Full text
Exhibit 11
CONFIDENTIAL
1, FANILY NAME 2.AGE = [3. COUNTRY OF CITIZENSHIP
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06/21/2017
2. BKK 8 OTH PLACE
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15. TRANSFER DATE FROW To
* 06/2472017 Ge __[ OTAY MESA DETENTION CENTER
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As a a 22. RT. INDEX PRINT AN 73, RT. INDEX PRINT —OUT
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18. DATE ADMITTED: 21, UATE ,
08/21/2017 ef. ol
FTRGOTRT
FORM (385 19-15-77) ALIEN BOOKING RECORD 7
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CCOG00043011
Exhibit 11 - Page 192
CONFIDENTIAL
CCOG00043012
Exhibit 11 - Page 193
CONFIDENTIAL
OTAY MESA DETENTIONCENTEF ‘- Pint Date: 8/22/17 1:26
INMATE/DETAINEE COMMITMENT SUMmaRY
FULL NAME;
AGENCY #
PERM @
BOOKING #
COMMITTED BY: IMMIGRATION AND CUSTOMS ENFORCEMENT
ARRESTED BY:
TRANSPORTED BY:
ADMISSION TYPE: ICE - LEVEL 1 DETAINEE
BOOKING DATE: 06/21/2017
BOOKING TIME; 45 pm
DATE OF BIRTH: SES HOUSING: INTAKE/HOL.D/76NULL Pop Co
AGE AT BOOKING; 25 CUSTODY LEVEL: 219081948
GENDER: MALE POPULATION STATUS:
RACE: UNKNOWN
MARITALSTATUS: — SINGLE
SSN: XXX-XX-XXXX
MERGENCY :
HEIGHT: 6' 0" CONTACT!
WEIGHT: 195 LBS ;
EYE COLOR: BROWN
HAIR COLOR: BLACK
COMPLEXION: BLACK
BUILD: MEDIUM FRAME INMATE HOME
ADDRESS INFO: .
CITIZEN OF: SOMALIA
PLACE OF BIRTH; GEDO
COUNTRY OF BIRTH: SOMALIA
RELIGION: ISLAM/MUSLIM (SUFISM)
STG AFFILIATION: NO
DRIVER'S LIC. STATE:
DRIVER LICENSE #
SCARS / TATTOOS; ALIAS INFORMATION:
SCAR, HEAD NONSPECIFIC NONE
BACK OF HEAD HIT WITHA KNIFE
ror auiye:
FILE OPEN:
DATE:
TIME: wey)
Page 1 of B
CCOG00043013
Exhibit 11 - Page 194
CONFIDENTIAL
CCOG00043014
Exhibit 11 - Page 195
CONFIDENTIAL
OTAY MESA DETENTION CENTER Print Dote; 6/22/17 1:26
WIMATE/DETAINEE COMMITMENT SUMMARY
CHARGE INFORMATION —
CASENUMBER = OFFENSE DATE == OFFENSE = . OFFENSE CODE
: IMMIGRATION NCIC-0399
GRADE DEGREE DISPOSITION _ SENTENCEDATE =
MINIMUM DATE MAXIMUM DATE DISCHARGE DA)
_OFFENDER TRACKING #
Wy
SUPERVISOR (SIGNATURE} | | 4 INMATE/DETAINEE (SIGNATURE)
ci
Page 2 of 8
CCOG00043015
Exhibit 11 - Page 196
CONFIDENTIAL
CCOG00043016
Exhibit 11 - Page 197
CONFIDENTIAL
.
DETAINER PROCEDURE CHECKLIST
DETAINER IN FILE
RECEIVING
CHECK FOR DETAINER
WA MAKE AND DISTRIBUTE COPIES OF rv)
PLACE YELLOW SHEET IN FILE DETAINER
AA AFTER INITIAL PROCESSING VERIFY THE (ej
INPUT DETAINER IN OMS SYSTEM FILE FOR YELLOW DETAINER SHEET
AA CHECK COMPUTER FOR DETAINER Zz
PLACE AN ALERT IN OMS SYSTEM INFORMATION AND ALERT PLACEMENT
TCE DETAINEES WITH aveS=s IGE DETAINEES WITH
DETAINERS FROM OTHER DETAINERS FROM OTHEA
AGENCIES WERE PLACED IN A AGENCIES WERE PLACED INA
RED FILE FOLDER RED FILE FOLDER
DISCHARGE _
VERIFY DETAINEE/ INMATE FILE
FOR DETAINER
INTAKE SUPERVISOR
VERIFY OMS SYSTEM FOR ALERS
PROPERTY OFFICER
RELEASE DETAINER FROM OMS
SYSTEM
SHIFT SUPERVISOR
PLACE RED DETAINER SHEET IN
FRONT OF FILE
PLACE FILE IN DESIGNATED AREA
AWAY FROM OTHER FILES
AL HAMEL, GULLIT
PGES siren Mca, ATER
(We
Date Commitiad: 6/2147 8:15pm
Pinte Taivant GIVES
CCOG00043017
Exhibit 11 - Page 198
CONFIDENTIAL
CCOG00043018
Exhibit 11 - Page 199
CONFIDENTIAL
OTAY MESA DETENTION CENTER
2CEIVING & DISCHARGE CHECKLIST
: Trmate/Nes ent ®:
Nombre del Detanido: Numero del Ostenido:
RECEIVING CHECKLIST:
yi Verfication of Commitment Papers {_}Assignement to a Housing unit
ASearched at intake Photograph/l.0, Card
{ [A Showerkd at intake tassificalion Booking Sheet
i} lssue of Clean, laundered clothing. Hygiene Items Issued
Disposition of all monies at Intake xplalnation af Mail and Visiting Procedures
jedical, dental mental health screening CR (if applicable)
Assignment of Corecivic Number Telephone Calis
ersonal Property inventoried (copy given to inmate resident) Pyeiher7
PREA Pamphlet
VLINMATE/RESIDENT HANDBOOK ACKNOWLEDGMENT; BY SIGNING BELOW, ! ACKNOWLEDGE RECEIVING AN
INMATE/RESIDENT HANDBOOK ON THIS DATE.
A : IDOS: POR MI FIRMA, YO RECIBO UN MANUAL POR DETENIDOS EN
06/22/2017
Date/Fecha
‘Signature)
VOLUNTARY WORK RELEASE
As a pre-trial or un-sentenced detainee, | understand that | may nol be compelied to work other than to perform housekeeping tasks in
my own cell and the community living area, | would like to volunteer for work assignments In addition to my housekeaping tasks. By
algning below { am volunteering to participate In work assignments.
LIBERACION VOLUNTARIA DE TRABAJO
Como un detenido antes de prueba o sin sentencia, yo entiendo que no puedo ser obligado a trabajar en ninguna area nade mes que
sea la limpieza.do mi propla celda y el araa comun, Me gustaria ser voluntario para asignacionas de trabajo junto de m! laren da
limpleza de mi celda. Por mi firma abajo yo de voluntario quiero pxrticipar en asignaciones- de trabajo.
06/22/2017
ature/Firma del Octenido Date/Fecha
Verfication of identity of inmate/resident
Return of All Inmate resident personal proped
with Corg
] Verfifeation of proper release authorily
(if any) : ‘eturn of all Corecivic Issued Property
{\] Inmate/resident received all release paperwork
Ae
Date/Fecha
e| Detenido
Proparty of Corecivic
Revised: 11/28/2008
Page 3 of 6
CCOG00043019
Exhibit 11 - Page 200
CONFIDENTIAL
CCOG00043020
Exhibit 11 - Page 201
CONFIDENTIAL
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CCOG00043021
Exhibit 11 - Page 202
CONFIDENTIAL
CCOG00043022
Exhibit 11 - Page 203
CONFIDENTIAL
Oftandrarianadaiy ~ysystemes
Today’s Date: 7/3/2017 10:04
Clothing lsauad Rocotpt For:
Roecolpt Date/Time: 7/2017 10:04
Booking Number:
Permanent Number:
L,othing Issued Receipt
Inmate Signature:
Clothing Issued Receipt
Description Quantity Date issued Issued Condition Date Returned Returned Condition
BLANKET_OTAYM 2 06/22/2017 Acceptable
BLUE DEMIN JACKET_OTAYM 1 06/22/2017 Acceptable
HYGIENE KIT_OTAYM 1 06/22/2017 Acceptable
PANTS#1_OTAYM 3 06/22/2017 Acceptable
PILLOW CASE_OTAYM 1 06/22/2017 Acceptable
SHEETS#1_OTAYM 2 06/22/2017 Acceptable
SHIRT#1_OTAYM 3 06/22/2017 Acceptable
SHOES_OTAYM 4 06/22/2017 Acceptable
SHOWER SHOES_OTAYM 1 06/22/2017 Acceptable
SOCKS#1.OTAYM 6 06/22/2017 Acceptable
T-SHIRT#1_OTAYM 5 06/22/2017 Acceptable
TOWEL#1_OTAYM 2 06/22/2017 Acceptable
UNDERWEAR#1_OTAYM § 06/22/2017 Acceptable
WASHCLOTH_OTAYM 4 08/22/2017 Acceptable
_— i _ "
Signature certifies that | have carefully Inspected the entire list of properly and that | have no other Items In my possession. | further
understand that should any of the jesued Items | recelved be damaged (other than normal use), destroyed, or missing, | may be charged
for replacement costs, | further certify that | have no lagal recourse againet the facility upon signing this recelpt.
Date; Ofo-B2- 20\ )
Page { of 1
Exhibit 11 - Page 204
CCOG00043023
CONFIDENTIAL
SCOGC0043024
Exhibit 11 - Page 205
CONFIDENTIAL
i
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Clothing Issued Receip:
OMS:
Today's Date; 6/22/2017 3:16
Clothing lssued Receipt For:
Recelpt Date/Time: 6/22/2017 3:16
Booking Number:
Permanent Number:
Description Quantity Date Issued {ssued Condition Date Returned Returned Condition
BLANKET_OTAYM 1 08/22/2017 Acceptable
BLUE DEMIN JACKET_OTAYM 4 06/22/2017 Acceptable
HYGIENE KIT_OTAYM 1 06/22/2017 Acceptable
PANTS#1_OTAYM 1 06/22/2017 Acceptable
PILLOW CASE_OTAYM 1 06/22/2017 Acceptable
SHEETS#1_OTAYM 1 06/22/2017 Acceptable
SH IRT#1_OTAYM 1 06/22/2017 Acceptable
SHOES_OTAYM. 1 06/22/2017 Acceptable
SHOWER SHOES_OTAYM 4 08/22/2017 Acceptable
SOCKS#1_OTAYM 1 06/22/2017 Acceptable
T-SHIRT#1_OTAYM 1 06/22/2017 Acceptable
TOWEL#1_OTAYM 1 08/22/2017 Acceptable
UNDERWEARM1_OTAYM 1 06/22/2017 Acceptable
WASHCLOTH_OTAYM 1 08/22/2017 Acceptable
Date; OCL2ZA7
Inmate Signature:
Date; 0022; t 7
Officer Signature:
Signature certifies that | have carefully inspected the entire list of property and that | have no other lems In my possession, | further
understand that should any of the Issued items | recalved be damaged (other than normal use), destroyed, or missing, | may be charged
for replacement costs. | further certify that | have no legal recourse agalnst the facility upon signing this receipt,
Page 1 of 1
Clothing Issued Receipt
CCOG00043025
Exhibit 11 - Page 206
CONFIDENTIAL
CCOG00043026
Exhibit 11 - Page 207
CONFIDENTIAL
Transaction Receipt
Today's Date; 6/22/17 2:03AM
Inmate Name: INTAKE/HOLD/7S/NUI
Agency #:
Perm #:
Booking #:
Amount: $200.00
Transaction Type: CASH
Transaction Date: O/22N7 2:02
Zero Dollar Tranaactlon?:
Method of Deppalt: Intake g
Deposit From: DETAINEE u> §
Document Locator #: E2111255 uc
Case/Ordar #: ON
Memo: x<_
—
Check #: eed
Recelpt #: 6357990 tr ——/
Olscialmar:
This Is a temporary receipt.
The amount will be verified end deposited Into
your account by the close of he next buelnass day.
CCOG00043027
Exhibit 11 - Page 208
CONFIDENTIAL
CCOG00043028
Exhibit 11 - Page 209
CONFIDENTIAL
OTAY MESA DETENTION CENTER
PROPERTY DISCLAIMER
Having been allowed to have In my possession certain articles of my own personal property, | am aware that | am responsibie
for such articles. | hereby relieve Coracivic of any responsibility for my personal property and will not hold them responsible
for any loss or damage sustalncd that cannot be directly attributed to Corecivic.
To minimize the chance of damage or theft of my personal property, | am aware that | should notify the pod officer to lock my
soom door when | leave the pod, If | reside in a dorm, | will keep my property iocker/closet secured at ali times.
if | choose to acquire personal property valued above the maximum ralmbursable amount designated by tha
Warder/Administrator, then | do so at my own risk. | understand that a claim for such property, if found valid, will still only
result In the maximum relmbursable amount set by the Warden/Administrator for reimbursement.
| am also fully aware that should | ever abandon any of my personal proparty, Corecivic will have full suthorily to dispose of
that property In a manner of their choosing.
Should Coreclvic elect to have my property malled out or pickad up by a friand or family member, | am designating
that the following Individual be contacted:
Address:
City: State: Zip Cade: =
Telephone Number:
Inmate Resident Signature:
10 Number
Statt Witness:
Date: 06/22/2017
Date: 06/22/2017
Exhibit 11 - Page 210
Pago 6 of &
CCOG00043029
CONFIDENTIAL
CCOG0004 3030
Exhibit 11 - Page 211
CONFIDENTIAL
OTAY MESA DETENTION CENTER Prlnt Date: 6/22/17 1:25AM
MONITORING OF INMATE/DETAINEE TELEPHONE CALLS
Coreeivie reserves the authority to monitor (this Includes recording) conversations on any telephone iocated within its
institutions, said monitoring to be done to preserve the security and. orderly management of the institution and to protect
the public, An inmate's use of institutional telaphones constitutes consent to this monitoring. A properly placed phone cail
to an attomey is not monitored. You must contact your unit team to request an unmonitored attorney call,
| have read or had read to me (cross out one) the above notificatian on the monitoring of inmate telephone calls. |
understand that telephone calls | make from Institution telephones may be monitored and recorded.
Signature of Inmate Detainee: «Data: 06/22/2017
Printed Name of Staff Member: —
Signature of Staff Member: _.. Date: 06/22/2017
Page 7 of &
CCOG00043031
Exhibit 11 - Page 212
CONFIDENTIAL
CCOG00043032
Exhibit 11 - Page 213
CONFIDENTIAL
Detainee Free Adraission Telephone Call
Qetaines Narrie
Da
fin itlome
[Ci A-Number:
Telephone call completed successfully: Yes ofQlo f Bivcle One)
If the call was not competed, scate cai Se clined or Other {Circle One}
—
Warne of the person called: _ aS] f .. Telephone Number: kena
[ «Length of the calls sep? Kt ( . AS
Relationship:
Name of Office Signature of Officer:
Detainee Free Release Telephone Call
Detainee Name: __
First Name
sate Committed: 6/21/17 8:15 pm.
q Jate /time of the call: Alas —
[CE A-Number: Dccereccehopmeuaels
Name of the person called:
Relationship! __ ength of the call:
~ paadie eremryn ameter nes ma
“Ware of Onieer = rm SSI Te UNG Sere ee
CCOG00043033
Exhibit 11 - Page 214
CONFIDENTIAL
CCOG00043034
Exhibit 11 - Page 215
CONFIDENTIAL
roday's Date: 6/22/17 3:22
(IVAW ovonsne mor Geenusvetami gl Fi
ooking Observation yl
OTAY MESA DETENTION CENTER
Name:
Booking #
Sex: Male
Permanent #;
Order
Birth Dato
co i
Answers are 'Y' = Yes, 'N' or Blank = No, 'R' =
Race; UNKNOWN
SSN:
Booking Observation Questions
Question
YINIR Comiments
Rofused To Answer
»
49
54
59
64
HAVE YOU BEEN INCARCERATED BEFORE? (LIST
DATES, LOCATIONS AND LENGTH)
DID YOU HAVE ANY PROBLEMS WHILE
INCARCERATED? IF YES,EXPLAIN.
DO YOU HAVE OTHER NAMES, ALIAS, OR MONIKER?
{F YES (SPECIFY)
HAVE YOU EVER BEEN INVOLVED WITH A GANG OR
GROUP? IF YES, LIST GROUP(S) AND LOCATION(S)
HAVE YOU BEEN INVOLVED IN ANY FIGHTS OR
ASSUALTS WHILE INCARCERATED? IF YES, LIST
SPECIFICS INCIDENTS, DATES, LOCATIONS AND IF
WEAPONS WERE INVOLVED:
ARE YOU AWARE OF ANYONE AT THIS FACILITY
THAT YOU HAVE PROBLEMS WITH, OR CANNOT BE
}¥OUSED WITH, FOR ANY REASON? SPECIFY
REASON AND CONCERNS:
00 YOU HAVE PROBLEMS WITH ANYONE
INCARCERATED AT ANOTHER JAIL OR PRISON? IF
YES LIST NAMES, LOCATIONS AND ISSUES:
ARE YOU A CO-CODEFENDENT OF ANYONE
INCARCERATED AT THIS FACILITY OR ANY OTHER
JAIL OR PRISON? IF YES LIST NAMES AND CRIMES:
{S THIS AN ICE COMMITMENT?
ICE SOURCE - BOP
{CE SOURCE - USMS
ICE SOURCE - BORDER PATROL
IGE SOURCE - PORT OF ENTRY(AIR/LND)
ICE SOURCE - STATE AGENCY
ICE SOURCE - LOCAL AGENCY
ARE YOU RELATED TO ANYONE INCARCERATED? iF
YES, LIST NAMES AND LOCATIONS:
ARE YOU RELATED TO ANY EMPLOYEE OF THE JAIL,
PRISON OR LAW ENFORCEMENT AGENCY? IF YES
LIST NAMES AND LOCATIONS:
HAVE YOU EVER ESCAPED OR ATTEMPTED TO
ESCAPE FROM A SECURE JAIL OR PRISON? IF YES
LIST LOCATIONS AND DATES:
WHAT |S YOUR LAST CURRENT EMPLOYEMENT?
LIST ANY SPECIALIZED SKILLS (.E. LOCKSMITH,
PILOT ETC):
DO YOU HAVE ANY OTHER INFORMATION TO OFFER
THAT YOU FEEL MAY BE IMPORTANT DURING YOUR
INCARCERATION AT THIS FACILITY?
DO YOU HAVE ANY MEDICAL/MENTAL HEALTH
PROBLEMS AND ARE YOU CURRENTLY TAKING
MEDICATIONS?
Sooking Observation Report
N
2222
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2 2~<ZzZ2zZ22<
IMMIGRATION HOLD
BARRACKS 5
STUDENT
Page 1 of 2
Exhibit 11 - Page 216
CCOG00043035
CONFIDENTIAL
CCOG00043036
Exhibit 11 - Page 217
CONFIDENTIAL
Booking Observation Question=
Answe, + .te'Y'= Yas, 'N' or Blank = No, 'R' = Refu To Answer
Order —_ Question . YINR Comments
By my signature, Tagree thal the above Is true to the best of my knowledge
ca
Booking Observation Report . Page 2 of 2
CCOG00043037
Exhibit 11 - Page 218
CONFIDENTIAL
CCOG00043038
Exhibit 11 - Page 219
CONFIDENTIAL
CCA/OTAY MESA DETENTION CENTER
CORRECTIONS CORPORATION OF AMERICA
OTAY MESA DETENTION CENTER
HAZARDOUS CHEMICAL
TRAINING ACKNOWLEDGEMENT
1. YOU HAVE THE RIGHT TO INFORMATION CONCERNING HAZARDOUS
CHEMICALS THAT YOU MAY BE EXPOSED TO IN YOUR WORKPLACE.
2. SAFETY DATA SHEETS (SDS), ARE AVAILABLE TO ALL EMPLOYEES,
INMATES/DETAINEES, THEIR DESIGNATED REPRESENTATIVE, AND
TREATING HEALTH CARE WORKERS UPON REQUEST, AND AT THE
LOCATION WHERE THE MATERIAL IS STORED. °
3. ALL CONTAINERS OF HAZARDOUS CHEMICALS MUST BE LABELED WITH
CHEMICAL NAME(S), APPROPRIATE WARNINGS, AND MANUFACTURERS
NAME AND ADDRESS.
4. YOU MAY NOT BE DISCHARGED FROM YOUR JOB OR DISCIPLINED FOR
SEEKING INFORMATION ABOUT ANY HAZARDOUS CHEMICAL.
5. IF PERSONAL PROTECTIVE EQUIPMENT OR SPECIAL INSTRUCTIONS
ARE NEEDED BEFORE USING A CHEMICAL THIS INFORMATION WILL BE
PROVIDED BY YOUR SUPERVISOR.
6, USE ALL CHEMICALS ACCORDING TO THE MANUFACTURER'S
RECOMMENDATIONS. IF YOU HAVE, ANY QUESTIONS ASK YOUR
SUPERVISOR.
IY HAVE RECEIVED THE HAZARDOUS COMMUNICATIONS TRAINING AS
DESCRIBED IN THE WRITTEN HAZARD COMMUNICATIONS PROGRAM
AND THE INSTRUCTOR ANSWERED A STIONS THAT I MAY HAVE
FF INSTRUCTOR
0-22/7
TR/DETAINEE
DATE
ate Committed: 8/21/17 8:15 pm
19-100
CCOG00043039
Exhibit 11 - Page 220
CONFIDENTIAL
: OTAY MESA DETENTION.CENTER
INMATE/DETAINEE SAFETY RULES
Each new commitment will be required'to read and sign the below safety
regulations: In the event the Inmate/detainee cannot read, the regulations
will be read and explained to him/her, and this will be indicated in the
signature area. If, for any reason, an inmate/detainee refuses to sign, it
will be noted on the bottom portion of this form. '
DISCIPLINARY ACTION MAY RESULT FROM FAILURE
_ FO'FOLLOW THESE SAFETY REGULATIONS:
1, Every effort-will be made to provide a safe environment for inmates/detainees incarcérated:in tho facility.
Matters relating to occupational safety and health policy and practice will adhere to stale and‘loca! codes.
Compliance with established safety practices will be the responsibility of each CCA employee, inmate and
detainees,
Itié the respénsibllity of each Inmate/détainee worker to use the safety equipment issued to protect them
against physical injury and/or health hazards, Nake certain you follow, instructions for properly wearing
required personal protective equipnient, such as goggles, aprons, and arm guards before you begin an
operation.
Hearing protection must be worn on all workstations designated as high noise level areas.
You must wear work or safety shoes, when instructed fo do so.
Report all safety hazards immediataly to your work eupervisor. Do not continue to work. in any area or on
any machinety of equipment-that is deemed unsafe or improperly guarded by the work supervisor. (f your
work supervisor does not agree that an unsafe work condition exists, you should report the information to
the Safely Officer, either verbally or in writing,
6. Inmates/delainées.will perform only work that is-assigned.to them. Operation of equipment, or'performing
any.operation that.has not been specifically assigned, is strictly forbidden.
7. Operating equipment without using the safely guard(s) provided or removal of the safety guard(s) is
forbidden.
8. The fabrication or repair of persona! items using CCA equipment is against safely regulations and Is
prohibited, :
Do not try to adjust, oll, repair, or perform any maintenance on any machine while it is in motion. Stop the
madtine first. Use the lockout devices where possible.
10. Inmale/detainees who are injured while performing their assigned duties will immediately report such injury
to their work. supervisor (staff member). Report a work injury lo your supervisor or any ofher staff member,
immediately,
11, ItIs'the responsibility ofeach inmate/detainee worker to ‘exercise:care, cooperation, ‘and common sense in
. conducting his/her assigned work, Horseplay on the job or.in this facility. will not be tolerated.
12. Call and dayroom fixtures and furniture (chairs, tables, etc.) will not be used as ladders or Stepstools for any
reason,
S
maw
bd
ns 22s
SAFETY RULES”
oto Commilted: 2117 15S pm 0 CG. f)
sa Feb nny Ld;
soe ee
“HAVE READ
umber Date
a 26230
Staff Wipfess Signature Title Date
Form 19-1008
CCOG00043040
Exhibit 11 - Page 221
CONFIDENTIAL
17-100G
OTAY MESA DETENTION CENTER
Acknowledgment of Inmate/Detainee Orientation
(Reconocimicnto de Orientacién al Prisioncro/Metenido)
WOT tana, Weert
L, HEREBY AKNOWLEDGE THAT 1
Date Commitiad: 6/21/17 8:15 pm
HAV yi, IRAP Gu. JOD THE INMATE/DETAINBE ORIENTATION
HANDBOOK. IN ADDITION, I ALSG ACKLOWLEDGE THAT I HAVE ATTEND&D AND
UNDERSTOOD ALL INFORMATION GIVEN DURING A VIDEO ORIBNTATION SESSION
DURING THE ADMISSIONS AND ORIENTATION PROCESS. I HAVE ALSO BEEN INFORMED
ABOUT THE PRISON RAPE ELIMINATION ACT AND THE FACILITY'S POLICY ON SEXUAL
ABUSE PREVENTION AND RESPONSE, INCLUDING TILE AVAILABILITY OF SUCH POLICIES. |
ALSO ACKNOWLEDGE PARTICIPATING IN A QUESTION AND ANSWER SESSION WITH OTAY
MBSA DETENTION CENTER STAPF FOLLOWING THE ORIENTATION VIDEO.
Ob221) Fe?
Inmate/Detainee Signature Date “Unit/Pod/Cell
YO, i POR ESTE MEDIO RECONOSCO QUE
Nombre y Numero de Identificacién
HE RECIBIDO, LEIDO Y ENTENDIDO BL MANUAL DB LA ORIENTACION DEL
PRISIONERO/MMETENIDO., ADEMAS, TAMBIEN RECONOZCO QUE HB ASISIIDO Y
COMPRBNDIDO LA [INFORMACION DADA EN EL VIDEO DE ORIENTACION DURANTE BI.
PROCESO DB ADMISION Y ORIENTACION. TAMBIEN AE SIDO (NFORMADO DE LA LEY DE
ELIMINACION DE VIOLACIONES EN LA PRISION Y DE LA POLITICA DB PREVENCION
ABUSO SEXUAL Y REACCION, INCLUSO LA DISPONTBILIDAD DE TAI. POLITICAS.
‘TAMBIEN RECONOSCO QUE PARTICIPB EN UNA SESION DE PREGUNTA Y RESPLESTA CON
PERSONALES DE OTAY MESA CENTRO DE DETENCION SIGUENTE &L VIDEO DE
ORIENTACION.
Firma del Prisionero/Detenido Fecha “‘Unidad/Celda
PROPERTY OF OFAY MESA DETENTION CENTER
CCOG00043041
Exhibit 11 - Page 222
CONFIDENTIAL
CCOG00043042
Exhibit 11 - Page 223
CONFIDENTIAL
U.S. Department of Homeland Security
subject 10 a
Record of Deportable/Inadmissible Allen
06/10/2017, 1800, 2 mile(s) B of OTH, PWA (APOOT)
Yao iy Nass (CANS) Peet vay ex Wer we Trrghen
‘ounvy ef Cm evwehip Pesepens Nuvu and Conity of Lowe Ranke Wraghe Wah Gecepacan
SOMALIA nm 1945 LABORER
US Adiee Bewrs und Mus
IN DHS CosTODY SCAR NRCK
‘Bote, Rihep, Time, and hlanasy of Last Eniry
~~ Tava
Mowker, Berea Qiy, Brecinre [Crvts) aad Coaniry of Demeanret [esitenze
Locanon’Appiehenean
BELED HAWO, GEDO,
SOKALIA
KeLTaw BAJO
QOXCTIGA BLED HAWO, GEDO, SOMALIA
aaa Daw of Avion Taran toh “Tiassa
Age:2S 86/18/9917 enc/cuy eifos as/2037 3900
Gity, Province (Siva) pred Couniry of Bir oR be | Vom slispeana Ney Liles C) Se Oeed CF
HAV Tequrag Peg) and RAW Nunn Sesh Sein Avtouny Nene Dates i Orby Siatax Wainy Feand
PHA Mexico pane BERKIN
Data View Iesurd Boekel Sheanty New bar Tangah uf Tine Flegally in US
AT ENTRY
Tranngradon Record
NEGATIVE
Chien Record
None Known
Mone, Advan, and Nelionlly bf Spe Gvlanten Hama, I Appinp nels]
“Watbar ond Nesoralty af Mawr Owain
NONE,
Faart Nama, avon, aid Adorarg t owe
a Narrative
Bratnec Meee end Maden Neots, Nehonwity, ind Address, if Ranwm
Seo Narrative
None Claimed
fee DentPraperty in Ute Rot in Invngaiele Py reenion
Fapped oy
‘a a Syvicou Checks:
gee
Naxxative.
‘Charge Cods Wordats}
LIAL
Tyor ot Wepluymnent
Say
Waiploped trarhia
Riera and Adaiens of CLavih cura) U.S: Laupiover
ny
iit
ARREST COORDINATES #
eetane rere ern whines
Latitude: 32,57667
Longituder -116,91378
CONSEQUENCE DELIVERY AYSTEMI
Clapsitications PIRA
Alien nas Oeen gshuived cf usurvunication yiivi!
Rusivve (Oodin pavtdatuiie whichuben weslowucupprabendse [ndude Goudunni een bavecegueing furs, pace wre mentie oT Tal eniry, wtecasnpied entry, or sny OWE Calry, Bid
Semanit which antablish aditinittintive eid/orerimyast violeien Indicate maane and
347
CREDIBLE FEAR CLAIM
DOADER PATROL ACEND
tm nt Loess
(Vaschediste)
Dinabytan:
8USC 1182
epc
ckKu
= EXPEDITED REMOVAL PROCEEDINGS
Fecerven. Toahjeit Sond Dac unceds) art oF Interview)
Officer
gune 14, 2017 at 3391
Removel.
4
Pour 1-3 U4 (iow, 0801007) ¥
Reviewed by Prosecutions
Miduights
CCOG00043043
Exhibit 11 - Page 224
CONFIDENTIAL
CCOG00043044
Exhibit 11 - Page 225
CONFIDENTIAL
U.S. Department of Homeland Security Continuation Page for Form £243
—— — =~
ion . Date
06/16/2017
FATHER NAME AND ADDRESS:
BELED HAWO, GEDO, SOMALIA
MOTHER NAME AND ADDRESS:
we were e rn renee ween eee
Nationality: SOMALI
BRLED HAWO, GEDO, SOMALIA
ASBISTING ASSETS:
Other
PUNDS IN POSSESSION:
United States Dollar 222.00 0 A A
RECORDS CHECKED:
BVS Positive
CIS Negative
EARM Negative
IAFIS Positive
NCIC Positive
NARRATIVE:
On June 18, 2017, at approximately 6:45 p.m., Border Patrol Agent , was asaigned
linewatch duties in the Chula Vista Area of Reaponsibility. Agent was alerted by San
Diego Sector Border Patrol Communications, via DHS service radio, of a request for an
immigration inspection from a security guard working at CCA, The security guard had stated
that four individuals had approached him asking for assistance. Yhia area is known to
Border Patrol Agents aa "North Calpine." This area is commonly used by individuals
attempting to enter into the U.8. without having been inapectad by an immigration efficer.
This area ip located approximately two miles east of the Otay Mess, California, Port of
Entry and approximately one a half miles north of the United States/Mexico
International Boundary. Agent responded to the request, and after arriving in the
ares, via his service issued vehicle, Agent encountered the group of the four
individuals, Agent identified himself as a United States Border Patrol Agent in the
English and Spanish languages. Agent then questioned the individuald as to their
| citizenship and natio’ ity. All fo viduals spoke English, and threo of the
Signature Title —_
BORDER PATROL AGENT
2
mene nee Of ~. Pages
Form 1-83] Continuation Page (Rev, 06/1/07)
CCOG00043045
Exhibit 11 - Page 226
CONFIDENTIAL
CCOG00043046
Exhibit 11 - Page 227
CONFIDENTIAL
Continuation Page for Form — 2723
m0
~] Date”
06/18/2017
U.S, Department of Homeland Security
eee
Byent No:
(individuals, including one later identified as Yesponded “Somalia,”
the fourth individual responded “Ghana.” Agent Hrnen questioned I” and tha three
other individuals to see 1f they had any immigration documents that would allow them to
enter ox remain in tho United States legally, thay all responded "No." At approximately
7:00 pom, Agent placed MMMM and the three other individualy under arrest and had thom
transported to the Chula vista. Border Patrol Station for further processing.
-—-4
At the station, aa a routine etep in processing, MMPs biographical and biometrio
information was entered into the processing aystems. These syatems, along with record
checka revenied no immigration or oriminal history, but did reveal the following number:
vot
Hl ..: aasigned the following numbers:
At:
FING:
On June 18, 2017, at approximately 10:52 p.m., Border Patrol agent SI «2v: see
language os witnessed by
f€ hia Bomalian censulate communication rights in the English
Border Patrol Agent stated that he underatood his rights but
declined to exerciae them at this time.
At the Chula viata Border Patrol Station, GM again freely stated that ha waa a citizen
and national of Somalia and not in possession of any immigration documents allowing him to
enter ox remain in the United States legally. HER ccoted that he had dllegally entered the
United States on June 18, 2017, at approximately 6:00 p.m. by climbing over the U.8./Maxico
International Boundary fence east of the Otay Mesa, California, Port of Entry.
HE states that he has credible fear of returning to hia country, and that he has no
immigration petitions pending on hia behalf.
s served with DHS forms 1-296, I-860, I-867A, I-8675, M-444,
legal services.
|| is being held in DHS custody pending Expedited Removal proceadings.
and a list of free
Signatire a Fite
BORDER PATHOL AGENT
3
of dose. Pages
Ferm 1-831 Continustion Page (Rev. 08/01/07)
CCOG00043047
Exhibit 11 - Page 228
CONFIDENTIAL
CCOG00043048
Exhibit 11 - Page 229
CONFIDENTIAL
Print Rapsheet Screen Page | of 3
FBI Number:
Namige
TID:
FEDERAI OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
GLARKSBURG, WW 286306
CACEP 1900 ch
BECAUSE ADDITIONS OR DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY
SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE.
- FBI IDENTIFICATION RECORD -
WHEN EXPLANATION OF & CHARGE OR DISPOSITION IS NEEDED, COMMUNICATE
DIRECTLY WITH THE AGENCY THAT FURNISHED THE DATA TO THE FBI.
FBI NO, ATE REQUESTED
i 2017/08/19
SEX RACE BIRTH DATE HEIGHT WEIGHT EYES HAIR
MB 611 179 BRO BLK
BIRTH PLACE
SOMALIA
PATTERN CLASS CITIZENSHIP
WU WU RS RS RS WUAULSLSLS SOMALIA
1-ARRESTED OR RECEIVED 2016/12/18
AGENCY-ICE/HSI/OIAVA | TACHE CLAYTON (PMICE0000)
AGENCY CASE-
FINGERPRINT INFORMATION
BS/40152684295
PRINT DATE/2016/N2/18
PHOTO INFORMATION - 1 PHOTOS AVAILABLE
8S1/40152664204
POSE/ DESC/
PHOTO DATE/2016/12/18
CHARGE 1-SPECIAL INTEREST ALIEN - NOT ARRESTED BY U.S, AGENCY - SU8
JECT BIOMETRICS WERE CAPTURED THROUGH PARTNER NATION
COOPERATION AND SHAREO FOR INTELLIGENCE AND SCREENING
PURPOSES ONLY. DO NOT TAKE ANY ACTION BASED SOLELY ON
THIS RECORD. REMARKS:
END OF PART 1 - PART 2 TO FOLLOW
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSGURG, W 26306
https://e3 biometric. cbp.dhs.gov/e3 biometric Web/showPrintRapsheet.faces?ci=CBCHU317... 6/18/2017
CCOG00043049
Exhibit 11 - Page 230
CONFIDENTIAL
CCOG00043050
Exhibit 11 - Page 231
CONFIDENTIAL
Print Rapsheet Screen 7 Page 2 of 3
PART 2
- F8| {OENTIFICATION RECORD - Fs! NO. Jy
2-ARRESTED OR RECEIVED 2017/01/13
AGENCY-ICE/HSI/OIAJATTACHE MEXICO CITY (DFICEQ000)
AGENCY CASE-
FINGERPRINT INFORMATION
BS1/40165446239 :
PRINT DATE/2017/01/13
PHOTO INFORMATION - 1 PHOTOS AVAILABLE
BS1/40155446238
POSE/ DESC/
PHOTO DATE/2017/01/13
NAME USED-ABDI,MOHAMUD
CHARGE 1-PERSON OF INTEREST - NOT ARRESTED BY U.S. AGENCY - SUBJECT
BIOMETRICS WERE CAPTURED THROUGH PARTNER NATION
COOPERATION AND SHARED FOR INTELLIGENCE AND SCREENING
PURPOSES ONLY. DO NOT TAKE ANY ACTION BASED SOLELY ON
THIS RECORD, CONTACT HSI ATTACHE MEXICO CITY AT
011+52-55-5080-2000. REMARKS:
3-ARRESTED OR RECEIVED 2017/08/18
AGENCY-C8P OBP CHULA VISTA SAN YSIDRO (CACBP1900)
AGENCY CASE-CBCHU31 7081817233858
FINGERPRINT INFORMATION
BSi/401 76837071
PRINT OATE/201 7/08/18
PHOTO INFORMATION - 1 PHOTOS AVAILABLE
BSI/40175837070
POSE/ DESC/
PHOTO DATE/201 7/06/18
NAME USED-ABDI-HASSAN,MOHAMUD :
CHARGE 1-ALIEN INADMISSIBILITY UNDER SECTION 212
END OF PART 2- PART 3 TO FOLLOW
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, W 26308
CACBP 1900 a
PART 3
- FBI IDENTIFICATION REGORD - FBI v0
RECORD UPDATED 2017/06/19
https://e3 biametric.cbp.dhs. gov/e3 biometric Web/showPrintRapshcet. faces?ci=CBCHU317.,. 6/18/2017
CCOG00043051
Exhibit 11 - Page 232
CONFIDENTIAL
CCOG0N0043052
Exhibit 11 - Page 233
CONFIDENTIAL
Print Rapsheet Screen Page 3 of 3
ALL ARREST ENTRIES CONTAINED IN THIS FB! RECORD ARE BASED ON
FINGERPRINT COMPARISONS AND PERTAIN TO THE SAME {NDIVIDUAL,
THE USE OF THIS RECORD IS REGULATED BY LAW. IT |S PROVIDED FOR OFFICIAL
USE ONLY AND MAY BE USED ONLY FOR THE PURPOSE REQUESTED,
7 Federal Deoxyribonucleic Acid (DNA) Indicator ¥
.
: DNA Not In CODIS - Collect DNA . I
ceweeree badereeenene Beet een teen eee 2.2018:N
https://e3biometric.cbp.dhs.gov/e3 biometric Web/showPrintRapsheet, faces?ci=CBCHU317... 6/I 8/2017
CCOG00043053
Exhibit 11 - Page 234
CONFIDENTIAL
CCOG00043054
Exhibit 11 - Page 235
CONFIDENTIAL
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WEE OV LN Satara
HOMERS 4 BSNS tet Siti
£2) uswanndoy Gupseos st yar pue $pespusis:
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CCOG00043055
Exhibit 11 - Page 236
CONFIDENTIAL
CCOG00043056
Exhibit 11 - Page 237
CONFIDENTIAL
at P SAvSSe-} e+
OSEC1SS EIS FIQVSCWO
SDQWIN S0SGCe8 | SUT ezUo “sy:
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YOO @ Yes saguay MT YSW A119 | Cres yo sBeyg ur cs.
PIC’ayeoe-} W104
CCOG00043057
Exhibit 1 - Page 238
CONFIDENTIAL
CCOG00043058
Exhibit 11 - Page 239
CONFIDENTIAL
wa
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CCOG00043059
Exhibit 11 - Page 240
CONFIDENTIAL
CCOG00043060
Exhibit 11 - Page 241
CONFIDENTIAL
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CCOG00043061
Exhibit 11 - Page 242
CONFIDENTIAL
CCOG00043062
Exhibit 11 - Page 243
CONFIDENTIAL
VIAT WIDSA VE ICIViiuN Venn
TRUST ACCOUNT CLOSING RECEIPT Print Date: 12/42/48
Disclaimer Print Time: 8:27AM
This is the cashier's authorization to pay to the above named Inmate the total sum of the inmate's trust
account balances. The inmate is being released from the facility and his/her trust account balance as of
12/12/18 was as follows:
Account 1 Balance:
Account 2 Balance:
Total:
The inmate by signing below acknowledges receipt of the funds shown in full settlement of his/her account
balances and recognizes that any check received will become vold after 180 days from the date of the
check. The Inmate's signature also acknowledges that he/she is responslble for any bunk charges related to
Kk.
stopping payment and replacement of ach
Signature and Employee # of Employee Releast:
Inmate's Signature and Date
Signature and Employee # of Cashier
Test Account Closing Receipt
{ : i { . { P l
CCOG00043063
Exhibit 11 - Page 244
CONFIDENTIAL
CCOG00043064
Exhibit 11 - Page 245
CONFIDENTIAL
Offender Information and Controls Print Serean | Help
Offender (Code; . Fectity insiRution Lov, Heme First Nama Housing Uni Anvunl States
SEES Ja). ore poet i feaive
Getting Contiots Conract List Rewrictions System Usoge GroupAra Madis
t
trmate Fund Account Imormation
Avaioba balenice.
|
| ow Hoh beta 08 A
! Pea 0.9 f0.00
Individusl Control Bettings
Time Rastiction Unique Raxirchons Block Ab Resteicted Viewing Group Member Contact Pre-Approval '
OD end date:f Di | oO in} a ia) H
a:
https://ccaadmin.cca.inmate.local/InmateKioskAdmin/Screens/InmateInfoAndControls.as... 12/12/2018
‘ . . 4 a i 7 . t
CCOG00043065
Exhibit 11 - Page 246
CONFIDENTIAL
CCOG00043066
Exhibit 11 - Page 247
CONFIDENTIAL
Appendix 2.2.A: ICE Custody Classification Worksheet
ICE Custody Classification Worksheet”
1D dowd Prelass
Part 1, Basic Information | Initial [_] | Reclunsifieation|y J] Spocial Classification -
Field/Sub Office: [GAN DIEGO _ Facility: OMDC ‘| Date:08/27/1 8
Officnr Naine: Longuaga(s) Used during tha Interview: ENGLISH Interpreter line: [_]
Gonder:
Alien Number:
Laat Name? Firet Name!
Part 2, Special Vulnerabilities and Management Concerns
~ | Does a Spocial Vulnerability exist? Inquire, observe, and raview all documentation, if
based on your asscsament the vulnerability existe, seloct the appropriate boxes bolow. Cy N
Also inilicate whether there are cther management concerns that may affect the custody r
decision,
‘C] serious physival illness
Cl aavious mental Ulness
C) dianbility
(J) elderly
(2 pregnancy.
C nursing
C7 sole caretaking responsibility
{_] risk based on soxual orientatiou/gender identity
(3 victim of porsecution/torture
D victim of sexual abuse or violent crime -
(7) victim of human trafficking
(J other (specify): |
Provide further explanation as necessary:
wailin aoa
Trany boxes are checked, ¢ consult with the local ICE Pield Office regurding appropriate » plawem ent und
othen nanagonent considers tions, and record the date and time of consultation ere?
78 PBNDS 2011
(As Modified by May 2016 Errata)
2.2 | Custody Classification System
( " i . i t
CCOG00043067
Exhibit 11 - Page 248
CONFIDENTIAL
CCOGC0043068
Exhibit 11 - Page 249
CONFIDENTIAL
Part 3. Custody Classification Worksheet
l Severity of Charge! Conviction Associated with the ICE Encounter (Use Appendix 2.2.0 Severity of Offonse
Low: ‘IMMIGRATION " Enter the
hal score here:
Moderate: x wl
Hiah , Cate 8, Q
Higtveot 1 —
Singla Moat Serious Conviction in the Individuals Criminal History (xeluding Item 1).
2 | list conviction cegacdlors af Liese frame:
ae None | P16 Years | 10 16 Years 5 10 Years | ' <6 Years | Water the
¥ | ""Higheat 0 5 5 7 score here?
2o | | , rp ‘ -
3 ca Tigh | 0 5 Lal, 5 6 . 6
; | Moderate {| 0 a a 2 3 4 o
bi . Lew 0 9 of] 1 2 -
Additional Prior Convictions (Excluding Itema 1 and 2)
None 0 Enter the
1-2 misdemonnors, no (glonies 4 | score here?
