s received presented weekly exercise: K Yea: K No Proper documentation and Justification in the Centel File (Incident Report. OW Report, copies of Special Housing Review Form): Yes: K No if no. why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housmg st

s received prescribed weekly exorcise: K Yot O No Proper documentation and justification in the Central File (Incident Report. OHO Radon, copies of Special Housing Review Form): O Yes: O No if no, why not? Is there a written psychiatric or psychological assessment on ale inmate who has spent 30 days in a special housing

s received presented weekly exercise El Yes, K No Proper documentation and justification In the Central Fee (Incident Report. OHO Report copies of Special Housing Review Form) Yes; no, why not? Is there a written psythiatC or psychobgical assessment on the inmate who lea spent 30 days in e special hewing Status? 0 Yes

received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central F~e (Incident Report, DHO Report, copies of Special Housing Review Form): if no, why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? Is t

received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central F~e (Incident Report, DHO Report, copies of Special Housing Review Form): if no, why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? Is t

recanted prescribed weeldy exercise: IZ Yea; El NO Proper documentation and justification in the Central Fie (Incident Report. DHO Report copes or Special Housing Review Form): Yea El No If no. why not? Is there a wntten psychiatric or psychological assessment on the inmate who has Vent 30 dale n a Waal housing status?

as received prescnbed weekly exercise: O Yes: O No Proper doCuMentation and iuStification in the Central Fie (InteleM Report. OHO Reprt. copies 01 Special Housing Review Form): K Yes; O No d no. why not? Is Mere a written psychiatric or psychological assessment on the inmate who has spent 33 days in a special housing s

received prescribed weekly exercise: D Yes: K No Proper documentation and justification in the Central File (Incident Report, DHO Report, copes of Special Housing Review Form): O Yes; O No if no. why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing