w "----- rite` es44. ,--/ i".• 4-<•‘--kco•-• G r..rskkrr n+e Pc..s,..“..) ,-- g .-, / • agahl Mt Nil- 1A. '‘ . • r lOr EC'S4e• N t S OLSCuSSW C) Pr.sot-4 1------ tYY v.nor.' Mc AZT- "- cao-- Di -SC) I-7i rn C 15 (42 -t - AN is 4- CA..(1/4 (MU Ngtx.,:t-- i-4-tCC ‘ eso_atiti.:a4C:LNle:e_ L 0 \ ° '7- U..' -tea .)0sA--thtatM.4-7)s.TP.'"cit.- ..5 r ( es" (--Ps4-e...2 is. eq7-.0(r- ctet-b-iLii - awl-44- -f- '" -3T. &'.c S (0 v..terst erk__ t 1:- 0'0 r (iv% ' '-'1•Ar . C:es tat-% -;.)‹...D.r.... to 1._.•-, du ear ? in . 1/45. le:C I ttt‘ (? 1Pc ) CeitS to Ze. SLOOP. EPS3Q .0 Se . Z -Z 1 "SO rt ,A,•• &P ne.r.s ' Ctct rt.) C3 r. .St-0 00.0. -2-2-t`45 icivN, E -ie_ , l I ecY:Qt,e Lift s n-+ CS' St e ?,E ----t—L-- xx. CNn c •-i • k-1- ..r t c._ ells o•ace, 12# -> Y IS5-c-s3 W•-• -----" ,- I Note to all observers: Legibly print and sign your name at the beginning of your shift. 4 EFTA00049790

Suicide Watch Observation Log otami nighl:"Tale C -951:E.1 " :*: 7 .:• • Re5 #713 ice- 0.91 'beat; 7b.M9 Time Observations: Briefly note your observations. Initial all entries. Initials ) OA I 4oridAfikt1;..De CARYtiiEl6a raiS.4./ . •..•:-:r, • 1 c5e4itte-SiiiejaP-Ltlekkac to *7 a . 4 1:1.0.1494/ OK 7 ./1? - :., se . . - f I tesPiq • - %IN 1 61'.-,i,f1,..s i i in4;1k i feLLEP6ttitLV ;s 6, i I • . ! C .:e.Q'iyt J1 3 904, litAta t: a 1\iti§iSi T.. • ••• e J.' , . ' , : fIl l .... • #11 144 0 1 ... . . X ' g Ad, ... k ' 1 CI 7-. Iv -t V'- , • 115.5PM r::.S.").1 P: ; Ft's,' AtiArii• • fritiA1/4 ... ‘I. isk ittAAtheWPSrSie - 1/WrIA kit ' 4,,;. .. raks-i ik, is tal ------2."‘!-. +w' --se'AAk .,, .64)5Ttnesci P irgt;, , 1....-gt.:74e37+-Azi/s; lat ikm .., 'ft 41Z-P51gi. itic • - • • "- rA6,14/4. N .. ... IM 15.)%fit I ---M— — . i cde i t • IQ a. . , 2,e, • f.',;•• - • •• ir, • 4v , . - • • IINMi it .. _. .. is SI - _ . , .. rr .• • ,A9%A. litmokERS-re illl c -. • ..., Ea . . a l5 ,4m, lAnn-46 0. - • G . r? I ' • • • • .. % ... a 3° AA -10a1 12: e RCS • A:54 1 • ". '7'. ,r p21 AM .; G,Deptbec 51)1 i:r.• s A.A. , t , , ..::::,..g.r. • ^ is (Mac if fi Ill& titiktht*ON tlitte455 ‘SeViefethsteovAili %iv apv, \.; EcrsTei'd ; -ti --calti( ..*P- 4A-z-s.-.4-tmg. . . : . ,.. CA7) Note to all observers: Legibly print aS sign your name at the beginning of your shift. 5 EFTA00049791

Suicide Watch Observation Log ol\lraiz eatocthInmate E9s.k_ea n Reg #: .7 h 5 ktb — osq Date: 7 p .i.,1/19 Initials Time Observations: Briefly note your observations. Initial all entries. 0 b00 Orel -*) 6- item ckuaors -,., kcia. ',taw', tq- AkA),. -k-Irne. C) 0'5\5 044 -5-k (Z'Dke‘(‘ o.vocs '1/2-6 be, SleeP1 O5-\------ U? 0.5'50 N•41 'S'Im F (Z`71k0IN Ageac X,, doe, 4A.R.i, :""`"----r— 0 1, 050 .earl 49(11 / 46., NANs 9.•,-1k6 ko Nio5 c,) ssck,, NVQ.49<5 cO \o& ,D1aelln 0„A- Wis \- \PAP, a\e-^^-- (.6 01‘00 cstn /Aki\ ibkeeelO Geo R'D.‘N. coko...i 5 VoL'AnPi 0414' 0" Re) qgt3M itekkgso ‘t ) \Der 6lee,e`',,0\ tk) Ala() 0.01 Vrtt c. qc.4t.ln \AAR (kic OtiAbm A 0 66P-kine .letne,. rta4 \Ativ 0,QQeecs )t 0 be Ac") \r fi V744 ko b\e.2A CA EAtitc (kri 1:\ri (zs-\c-ein to VI 04*, NA.W. \e94,40cwkolqi\e) NA,,I, Ase.nsk— vt{1/414( VeA.(e, tv,‘ovykk.se.., Sacitib, ,,,) v,e1 `oe.6 tit -. SA,-,(% O4\ 3 . 1. 069O o.ri "AM .Ore,stn %6 \Imo\ on ‘A-I' NitiA4- A -1-,e_i Isok,2.) \- t&(2,4 CA Nw, ciethca Xo \Am), 0,•%P.,0 OtJ\G (3,in 'S,V `De.Q,Q\c\ - (;?) cs‘,Ae\t\ 4xwe.cs \b \al2, o54,10(mil -5V1 VcgA-i,ft eAQ,,Iss Ao be, 4. • ,1 -Np_,,,40 , 04 42Loor u..42a-#.4 a(-. Wry% GV) 05(A am )4,-,A- irl Q5krA.f) o. p,k9sS ko tie, *AV (1) -----) 011.) Ob00 e‘rn (AI Q,Ae) a D,Vagc 5 A-O \oe. 40eVi n -- -7,- ---- (--J‘1, (N•Mckn '\tr\ 244,),r. Vol vtoki-e,f, oc. k. Jam. -16.,e, "004-scoorti clr2-) 0„q, vas ,,cant- 59 pie %.4Ae.1”; VQ. o4-0 N.4\ACA \--1(..a 44a$ - Noce,,z :T\ an 8, C.(3 tYttA'It..6.\ , • ---- Note to all observers: Legibly print and sign your name at the beginning of your shift. 6 EFTA00049792

Suicide Watch Observation Log N.,,a, rzeatocfhl:nmate E,c354 e., n Beg #: -763 Vt.- 054 Date: 7 0.119 Time Observations: Briefly note your observations. Initial all entries. Initials 0“0aPI I'V vi gPAOk aVeetC'D 40 be, `tei2PA cvf -Cinis 4inie,, brIp*--Fa.5f Ina 5 (to-, 4e,(4. \offs lia5) 424- i,,e..e/1 (.4 ClfAlati ro ‘.1)fli ei. ia.4-- 0b1{5-a, j T1/$1 10 be CAi Etsff:0 ilfeca(5 5tEelZ A o woo. 0-1 I i., 12 JU.4-1-,- -6'4.1 0)?- 4 l.— S 7: oo AP( , OUr s-(7241- gu p.„) sick) s g -A- f htglittNai 277 ' il'o 3 1/4e4., c__)s (-1- 7:151JM . /i., -Yr( 4Set:Lek. AtitL0-4 ;4 AaAl2-0421-0,576- .------ 64 1,9‘Os•tlk 16 -t) _eu, 40 c,,,,z( a tk o f L - r - hi,, ivka — j.z-, -7:30 API (.4 `E'pczt-ent\ ap,,,,,, lk:k-e s-QQ-e-i, — 7: 35-)4P4 "4 e pg4 e-ir) , ,6'-I't-tx) 0-4-c- { It'e erg hzk -7 : go 4,1 Vi-f F/9 -f-f(fi ce.-,..E. .s.—t_ rt.--r-c.)-,2/L 0--,--Naff ---- T she Vi - CRA - C 4- g.;60,am ,ti i -7: 1 --Ce, I 1 .- ,45z-tei-- dent.11 gl frA P-1 ---/I4 Ef. e.1-7-, to-Ltd"" , 4 kxc e tiL o_wu gc:204-01 y. ,imi.s.ii avve),A.)62' ---- i -) &Pzu;.-(wd )IM 4si-ti'n tit cif ?.:30A-vn ' y.bifi(,s5A s4)1 IMAr -euoiaA iIM ear __VICIl l 'r 1 V- DiA ,( 1.5 Sod 1 AA r il CIO-41 '901\A S /V fris,.. C)J00-cK -)-t f5t (6/ CC OF,SkS-vA-4icd-1 Note to all observers: Legibly print and sign your name at the beginning of your shift. 7 EFTA00049793

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: El- 5)41Y\ Register #: --149 °01- c5 Institution: Date Watch Began / Ended —1 (23 tl ONLY ITEMS ALLOWED: To be completed by Chief Psychologist at conclusion of watch: Booklet of Suicide Mattress SWCL - INMATE EFTA00049794

STAPLE LOCAL PROCEDURES HERE Check one of the following: K This is the initial log book for this suicide watch. Enter date and time watch began: K This is a continuation log book for this watch. Enter date and time this watch book was initiated: Instructions to Observer: Document your observations every minutes. Legibly print and sign your name at the beginning of your shift. EFTA00049795

Suicide Watch Observation Log Name of Inmate 1 A gal in r ., on watch: cr3 lc l'. i • Reg rt: it,SIS c6 Date: -1 25 I iq Time Observations: Briefly note your observations. Initial all entries. Initials i : Li()Aiv `(VGA &e(451,4 l>.4444 40 ctrl CC ( Le cp i 1 VII e9.--- L ICAm '. . IA-Limo\ 0,J geO a — , km 1 w c [Ai 2 s r Alt,. k 14t I ll o• kJ) hi ;' re fi0A-k -4 rii 16 frill 2 • 5 6,4,. IA Sr OVA cl wk 6r, -{'ti tul h VI( tin1/444 1/44/— Witt° -I- VIA ------- f 9, '. (.4 5/tbia ( f fr 4 O t:9-- .??A im i / A on 13 (• 3 % ino ' Dm 15e l c9 --- 5 ( c, i ( „3 .413v -ill, 4-4 [cis ff( 414(+S 6 9 iikei 3:36,stt gst Ci M ;tAc get ei< 0 ------ jt Citlik-i Or% ?..3 VW S;1 -I V r e% tegV\ t \ Qt. 7 D e l 3 1-----% I° t C D ..A IVA S tkill‘a sUi - 44— bettor .--kfrjAk tpi ci)--k_midi ?pi 147 -;1--t i ......_____ SW 17 S4 -.) n 4 (4) - -7 / 0 ,5 .- to ‘ vtA _3/ clir-p_ I i it ii--+ bCe f t - V bs.._ t, 414-h J th At ceit, " Is cij-Ithe t Ai, .-\ Art— I We- (9("kvi, er) --- Note to to all observers: Legibly print gaci sign your name at the beginning of your shift. 1 EFTA00049796

• Suicide Watch Chronological Log 7 11? )-.• • ... • IpAtitutiqn: Mee: tiew`CYX: DateWatch BegAm/ Ended 3uly 23,2on - soy 2,i, , o/ti To be completed by Chief Psychologist at conclusion of watch: Booklet of SWCL - STAFF EFTA00049797

STAPLE LOCAL PROCEDURES HERE • 6. : ' • •••• • Check one of the following: This Is the initial log book for this suicide watch.; Enter date and time watch began: July 23,2olci . ,6 • • 'El This a continuation log book for this watch: ;Entergate and time this watch boOkwSS:initiatele• • i• 'l c. • •': Instructions to Observer: Document your obsertations every 15 minutes. Legibly print and sign your name at the beginning of your shift. EFTA00049798

Ep3lein Suicide Watch Observation Log NamC of Inmate on watch: Reg #: --q(sp - Date: 1 2 Time Observations: Briefly note your observations. Initial all entries. Initials 1 A DAM 1 n rnaAe bro 1-) - down fo nu ic Vic WI 1+14 IT145A1/44 Inonfe 1 in on bed 2',00Am Inmol-e 5 f-14-irq • loe'd +diking 2 '. i 5A kl 1 nro:A4e L5Icii-enThi 5 CtlIrrni-e. 1-wed -1-0 KU ko.) 2;30,44 Inrri0r4e .5i 4-ii n9 nn bfci +(lino +0 rernernbev- vOyll- hn-Tentct 2'.45A,4 Inmate c5i4-14 on bed 3'-cioam Int-nal-e_ csi-t--i-icrl on bed a I5A0 L+. Anfier3:n 4-Ovese., pi Chtv-e-.5 DC i nirYY14E. O.-30Am Inraol-e. oil-4;r' on hed a' AS Am lnmni-e. 6i-Eiirn on bed I 4-.0DAm In rnal-e. ,_5;-1--hng on he'd 4', i5Am Innin-i-e. .5i-i-hnq on bed 4i3oAto nr,-,01e, , ),(a rd i .63 ai- door 401k1c9 4.-45Am Ininct-l-e, 646Arciir9 ci-i. door 4-0 16r, 5'. 00Am nrnai-e (5H-Fir on bcd 5:15Am I nrnale. L.54ardir9 al- door 5...3oAml lnmo4e. (541-in I no 04 door 5:45Am 4 Inn-nie c54-andino ci+ dooY G9'.013Am InryMe ,3-larcliry) al- door (D'.15Am lnrnci4e, (540M i r9 (1.4- do4r. . 4-2*3oAm trunea-Ve (.540fli'trri .2.1- occv (4). .45Am I r \ rnO+e_ (Nardi no a f- door -4-• Ot-) ANA in male- ,..0n(iin9 a4- Ow' Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00049799

Truscope.Silverl ight. Dashboard Page 1 of 2 11114 : V2318 • 8110019 A1543I AI 515 CadnIS 1 Al gs v 9 SOUTH SHU KoRa Irmte1isls 583s SIS Coital 114 DAs Day art* SIG Nat Irate; _ 4.11120191 8/11/2019 1 /61 LI Everts v (.4 et! Orent Base Curd: 24 logod SHIJ fautd , rIft. S9,t WOV2019 01.41 FN CV812019 08.40 ReEvenn; 1 Cfit0812019 06:39 fl4 %VW C4:33 csliEvui*Stiel 0810019 01:38 N1 000019 t6:38 Emig II if STEVEN DimaS 1 camesSilesualsurth srea Owen (AA Cd: 220. lqnk es: 2. WA& 76316054 • 165111.4, 1Eff6E1 butt: 7(318054 • I»ItL4, 3EFfThl elgigntr et *s... . (Cds) Retsn Scecfc Irat(s) '07P1M1965:17.404 reSaisava 071Z6I01903:05,441114caliv Noce to Brt Cart Nt 73 Witt: 76318054- EPSTEN, HEM Itusing Unt 07/10201901:25 F14, 7/1412019 0324 F1410,1 IROBffiTO GRUA Cfarge 1; Bet Cart In 71 Imutt: 763180`A • us a JERE) Sclet4 (9f19 1 07/1.0/2019 03:25 PH i17110.2019 03:24 Rip, R0EARO gLIALVA vsol Stab Innate: 76315054- Ef5TEK1Eff611 01/031201903:51 F14r07/08,2019 06:23 FMlea* ISM Sava Ovr.014 Bare Cart Cul 76broke 76315054 • &STEIN, .07/oMaie 0712 44 27107/2019 07 21 PH Ft* 10044a DAVIS axle tAist Cad In 76 Mate: 76316054 • (6511114, Wan iiieraippairtivoimppai4 Emig lec?aiyAs. pismisert), Ilmge: 76316054 • &STEIN, Jiff RE) 9 SMITH SHU 17 - Inmate Secth mum 51:ift 9ats n. Insttutim Froteti (MIA 4 10 rms 1616 - else. • I https://10.33.3.57/Dashboard.aspx 8/10/2019 EFTA00049800

Suicide Timeline re: Epstein, Jeffrey Edward, Reg. No. 73618-054 Saturday, August 10, 2019 6:33 am body alarm activated in SHU. Staff found inmate Epstein unresponsive in cell. Staff reported to bedside of inmate and attempted to wake him. Control announced medical emergency. CPR initiated. 6:35 am medical staff (on duty PA) on site, CPR already in progress medical staff continues CPR and AED applied on inmate. Control called for ambulance. 6:45 am EMS arrives, paramedics continue CPR. Inmate Epstein remains unresponsive. Inmate Epstein is intubated, given three rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport to local hospital. 7:10 am EMS departs institution enroute to Beekman Hospital. 7:36 am official time of death reported by ER physician. 9:55 am CMC and IDO depart institution with body enroute to Beekman Hospital. 10:00 am CMC and IDO arrive at Beekman Hospital, fingerprints and photographs taken of inmate Epstein. Inmate clothing secured and brought back to institution. 12:15 pm body released to Medical Examiner (ME) for autopsy EFTA00049801

Documentation re: Epstein, Jeffrey Edward, Reg. No. 73618-054 (deceased) Timeline (binder) Death notification letter (binder) Central File Corr Systems File Administrative Detention (AD) Order 7/29/19 (binder) Bureau Electronic Medical Record (binder) Psychology Data System-BEMR (binder) Psychology Observation log 7/8-10/19 and 7/24-30/19 Suicide Watch Chronological log 7/23/19 & 7/24/19 SENTRY PP44 PP37 (ARS, QTR) PP41 PP10 PPG° PPJ8 PD15 (Chrono) PSCD PP85 PR15 P78 Documentation re: Reyes, Efrain, Reg. No. 85993-054 (cellmate) Court documentation regarding WAB 8/9/19 SHU file Staff memos Dr. K. Schlessinger, Acting Chief Psychologist N. Bullock, IDO G. Adams, CO Dr. Miller, Chief Psychologist (email) R.C. Grijalva, SOS EFTA00049802

Miscellaneous Press Release Relevant emails Lt's log 8/9/19 & 8/10/19 30 minute check sheet 8/3-8/10/19 (binder) SRO review roster 8/6/19 SHU placement by tier 8/7/19 SHU roster 8/8/19 & 8/9/19 SHU report - weekly review dated 8/8/19 TRUSCOPE visual search log for Epstein TRUSCOPE all log activity for Epstein TRUSCOPE all log activity for Reyes Visual search log Attorney Conference log Attorney lobby log date 7/30/19 EFTA00049803

Suicide Timeline: RE: Epstein, Jeffrey Edward, Reg. No. 76318-054 Friday, August 9, 2019 8:00 am: inmate Reyes Efrain, Reg. No. 85993-054 departs for court (WAB-USMS-SDNY). Reyes is Epstein's cellmate. 8:30 am: inmate Epstein arrives in Attorney Conference. He is visited by several attorneys throughout the day. 6:45 pm: inmate Epstein departs attorney conference and returns to SHU. 7:00 pm: inmate Epstein provided a social call by IDO. IDO reports inmate Epstein was in good spirits, nothing unusual. Saturday, August 10, 2019 6:33 am: Body alarm activated in SHU. Staff found inmate Epstein unresponsive in cell. Staff reported to bedside of inmate and attempted to wake him. Control announced medical emergency. CPR initiated 6:35 am: Medical staff (on duty PA) on site, CPR already in progress medical staff continues CPR and AED applied on inmate. Control called for ambulance 6:40 am: S. Skipper-Scott, AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epstein remains unresponsive. Inmate Epstein is intubated, given three rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport to local hospital. 7:00 am: Institution placed on modified operations 7:10 am: EMS departs institution enroute to Beekman Hospital. 7:19 am: USMS notified of incident. EFTA00049804

7:20 am: SIS Lt notified. 7:30 am: L. N'Diaye, Warden arrives at institution. C.Edge, AW notified. 7:32 am: PIO notified of incident by the Warden. 7:36 am: Official time of death reported by ER physician. 7:40 am: Acting Chief Psychologist notified. 8:00 am: S.Skipper-Scott, AW and J. Darden, Captain arrives at institution. 8:10 am: SIS Lt arrives at institution. 8:10 am: CMC and SCSS notified. 8:34 am: FBI notified. 9:00 am: AUSA notified. 9:00 am: C. Edge arrives at institution. 9:00 am: SIS Lt. Reports to SHU. Interviews will be conducted with inmates assigned to tier. 9:15 am: CMC arrives at institution. 9:30 am: Acting Chief Psychologist arrived to the institution. 9:50 am: SCSS arrives at institution. 9:55 am: CMC and IDO depart institution En route to Beekman Hospital. 10:00 am: CMC and IDO arrive at Beekman Hospital, fingerprints and photographs taken of inmate Epstein. Inmate clothing secured and brought back to institution. 10:00 am: Judge Berman notified. 10:15 am: CMC returns to institution. 10:45 am: PIO arrived to the institution. EFTA00049805

11:00 am: Next of kin (brother) notified by Case Management Coordinator. 11:12 am: Press Release released to media. 11:15 am: Press Release provided to Judge Berman. 11:15 am: Crisis Support Team activated. 12:15 pm: Body released to Medical Examiner (ME) for autopsy 12:19 pm: FBI arrives. 1:35 pm: FBI arrives in Special Housing Unit. 1:40 pm: OIG notified by the warden and they will be sending an Agent to NYM. 2:15 pm: Crisis Support Team debrief conducted. 2:45 pm: OIG arrived in Special Housing Unit (SHU) 3:45 pm: OIG and FBI departed from SHU. 5:05 pm: OIG/FBI departed MCC New York. 5:30 pm: CST departed MCC New York. 10:15 pm: Computer Services Manager arrives at institution to remove hard drives (Computers) from SHU. And replaced with new ones. Sunday, August 11, 2019 8:00 am: Resumed normal operations. Attorney conference visits and social visits (Unit 3) resume. 12:15 am: Computer Services Manager departs the institution. 10:40 am: OIG Agent Kerwin, John and Agent Guido Modano arrives at institution. 11:15 am: OIG Agent Kerwin John, departs institution with two computers FPS 021407270 and FPS 0214207268. EFTA00049806

2:00 pm: Monday, OIG Agent Guido Modano departs the institution. August 12, 2019 1:00 pm: Staff recall conducted 3:14 pm: FBI arrives 7:56 pm: FBI departs 9:45 pm: FBI returns 10:30 pm: FBI departs Tuesday, August 13, 2019 8:00 am: Central Office staff arrive 7:30 am: Department Head meeting conducted 8:45 am: Regional Director arrives Wednesday, August 14, 2019 8:00 am: Suicide reconstruction team arrive EFTA00049807

Suicide Timeline re: Epstein, Jeffrey Edward, Reg. No. 73618-054 Friday, August 9, 2019 8:00 am inmate Reyes Efrain, Reg. No. 85993-054 departs for court (WAB-USMS-SDNY). Reyes is Epstein's cellmate. 8:30 am inmate Epstein arrives in Attorney Conference. He is visited by several attorneys throughout the day. 6:45 pm inmate Epstein departs attorney conference and returns to SHU 7:00 pm inmate Epstein provided a social call by IDO. IDO reports inmate Epstein was in good spirits, nothing unusual. 7:32 am PIO notified of incident by the Warden ***Inmate Reyes is released from court and does not return to the institution. Saturday, August 10, 2019 6:33 am body alarm activated in SHU. Staff found inmate Epstein unresponsive in cell. Staff reported to bedside of inmate and attempted to wake him. Control announced medical emergency. CPR initiated 6:35 am medical staff (on duty PA) on site, CPR already in progress medical staff continues CPR and AED applied on inmate. Control called for ambulance 6:40 am Skipper-Scott, AW notified 6:45 am EMS arrives, paramedics continue CPR. Inmate Epstein remains unresponsive. Inmate Epstein is intubated, given three rounds of Epinephrine, IV access started, I0 initiated. No pulse found, no shock advised, inmate prepared for transport to local hospital. 7:10 am EMS departs institution enroute to Beekman Hospital. 7:19 am USMS notified of incident. 7:20 am SIS Lt notified. 7:30 am N'Diaye, Warden arrives at institution. Edge, AW notified. 7:36 am official time of death reported by ER physician. 7:40 am Acting Chief Psychologist notified. 8:00 am Skipper-Scott and Captain Darden arrive at institution. 8:10 am SIS Lt arrives at institution. 8:10 am CMC and SCSS notified. 8:34 am FBI notified. 9:00 am AUSA notified. 9:00 am C. Edge arrives at institution. 9:00 am SIS Lt. reports to SHU. Interviews will be conducted with inmates assigned to tier. EFTA00049808

9:15 am CMC arrives at institution. 9:30 am Acting Chief Psychologist arrived to the institution. 9:50 am SCSS arrives at institution. 9:55 am CMC and IDO depart institution enroute to Beekman Hospital. 10:00 am CMC and IDO arrive at Beekman Hospital, fingerprints and photographs taken of inmate Epstein. Inmate clothing secured and brought back to institution. 10:00 am Judge Berman notified. 10:15 am CMC return to institution. 10:45 am PIO arrived to the institution. 11:00 am next of kin (brother) notified by Case Management Coordinator. 11:12 am press release is released to media. 11:15 am press release provided to Judge Berman. 11:15 am CST activated. 12:15 pm body release to Medical Examiner (ME) for autopsy 12:19 pm FBI arrives. 1:35 pm FBI arrives in Special Housing Unit. 1:40 pm OIG notified by the warden and they will be sending an Agent to NYM. 2:15 pm CST debrief conducted. 2:45 pm OIG arrived in Special Housing Unit (SHU). 3:45 pm OIG and FBI depart SHU. 5:05 pm OIG/FBI depart institution 9:10 pm Computer Services Manager (CSM) notified to report to institution to remove desktop from SHU. 10:15 pm CSM arrives at institution. 11:00 pm desktop removed from SHU and secured in SIS office. OIG will retrieve desktop tomorrow morning. 12:15 pm CSM departs institution. EFTA00049809

Suicide Timeline re: Epstein, Jeffrey Edward, Reg. No. 73618-054 Friday, August 9, 2019 8:00 am inmate Reyes Efrain, Reg. No. 85993-054 departs for court (WAB-USMS-SDNY). Reyes is Epstein's cellmate. 8:30 am inmate Epstein arrives in Attorney Conference. He is visited by several attorneys throughout the day. 6:45 pm inmate Epstein departs attorney conference and returns to SHU 7:00 pm inmate Epstein provided a social call by IDO. IDO reports inmate Epstein was in good spirits, nothing unusual. ***Inmate Reyes is released from court and does not return to the institution. Saturday, August 10, 2019 6:33 am body alarm activated in SHU. Staff found inmate Epstein unresponsive in cell. Staff reported to bedside of inmate and attempted to wake him. Control announced medical emergency. CPR initiated 6:35 am medical staff (on duty PA) on site, CPR already in progress medical staff continues CPR and AED applied on inmate. Control called for ambulance Inmate Epstein remains unresponsive. Inmate Epstein is intubated, given three rounds of Epinephrine, IV access started, IC) initiated. No pulse found, no shock advised, inmate prepared for transport to local hospital. 7:10 am EMS departs institution enroute to Beekman Hospital. 7:30 am N'Diaye, Warden arrives at institution. Edge, AW notified 7:36 am official time of death reported by ER physician 7:20 am SIS Lt notified. 8:00 am Skipper-Scott and Captain arrive at institution 8:10 am SIS Lt arrives at institution 8:10 am CMC and SCSS notified 8:34 am FBI notified 9:00 am AUSA notified 9:00 am C. Edge arrives at institution 9:00 am SIS Lt reports to SHU. Interviews will be conducted with inmates assigned to tier. 9:15 am CMC arrives at institution 6:40 am Skipper-Scott, AW notified 6:45 am EMS arrives, paramedics continue CPR. EFTA00049810

9:50 am SCSS arrives at institution 9:55 am CMC and IDO depart institution enroute to Beekman Hospital 10:00 am CMC and IDO arrive at Beekman Hospital. Fingerprints and photographs taken of inmate Epstein. Inmate clothing secured and brought back to institution. 10:00 am Judge Berman notified 10:15 am CMC return to institution 11:00 am next of kin (brother) notified by Case Management Coordinator 11:12 am press release is released to media 11:15 am press release provided to Judge Berman 11:15 am CST activated 12:15 pm body release to Medical Examiner (ME) for autopsy 12:19 FBI arrives EFTA00049811

From: Lee Plourde To: Doctor, Tijuana; Edge, Charisma; Petrucci, James; Skipper-Scott, Shirley V. Date: 8/15/2019 9:06 AM Subject: Fwd: Epstein #76318-054 >>> Karl Schlessinger 8/15/2019 9:03 AM >>> Went on watch July 23, 2019 1:40 am- Staff Watch Inmate Companion took over 7:00 am July 23, 2019 H01.001L Changed to psychology Observation July 24, 2019, 8:45am Ended Psychology Observation July 30, 2019 8:15am Inmate Companion H01-001L Psychology Observation July 8, 2019, 6pm End Psychology Observation July 10, 2019 9am H01-OO1L Kan M.Schlessinger, Psy.D., Ph.D. Forensic Psychologist LCDR United States Public Health Service Metropolitan Correctional Center 150 Park Row New York, New York 10007 646-836-6354 Fax- 646-836-7712 email- [email protected] EFTA00049812

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 12, 2019 TO: Warden N Diaye L. FROM: S/O/S Grijalva, R.0 SUBJECT: Passed information from Special Housing Unit On Friday August 9, 2019 at approximately 1:50 p.m, I S/O/S Grijalva passed on to oncoming staff member Officer Davis and present shift staff 5/O/S Shakir and Officer Joyner. That Inmate Reyes #85993-054 was going WAB and possibly may not return. Also that Inmate Epstein #76318-054 will be needing a cell mate upon arrival from his attorney visit. EFTA00049813

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U.S. Department of Justice Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office of the Warden January 27, 2020 MEMORANDUM FOR HUGH J. HURWITZ, ASSISISTANT DIRECTOR, REENTRY SERVICES DIVISION FROM: SUBJECT: M. Licon-Vitale, Warden, MCC New York Institution Response to Psychological Reconstruction Inmate Epstein, Jeffrey (76318-054) This is the response to the psychological reconstruction of inmate Epstein, Jeffrey (76318-054) dated December 27, 2019. 2. 30 Minute Rounds The substance of the two hour Captain video review and six hour IDO video review is unclear. Please clarify the requirement for the Captain and 113O. Additionally, please identify the documentation used to maintain accountability of the reviews. Institution Response: Video review requirements have been instituted by NERO. Specifically, on Tuesday of each week, the institution is notified by NERO of the date, time, and SHU range in which to download video. The video is a two hour block. The video is to be reviewed by the Captain. During the reviews the Captain is looking for strict adherence to the requirements that rounds be conducted at least once during every 30-minute period, not to exceed 40 minutes between rounds and that all scheduled counts are being conducted in the SHU. The Captain will then submit an assurance memo to the institutional executive staff and Correctional Services Administrator (CSA) indicating the designated video footage was reviewed, and corrective actions which were taken for any deficiencies noted. This memorandum will be submitted to the Regional Office by COB on Friday of that same week. Institutional Duty Officers (IDOs) are required to review 6 hours of SHU video. The surveillance footage is downloaded by the institutional SIA and a compact disk is provided to the IDOs for review. The IDOs are reviewing the video for accuracy of the 30 minute rounds. All reviews are documented in the weekly IDO Report. 1 EFTA00049815

3. Cellmate Assignments Documentation exists reflecting the role of the local Psychology Services department in communicating the importance of Mr. Epstein's status as a sex offender with specific needs to the Associate Warden. This includes consultation with the Psychology Services Branch in Central Office. The communication chain and decision making of Executive Staff lacks transparency as there is no documentation of the process or staff members present when decisions were made about the housing of Mr. Epstein. After the fact explanations may not accurately reflect what occurred. Institution Response: As was noted, there was no documentation indicating Psychology Services was present when housing decisions were made regarding Mr. Epstein. Psychology services is present at the weekly SHU meeting, Executive Staff meetings, and weekly Opening and Close-Out meetings. During these meetings, the Chief Psychologist or Acting Chief Psychologist are present to provide recommendations and feedback to the Executive Staff on housing concerns regarding inmates with mental health issues or risk factors for suicidality. When an inmate presents with unique risk factors associated with individuals who have been charged with and/or convicted of a sex offense, careful evaluation is made with regard to housing these inmates with appropriate cellmates. Moving forward, a plan has been established to have a sign-in sheet and checklist at these meetings where housing issues are addressed, indicating who was present and what the housing plan is for these inmates with psychological concerns. These checklists will be maintained in a binder by the Associate Warden of Programs. Please see the attached checklist. 4. Documentation Accuracy Professional responsibility requires taking into account multiple descriptions of an incident as noted in your response. However, when discrepancies exist these should be compiled and noted in documentation to decrease the likelihood of conflicting conclusions. As noted in the reconstruction report, an incident report must be written within 24 hours of having the information that an inmate likely violated BOP rules. An incident report was written for Mr. Epstein prior to a determination of whether he engaged in self-directed violence or was assaulted on July 23, 2019. Staff had ample time to wait for the outcome of the SIS investigation of this incident. The incident report presumed self-directed violence, although SIS was not able to determine whether this incident was self-directed violence or an assault. Generating the incident report for self-directed violence is evidence of a local bias about the July 23, 2019, incident that still exists amongst some staff at MCC New York. Preconceived notions challenge the ability to remain open about alternative explanations, and subsequent systemic changes may be needed. Please develop and provide local training for all staff that at a minimum reviews the time frame for writing incident reports and offers guidance when there is not clear evidence of an infraction. Include an outline of the training and evidence of staff who attended the training. Institution Response: Additional information (slides) has been included in our Annual Training presentations for Report Writing. In addition to the established training, the slides further differentiate and provide guidance to staff regarding when it is appropriate to write an Incident Report and when, in cases of a lack of evidence, a memorandum is more appropriate. The additional information is being provided to all staff as a part of Annual Training. Annual Training began the week of January 6, 2020, and will continue through the week of March 8, 2020. 2 EFTA00049816

5. Telephone Calls As noted in the response, there is a lack of documentation to substantiate that a lieutenant facilitated two telephone calls to Mr. Epstein. However, this does not address the report of two telephone calls being provided. This response implies that the reporting of two staff members is inaccurate. The response neglects the documented telephone call to Mr. Epstein's deceased mother. Institution Response: On August 29, 2019, Warden 3. Petrucci, signed a referral related to Bullock's failure to follow policy in allowing Epstein to complete an unmonitored phone call. The referral was submitted to the Office of Internal Affairs on that same date and is pending further action at this time. 7. Follow-Up Please provide documentation for the follow-up training provided to staff detailing the content of the training and to whom it was provided. Institution Response: As recommended by Central Office, the Chief Psychologist has conducted suicide prevention trainings during Department Head Meetings, e-mail correspondence, SHU Staff Trainings, and Lieutenant's Trainings. The follow-up training sign-in sheets, Department Head Meeting Minutes, and e-mails provided by psychology staff regarding PSY ALERT inmates are attached for your review. 8. Inmate Accountability and Assignment Accuracy Periodic and unannounced checks are now conducted in SHU to determine pp30 assignments and actual inmate placement match. Please provide an operational definition of periodic. Please do the same for routine, as it relates Executive Staff bed book counts in all units. Where will the periodic and routine reviews be documented and will they include the identity (e.g., name and title) of staff who complete them? Institution Response: An Executive Staff and Duty Officer schedule has been implemented to conduct daily 4 P.M. and 10 A.M. weekend bed book counts. Any discrepancies noted are documented and sent via email to Unit Mangers and Captain at the conclusion of each count for corrective action. Please see the attached schedule. 9. Attorney Log Books Please provide a copy of the log book audit. Institution Response: The audit revealed the Random Visitor Log Book did not reflect visitor pat searches after May 19, 2019. In addition, the log book does not offer a column to annotate a staff witness. The ContractorNolunteer Log Book was not always filled in properly. The Law Enforcement Log Book was up to date; however, the time of departure was not always documented. The Attorney Log was missing inmate register numbers and more often than not was legible. There was no Visitor Denial Log created. The audit conducted on September 25, 2019, is attached for your review. 3 EFTA00049817

Additional corrective measures will now include the Activities Lieutenant checking all Front Lobby log books. The Captain will ensure these checks are included in the Lieutenant's Daily Log for Day Watch and Evening Watch. In addition, the Activities Lieutenant will address any discrepancies immediately through on the spot training and/or performance log entries. 13. Sex Offense Risk Factors Psychologists are subject matter experts in sex offender risk factors and they play a crucial role in sharing this knowledge through traditional settings such as ICT, AT, and institutional meetings. However, Executive Staff play a pivotal role in establishing and addressing institutional culture and promoting and participating in training. A lack of a broad understanding of sex offender specific risk factors requires an intentional training approach led by Executive Staff. They must be out front talking about inmates with a sex offense, expressing an understanding of sex offender dynamics, modeling agency condoned expectations for the understanding and treatment of inmates with a sex offenses, and assisting with institutional trainings. These practices encourage a broader acceptance by line staff. Institution Response: The MCC New York Executive Staff are out front talking about inmates with sex offenses, and expressing an understanding of sex offender dynamics, modeling agency expectations for the understanding and treatment of inmates with sex offenses. This is done through departmental meetings, trainings, staff recalls and walking and talking throughout the institution. ATTACHED DOCUMENTS: Institution Duty Officer Report Cellmate Review Report Writing "Back to Basics Training" SHU Suicide Prevention Training Department Head Meeting minutes PSY ALERT inmates Bed Book Count Schedule (Exec Staff/IDO) Bed Book Audit (emails) Log Book Audit Executive Staff List 4 EFTA00049818

UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG Shift-Day-Date: M/W Friday, August 09, 2019 Beginning Count: 759 SHU: 77/5 miw Daily Sensitive Information: I/M Bright 476309-054 on Suicide Watch w/inmate companion I/M Gentile 471230-054 on Suicide Watch w/inmate companion I/M Ramos 485428-054 pending bed space(SHU) TIME CHRONOLOGICAL EVENTS BC SHU 12:00 AM Lieutenant G. Anderson assumes duties as the Morning Watch Operations Lieutenant. The fire alarm and sprinkler system are operational w/exception of Control Center Fire Panel. PREA announcement conducted via the Institution Public Address System and/or Radio. Restraint Equipment Cage inventory conducted. All equipment accounted for. Metal Detector checks conducted. All operative w/the exception of Rear Gate/Facilities/R&D. Roof Check completed. All secure. Temporary Chit Inventory: #1:2; 42:5; #3:5; #4:6; #5:5; #6:0; Hosp:0 759 77/5 12:00 AM Institution Count in progress 12:00 AM NYPD Phone Check 41142 12:09 AM Body Alarm testing in progress 12:16 AM Body alarm testing completed 12:30 AM Watch Calls cont. 12:35 AM Good Verbal count announced 12:55 AM Clear Institution count announced 759 77/5 3:00 AM Institution Count in progress 3:03 AM +1 TRTY TRANS(return): Jones #06178-104 to IN 760 3:27 AM Good Verbal count announced 3:29 AM Clear Institution count announced 760 77/5 5:00 AM Institution Count in progress 5:40 AM Good Verbal count announced 5:43 AM Clear Institution count announced 760 77/5 8:00 AM Relieved of duties by Lt. J. Durant as D/W Operations Lieutenant 760 77/5 STG International Terrorist phone calls monitored: WITSEC inquiry(s) was/were received during my tour of duty: The following Inmate(s) were placed in Administrative Detention: Name Reg: Number Reason Unit Time AD Order Ops Lt. G. Anderson Ending Count: 760 SHU: 77; 10-South: 05; SHU OBS: 00; Local Hosp: 00; H/A OBS: 02; B/A OBS: 00; Dry Cell: 00; H/A(PBS); 01; H/A (PCLAS); 00 EFTA00049819

UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG SHIFT-DAY-DATE: D/W - Friday, August 09, 2019 Beginning Count: 760 SHU:77/5 Diw Daily Sensitive /nformation: I/M Gentile #71230-054 on Suicide Watch w/inmate companion I/M Ramos #85428-054 on Psych obs. w/inmate companion. I/M Fernandez # 86824-054 on DRY Cell w/staff watch in R&D. 8:00 AM Lieutenant C. Perez assumes duties as the Day Watch Operations Lieutenant. The fire alarm and pump system is inoperable at this time. Fire Watch is in Progress. Unable to conduct PREA announcement over the Institution Public Address System, due to, system malfunction. Restraint Equipment Cage inventory conducted. All equipment accounted for. Metal Detector checks conducted. All operative w/the exception of Rear Gate. Roof Check completed. All secure. Temporary Chit Inventory: #1:0; #2:5; #3:5; #4:6; #5:6; #6:5; Hosp:0 Daily Hand Stamp :DJBE/LEFT HAND 760 77/5 8:00 AM NYPD Phone Check #2286 8:10 AM Body Alarm Test Initiated. 8:30 AM AM Census Conducted 8:38 AM 50501-054 BOOTH E01-506L to PRE REMOVE,55210-053 BUSSEY E02-513U to PRE REMOVE. 85993-054 REYES 206-220UAD to PRE REMOVE -3 757 76/5 8:50 AM Body Alarm Testing Complete. 8:58 AM 86627-054 JONES K12-069U to L HOSP USM -1 756 76/5 10:00 AM 81219-054 RAMIREZ E08-562L FT REL -1 755 76/5 10:24 AM -1 I/M Cuyler #89936-053 from ES to GCT REL 754 11:24 AM 79951-054 LORA new commit +1 755 76/5 12:30 PM PM Census Conducted 12:35 PM 86627-054 JONES return from L-Hosp +1 756 76/5 1:10 PM I/M Bright off suicide watch 2:41 PM -1 I/M Jones #06178-104 from IN to TREATY TRANS 755 3:15 PM I/M Fernandez #86824-054 placed on dry cell from ZA 75/5 3:45 PM Institutional lockdown for count. 4:00 PM Relieved of duties by Lt. M. Cannata E/W Operations Lieutenant. Visitation: ZA Inmates Adults Children Total 17 20 9 46 ION SCANNING TESTED HITS: 0 STG/High Alert phone calls monitored: WITSEC inquiry(s) was/were received during my tour of duty: 0 The following Inmate(s) were placed in Administrative Detention: 0 Name Reg Number Reason Unit TINE A/D Order Ops Lt C.Perez Act Lt J. Durant Ending Count:755 ; SHU:75 ; 10-South: 05; SHU OBS: 00; Local Hosp: 00; H/A OBS: 02; B/A OBS: 00; Dry Cell: 01 EFTA00049820

UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG SHIFT-DAY-DATE: E/W - Friday, August 9, 2019 Beginning Count: 755 SHU:75/5 FM' Daily Sensitive Information. I/M Gentile t71230-054 on Psych Obs w/inmate companion. I/M Ramos #85428-054 on PSYCH OBS. W/inmate companion. I/M Felix #85775-054 on Suicide watch w/inmate companion. I/M Wiliams #78640-054 on suicide watch w/ inmate companion. I/M Fernandez #86824-054 on Dry cell w/staff watch in R&D TIME CHRONOLOGICAL EVENTS B/C SHU 4:00 PM Lieutenant M. Cannata assumes duties as the Evening Watch Operations Lieutenant. Unable to conduct PREA announcement over the Institution Public Address System, due to, system malfunction. Restraint Equipment Cage inventory conducted. All equipment accounted for. Metal Detector checks conducted. All operative w/the exception of Rear Gate. Roof Check completed. All secure. Temporary Chit Inventory: #1:4; #2:4; #3:5; #4:5; #5:5; #6:3; 755 75/5 4:00 PM Institution count in progress. 4:01 PM NYPD Phone Check #2624 4:08 PM Body alarm testing in progress. 4:37 PM Body alarm testing completed 5:00 PM Good verbal count 5:03 PM Clear institutional count. 755 75/5 6:00 PM Watch call in progress 6:34 PM I/M Hemmingway #14728-053 from ZA to ES 755 74/5 6:39 PM +1 I/M Matthews #91753-054 from BAIBOND to RA 756 6:47 PM I/M Reid #85609-054 from ZA to GS 73/5 7:45 PM Trash run in progress 8:12 PM +1 I/M Carreon #82858-198 from BAILBOND to RA 757 8:21 PM I/M Felix #85775-054 and I/M Williams #78640-054 from ZA to Suicide watch 71/5 8:28 PM I/M Garcia-Pena #79043-054 from KN to ZA Introduction of tobacco 72/5 8:36 PM +1 I/M Mutimura #76329-054 from REL to RA 758 8:42 PM Trash run complete 10:00 PM Institutional count in progress. 10:41 PM Good verbal count announced. 10:43 PM Clear institutional count announced. 758 72/5 12:00 AM Relieved of duties by G. Anderson as the M/W Lieutenant. VISITING: KN INMATES ADULTS CHILDREN TOTAL 32 32 7 71 STG/High Alert phone calls monitored: WITSEC inquiry(s) was/were received during my tour of duty: 0 The following Inmate(s) were placed in Administrative Detention: 0 NAME REG NUMBER REASON UNIT TIME A/D ORDER GARCIA-PENA 79043-054 331 KN 8:28 PM YES EFTA00049821

UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG Ops. Lt. M. Cannata Ending Count:758 ; SHU: 72; 10-South: 05; SHU OBS: 00; Act. Lt. R. Silvia Local Hosp: 00; H/A OBS: 04; B/A OBS: 00; Dry Cell: 01; B/A SHU: 00 EFTA00049822

UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG Shift-Day-Date: M/W Saturday, August 10, 2019 Beginning Count: 758 SHU: 73/5 miw Daily Sensitive Information: I/M Felix 85775-054 on Psych Obs. w/inmate companion I/M Williams #78640-054 on Psych Obs. w/inmate companion I/M Gentile #71230-054 on Psych Obs. w/inmate companion I/M Ramos #85428-054 Psych Obs. w/inmate companion I/M Fernandez #86824-054 on Dry Cell w/inst. Staff(R-A) TINE CHRONOLOGICAL EVENTS BC SHU 12:00 AM Lieutenant G. Anderson assumes duties as the Morning Watch Operations Lieutenant. The fire alarm and sprinkler system are operational w/exception of Control Center Fire Panel. PREA announcement conducted via the Institution Public Address System and/or Radio. Restraint Equipment Cage inventory conducted. All equipment accounted for. Metal Detector checks conducted. All operative w/the exception of Rear Gate/Facilities/R&D. Roof Check completed. All secure. Temporary Chit Inventory: #1:2; 42:5; #3:5; 44:6; 45:5; 46:0; Hosp:0 758 73/5 12:00 AM Institution Count in progress 12:00 AM NYPD Phone Check #1283 12:15 AM Body Alarm testing in progress 12:23 AM Body alarm testing completed 12:30 AM Watch Calls cont. 12:35 AM -1 SHU(correction): Fernandez 486824-054(DRY CELL R-A) 72/5 12:36 AM Good Verbal count announced 12:49 AM Clear Institution count announced 758 72/5 3:00 AM Institution Count in progress 3:19 AM Good Verbal count announced 3:24 AM Clear Institution count announced 758 72/5 5:00 AM Institution Count in progress 5:29 AM Good Verbal count announced 5:30 AM Clear Institution count announced 758 72/5 Lieutenant S. Jean on Board at approximately 5:30am relieving Lt Anderson of duty. 6:33 AM Medical emergency announced for Unit 9 South inmate Epstein 476318-054 found unresponsive in cell Z06-220 CPR in progress 6:35 AM 911 Emergency service notified 6:43 AM E.M.S ambulance arrives to the Health Service Area, continued CPR in progress by E.M.T. 7:10 AM E.M.S/BOP staff depart with inmate Epstein 476318-054 via ambulance to local hospital continuation of CPR is still in progress by EMT. 757 71/5 7:36 AM Bop staff called to notify institution that inmate Epstein # STG International Terrorist phone calls monitored: WITSEC inquiry(s) was/were received during my tour of duty: The following Inmate(s) were placed in Administrative Detention: Name Reg: Number Reason Unit Time AD Order Ops Lt. S. Jean Ending Count: 758 SHU: 71; 10-South: 05; SHU OBS: 00; Local Hosp: 00; H/A OBS: 04; B/A OBS: 00; Dry Cell: 01; H/A(PBS); 00; H/A (PCLAS); 00 EFTA00049823

UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG SHIFT-DAY-DATE: D/W - Friday, August 09, 2019 Beginning Count: 757 SHU:71/5 i)dfig Daily Sensitive Information: I/M Gentile #71230-054 on Psych obs w/inmate companion I/M Ramos #85428-054 on Psych obs. w/inmate companion. I/M Fernandez # 86824-054 on DRY Cell w/staff watch in R&D. 8:00 AM Lieutenant S. Jean assumes duties as the Day Watch Operations Lieutenant. The fire alarm and pump system is inoperable at this time. Fire Watch is in Progress. Unable to conduct PREA announcement over the Institution Public Address System, due to, system malfunction. Restraint Equipment Cage inventory conducted. All equipment accounted for. Metal Detector checks conducted. All operative w/the exception of Rear Gate. Roof Check completed. All secure. Temporary Chit Inventory: #1:0; #2:5; #3:5; #4:6; #5:6; #6:5; Hosp:0 Daily Hand Stamp :DJBE/LEFT HAND 757 71/5 8:00 AM NYPD Phone Check #3371 8:00 AM Body Alarm Test Initiated. 8:20 AM Body Alarm Testing Complete. 10:00 AM Institutional count in progress 757 71/5 11:22 AM Good verbal count announced 11:24 AM Clear institutional count 757 71/5 3:45 PM Institutional lockdown for count. 3:57 PM +1; I/M Mutimura #76329-054 757 71/5 3:58 PM I/M Fernandez #86824-054 transferred to special housing (dry cell) 757 72/5 3:59 PM -1 Bail Bond; Carreon-Macias #82858-198 756 72/5 4:00 PM Relieved of duties by Lt. M. Cannata E/W Operations Lieutenant. Visitation: CANCELLED Inmates Adults Children Total ION SCANNING TESTED HITS: 0 STG/High Alert phone calls monitored: WITSEC inquiry(s) was/were received during my tour of duty: 0 The following Inmate(s) were placed in Administrative Detention: 0 Name Rag Number I Reason I Unit TINE 1 A/D Order Opts Lt S. Jean Act Lt M. Canatta Ending Count:756 ; SHU:72 ; 10-South: 05; SHUT CBS: 00; Local Hosp: 00; H/A OBS: 02; B/A OBS: 00; Dry Cell: 00 EFTA00049824

UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG SHIFT-DAY-DATE: E/W - Saturday, August 10, 2019 Beginning Count: 756 SHU:72/5 'gig' Daily Sensitive Information. I/M Gentile #71230-054 on Psych Obs w/inmate companion. I/M Ramos #85428-054 on PSYCH OBS. W/inmate companion. I/M Felix #85775-054 on Suicide watch w/inmate companion. I/M Wiliams #78640-054 on suicide watch w/ inmate companion. TIME CHRONOLOGICAL EVENTS B/C SHU 4:00 PM Lieutenant D. Medina assumes duties as the Evening Watch Operations Lieutenant. Unable to conduct PREA announcement over the Institution Public Address System, due to, system malfunction. Restraint Equipment Cage inventory conducted. All equipment accounted for. Metal Detector checks conducted. All operative w/the exception of Rear Gate. Roof Check completed. All secure. Temporary Chit Inventory: #1:4; #2:4; #3:5; #4:5; #5:5; #6:3; 756 72/5 4:00 PM Institution count in progress. 4:01 PM NYPD Phone Check #1980 4:16 PM Body alarm testing in progress. 4:32 PM Body alarm testing completed 5:02 PM Good verbal count 5:13 PM Clear institutional count. 756 72/5 6:00 PM Watch call in progress 7:24 PM I/M Williams #78640-054 and Felix #85775-054 transferred to special housing (psych observation) 756 74/5 7:45 PM Trash run in progress 8:42 PM Trash run complete 10:00 PM Institutional count in progress. 10:21 PM Good verbal count announced. 10:38 PM Clear institutional count announced. 756 74/5 12:00 AM Relieved of duties by G. Anderson as the M/W Lieutenant. VISITING: INMATES ADULTS CHILDREN TOTAL STG/High Alert phone calls monitored: WITSEC inquiry(s) was/were received during my tour of duty: 0 The following Inmate(s) were placed in Administrative Detention: 0 NAME REG NUMBER REASON UNIT TIME A/D ORDER Ops. Lt. D. Medina Act. Lt. S. Jean Ending Count:756 ; SHU: 74; 10-South: 05; SHU OBS: 00; Local Hosp: 00; H/A OBS: 02; B/A OBS: 00; Dry Cell: 00; B/A SHU: 00 EFTA00049825

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U.S. Department of Justice Federal Bureau of Prisons Office of the Warden Metropolitan Correctional Center 150 Park Row New York. New York 10007 (646)8364300. (646) 836-7551 (Pax) August 10, 2019 Mark Epstein 301 E. 66 Street New York, NY, 10065 Dear Mr. Epstein: I am writing to express our condolences to you regarding the passing of your brother, Jeffrey Edward Epstein, who passed away on Saturday, August 10, 2019. On August 10, 2019, Jeffrey Edward Epstein was pronounced deceased at the New York Presbyterian-Lower Manhattan Hospital in New York, New York. I regret the loss you are suffering under these circumstances. At this time, there are no preliminary reports identifying the exact cause of death. Inmate Epstein's personal effects and funds will be forwarded to you in the near future. Although I realize that words alone cannot lessen your sorrow, I hope that my thoughts and sincerest sympathy will be of some comfort to you. Sincerely, Lamine N'Diaye Warden MCC New York EFTA00049829

From: Robert Nagle To: N'Diaye, Lamine CC: Leukeleld, Alison; Nagle, Robert Date: 8/12/2019 8:59 AM Subject: Psychological Reconstruction Attachments: Reconstruction Documentation List Request.docx; Nagle. Robert.vcf Warden NDiaye. Thank you for supporting our scheduling of the Psychological Reconstruction for inmate Epstein. I will be joined by Richard Hollingsworth, Correctional Services Administrator, Northeast Region. I am attaching a list of materials we will use to complete the reconstruction. We routinely take these documents with us so please ensure you have a copy of any documents you also need. Your assistance in gathering these documents is appreciated and will be helpful. Organizing and facilitating staff interviews often takes the most time and I am requesting the assistance of an assigned staff member. In the past, wardens commonly have someone from the SIS department or a lieutenant available throughout the reconstruction for this purpose and to track down additional documents as needed. As discussed we will be staying at the Sheraton Tribeca on 370 Canal Street and appreciate your arranging travel to the institution. We will be ready for pickup at 0715 on Tuesday morning and expect to complete the reconstruction by close of business on Thursday. Please feel free to contact me with any questions. Thanks, Rob Robert W. Nagle. Psy.D. National Suicide Prevention Coordinator Federal Bureau of Prisons Psychology Services Branch 320 First Street, NW Washington, DC. DC 20534 202.598.2321 (O) EFTA00049830

From: Robert Nagle To: N'Diaye, Lamine CC: Leukeleld, Alison; Nagle, Robert Date: 8/12/2019 8:59 AM Subject: Psychological Reconstruction Attachments: Reconstruction Documentation List Request.docx; Nagle. Robert.vcf Warden NDiaye. Thank you for supporting our scheduling of the Psychological Reconstruction for inmate Epstein. I will be joined by Richard Hollingsworth, Correctional Services Administrator, Northeast Region. I am attaching a list of materials we will use to complete the reconstruction. We routinely take these documents with us so please ensure you have a copy of any documents you also need. Your assistance in gathering these documents is appreciated and will be helpful. Organizing and facilitating staff interviews often takes the most time and I am requesting the assistance of an assigned staff member. In the past, wardens commonly have someone from the SIS department or a lieutenant available throughout the reconstruction for this purpose and to track down additional documents as needed. As discussed we will be staying at the Sheraton Tribeca on 370 Canal Street and appreciate your arranging travel to the institution. We will be ready for pickup at 0715 on Tuesday morning and expect to complete the reconstruction by close of business on Thursday. Please feel free to contact me with any questions. Thanks, Rob Robert W. Nagle. Psy.D. National Suicide Prevention Coordinator Federal Bureau of Prisons Psychology Services Branch 320 First Street, NW Washington, DC. DC 20534 202.598.2321 (O) EFTA00049831

NATIONAL SUICIDE PREVENTION PROGRAM SUICIDE RECONSTRUCTION MATERIALS (6-30.7015I The following is a list of requirements, resources and documentation needed to conduct a thorough reconstruction. It is also important to have one person identified who will coordinate documentation collection, interview scheduling, and serve as a contact person for the reconstruction team. Typically, this person would be the SIA. Having the following items collected in a tabulated binder will expedite the review process and ensure that relevant data is examined. Please remember that not all items will be available or applicable to every case. A copy of this binder will be a permanent record that leaves with the reconstruction team. O Cell/Location of Suicide is secured until the arrival of the Reconstruction Team when feasible O TRU-INTEL Download Report of Incident (583), 586, & Global Report O TRUVIEW Report — Money Received/Sent; Phone Lists: Calls: Email Lists; Messages; Visitor Lists; Visits; Timeline O Memorandums From Staff (List of MI Staff Involved) O Photographs of Scene, Deceased and Autopsy — Saved to a CD/DVD — Please do not print. O All Video Showing Scene and Staff Response — If none, documentation noting why not — Saved to a CD/DVD O Video of the Scene for the Eight Hours Preceding Incident — Saved to a CD/DVD O Police Report when appropriate O FBI Referral including acceptance or declination O Inmate Mass Interviews (if applicable) O Last Staff Member to See Inmate Alive O Last Inmate to See Inmate Alive O Sentry Documentation: PP44 Inmate Profile. PP37 Inmate History. 41 Inmate Load Data.10 CMC Clearance and Separtee Data, GO Security/Designation Data, J8 Assignment History, 15 Chronological Disciplinary Record, PSCD Sentence Data O SIS Case File Index o Receipt of Property Form o Evidence Recovery Log (if applicable) o Chain of Custody o Photograph Logs o Coroner's Receipt O Psychology File (PDS-BEMR) O Medical Information/Records (BEMR) O BOP Twenty-Four Hour Death Report O Multi-Level Mortality Review Report O Judgment & Commitment Order O Pre-Sentence Report O Any Note(s) Left Behind by Deceased O Most Recent Screening For Risk of Victimization & Abusiveness O Detailed Time Line (Minute by Minute Breakdown of What Occurred) O 30 minute SHU rounds for one week prior to suicide if in SHU or secure unit O Staff Sign-In Log I Week Prior to Suicide (SHU) O Detention Orders O Secured Personal Property — Please do not send property home until team arrives and reviews. O Notification of Death O Autopsy Request & Report O BP 292's & 295's - (SHU Program) Available for Review Only - Please do not make copies: O Hard Medical File (when one exists) O Inmate Central File EFTA00049832

NATIONAL SUICIDE PREVENTION PROGRAM SUICIDE RECONSTRUCTION MATERIALS (6-30.7015I The following is a list of requirements, resources and documentation needed to conduct a thorough reconstruction. It is also important to have one person identified who will coordinate documentation collection, interview scheduling, and serve as a contact person for the reconstruction team. Typically, this person would be the SIA. Having the following items collected in a tabulated binder will expedite the review process and ensure that relevant data is examined. Please remember that not all items will be available or applicable to every case. A copy of this binder will be a permanent record that leaves with the reconstruction team. O Cell/Location of Suicide is secured until the arrival of the Reconstruction Team when feasible O TRU-INTEL Download Report of Incident (583), 586, & Global Report O TRUVIEW Report — Money Received/Sent; Phone Lists: Calls: Email Lists; Messages; Visitor Lists; Visits; Timeline O Memorandums From Staff (List of MI Staff Involved) O Photographs of Scene, Deceased and Autopsy — Saved to a CD/DVD — Please do not print. O All Video Showing Scene and Staff Response — If none, documentation noting why not — Saved to a CD/DVD O Video of the Scene for the Eight Hours Preceding Incident — Saved to a CD/DVD O Police Report when appropriate O FBI Referral including acceptance or declination O Inmate Mass Interviews (if applicable) O Last Staff Member to See Inmate Alive O Last Inmate to See Inmate Alive O Sentry Documentation: PP44 Inmate Profile. PP37 Inmate History. 41 Inmate Load Data.10 CMC Clearance and Separtee Data, GO Security/Designation Data, J8 Assignment History, 15 Chronological Disciplinary Record, PSCD Sentence Data O SIS Case File Index o Receipt of Property Form o Evidence Recovery Log (if applicable) o Chain of Custody o Photograph Logs o Coroner's Receipt O Psychology File (PDS-BEMR) O Medical Information/Records (BEMR) O BOP Twenty-Four Hour Death Report O Multi-Level Mortality Review Report O Judgment & Commitment Order O Pre-Sentence Report O Any Note(s) Left Behind by Deceased O Most Recent Screening For Risk of Victimization & Abusiveness O Detailed Time Line (Minute by Minute Breakdown of What Occurred) O 30 minute SHU rounds for one week prior to suicide if in SHU or secure unit O Staff Sign-In Log I Week Prior to Suicide (SHU) O Detention Orders O Secured Personal Property — Please do not send property home until team arrives and reviews. O Notification of Death O Autopsy Request & Report O BP 292's & 295's - (SHU Program) Available for Review Only - Please do not make copies: O Hard Medical File (when one exists) O Inmate Central File EFTA00049833

NATIONAL SUICIDE PREVENTION PROGRAM SUICIDE RECONSTRUCTION MATERIALS (6-30.7015I The following is a list of requirements, resources and documentation needed to conduct a thorough reconstruction. It is also important to have one person identified who will coordinate documentation collection, interview scheduling, and serve as a contact person for the reconstruction team. Typically, this person would be the SIA. Having the following items collected in a tabulated binder will expedite the review process and ensure that relevant data is examined. Please remember that not all items will be available or applicable to every case. A copy of this binder will be a permanent record that leaves with the reconstruction team. O Cell/Location of Suicide is secured until the arrival of the Reconstruction Team when feasible O TRU-INTEL Download Report of Incident (583), 586, & Global Report O TRUVIEW Report — Money Received/Sent; Phone Lists: Calls: Email Lists; Messages; Visitor Lists; Visits; Timeline O Memorandums From Staff (List of MI Staff Involved) O Photographs of Scene, Deceased and Autopsy — Saved to a CD/DVD — Please do not print. O All Video Showing Scene and Staff Response — If none, documentation noting why not — Saved to a CD/DVD O Video of the Scene for the Eight Hours Preceding Incident — Saved to a CD/DVD O Police Report when appropriate O FBI Referral including acceptance or declination O Inmate Mass Interviews (if applicable) O Last Staff Member to See Inmate Alive O Last Inmate to See Inmate Alive O Sentry Documentation: PP44 Inmate Profile. PP37 Inmate History. 41 Inmate Load Data.10 CMC Clearance and Separtee Data, GO Security/Designation Data, J8 Assignment History, 15 Chronological Disciplinary Record, PSCD Sentence Data O SIS Case File Index o Receipt of Property Form o Evidence Recovery Log (if applicable) o Chain of Custody o Photograph Logs o Coroner's Receipt O Psychology File (PDS-BEMR) O Medical Information/Records (BEMR) O BOP Twenty-Four Hour Death Report O Multi-Level Mortality Review Report O Judgment & Commitment Order O Pre-Sentence Report O Any Note(s) Left Behind by Deceased O Most Recent Screening For Risk of Victimization & Abusiveness O Detailed Time Line (Minute by Minute Breakdown of What Occurred) O 30 minute SHU rounds for one week prior to suicide if in SHU or secure unit O Staff Sign-In Log I Week Prior to Suicide (SHU) O Detention Orders O Secured Personal Property — Please do not send property home until team arrives and reviews. O Notification of Death O Autopsy Request & Report O BP 292's & 295's - (SHU Program) Available for Review Only - Please do not make copies: O Hard Medical File (when one exists) O Inmate Central File EFTA00049834

U.S. Department of Justice Federal Bureau of Prisons Metropolitan Correctional Center New York ISO Park Ron. New York. New York 10007 (646) 836-6300 MEMORANDUM FOR J. r UCCI, WARDEN, METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NEW YORK e mit icy_o FROM: Elis R Chief Psychologist, MCC New York THRU: Charisma Et Associate Warden, Programs, MCC New York SUBJECT: RESUBMITTAL OF PROCEDURAL MEMORANDUM FOR PSY ALERT INMATES I. PURPOSE,: To establish procedures at the Metropolitan Correctional Center (MCC), New York, New York, with regard to inmates with a PSY ALERT assignment. 2. DEFINITION: The Case Management Activity (CMA) Psychology Alert (PSY ALERT) assignment is applied to inmates with substantial mental health concerns that require extra care when their housing is changed or they arc transferred. Generally, the PSY ALERT assignment is to be applied in special mental health cases that will likely post management and security concerns for the institution when an inmate's housing is changed or when a transfer occurs. The guiding principle of the PSY ALERT assignment is continuity of cart. Inmates with a PSY ALERT assignment arc reviewed by a psychologist upon arrival. Inmates with a PSY ALERT assignment must always have a face to face interview with a psychologist before releasing to general population. Placement in SHU in lieu of general population is not an acceptable alternative to a face to face interview with a psychologist. If an inmate with a PSY ALERT assignment arrives at the institution during a time period when no psychologist is scheduled to be on duty, the face to face interview is conducted by the Mental Health Duty Officer. EFTA00049835

In addition, inmates with a PSY ALERT' assignment are reviewed by a psychologist when under consideration for a transfer and when placed in restrictive housing. To ensure this review occurs, applicable inmates receive a PSY ALERT assignment in SENTRY, as described in the Program Statement 5324.007 SENTRY Psychology Alert Function. Enhanced psychological review procedures for inmates with a PSY ALERT assignment are detailed in the above Program Statement, as well as general guidelines for placing an inmate in PSY ALERT status. 3. PROCEDURE: The following are the local procedural guidelines for PSY ALERT Inmates: A. Inmates who initially enter and/or transfer into the institution with a PSY ALERT assignment will be seen by a member from the Psychology Services Department immediately and prior to being released to the general population. R&D will review the PP44 code and Intake Screeners will utilize the PPM to determine if inmates entering the facility have a PSY ALERT assignment. If there is no psychologist in the institution when a PSY ALERT inmate is identified and/or if it is during non-duty hours, the Operations Lieutenant will immediately be notified and will then contact the on-call psychologist. The on- call psychologist will come in after hours to screen the inmate in Receiving and Discharge (R&D) and determine their appropriateness for general population, as well as any other pertinent housing considerations, prior to the inmate's release to general population. B. Inmates may also be assigned a PSY ALERT function code by a psychologist while housed at this institution. Psychologists will consider not only inmates with substantial mental health concerns for a PSY ALERT assignment, but will use PSY ALERT codes more frequently with high profile cases and with inmates with a history or charge of a sex offense. The PSY ALERT code is applied more immediately and not just when an inmate is about to leave the institution. C. If any movement occurs with an existing PSY ALERT inmate, psychology must be verbally notified immediately when the inmate returns back to the institution. This would include movement from court, institutional movement, or hospital trips. D. The Psychology Services Department will also be notified of a PSY ALERT inmate's movement prior to the inmate leaving. The Psychology Services Department will be provided with the court lists as well as the Prisoner Schedule Report on a daily basis. These reports will be reviewed daily by a member of Psychology Services to assess whether a PSY ALERT inmate is scheduled to attend court the following day. EFTA00049836

E. When an existing PSY ALERT inmate who has already been initially screened by the Psychology Services Department returns from court with a notice from the Judge or Marshal's Office indicating imminent mental health concerns or concerns related to suicidality, the l'SY ALERT inmate will be seen by a psychologist immediately and prior to their return to general population. A psychologist will determine at that time if a PSY ALERT inmate is ready to return to general population, their psychological stability, and their treatment needs. If the inmate returns after hours and there is no psychologist in the institution, the PSY ALERT inmate will be placed on suicide watch pending a suicide risk assessment by a psychologist. The Operations Lieutenant, On-Call Psychologist and Warden will be notified. F. When an existing PSY ALERT inmate who has already been initially screened by the Psychology Services Department returns from court routinely and without a notice from the Judge or Marshal's Office, they will be screened by a member of the Psychology Services Department within 24 hours to assess if they are experiencing any significant distress regarding their court proceedings that may be exacerbating their mental health difficulties and/or risk factors. G. The Psychology Services Department will conduct training with R&D staff annually and upon re-issuance of this procedural memorandum, to help train them about PSY ALERT inmates and to recognize signs of psychological distress and suicidality. cc: NYM/Correctional Services NYM/Health Services Administrator NYM/ Psychology Services NYWWarden NYM/Associate Warden — Programs EFTA00049837

U.S. Department of Justice Federal I3ureau of Prisons Metropolitan Corm:Ronal Center 150 Park Row New York. New York 10007 Office of the Warden November 13. 2019 MEMORANDUM FOR HUGH J. HURWITZ. ASSISISTANT DIRECTOR. REENTRY SERVICES DIVISION FROM: SUBJECT: J. Petrucci. Warden. MCC New York Institution Response to Psychological Reconstruction Inmate Epstein. Jeffrey (76318-054) This is the response to the psychological reconstruction of inmate Epstein. Jeffrey (76318-054) dated September 17. 2019. I .Single Ceiling: It is recommended that all inmates be double-celled unless safety concerns or an odd number of inmates precludes this. Priority should be given to inmates with a history of mental illness, self-directed violence. recent stressors (e.g.. losses. newly sentenced. etc.) It is recommended that a system of control be implemented explaining who will be notified when a Suicide Watch or Psychological Observation ends and how that communication will take place. Because this is a life safety issue, the system of control, once approved by the warden, should be reviewed in formal meetings such as staff recalls. department head meetings. and lieutenants meetings. Institution Response: I. Single Cell Placement: A system has been put in place to ensure inmates are not single celled. A single cell report is completed during each shill by the SITU Lieutenant during Day Watch and the Operations Lieutenant during the Morning Watch and Evening Watch. Notifications are made to the Institution Duty Officer ( I DO) and Executive StatT. Psychology discusses the status of inmates who are at-risk for suicidal ity. their housing needs, as well as their needs for cellmates during staff meetings. department head meetings. SITU meetings. morning meetings, and close out meetings. When inmates are placed on and off suicide watch, the Warden is notified verbally, regardless of the time of day. The Warden then determines which suicide watch area a suicidal inmate will be housed and if they will be observed with an inmate companions or a staff member. 1 EFTA00049838

Psychology verbally notifies the Operations Lieutenant when inmates are removed from suicide watch and that they will need to be placed with a cellmate. Cellmates are recommended not only for SHU inmates being removed from suicide watch, but also for inmates returning to the general population setting. The C&A officer is responsible for entering the proper assignment. Once an inmate is removed from suicide watch, psychology staff sends an e-mail to the Executive Staff, IDO, and Lieutenants informing them the inmate is being removed from suicide watch and can return to a cell with a cellmate. The e-mail contains the name of the staff member whom psychology verbally spoke with. This recommendation for a cellmate and conversation with the Lieutenant is also documented in the Post Suicide Watch Report and placed in BEMIt/PDS. Psychology Services has eliminated the use of Psychological Observation to avoid any confusion as to the needs of inmates on a watch status. 2. Rounds: 30-minute rounds arc required by P5500.14, Correctional Services Procedures Manual. Institution Response: 2. Rounds: SHU training is conducted quarterly in which emphasis will be placed on the importance of diligent rounds within the policy guided timeframes. In addition, the SHU Lieutenant will review documentation (SHU Round Sheets) on a daily basis and provide the Captain with an assurance memorandum of their completion weekly. SHU Rounds sheets will be maintained on the specified range to ensure officers are completing required rounds. A staff member must observe all inmates confined in continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour, followed by another round in the second 30 minute period of the same hour, thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. Closer observation may be required for an inmate who is mentally ill, or who demonstrates unusual or bizarre behavior. These inmates have been identified with an orange photographic door tag to ensure staff are aware to take more security pre-cautions in dealing with this inmate. Two hour Captain video review and six hour IDO video review are being conducted. 3. Cellmate Assignments: When Mr. Epstein was placed in SHU on July 7, 2019, Executive Staff decided Mr. Tartaglione would be his cellmate. As explained by Dr. Miller, input was not sought from Psychology Services and it is not clear if or how sex offender-specific needs and associated risk were incorporated into the housing plan. Mr. Tartaglione was also a high profile inmate-an ex-police officer charged in multiple murders. However, he and Mr. Epstein did not share the risk associated with being a sex offender and their pairing may have aggravated Mr. Epstein's risk for self-directed violence. In an effort to treat Mr. Epstein the same as other inmates, a statement repeated by multiple staff, Executive Staff may have inadvertently overlooked the need to consider unique risk factors associated with individuals who have been charged with and convicted of a sex offense. On July 25, 2019, Dr. Miller sent an e-mail to Shirley Skipper-Scott, Associate Warden explaining a consultation between Dr. Miller and Dr. Nagle, National Suicide Prevention Coordinator. In the e-mail, Dr. Miller Reviewed the consult and recommendation from the Psychology Services Branch, Central Office that Mr. Epstein be housed with another inmate who had also been accused of committing a sex offense. There is no evidence this information was considered beyond this e-mail, and Mr. Epstein was never housed with another inmate charged or convicted of a sexual offense. It is recommended Executive Staff and Correctional Services staff include a psychologist in decisions about cellmates as a means of incorporating expertise about suicide risk, mental health needs, and interventions for psychological stability. 2 EFTA00049839

Institution Response: 3. Cellmate Assignments: Inmates with serious mental illness and those at-risk for suicidality are discussed during staff meetings, department head meetings, SHU meetings, morning meetings, and close out meetings. The Captain, Associate Wardens, Warden and Psychology Services discuss the inmate's needs. The Legal Department also assists when the inmate's attorney or court are concerned about an inmate's mental health. Psychology Services are involved in making recommendations regarding the types of cellmates with whom inmates at-risk for suicidality should celled. Psychology Services takes into consideration the suicide risk factors involved with a particular inmate and shares their knowledge with Executive Staff. The psychological reconstruction team suggests MCC New York Executive Staff did not take into account Mr. Epstein's sex offender-specific needs in assigning him a cellmate in SHU. However, that is not correct. MCC New York Executive Staff considered a variety of factors in determining the most appropriate cellmate for Mr. Epstein, including but not limited to history of sex offenses, nature of the inmate, cooperation status, etc. MCC New York administrators initially housed Mr. Epstein with Mr. Tartaglione as both had high profile cases. Mr. Tartaglione is also a certified death penalty eligible inmate and, thus, based on correctional judgment, less likely to assault or otherwise try to harm Mr. Epstein. Indeed, Mr. Tartaglione notified staff immediately when he realized Mr. Epstein first made a possible suicide attempt/gesture on July 23, 2019. Prior to Mr. Epstein being taken off suicide watch, MCC New York Executive Staff, with input from Psychology staff, assessed all the inmates in SHU at that time and narrowed the list down to the most appropriate candidates. Mr. Tartaglione was not chosen as the investigation at the time had not yet cleared him of any wrongdoing. Most of the other inmates in SHU at the time were there for disciplinary reasons and were otherwise not appropriate to be housed with Mr. Epstein. The other notable inmate in SHU with a history of sex offenses, Mr. Hoyt, was deemed dangerous to Mr. Epstein due to his threatening nature. Accordingly, MCC New York Executive Staff narrowed the possibilities to cooperators. Specifically, Efrain Reyes, Register Number 85993-054, was placed in SHU for claims he was being threatened and extorted on his unit, and he was confirmed as proffering with the U.S. Attorney's Office. As both he and Mr. Epstein were in SHU for safety reasons, Mr. Reyes was deemed an appropriate cellmate. Based on the above, consideration was made for Mr. Epstein's sex-offender-specific needs in choosing his cellmate in SHU. His charged crime was just one of the factors reviewed in making the determination. MCC New York Executive Staff also considered high publicity inmates with ample reasons not to hurt Mr. Epstein, and cooperators who are not only vulnerable themselves, but also had a lot to lose should they harm Mr. Epstein. 4. Documentation Accuracy: On July 23, 2019, Mr. Epstein was found unresponsive in his cell. He had abrasions on his neck and knee. There are inconsistencies between documents describing the circumstances of the scene. In a General Administrative Note in PDS-BEMR, Dr. Miller documented information received from Operations Lieutenant Glenda Anderson that Mr. Epstein, "was found with a string loosely hanging around his neck." In contrast, Officer Wilson Silva, who responded to this emergency, wrote a memorandum dated July 23, 2019. In that memorandum, Officer Silva wrote he saw Mr. Epstein "laying down near his bunk with what appeared to be a piece of handmade orange cloth around his neck." It is critical that all descriptions of the incident accurately reflect objective evidence. Officer Joseph Masullo wrote Mr. Epstein an incident report for Self-Mutilation on July 23, 2019, after he was found unresponsive in his cell but prior to having the necessary facts to determine whether he likely engaged in a Bureau violation. BOP Policy expects staff to write an incident report within 24 hours of having the information that an inmate likely violated BOP rules but without making a presumptive decision about guilt. A Special Investigative 3 EFTA00049840

Services Threat Assessment was completed August 2, 2019, but results were inconclusive as to whether Mr. Epstein engaged in self- directed violence, willingly fought with his cellmate, or was assaulted by his cellmate. It is recommended that staff remain open to all reasonable explanations for a behavior and take the appropriate actions when a final determination is made. Although the incident report was later expunged, inmates frequently experience significant stress when they contemplate the potential consequences associated with findings of guilt. Dr. Schlessinger entered a Psychology Services Intake Screening into PDS-BEMR on July 8, 2010. The document has three typographical errors. Shc selected the No Sexual Offense Convictions check box when, in fact, Mr. Epstein was previously convicted of Solicitation of Prostitution and Procuring a Person Under the Age of 18 for Prostitution. Second, Mr. Epstein was erroneously identified as a Black male in this document. Finally, there is one instance where he was mistakenly referred to as Mr. Brown. Dr. Schlessinger completed a Risk of Sexual Abusiveness document on July 8, 2019. Shc marked "History of prior prison sexual predation" in the affirmative. This is not accurate. Ysmael Joaquin, Mid-Level Practitioner, completed a History and Physical on July 9, 2019. An Intake Screening should have been conducted within 24 hours of his entry into Bureau custody which was on July 6, 2019, according to P6031.04, Patient Care. Officer Alwin Thomas was responsible for observing Mr. Epstein and documenting his behavior while on suicide watch on July 23, 2019. Officer Thomas mistakenly used a Suicide Watch Log Book intended for inmate companion documentation between 1:40 a.m. and 6:00 a.m. on July 23, 2019, when he should have been using the Staff Suicide Watch Log Book. Ms. Kenya Coates, Drug Treatment Specialist, reportedly noticed this error and subsequently hand copied all of Officer Thomas' entries from 1:40 a.m. to 6:00 am. into a Staff Suicide Watch Log Book. She then initialed these entries, and this makes it appear as if she was the one conducting the watch. This information was discovered and conveyed in an e-mail from Ms. Charisma Edge, Associate Warden to Dr. Schlessinger with a carbon copy to Warden N'Diaye on August 12, 2019. Of note, Ms. Coates did not make an entry explaining why she was making the log book changes. Additionally, Ms. Coates then wrote entries for 6:15, 6:30, 6:45 and 7:00 am. in the Staff Suicide Watch Log Book. These were not a part of the original entries made by Officer Thomas nor was Ms. Coates assigned to work the Suicide Watch post. Due to the inability to interview staff at this time, it is unknown why Ms. Coats attempted to correct Officer Thomas' error, or made any of the subsequent log entries. It is recommended that if a staff member makes an entry error (e.g., writes in the incorrect suicide watch log book), the staff member should describe the error in the correct log book, to include indicating when they became aware of the error. The staff member should then notify the Chief Psychologist. A review of Special Housing Unit Records (BP-A0292) revealed a number of incomplete entries. This document is used to monitor provision and receipt of basic services such as recreation, medical rounds, showers, meal consumption, etc. The Officer in Charge signature is missing on 10 occasions and a medical provider's signature is missing in seven instances. There are six instances in which it is not clear if Mr. Epstein ate his meal. There are nine instances in which it is not clear if Mr. Epstein took a shower. There are ten instances in which it is not clear if Mr. Epstein was offered recreation. P5500.15, Correctional Services Manual requires accurate and complete information on the BP-A0292. A review of Psychology Observation Log Books revealed significant discrepancies from the approved Psychological Observation Procedural Memorandum, dated April 15, 2019. A Correctional Officer is required to complete hourly rounds and sign the log book. 179 out of 183 round signatures were missing. The lieutenant is required to sign the log book one time per shift and signatures were missing in 10 of 23 instances. A Physician Assistant is required to sign one time per shift and 16 of 4 EFTA00049841

16 instances were missing. It is recommended that a further review of Psychological Observation procedures be conducted. Institution Response: 4. Documentation Accuracy: The Reconstruction team indicates it is critical that all descriptions of the incident accurately reflect objective evidence, and references Psychology staff's reliance on differing statements from two different staff regarding the July 23, 2019 incident. Psychology staff considers the information from more than one source when making decisions about suicide watch placement. Clinical judgment is used to make determinations taking into consideration each person's self-report of a situation as they may be perceived differently. In reference to typographical errors noted in PDS/BEMR notes, the Chief Psychologist has spoken to all psychology staff members concerning proof reading all documents entered to reduce typos and to improve information accuracy. Additionally, there is a second Staff Psychologist in the department which helps reduce the workload on current psychologists, allowing more time for documentation review. Regarding the Reconstruction team's concerns in reference to Mr. Epstein's expunged incident report, staff shall continue to follow Program Statement 5270.09, Inmate Discipline Program in writing incident reports as appropriate. As more complex matters (including attempted suicide) warrant, Special Investigative Services staff will conduct appropriate investigations and make a determination as to whether an incident report is warranted. Psychology Services staff will also be consulted where their expertise is required. The Reconstruction team stated medical staff conducted Mr. Epstein's Intake Screening late. SENTRY records reflect Mr. Epstein arrived in MCC New York's Receiving and Discharge (R&D) area on July 6, 2019, at approximately 9:24 p.m. His medical Intake Screening was conducted at approximately 9:38 p.m., by Physician Assistant (PA) Kang on the same night and approximately 14 minutes after his arrival in R&D. On July 9, 2019, he was placed on Psychological Observation and at approximately 12:38 p.m., he was escorted from Psychological Observation to Health Services for a Medical Assessment and a History and Physical, which was performed by PA Joaquin within three (3) days of his arrival. According to Program Statement 6031.04, Patient Care, a provider must perform a History and Physical within 14 days of the inmate arriving at BOP facility. The History and Physical and Intake Screening were conducted timely and in accordance to policy. Regarding use of the incorrect Suicide Watch Log and the re-creation thereof, the Chief Psychologist and Drug Abuse Coordinator counseled the Drug Treatment Specialist (DTS) concerning her documentation in the suicide watch log book. There was no ill-intent on the part of the DTS as all log books were maintained; the original log book written by the officer and the one documented by the DTS. The DTS indicated a desire to assist the officer as he had written in the wrong log book. Specifically, he wrote in the inmate companion log book rather than the staff log book. However, she was informed that this is not her role and she is not to document in a log book for anyone else observing an inmate on suicide watch. In the future, only the staff member watching the inmate on suicide watch and Operations Lieutenants document in the suicide watch log book. Log books are now being closely monitored on a daily basis by the Chief Psychologist. Incomplete entries were noted in the BP-292s. SHU training is conducted quarterly, in which emphasis will be placed on the importance of proper 292 documentation. In addition, the SHU Lieutenant will review 292s on a daily basis and provide the Captain with an assurance memorandum. 292s will be printed for the previous week every Sunday, and the SHU Lieutenant will acquire any needed signatures from the respective OlCs in a handwritten manner. The Reconstruction team findings noted discrepancies in the procedures approved for Psychological Observation. 5 EFTA00049842

The Psychology Department has eliminated Psychology Observation at MCC-NY. Both Staff and the Lieutenants received additional training on when they are required to complete rounds and sign Suicide Watch log books. With regard to suicide watch log books signatures, correctional staff are required to perform routine rounds every hour. The 2 Sally Officer on Monday- Friday during Day Watch is required to perform rounds on suicide watch inmates as prescribed by the Captain. After-hours, the Unit 2 Officer will be responsible for making rounds, serving meals, collecting trash in the area, and performing the count with the Internal I or Internal 2 assisting with duties as assigned by the Captain. Additionally, Psychology staff check the suicide watch logs daily when they interview the inmates on suicide watch. If it is noted hourly rounds are not being conducted by the Unit Officer and/or the Lieutenants are not rounding and signing the books each shift, the Associate Warden over Programs and the Captain are notified immediately and enforce accountability. 5. Telephone Calls: In a PDS-BEMR note written by Dr. Miller on July 16, 2019, she was informed by an unnamed staff member that a lieutenant facilitated two telephone calls for Mr. Epstein. It is unknown when and to whom these calls were placed and no evidence that they took place on a monitored telephone. According to a memorandum from Unit Manager Nathaniel Bullock on August 10, 2019, Mr. Epstein terminated his legal visit early on August 9, 2019, in order to place a telephone call to his family. Mr. Bullock (who was the Institutional Duty Officer that week) escorted Mr. Epstein to SHU around 7:00 p.m. that evening and he was placed in the shower area on G tier. While there, he was provided the telephone to make a call. Since Mr. Epstein reportedly did not have his PAC or PIN number, which is required to use the inmate telephone system, the Unit Manager placed the call, dialing a number that reportedly began with area code 347. Mr. Epstein told Mr. Bullock he was calling his mother who, according to public records, has been deceased since 2004. It is recommended that all telephone calls, other than legal calls, be made on monitored lines to be available for post- call review or on a speaker phone so staff can monitor what is discussed. Institution Response: 5. Telephone calls: There is no documentation to substantiate that a Lieutenant facilitated two telephone calls to Mr. Epstein. However, there is documented evidence that Unit Manager Proto provided a call to Mr. Epstein on July 30, 2019, at 5:15 p.m., to a Karina Shaliak, friend, on a monitored telephone/speaker phone. The call was documented in a log that is maintained in the Correctional Systems Department. Mr. Epstein was provided a call because he had not been able to conduct voice recording on the inmate telephone. This is standard procedure by the Unit Team at MCC New York, to occasionally provide a call to new arrivals, when necessary. 6. Direct Observation: Mr. Epstein was on suicide watch from July 23, 2019, until July 24, 2019. While on suicide watch on July 23, 2019, Mr. Epstein attended an Attorney visit from approximately 12:40 p.m. until 7:15 p.m. During this time, he was without "direct, continuous observation" by a dedicated BOP staff member as required by P5324.08. While on Psychological Observation, he attended attorney visits on July 24, 2019, for 11.25 hours; on July 25, 2019, for 11.25 hours; on July 26, 2019, for 9.25 hours; on July 27, 2019, for 11.33 hours; on July 28, 2019, for 10.5 hours; and on July 29, 2019, for 8 hours. On July 30, 2019, Psychology Observation was terminated. During these visits, continuous observation by a dedicated BOP staff member was not maintained as required by MCC New York's Procedural Memorandum for Psychological Observation. Institution Response: 6. Direct Observation: The Psychology Department has eliminated Psychology Observation at MCC-NY. Inmates on Suicide Watch are only provided legal visits under special circumstances as deemed by the Court. 6 EFTA00049843

7. Follow-Up: Mr. Epstein arrived at MCC New York on Saturday, July 6, 2019. While conducting the 10:00 p.m. institution count that evening, Elba Torres, Facilities Assistant reported she observed Mr. Epstein in his cell. In an e- mail she sent to Drs. Miller and Imeri and Lieutenant David Medina later that evening, she described Mr. Epstein as "distraught, sad and a little confused." She said she then asked Mr. Epstein if he was okay, and he reportedly said he was. However, Ms. Torres noted in her e-mail she was not convinced of this, adding, "He seems dazed and withdrawn." She went on to say, "So just to be on the safe side and prevent any suicidal thoughts can someone from Psychology come and talk with him." Despite the fact that Lieutenant Medina opened the e-mail there is no evidence that he contacted the on-call psychologist as is required by P5324.08, Suicide Prevention Program. Additionally, if Ms. Torres was concerned about suicide risk, P5324.08, Suicide Prevention Program, requires her to maintain direct, continuous observation of Mr. Epstein. When Dr. Miller opened the e-mail the following Monday morning, Mr. Epstein was evaluated by Dr. Schlessinger at approximately 9:30 a.m. Mr. Epstein was denied bail on Thursday, July 18, 2019. This was a significant disappointment for Mr. Epstein and likely challenged his ability and willingness to adapt to incarceration. Given the potential impact of the judge's decision, a psychologist should have assessed Mr. Epstein's mental status upon his return to the institution. The BOP developed a SENTRY assignment of PSY ALERT for purposes such as this. Specifically PSY ALERT is used "to ensure, if movement occurs, that all staff consider the special psychological and management-related risks associated with the inmate." Furthermore, P5324.07, SENTRY Psychology Alert Function states, "When a decision to move [any PSY ALERT] inmate occurs, any special psychological needs of the inmate are reviewed and considered by Psychology Services staff [and] any safety and security concerns are highlighted for non-Psychology Services staff." Psychologists should use the PSY ALERT assignment more frequently with high profile cases and with inmates who have a history or charge of sex offense. Both of these groups of inmates are susceptible to exaggerated or unrealistic fears about correctional settings and experience stress associated during movement and periods of transition (e.g., cell/unit changes, movement to and from court, institutional movement, and release of information through the media). Mr. Epstein was reportedly in court on July 31, 2019. It is unknown what time he departed or returned to MCC New York because this information was not entered in SENTRY. Regardless, upon his return, the United States Marshals Service (USMS) provided R&D staff with a Prisoner Custody Alert Notice regarding Mr. Epstein. The notice indicated Mr. Epstein had "MTL Mental Concerns Suicidal Tendencies." The USMS requested R&D staff sign the form, and they then departed with the signed copy. On August 1, 2019, at 8:46 a.m., Dr. Imeri sent Dr. Miller an e- mail reporting she had just become aware of the above information. In the absence of additional information about this notation, this should have been considered a referral to Psychology Services about a potentially suicidal inmate and procedures should have been followed as outlined in P5324.08, Suicide Prevention Program. Specifically, when a staff member becomes aware an inmate may be thinking about suicide during normal working hours, that staff member must contact Psychology Services and maintain the inmate under direct,continuous observation until he is placed on Suicide Watch or seen by a psychologist. There is no evidence Mr. Epstein was monitored under these conditions from the time he returned from court until he was seen by Dr. Imeri for a suicide risk assessment on August 1, 2019, at approximately 1:30 p.m. Institution Response: 7. Follow Up: Staff have been trained that it is required that they make verbal contact with either Psychology Staff or a Lieutenant when they have concerns for an inmate's mental health. If Psychology Staff is not in the institution, an inmate is placed on suicide watch, and the on-call psychologist and Warden are notified. As part of their signature block, all Psychology staff have added the following: "If you are email ing about an inmate that may be at risk for suicide or self-harm, this is an emergency situation. Please make sure that you make contact 7 EFTA00049844

(verbally) to Psychology Staff or the on-call psychologist. Please ensure to maintain constant visual observation of the inmate until formal steps can be taken to ensure his/her safety pending a formal assessment by a Psychologist." The Psychology Department uses PSY ALERT codes more frequently with high profile cases and with inmates with a history or charge of a sex offense. The PSY ALERT code is applied immediately on classification and/or identification, and not just when an inmate is about to leave the institution. If an inmate is moved in and out of our institution for court. etc., the inmate is assessed immediately prior to being released to a unit. R&D staff have been reminded of the U.S. Marshal and Court alert notices. Psychology Staff are notified immediately if there are suicidal concerns noted by the Courts. If Psychology Staff is not in the institution, an inmate that enters the institution with an alert notice is placed on suicide watch. and the on-call psychologist and Warden are notified. These inmates receive a suicide risk assessment by a psychologist before being released to the general population. Inmates who initially enter and/or transfer into the institution with a PSY ALERT assignment will be seen by a member of the Psychology Services Department immediately and prior to being released to the general population. R&D will review the PP44 code and Intake Screeners will utilize the PP64 to determine if inmates entering the facility have a PSY ALERT assignment. If there is not a psychologist in the building when a PSY ALERT inmate is identified and/or if it is during non-duty hours, the Operations Lieutenant will immediately be notified and will then contact the on-call psychologist. The on-call psychologist will come in after hours to screen the inmate in R&D and determine their appropriateness for general population, as well as any other pertinent housing considerations, prior to the inmate's release to general population. Inmates may also be assigned a PSY ALERT function code by a psychologist while housed at this institution. Psychologists will consider not only inmates with substantial mental health concerns for a PSY ALERT assignment, but will use PSY ALERT codes frequently with high profile cases and with inmates with a history or charge of a sex offense. The PSY ALERT code is applied immediately and not just when an inmate is about to leave the institution. The attached institutional procedural memorandum has been reviewed by Central Office Psychology Services and implemented by MCC New York Psychology Services to outline the follow-up procedures when existing PSY ALERT inmates return from trips such as court proceedings and hospital trips. If any movement occurs with an existing PSY ALERT inmate, psychology must be verbally notified immediately when the inmate returns back to the institution. This would include movement from court, institutional movement, or hospital trips. The Psychology Department will also be notified of a PSY ALERT inmate's movement prior to the inmate leaving. The Psychology Department will be provided with the court lists as well as the Prisoner Schedule Report on a daily basis. These reports will be reviewed daily by a member of the psychology department to assess whether a PSY ALERT inmate is scheduled to go out to court the following day. When an existing PSY ALERT inmate who has already been initially screened by the Psychology Department returns from court with a notice from the Judge or Marshal's Office indicating imminent mental health concerns or concerns related to suicidal ity, the PSY ALERT inmate will be seen by a psychologist immediately and prior to their return to general population. A psychologist will determine at that time if a PSY ALERT inmate is ready to return to general population, their psychological stability, and their treatment needs. If the inmate returns after hours and there is no psychologist in the institution, the PSY ALERT inmate will be placed on suicide watch pending a suicide risk assessment by a psychologist. The Operations Lieutenant, On-Call Psychologist and Warden will be notified. 8 EFTA00049845

When an existing PSY ALERT inmate who has already been initially screened by the Psychology Department returns from court routinely, and without a notice from the Judge or Marshal's Office, they will be screened by a member of the Psychology Department within 24 hours to assess if they are experiencing any significant distress regarding their court proceedings that may be exacerbating their mental health difficulties and/or risk factors. Per guidance from Central Office Psychology Division, the Psychology Department will conduct a training with R&D staff to help train them about PSY ALERT inmates and to recognize signs of psychological distress and suicidality. Suicide Prevention and PSY ALERT Trainings have recently been conducted by the Psychology Services Department with Lieutenants and during a recent Department Head Meeting. Further, an e-mail regarding PSY ALERT procedures was sent to all Lieutenants. Receiving and Discharge (R&D), Psychology and Health Services staff. 8. Inmate Accountability and Assignment Accuracy: According to a SENTRY quarters roster generated on August 10, 2019, at 12:51 a.m., there were three inmates assigned to Mr. Epstein's SHU cell, Z04-206LAD, including him, at the time of his death. However, his SHU cell was only a double occupancy cell. Inmate Patrick Avila (#86710- 054), inmate Gregory Ferrer (#79793-054), and Mr. Epstein were all assigned to the same cell. On August 13, 2019, at 12:06 p.m. and 12:08 p.m., a quarters history roster was generated for inmate Avila and Ferrer, respectively. Inmate Avila's cell assignment was Z04-206LAD from August 5, 2019, until August 11, 2019, when he was moved to cell Z04-212UAD. Inmate Ferrer's cell assignment was Z04-206UAD from August 1, 2019, until August 11, 2019, when he was moved to cell Z04-207LAD. A quarters history roster was generated for Mr. Epstein on August 13, 2019, at 9:07 a.m. His cell assignment was Z04-206LAD from July 29, 2019, until August 10, 2019. On Monday, August 12, 2019, photographs of nametags on SHU cell doors and SHU locator forms were sent to the Correctional Service Department in the Northeast Region. The SHU locator form is dated August 9, 2019. It shows inmate Ferrer in cell 207L (SENTRY states he was moved to this cell on August 11, 2019), inmate Avila in cell 212U (SENTRY states he was moved to this cell on August 11, 2019), inmate Epstein in cell 220L (SENTRY never shows him in this cell) along with inmate Reyes (#85993- 054). The locator shows inmate Copper (#92299-054) and inmate Dockery (#60685-050) in cell 206. The photo sheets show the cell being 220 with inmates Epstein and Reyes' identification cards on the door. Inmate Reyes, Efrain, Reg. No. 85993-054 was in cell Z06-220U from August 5, 2019 to August 9, 2019. MCC New York has four suicide watch cells and each is for single occupancy use. The suicide watch cells are located in Health Services. Each cell is abbreviated with the unit code HOI in SENTRY followed by the four-digit cell number. The doors are identified by a painted number from one to four. Two reviews were conducted. The first revealed Mr. Epstein was in H0I-00IL according to SENTRY but the Suicide Watch Log Books indicate he was in cell 4. A second review was conducted on August 13, 2019, while there were four inmates on in these cells. SENTRY showed two inmates assigned to HO1-001L, one assigned to HO I -002L, and the fourth inmate assigned to a general population housing unit. Through physical observation of the dedicated suicide watch cells there were four H0I cells, however a review of the BOPWARE Inmate Housing Format, only shows three cells. Inmate movement and assignments are not accurately reflected in SENTRY as required by P5500.14, Correctional Service Procedures Manual. Institution Response: 8. Inmate Accountability and Assignment Accuracy: With regard to the accuracy and accountability of inmates placed on suicide watch status in the hospital area, Psychology Services now runs a daily SENTRY roster of all the inmates on suicide watch in that area. The roster is examined to ensure that the inmates placed on suicide watch in a suicide watch cell are keyed into SENTRY with 9 EFTA00049846

the correct cell assignment noted. The Associate Warden, Programs, is notified if there are any inconsistencies. Moreover, the four suicide watch cells now all have SENTRY Assignments of H01-00IL -1101-004L. Further, Psychology Services Department reviews suicide watch log books on a daily basis to assess whether the Lieutenants have conducted rounds during each shift and whether the Unit 2 Sal lyport and Unit 2 Officers are conducting hourly rounds. Any inconsistencies noted in the logbooks by Psychology staff will be reported immediately to the Captain and the Associate Warden over Programs to address appropriately. The Operations Lieutenant will physically check the PP30 Cell Assignment Roster when inmates are quartered on suicide watch. The Lieutenant will ensure the Counts and Assignments (C&A) Officer keys cell assignments correctly and annotate any errors in the daily log and contact the Captain immediately. Guidance was sent to the Lieutenants regarding keying of suicide watch bed assignments after hours. The Lieutenants were instructed that upon placing an inmate on suicide watch, they are responsible for contacting C&A and providing the cell assignment. Additionally, the Lieutenant will run a PP30 with the selection category for suicide watch. The Operations Lieutenant will email the roster to the Captain, as he will be responsible for verifying that each inmate is in the appropriate cell. This verification process will ensure inmates placed on suicide watch are keyed into accurate bed assignments and will eliminate inmates being keyed into the same cell. Additionally, the Lieutenants were instructed to contact the Captain and on-call Psychology staff by telephone when the need for suicide watch placement is determined after hours. Psychology staff have been instructed to contact the Warden upon receiving said notification. After consultation with the Warden, Psychology staff will designate whether a staff or inmate companion will be assigned. Psychology staff will in turn inform the Shift Lieutenant of this determination. To ensure inmates are assigned to the correct cell inside the Special Housing Unit, periodic and unannounced checks are conducted. Specifically, SENTRY Roster PP30 Quarters assignments are audited daily by the SHU Lieutenant. Executive Staff also conduct routine bed book counts in all units. Any and all discrepancies identified are addressed. Results will be maintained by Correctional services in the Lieutenants Log. The Morning Watch Lieutenant is responsible for observing one count during his or her shift in SHU which is documented daily in the Lieutenants Log. In order to properly account for inmates in the unit, staff have been informed not use the Inmate Locator Form, due to the forms being unreliable in accounting for inmates and cell assignments. A Unit Accountability Board along with a SENTRY PP30 Quarters Roster have been placed in the unit to establish better oversight over inmate accountability. Correctional Staff are required to perform routine rounds of the second floor suicide watch area every hour. On Day watch, Monday through Friday, the 2 Sally Officers are required to perform rounds on suicide watch inmates, as prescribed by the Captain. After hours, the Unit 2 Officer will be responsible for making rounds, serving meals, collecting trash in the area, and performing the count with the Internal 1 or Internal 2 Officer assisting with duties as assigned by the Captain. To ensure that staff are informed of the importance of Suicide Prevention and responsibilities when one occurs. Lieutenants will reinforce the message through conference calls with staff. Roll Call notes will be placed on TRUSCOPE to notify staff of which inmates are currently on suicide watch. 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 10 EFTA00049847

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 tom off of several books. At the current time, these log books are not functioning as an adequate system of control and monitoring. Institution Response: 9. Attorney Log Books: On August 10, 2019, log books deemed relevant to the investigation were removed from various locations throughout the facility. The Reconstruction Team did identify pertinent logbooks that had not been secured. At this time, all relevant logbooks have been removed and replaced. In addition, a logbook audit was conducted to ensure accuracy of the documentation and compliance with policy. Measures are being taken to ensure in the future that all relevant logbooks are identified, secured immediately and replaced with new ones to ensure the institution can continue to run efficiently. 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. Institution Response: 10: Automatic External Defibrillators: A review of the Automatic External Defibrillators (AED) report presented by Great Lakes Biomedical Services dated July 22, 2019, revealed that all AEDS were accounted for and were placed in the correct respective areas. The report was accurate and complete. New AEDs have been purchased and will be inspected Great Lakes Biomedical Services upon their arrival. The list reviewed by the reconstruction team was an old and outdated list from January 8, 2018. Medical staff provides training and conducts monthly inspections of all AEDs in the institution. Great Lakes Biomedical Services, an outside contractor, conducts a bi-annual inspection and provides a report. Procedures on inspecting all AEDS in the institution have been prepared and are awaiting approval. These procedures are attached hereto. 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. Officer L. Grey 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 David Dubenezic, Officer Miguel Monge, and Officer Roberto Grijalva. Institution Response: 11. Post Orders & SHU Training: The Suicide Watch Post Orders are located in the Lieutenant's Office and SHU with a quarterly sign-in sheet. A copy of the Suicide Watch Post Orders will also be placed in a secure container outside of the suicide watch cells on Tier H in SHU. This container will also hold signature sheets and additional Staff Suicide Watch Log Books. 11 EFTA00049848

All staff members assigned to a suicide watch post are responsible for signing the post orders prior to performing the staff suicide watch. Attached please find a copy of the NERO Waiver permitting staff monitored suicide watches in SHU. With regard to SHU Suicide Prevention training, this continues to be conducted on a quarterly basis. However, the sign-in sheets for this training are now be examined by the SHU Lieutenant for accuracy. If a staff member who is assigned to SHU misses the training, the sign-in sheet will be routed to the Captain, who will coordinate with the Chief Psychologist and schedule a time to receive a make-up session for the SHU Suicide Prevention Training. SHU training is conducted quarterly two weeks from the beginning of the new quarter. A representative from Psychology will provide the required suicide prevention training. In addition, the SHU training on BOPLEARN will be completed by all staff assigned to SHU that day of training. SHU staff will be allotted time during that day to complete all prescribed web-based training as identified on the agenda. Staff who are assigned to SHU but have not received the mandatory training before assuming the post will be roster-adjusted to attend another training day as assigned by the Captain. Staff assigned to suicide watch shall maintain a chronological log of the inmate's behavior. Blank log books will be maintained in the Lieutenants office and on the 2nd Floor. A chronological record of events will commence immediately upon the initiation of watch. It is the responsibility of the staff member initiating the watch to obtain a blank log book prior to initiating the watch. Different log books will be used for each inmate on suicide watch; each log book will contain entries for one suicide watch only. The name and register number of the inmate on watch shall be clearly printed on the front cover of the log book and at the top of each page in the log book in which entries are made. During some suicide watches, staff observers may cover some shifts and inmate companions may cover others. In this instance, two separate log books must be used: one for the shifts during which staff are maintaining constant visual observation (blue) and another for shifts during which inmate companions are providing constant visual observation (yellow). When separate inmate companion log books are used, staff must sign the inmate companion log book every 60 minutes. Lights will remain on inside the cell 24 hours day to ensure the inmate on watch can be seen. A Lieutenant will make rounds every shift and remove the inmate from the cell and perform a cursory search. No food items, trays, eating utensils, milk canons, toilet paper, plastic bags, reading materials, pens, pencils, or anything else not prescribed by Psychology staff should be in the cell. The inmate will be outfitted in a suicide preventive smock, suicide preventive blanket, suicide preventive mattress and if necessary a suicide preventive helmet. Inmate Companions will be searched prior to assuming duties. Inmate Companions are not allowed to have radios, mp3 players, magazines, books or anything that would distract them from maintaining constant supervision. Inmate Companions will not have direct or physical contact with inmates on suicide watch. 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 the Drug Abuse Program Coordinator position would provide the institution with an additional supervisory psychologist to provide critical clinical services. Staffing in the Correctional Services department is relevant to the reconstruction. However, the details about this topic are provided in an After Action Review completed separately from this report. 12 EFTA00049849

Institution Response: 12. Staffing: The Drug Abuse Coordinator position is currently a shared position. The Warden has re-established the Drug Abuse Coordinator position as a full-time position to provide the Psychology Department with an additional supervisory psychologist to perform critical clinical services. At the current time, the position is pending selection. We are currently in the process of requesting to hire a Staff Psychologist position to provide additional psychological services to inmates in the SI IU, including therapy sessions with PSY ALERT, CC2-MH and CC3-MH inmates who are currently housed there. An additional psychologist could also monitor Hot List inmates arriving to the SHU and ensure they are housed with appropriate cellmates. This psychologist could conduct daily rounds to look for signs of psychological distress and address the concerns of our Long Term SHU inmates. Finally, an additional Staff Psychologist could assist with our daily crisis interventions and suicide risk assessments. 13. Sex Offense Risk Factors: A broad understanding of risk factors associated with sex offenders, by staff at MCC New York, did not appear to be present in all staff but was vital to his adjustment and safety in prison. A more focused management strategy is recommended, particularly in complex and high profile cases. Supplemental training on sex-offender specific risk factors is recommended for all staff and should be provided by Executive Staff and Psychology Services. Institution Response: 13. Sex Offense Risk Factors: The Chief Psychologist is a member of the Executive Staff. The Chief Psychologist or her designee continues to be present at all Executive Staff meetings, Department Head meetings, and SHU meetings. During these meetings, the Chief Psychologist offers feedback regarding the treatment and management of sex offender inmates. Additionally, the Chief Psychologist continues to educate all staff during Introduction to Correctional Techniques (ICT) and Annual Training (AT) about the sex offender specific risk factors and suicidality. DOCUMENTS EXAMINED TRU-INTEL Download Report of Incident (583), 586, & Global Report TRUVIEW - Money Exchanged; Phone, Email, & Visitor Lists; Calls; Messages; Visits; Timeline TRU-SCOPE - Logs, High Risk Inmates, Inmates Lists, etc. Staff Memorandums Staff E-Mail Photographs of Scene; Deceased, Autopsy Video Showing Scene and Staff Response Sentry Documentation SIS Case File Index Psychology File PDS-BEMR Psychological Observation Procedural Memorandum Post Orders Lieutenant Logs Attorney Logs Staff Roster Medical Information/Records (BEMR) BOP Twenty-Four Hour Death Report Pre-Sentence Report Note(s) Left Behind by Deceased Time Line Autopsy Request & Report Inmate Central File Court Return Screening Form Prisoner Remand Form (If applicable) USM 129 Individual Custody/Detention Report (If applicable) Prisoner Custody Alert Notice Staff Sign-In Log 1 Week Prior to Suicide (If applicable) Detention Orders (If applicable) 30 minute SHU rounds BP 292's 13 EFTA00049850

U.S. DEPARTMENT OF JUSTICE Federal Bureau of Prisons Metropolitan Correakmal Center OR Park Row Velljork Nosjont no November 5, 2019 MEMORANDUM FOR JEFFERY D. ALLEN, M.D., MEDICAL DIRECTOR WASHINGTON, DC FROM: J. Petrucci, Warden SUBJECT: Multi-Level Mortality Chart Review Consultant's Comments This memorandum is in response to the multi-level mortality review dated October 29, 2019, whereas, several recommendations were made concerning the Automated External Defibrillators (AEDs) at MCC New York. Please see the attachment, which addresses your recommendations. If you have any questions or concerns, please do not hesitate to contact me at 646-836-7700. EFTA00049851

MCC New York Procedures for Monitoring, Testing and Inspecting Automated External Defibrillators (AEDs) This procedural statement outlines procedures for monitoring, inspecting and testing all Automated External Defibrillators (AED) at MCC New York. 1 Every month, the Health Services Administrator (HSA) or designee will conduct an inspection and testing of all AEDs and document the findings on an inspection form. The inspection will consists of inspecting the condition of the batteries and pads and checking the expiration date, control number and location of all AEDs in the institution, to ensure they are properly functioning. All AEDs "in service and out of service" will be tested. This information will be reported to the quarterly Governing Body meeting, for one year. 2. All AEDs will be inspected and tested bi-annually by the contract biomedical company and a report will be provided by the company. 3. Back up batteries (LIFEPAK 1000) are available and are checked as per the manufacturer's recommendations, which are: a. Inspect the fuel gauge, which provides an easy way to determine the available battery capacity. b. Do not attempt to recharge. c. Do not allow electrical connection between the battery contacts. d. Use and store batteries in a location where temperatures are between 20° and 30°C (68° and 86°F). Higher temperatures accelerate the loss of charge and decrease battery life. Lower temperatures reduce battery capacity. e. Dispose of expired or depleted nonrechargeable batteries according to national, regional and local regulations for battery disposal. EFTA00049852

Lnstitution: Employee Services POC: Course isle: CI ohs: Sign-in Sheet MCC New York Health Seryices Deoartmeat brillato Ins I echo --7-4-4 -1- -, 1.`14e.r. ,:,,„ , ` -ft--4,:yt ;c:::f‘sc • :,.; •7:- JA. • , _ • 3:: z•fd, i i le 4; -- AS W "aY4'.' 2‘13r Il'4 . , IW 1,; 1 % LI 1,:' , f l r , • *At 4 6:1 . P i tOt *.t.: 1 t• , •• , 4 :(a i' e' ' ,k 0 3 \ ' :C• 71 x:o.,, sb f . P M • S I 0 LI ‘ 51 VCS - g r-------- ee odrt h 2 ,----- /ile , , , R 7 ( arx ,- 6 .6 - l ot 77/ 6,67 2 7 -, --- ..,, ,,,,, e- /b.4,/3,.. ei.sF,g,z/ 8Q0...), okoo-: NA 9. it, b QNrC i qc-W ------- 5 6 0 710 0 Cf/litE- (AN 51 '5 f 6 10n4 OA-- ,41 cl.s-J 7/ -7,7 t Aneeta wk C. fiten ii 4 Silol 6 Q finA-c-444440, b0.5 5Ifca/1 / 19 A/O Fr ../- y) 4 - 10 7S41.1.? / /fat I- II 12 13 14 15 16 17 18 19 20 EFTA00049853

AED MONTHLY CHECK MCC New York Month: November 2019 Location BATTERY (OK) EXPIRATION Date # OF AED PAD SETS PAD EXPIRATION DATE Stretcher and ALL STRAPS IN SERVICE OUT OF SERVICE Roof Control # 54149 11 Sallyport Control ft 54225 SHU Control # 54226 7 Sallyport Control # 54227 5 Sallyport Control # 54224 3 Sallyport Control # 54238 3rd floor PCU unit Control # 54145 2 Floor Sallyport Control # 54147 2nd Floor Urgent Care Room Control # 54148 1st floor Warden's Complex Area Control # 54239 Food Sally Port Control # 54205 9 Sally port 9 South Control # 54226 Name of Reviewer Date EFTA00049854

L.5. DEpAiamest OF JUSTICE. Federal Bureau of Prisons tiriroponow 'orrininoull eater Office of the Warden het In. Ind. %es. (.•••• JONATHAN :••• MEMORANDUM FOR J.9Ql& 4D, tire4ONALDIRECTOR FROM: L N'Dinye. Warden SUBJECT: Request for Renewal of the SW Room Waiver We are requesting the annual renewal of the suicide watch room waiver from Program Statement 5324.05, Suicide Prevention Program On June 18, 2018, M.D. Carvajal. Regional Director, approved the use of additional suicide prevention rooms based on the unique custody and security requirements of this facility. This wavier is always reviewed on a yearly basis. Furthermore, it is worth noting the cells have been renovated to meet the requirements for a suicide prevention room. The additional suicide prevention rooms are as follows: • • 1 room on 9 South (Special Housing Unit) 2 rooms on 10S Lower — (H Ter-Administrative Maximum Detention) 1 room on Unit 2 (Female Unit) 1 room on the WITSEC Unit If you have any questions or concerns, please do not hesitate to contact me, ELTJERMierm EFTA00049855

Truscope.Silverlight.Dashboard Page 1 of 2 INK tionsirg unit, spezial (SHU) 9O1111SW • Starch hstit.don Stiff SIAS fist tithm PrecelY Queue WM MIH2018 • 8/1112319 7d5831b56Catr1budIAODY 9 SOUTH SHU ligh Tisk !mete Usts 583s SS Ccitnbrel Ms UAs Dgy grey Mt New Urea 9112 019 1 811VN19IA1LegEvetb ' AildlzgEvtrt liaMP liffatr i trg, * ii " I a Foe" 191"Wa 17y1 1 (4rt C4'1912019 DS:41 PNiMI.A.112019 08:41 PHIEvenic,ISTEYM CHINBERSIStech (Ctls) 07/16/2219 03:53 (411407/1(1211903:SS PK Day IAMERT0 OUJALVAiCtuno to Nu Cosa 07116121912:58 MI0111E/2019 0353 PHIDay Walt GRJIALVA:Vsuel Much Culent F4.+4 Cc..-1: 74 Cd: 220. Ltruez: 2. E(S SS993054 • RIO, EMI I L lmnate: 85293054 • REYES, EMN. Pro .02:f.t 1142318 PROD 0.12 Hip Abt https://10.33.3.57/Dashboard.aspx 8/10/2019 EFTA00049856

p TaiN 8P-AalrA3 JAN 17 ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS TO: Special Rousing Unit Officer FROM M. RICE. UEUTENANT SUBJECT : Placement of REYES. EFRAIN NEW YORK MCC InstdrIon Date/Time: 07' 15-2019 15:50 (Name/Title) Reg. No 85993-054 in Administrabve Detention (a) is pending an investigation for a violation of fl Lreau regu ations.  (b) Is pending an SIS Investigation. (c) Is pending investigation or trial for a criminal act. (d) Is to be admitted to Administrative Detention (1) Since the inmate has requested admissionfor protection. hereby requestplatemem in Administrative Detention for rr y own protection. Inmate Signature/Register No.: Staff Witness Printed Name Signature: (2) Since a serious threat exists to individual's safely es perceived by stag. although person has not requested admission: referral of the necessary information wil be forwarded for an appropriate hearing by the SRO. (el Is pending tra nsfer or is in holdover status during transfer. (I) Is pending classifieadOn: or Is tenkUding Confinement in Disttpting Segregation and has been ordered into Administrative °Condon by the Warden's deabgneff. It is this Cortettional Super•Morts decision based on all the circumstances that the above named inmate s continued pieseice in tne general population poses a serious threat to We, property, set, SSA other Inmates, or to the security or orderly running of the institution because' PENDING 515 INVESTIGATION/ THREAT ASSESSMENT Therefore, the above named inmate Is to be placed In Administrative Detention until further notice. The Inmate received a cc py o' this Order on (date / Slat/Witness Signature/PrintedName cillvA War-91P— Dale g(i6119 Supervisor 24 hotel review 01 placement Signature/Printed name 'In the case el OHO action, reference to that order is sufficient to other cases. the Correctional supervisor will make an independent revew and dects on, which Is documented here. Record Copy -Inmate Concerned (not necessary if pcertent is a result of holdover status): Copy - Captain-, Copy Unit Manager Ccpy • Operation Supervisor AdministralNe Detention Unit: Copy — Psychology: Copy • Central File PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88 ) EFTA00049857

SPAT:08 JAN 17 ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS SUBJECT: Placement of REYES. EFRAIN NEW YORK MCC lristtutior Datefrirm 07-16-2019 1550 . (Nameffille) . Reg. No. 85993654 . Administrative Detention _(a) Is pending an investigation for a violation of Bureau regulations: (b) Is pend-no an SIS investigation (c) Is pending investqaton or Ina' fora criminal act. _(d) Is to be acmitted to Administrative Detention (1) &ricethe .rmale has requested admission for protection. I hereby request placement in Admilistratree Detention. for myown protection. Inmate Signature/Register No.: Staff Witness Pnrded Name S4nature. Sr.Ce a serious threat masts to individual's safety as perceived by staff, aPhough person has not requested admission; referral of the necessary *formation win be forwarded for an appropriate hearing by the SRO. (2) (e) Is pend ng transfer or is in holdover status during transfer. (0 Is pending classrficabon. or (9) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. II is trig Correcbonaf Supervisors decision based on al the circumstances that the above named inmate' 5 conlnued presence in the geneal poputatton poses a serious threat to hie. property. sett. staff, other inmates. or to die security or ordesty running of the institution because PENDING SIS INVESTIGATION/ THREAT ASSESSMENT Therefore. the above named inmates to be placed in Admn.seative Deten ben unb further notice. The inmate received a copy of Ihis ate( on StaftWitness Signature/Prxtecl Name Date Supervisor 24 hour review of placement Slgrature7Prinied name In the case of OHO action. reference to that order is sufficient. In other cases. Ire Correctional supervisor will make an independent review and decision, which is documented here. Record Copy • Inmate Concerned (not necessary if placement is a result of holdover !Janis). Copy • Captain. Copy • Unit Manager; Copy - Operation Supervisor - Administrative Detention Unit Copy — Psych:fogy: Copy • Central File PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88.) EFTA00049858

Ask NYMHJ 535.03 * INMATE PROFILE PAGE 001 OF 001 85993-054 REGNO: 85993-054 NAME.: REYES, EFRAIN RSP..: NYM-NEW YORK MCC PHONE: 646-836-6300 FAX: 646-836-7751 PROJ REL METHOD: UNKNOWN PROJ REL DATE..: UNKNOWN PAR ELIG DATE..: PAR HEAR DATE..: PSYCH: OFFN/CHG RMKS: TITLE: 21 USC: 846 OFFN/CHG RMKS: TITLE: 21 USC: 841 FACL CATEGORY CURRENT ASSIGNMENT NYM NYM ADM-REL A-PRE PRE-SENT ADMIT, ADULT CALLOUTS COURT SDNY COURT USM SOUTHERN DISTRICT 08-01-2018 07-16-2019 1718 0731 NYM CARE LEVEL CARE1-MH CARE1-MENTAL HEALTH 09-12-2018 1343 NYM COR COUNSL UNT 7S VACANT 11-24-2018 1414 NYM CMC SEPARATION SEPARATION 11-23-2018 0955 NYM CASEWORKER UNT 7 A. BLACK EXT. 6494 11-24-2018 1415 NYM CUSTODY IN IN CUSTODY 08-01-2018 1718 NYM DRUG PGMS NR WAIT NRES DRUG TMT WAITING 08-02-2018 1102 NYM EDUC INFO GED UNK GED STATUS UNKNOWN 08-01-2018 1718 NYM FIN RESP UNASSG FINANC RESP-UNASSIGNED 08-01-2018 1718 NYM LEVEL UNASSG UNASSIGNED 08-01-2018 1718 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNKNOWN 08-01-2018 1718 NYM SECOND RSP 54N USM NYS 54N NEW YORK, NY 08-01-2018 1718 NYM UNIT 7 UNT MGR. R. PROTO EXT 6393 08-04-2018 1050 NYM WAITNG LST CIM COMP CIM PACKET COMPLETE 03-07-2019 1110 NYM WRK DETAIL UNASSG UNASSIGNED WORK DETAIL 08-01-2018 1718 REG FUNCTION: PRT DOB/AGE.: R/S/ETH.: MILEAGE.: • 07-16-2019 15:47:57 03-10-1969 / 50 W/M/H WALSH: YES 11 MILES FBI NO..: 88869JA1 INS NO..: SSN • 108649131 NO DETAINER: NO CMC..: YES EFF DATE TIME G0000 TRANSACTION SUCCESSFULLY COMPLETED EFTA00049859

• PP41 ts \ Page 1 of 1 r ar\ NYMHJ 535.01 07-16-2019 PAGE 001 OF 001 * INMATE LOAD DATA a 15:48:27 REG NO: I85993-054- NAME: REYES, EFRAIN RSP OF: NYM-NEW YORK MCC DOB(AGE): 03-10-1969(50) RACE • WHITE FBI NO..: 88869)A1 SEX MALE INS NO..: ETHNIC..: HISPANIC SSN • 108649131 HEIGHT..: 5 06 DNA • NY/406201 WEIGHT..: 180 HAIR BLACK EYES BROWN CITIZENSHIP CMC YES BIRTH PLACE NEW YORK MILEAGE.: 11 MILES LEGAL RESIDENCE: 1048 E 180 ST APT 3E BRONX, NEW YORK 10460 G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED lutps://bop.tcp.doj.gov:9049/SENTRY/J1PP030.do 7/16/2019 EFTA00049860

PD15 s s Page 1 of 1 fi NYMGS PAGE 001 OF 001 * INMATE DISCIPLINE DATA 07-16-2019 CHRONOLOGICAL DISCIPLINARY RECORD 23:36:10 REGISTER NO: 185993-054 NAME..: REYES, EFRAIN FUNCTION...: IS FORMAT: KAAblio--- LIMIT TO LnIMOS PRIOR TO P7-16-2019 RSP OF: NYM-NEW YORK MCC G5401 DISCIPLINE DATA DOES NOT EXIST FOR THIS INMATE https://bop.tcp.doj.gov:9049/SENTRY/JIPPD50.do 7/16/2019 EFTA00049861

PD IS riN Page 1 of 1 NYMGS INMATE DISCIPLINE DATA 07-16-2019 PAGE 001 OF 001 * PENDING REPORTS 23:36:32 REGISTER NO: la093-0.54 NAME..: REYES. EFRAIN FUNCTION...: IS FORMAT: PENDING LIMIT TO [ MOS PRIOR TO 107-16-2019 RSP OF: NYM-NEW YORK MCC G5401 DISCIPLINE DATA DOES NOT EXIST FOR THIS INMATE tatps://bop.tcp.doj.gov:9049/SENTRY/J1PPD50.do 7/16/2019 EFTA00049862