3-4 misdemeanors, or 1 felony 2 0
6 or more misdetasanors, or 2 felonies 7 4 _—_—
4 _| Supervision History ooo oe ebb e dob be bee pee wenn co cueen wae ll
None 0
Walk-away or attempted escape from an unsecured fae v, abeconding, band breach, Dinter the
violationa of prior voluntary departure orders or conditions of supervision, or prior 3 | acove here:
revocation of aup . | :
7 ——
seta cocgaveteceneesaeseaee rece coe ceeeqeeneceps- FUOUOR £O8
; 16 no known membership: ich an xd | 0] acore hore?
The individual is a member of an STG | . 6 0
Ristory/Pattern of Violence (rwo or more arraste most recent arrest)
eit ae 6ee6 sosiepscsusuceedwees¥albaa envenebiensennt’ Cane ic cee
Over 10 years and Joss than 16 years aga: g | Enter the
Over 6 years and less than 10 years ago iON g | acore here:
Within the laat 6 yeara 5 a
Number af Sustained Disciplinary Jnéractiona Involving Viclenca or Behavior Representing a ‘Threat to the Facility (Institation{s)) List
7 Oks ise Code (Grewtest andior igh. using Appe: dix ah : Disciplinary Offrse Involving. Violence or Iehavioe ‘Representing @ Threat to the facility)
One 2 | Entor the
Two 4 | score here:
Three cr mare 6 Q
Check if data sol available: Ll reeen
| Potal | Guntedy Classification Sco:
2.2 | Custody Classlfleatlon System 79 PBNDS 20114
(As Modified by May 2016 Errata)
! i { i !
CCOG00043063
Exhibit 11 - Page 250
CONFIDENTIAL
“6COG00043070
Exhibit 11 - Page 251
CONFIDENTIAL
| Custody Level! Guideline Ranges
Ifthe person has no violent conviction for a violent offense, use this table.
If tho person haa a conviction for a
| 0 | Low Custody 0-2 | Violent offense, use this table,
Mediuin-Low Custody 35
Mediun-High Custody 61) 0-6
High Custody 12+ T+
If the Officer maces u custody recommen
rationale and include aggravating/ mitigating circumstances that.
dation outaide of the custody level guideline ranges above, provide the
were considered in the decision:
Recommendation Outside the Guideli
ne Ranges | Low [v] Medium-Low CL Modium-High oO High{_]
Officer Signature
[dae |
Low custody individuals may never
individuals who have any history of assaultive or cambati
Ifthe individual is to be placed in administrative segregation,
order shall be immediately provided to the Field Office Director or his designes, as re
Standard 2.12 “Special Management Units.”
Final Houging Assignment Custody Level |
Inthe section below, check the custody level of the individual’a housing assignment, following the
guidance provided in the inatructions, F. Housing Assignment.
For purposes of housing medium-cuatody individuala with low-or high level custody individuals, use the
following guidelines:
Medium-Low may be housed with low custody indivi dual:
Medium-High may be housed with high-custody individuals; but,
be houged with high-custody individuals, or medium custody
ive behavior.
4 copy of the administrative segregation
quired by
Low) Medium-Low(] Medium High[ _}High CJAdministratival_]
RECLASS: DETAINEE SIGNATURE}
| Supervisor Signature | |
2.2 | Custody Classiflcation System
| Date |oa/27/2018
80
Exhibit 11 - Page 252
PBNDS 20114
(As Modified by May 2016 Errata)
ff .
CCOGC0043071
CONFIDENTIAL
CCOG00043072
Exhibit 11 - Page 253
CONFIDENTIAL
wh : .* Fora VO1OGA
yy |
OTAY MESA DETENTION CENTER
Classification Status Review
48 Hours Notice of Hearing
Inmate ‘a IDOC # a a
(Print, (Print)
Reason for classification: nt Scheduled 0 Unscheduled
I understand that I am scheduled to meet with my counselor for a classification
hearing on or about 8 (20- Ke ————
Date)
l understand that this hearing will take place no sooner than 48 hours from the
date of this notice.
1 waive the right to be present at the hearing and choose to sign my reclassification
form now. 0 Yes 0] No _
(inmate Signature)
Date_@d ~ 2 - 10/73
Inmate Signature _
Date S12) If pean
Staff Signature...
Original: Inmate File Copy: Inmate
B25 2637
HU
CCOG00043073
Exhibit 11 - Page 254
CONFIDENTIAL
CCOG00043074
Exhibit 11 - Page 255
CONFIDENTIAL
Appendix 2.2.A: ICE Custody Classification Worksheet
ICE Custody Classification Workeheet™
Part 1. Basic Information | Initial im | Reclaasification| vi Special Classificntion (Jl
Field/Sub Office! | SAN DIEGO Facility:OMDC 7 | Date: 5/14/18
Officer Name! Lampungela) Usud during the Inturvient ENGLISH Interpreter line: {_}
ClF @u
Alien Number!
Tast Name: Firat Name!
Part 2. Special Vulnerabilities and Management Concerns
~"T Does a Spacial Vulnevability exist? Inquire, observe, und review all documantation. If
basad on your assessment the vulnerability exists, select the appropriate boxes below. Cly [Nn
Also indicate whether there are othar management concerns thal may uffect the custody *
decision.
im ‘serious physical iUness
(CT serious mental illness
[7] digabitity
Cl elderly
(J pregnancy
[_] nursing
CC] sole caretaking responsibility
{] visk bused on sexual orientation/gender identily
(1 victim of persecution/torture
(2 victiitn of sexual abuse or violent. crime
(0 victim of human trafficking
(0 other (specify):
Provide further explanation os necessary:
“Tany boxes aro checked, consult with the local ICE Field Ottice regarding appropriate placement and
other management considerations, and record the date and time of consultation here!
2.2 | Custody Classification System 78 PBNDS 2044
_ 20 0AY (As.Modified by May 2016 Errata)
eT
’ ; ;
CCOG00043075
Exhibit 11 - Page 256
CONFIDENTIAL
‘CCOG00043076
Exhibit 11 - Page 257
CONFIDENTIAL
Part 3. Custody Classification Worksheet, :
Severity of Charge/ Conviction Asace: sagrialod with the ICE Pneountor (Use Appendix 2.2.0 Severily of Olfenae
i
4 Enter the
Moderate 4 i) hare?
High 6 a
Highest 7 —— |
2 Single Moxt Serious Convicinn in the Tudividuial’s Criminal) History y (excluding fiew: 1),
al
“None i> 15 Years | ‘Lo: 15 yaaa } p10 Yeara <6 Yoaxs | Enter tha
q =. _ ‘olv] a [| rr we rT score hare:
By | Wgh of¥] 5 5 a a 6.
F | Moderate ol/] 1 2 3] 4 Ci
; | Low jo 0) 9 1 2 __|
a Additional Prior Con ‘ictions (Excluding ftome 1 and 2)
Nene Q | Enter the
1-2 misdemeanors, no felonies 1 score here?
4-4 misdemeanors, or 1 felony 2 0
|.5 or more misdemeanors, or 2 felonios A 4 =—-
4 Supervision History
None oe .
Walk-away or attempted escape from an unsecured facility, aksoonding, bond breach, i Enter the
violations of prior voluntary departure orders or conditiona of supervision, or prior 3 acore here?
revocation of supervision f
Beeape or attempted acans, from « secure facility 7 meee: fl
‘The individual has no o known membership or affiliation witl an . wo ; * score ‘ta
The individual i is a member of an sT¢ 6 a
6 History/Pattorn of Violence Cwo or more arres ent arrest)
Fears “iB oreiovey we aoe maqWetaad vocedoees 3 recent susan “e aasvienserenexery
Over 10 years and less. than 15 years eg , g | Enter the
Ovor 6 years und less, thas, 10 yaars ago ) a aan here:
5 ——F
Within the last 5 years
Nambor of Sustained Disciplinary Infractions Involving Violunce or Behavior Rupreegnting 8 ‘Throat to the Facility (natitutinnte)) List
1 Offease Code SGreategt andlor Hye ang Api pedi Td! Otseplawry Offense Tayelyi ‘nig Violenet or Aehavior Hapesscntinig & Threat to the facility):
sereores yg watskanededgae tie ~~ :
One 2 | Bnter the
Two 4 | score here*
Thyee or more . 8 6
Check if data not available: C] —
‘Total Custody Classification Score O_
2.2 | Custody Classification System 79 PBNDS 2041
(As Modified hy May 2016 Errata}
i - t f . i
CCOG00043077
Exhibit 11 - Page 258
CONFIDENTIAL
CCOG00043078
Exhibit 11 - Page 259
CONFIDENTIAL
| Cuatody Level Guideline Ranges a
Ifthe person has no violent convictlon for aviolent offense, use this table. : —
__ | Medium-Low Cuatody 3-6 .
; Medium-High Custody 6-11 a 06 |
High Custody vat | a te |
Ifthe Officer makas custody recommendation auteide of the custody leve! guideline ranges above, provide the
rationale and include aggravating/ mitigating circumstances that were considered in the daciaion:
Recommendation Outaide the Guideline Ranges Low [¥] Medium Low O Medium-High O High{_]
Officer Signature | __ _ | Date .
In the section below, check the custady level of the individual's housing assignment, following the
guidance provided in the instructione, F. Housing Assignment,
For purposes of housing medium-custody individuals with low-or high level custody individuals, use tho
follawing guidelines:
Medium-Low may be housed with low custody individuals;
Medium-High may be housed with high-custody individuals: but,
Low custody individuals may never bo housed with high-custody individuals, or medium custody
individuals who have uny history of asyaultive or combative behavior.
Ifthe individual ia to be placed in administrative segregation, a copy of the administrative segregation
order shall be immediately provided to the Field Office Director or his designee, as required by
Standard 2.12 “Special Management Units.”
Final Housing Avsignment Custody Level | Low) Mediuu-Low(JMedium-High(JHigh[_] Adminiatrative
RECLASS:INMATE SIGNATURE:__|
Supervisor Signature
| Date [5/14/18
PBNDS 2011
2.2 | Custody Classification System 80
(As Modified by May 2016 Errata)
t
CCOG00043079
Exhibit 11 - Page 260
CONFIDENTIAL
* €COG00043080
Exhibit 11 - Page 261
CONFIDENTIAL
Fon 18-1004
CCA OTAY MESA DETENTION CENTER
Classification Status Review
48 Hours Notice of Hearing
Inmate — . £»«£ _ «DOC eis ai
(Print)
(Print)
Reason for classification: v Scheduled {"] Unscheduled
[ understand that I am scheduled to meet with my counselor for a classification
hearing on or about | m\t \\8. — ——
(Date)
I understand that this hearing will take place no sooner than 48 hours from the
date of this notice.
I waive the right to be present at the hearing and choose to sign my reclassification
form now.C] Yes C] Now
Date 7o/8 WL (288
_ Date Uyk
(Inmate Signature)
Inmate Signatu
Staff Signature
Original: Inmate File Copy: Inmate
62605-2639
i
CCOG00043081
Exhibit 11 - Page 262
CONFIDENTIAL
CCOG00043082
Exhibit 11 - Page 263
CONFIDENTIAL
Appendix 2.2.A: ICE Custody Classification Worksheet
ICE Custody Classification Worksheet™
[ Part 1. Basic Information T 7 Initial O | Reclassification| ¥ Special Classification LJ
Field/Sub Office: |San Diego Facility: Otay Mesa Detention Facility | Date:01/16/2018
Officer Name: Languagu(s) Vad during the Faterview! Ennylish Tater preter line « |
Gander:
Alben Numbar:
Or fmm
First Name:
Laat Nane:*
Part 2. Special Vulnerabilities and Management Concerna
Does a Special Vulnerability oxiot? Inquire, observe, and review all documentation. If
based on your assessment the vulnerability exists, soloct the appropriate boxes below. ‘
Also indicate whether there are othur mavagament concerns that may affect the eustody (ly @N
decigion, ee
7 Oo ‘serious physical illness
(] serious mental illnesa
[] disability
(2) elderly
(-] pregnancy
(2) nursing
(J sole caretaking vesponaibility
{7 risk based on sexual orientation/gender identity
(1 victim of persecution/torture
C) victim of sexual abuse or violent crime
2] véctine of human trafficking
(2) other (specify): a
Provide further explanation as necessary:
90-120 DAY RE-CLASSIFICATION ‘
Tfany boxes are checked, consult with the local ICE Fold Office regarding: apsproprinte placemené and
other management considerations, and record the date and time of consultation here
«22 | Custody Classificatlon System 78 PBNDS 2011
(As Moditied by May 2016 Errata)
‘ . ‘ 1 : f a
CCOG00043083
Exhibit 11 - Page 264
CONFIDENTIAL
CCOG00043084
Exhibit 11 - Page 265
CONFIDENTIAL
Part 3. Custody Classification Worksheet
Severity of Charge/ Conviction Associated with the ICE Eacountar (Use Appeniix 2.2.C Severity of Offense
1 | Scale)
None fater
Soact me 4 score here?
High . 6. a
ighest __ — 4) ==
Single Most Sevions Conviction in tha fudividua?s Criminal Histary (Rxaluding Item »
2 | ist convicelan regardless of time frame:
Noue | >16 Yeors | 10°15 Years | 6°10 Years ; <6 Years | Unter the
4 _. Highest _ 0 Fa 6 5 __. 6 | . 7 | acore hare’
Ba High | 0 6 5 6 6
§ Moderato — | 0 1 2 a 4 aan
Low | ofy] 0 0 1 2
3 Ad litional Prior C onvictions (xelnding Ttome a and 2
0} Buter the
1 | score here:
2
en 6 ox more miademoanors, or 2 felonies oe 4 —_—
4 | Supervision History
O eee eee eee - aammmsies walle
Walkaway or attemptod escape from an unsecured facility, absconding, bond breach, Enter the
violations of prior voluntary departure orders or conditions of supervision, or pricy 3 | score here
revovation of supervision es . a A
Escape or attempted eacape from a secure facility. 7 ———
bach Secuetiy Threat Group (SND) - Last below scans ceeucaeeeeseeneaencanesn qeesevnepseOBQC DR |
The individual has no ‘known ‘mombership 0 or r affiliation with ¢ an STG acore here:
The individual is a member of an STO 6 a
6 Histoyy/Pattern of Violence (wo | or more, arrests mart recent arccst)
: — . ou suendtipvvacsdataeseans: ‘5 - sigiSaeebeomiavecd
Over 10 years and leas | than 15 years ago a 2. Enter the
Over § years and less (han 10 yopraago _ . af. 3, here:
Within the last 6 years 5
a Number of Sustained Disciplinary Infractions Involving Violence or Buiuvior Kepresenting # Threat t tho Facility Tantitation(s} List
7 Olfense Code (Greatest ni ler High vsing Appendix. 2 tara bp Ue
; None” , 0
One -2 | Enter the
Two 4 | score hore:
Three, or nore | 6 | Py
Chock if data nats av’ vailable! —
Total Custody Classification Score
2.2 | Custody Classification System 79 PBNDS 20114
(As Modiflod by May 2016 Errata)
a ‘ { {
Exhibit 11 - Page 266
CCOG00043085
CONFIDENTIAL
CCOGou043086
Exhibit 11 - Page 267
CONFIDENTIAL
| Custody Leval Guideline Ranges
Ifthe person has no violent conviction for a violent offense, use this table, ~
— ir oO 7 If the person has a canviction fur a
soe Custody STs ca te 92 | Violent offense, use this table,
Mediun-Low Custody 3-5
fe] Medium-High Custody CLL 0-6
High Cuatody 12+ T+
If the Officer makes a cuatody recommendation outside of the custody level guideline ranges above, provide the
rationale and include aggravating/ mitigating circumstances that were considered in the decision:
Recommendation Outside the Guideline Ranges | Low Medium:Low CJ M
Officer Signature |
In the section below, check the custody level of the individual's housing assignment, following the
guidance provided in tha instructions, P. Housing Assignment.
For purposes of housing medium-custody individuals with low-or high level custody individuals, use the
following guidelines:
Medium-Low may be housed with low custody individuals:
Medium-High may be housed with high-custody individuals; but,
Low custody individuals may never be housed with high-cuatody individuals, or medium custody
individuals who have any history of assaultive or combative behavior.
{f the individual is to be placed in administrative segregation, a copy of the administrative segregation
order shall be immediately provided to the Field Office Director or his designee, as required by
Standard 2.12 “Special Management Unita.”
Final Housing Assignment Cuatody Level | _ ‘Low @ Medium-Low [}Medium-High High C] Administrative[_]
90-120 DAY RE-CLASSIFICATION
DETAINEE SIGNATURE
—___ [Date [ornerzote
Supervisor Signature
2.2 | Custody Classification System 80 PBNDS 20114
(As Modified by May 2016 Errata)
! { : ! : { : [
CCOG00043087
Exhibit 11 - Page 268
CONFIDENTIAL
CCOG00043088
Exhibit 11 - Page 269
CONFIDENTIAL
_\w
Y 0 Porm 18-100A
CCA OTAY MESA DETENTION CENTER .
Classification Status Review
48 Hours Notice of Hearing
Prin (Pont
Reason for classification: {!Scheduled [Unscheduled
T understand that I am scheduled to meet with my counselor for a classification
hearing on or about____. ATA ml WAICHAR)
Date)
I understand that this hearing will take place no sooner than 48 hours from the
date of this notice.
I waive the right to be present at the hearing and choose to sign my reclassification
form now. Cl Yes C] Now —— =
(inmate Signature)
pae__11 2/12
if
Date WALES)
Inmate Signature
Staff Signature __ ;
Original: Inmate File Copy: Inmate
602605-2639
: i
CCOG00043089
Exhibit 11 - Page 270
CONFIDENTIAL
CCOG00043090
Exhibit 11 - Page 271
CONFIDENTIAL
Appendix 2.2.A: ICE Custody Classification Worksheet
ICE Custody Classification Worksheet™
Part 1. Basic Information | __Initial UCU] ” Reclassificationl ¥ | a Special Classification | _]
| Field/Sub Officet |OTAY MESA _| Frcility:OMDC _ | Date:9/19/2017
Officer Name: Language(s) Used during the [ntarview: Interpreter tine 1 LJ
Gender:
Alien Number:
First Name?
Last Name?
Part 2, Special Vulnerabilities and Management Concerns
Yoes a Special Vulnerability exist? Inquire, observe, and roviow all documentation, If
based on your aasesswent the vulnerability exists, seloct the appropriate boxes below. Cy Wn
Also indicate whether there aru other management concerna that may affect the custody | + ie
decision
“| Chaerious physical i ness
(serious mental illness
C2 disabitity ,
OD elderly
(] pregnancy
D nursing
CO solo caretaking responsibility 7
(7 risk based on sexual orientation/gender identity
(1) victim of persecution/torture
(2) victim of sexual abuse or violent crime
(CO victim of human trafficking
C1] other (specify):
Provide further explanation ae necessary:
Tfany boxes are checked, consult with the local ICE Field Office regarding appropriate placement and
other management considerations, and record tha date and time of consultation here:
2.2 | Custody Classification System 78 PBNDS 2011
As Modified by May 2016 Errata)
60 - 90 DAY
REVIEW
i
CCOG00043091
Exhibit 11 - Page 272
CONFIDENTIAL
CCOG00043092
Exhibit 11 - Page 273
CONFIDENTIAL
Part 3, Custody Classification Worksheet
Severity of Charge/ Conviction Associated with the ICE Encounter (Use Appendix 2.2.C Severity of Offenso
1 s y
None IMMIGRATION oe Q Enter the
Moderate oe : 4f-fore ber
igh - Likes oy eae 6 fy
Highest YA irre
Single Most Soriaus Conviction in tha Individual’s Criminal History (Excluding ltem 1).
2
7" sess neneanonepettonenensenssneqecneststsnanesennreserenase anattgnaccnteasensttes
>16 Years | 10° 16 Years 6-10 Yeara | <5 Yeare | Wnter the
5 5 score here*
A ne SN es
0 0 ised
_— _ |0..] Enter tha
1 | score here!
2
ae i 0
ai ean: an i i
Walk: away or attempted escape from an unsecured facility, abavonding, ond breach, Enter the
violationa of prior voluatury departure orders or conditions of supervisiog, or prior 31 score hore?
revocation 1 of supervision ee = - ; 7
Escape or -altempted eacape from a secure facility 7 amare
5 ecurity Throat Group GTG) - List below ___ Batar the.
— 0 | score hore:
The individual is a member of an STG * 65 i
6 Hintory/Pattern of Viclence (Two or more arrests most recent arrest)
“lg | Enter the
saitenieidiaiatiiaamstiabbiiieiil e “| g | score here:
Within the last 6 years 5 nino
Number of Sustenned Dicciplinary Infractions Tavolving Violence or Behavior Care, a Threat to the Facility Gnati(utionta)) t tin |
ling # Threat tthe feiliiyy:
One
Two
Thyes or more
Enter the
score hare:
2
Check if dala not available:
Total Custody Classification Score 0
2.2 | Custody Classification System 79 PBNDS 2041
(As Modifled by May 2016 Errata)
!
CCOG00043093
Exhibit 11 - Page 274
CONFIDENTIAL
CCOG00043094
Exhibit 11 - Page 275
CONFIDENTIAL
lo Custody Level Guideline Rangea
If the person has no violent conviction for a violent offense, usc thls table,
min If tho person has a conviction for a
0 Low Custody a 0-2 | violent offense, use this table,
a Medium: Low Custody yo . 3-5
I, ; . @11 0-6
High Custody 12+ |
If the Officur makeg a cuatody recommendation outside of the cuatady lavel guideline rangos above, provide tho
rationale and include aggravating/ mitigating circumstances that were considered i in the decision:
Recommendation Outside the Guideline Ranges | Low C] Medium-Low Ct) Medium-High O High]
Officer Signature |. [ Date | a!
In the section below, check the custody level of the individual's housing assignment, following the
guidance provided in the instructions, F, Housing Assignment.
For purposes of housing medium-custody individuals with low-or high level custody individuals, use the
following guidelines:
Medium-Low may be housed with low custody individuals:
Medium-High may be housed with high-custody individuala; but,
Low custody individuals may nover be housed with high-custody individuals, or medium custody.
individuals who have any history of assaultive ur combative behavior. :
If the individual is to be placed in administrative segregation, a copy of the administrative segregation |
order shall be immediately provided to the Field Office Director or his designee, as required by
Standard 2.12 “Special Management Units,”
Final Housing Assignment Custody Level | Lowf’]} Medium-Low (()Medtum-High (High (7) Administrative[_]
Detainees signature
~ [Date [9/19/2017
Supervisor Signature
2.2 | Custody Classification System 80 PBNDS 2014
(As Modified by May 2016 Errata)
CCOG00043095
Exhibit 11 - Page 276
CONFIDENTIAL
CCOG00043096
Exhibit 11 - Page 277
CONFIDENTIAL
a Form {8-100A
CCA OTAY MESA DETENTION CENTER
Classification Status Review
48 Hours Notice of Hearing
Inmate Name _| IDOC #
(Print) rint
Reason for classification: rKcietates C) Unscheduled
Tunderstand that | am scheduled to meet with my counselor for a classification
hearing on or about Ala. oa
(Date)
I understand that this hearing will take place no sooner than 48 hours from the
date of this notice.
I waive the right to be present at the hearing and choose to sign my reclassification
form now.C] Yes CNow
(Inmate Signature)
pate UAL
Date ae
Copy: Inmate
Inmate Signatur
Staff Signature
Original: Inmate File
60205-2639
CCOG0004 3097
Exhibit 11 - Page 278
CONFIDENTIAL
CCOG00043098
Exhibit 11 - Page 279
CONFIDENTIAL
SEXUAL ABUSE SCREENING TOOL
DMSIFIES
ODetainee/Resident Name;
Detainee/Resident OO:
Oetainee/Resident ID Number:
CHECK ONE; 7 Initial 1 New Information. L690 Day Assossinent
SECTION &_ VICTIMIZATION HISTORYIRISK
After nlecviewing the detainee/resident and recording observalions and findings frarn tne file review, indicate ihre, fotlewing:
(7) Victim ~ Check here if detainee/resident answers YES to question 1 below
ae Victim — Check here if answering YES to three or more of remaining questions 2-11 belaw
Nol Applicable — Check here if detainee/resident has no known victimization history/risk
[ Detainee/Resident Questions .
7. Have you boen the victim of sexual abuse or unwelcome sexual activily? Was this in the community
or while detained? ————-—— es
Comments: Z
2, Do you feel that you are vulnerable ta sexual abuse or assault while detained, or do you fear for your
safety? x
Comments:
3. Is your sexual orignlation or statug lesbian, gay, bisexual, transgender, intersex or gender non-
__ conforming? _ =
Comments; ee ee a _
4, Oo you have a physical, mental, or developmental disability?
Comment is}
S Oo you have a current or prior conviction of sexual offense/abuse against a child or adult? | YES | ay,
“Comments:
| Staff Observation / File Review +". 7.38 : . oe Ee Le Respons
6. Detainee/resident appears to be physically, developmen, or ania. disabled 7 | YES w/c)
Comments: - _ '
Loss.
ee |
ie Delainoe/resident, has 4 small build or appears to bp wryliforabte,
Comments: ‘ i, mai 7
8. Oetainee/resident appears to be gender non-coriforming. - — | Yes : Ni
| Comments: :
—+}o. “Delvineel usident has 7 youthfaroretterty wppearance which may contribale to valnerabllity=——— = wee CF
| Comments:
10. This Is the first time the detainee/residenthas been detained, Wistal NO.
11, Detainee/esidant has only non- -violant or nan- “sexual offenses, ——— Us zc aI
Page bars WABNG
' A Propdetseylofegnation ~ Not for Olstributten » Copyrightal — Proparty of CCA aol ein ast
’ 1 ” . fi
CCOG00043099
Exhibit 11 - Page 280
CONFIDENTIAL
14-28-DHS/FRS
SEXUAL ABUSE SCREENING TOOL
SECTION Il: PREDATORY HISTORYIRISK
Alter interviewing the delainee/resident and fecarding observations and findings from the file review, indicate the following:
Cy Prevator — Check here if detaince/resident answers YES ta question 12 below
{J Palential Predator — Check here if answering YES to both questions 13 and 14 below °
Not Applicable — Check here if dgtainee/resident has no known predatory history/risk-
~—f DeLAINGs/Rosidant Questions
(2, DO you have a current or prior conviction of sexual offense/abusa against a child or a
Comments:
13, Do you have a current or prior conviction of a violent offense against a child or adult?
_Commen re
14. Have you received @ disciplinary sanction far violence while detained? [yes [ JENC Ll
Comments:
——— ie
SECTIONAL DISCREPANCIES BETWEEN THE INTERVIEW AND THE FILE REVIEW
1S. Are there discrepancies between the interview and the file review? | YES lf No}
Comments: _ ee
Date } iA i
Forward a copy of each completed form to classilication/unit fgtAiousing, bed, work, edubatian, and prograin +
assignments, and to the Health Services Department for further evaluation and screening.
Screeners Printed Name |
Screener's Signature |
——— Go py Beta new Res ident He-—_—_——_— A —— remnant A et ~
Classifcationed Stat
“Health Seimene Dopartirent”
sebihininee pada naps iehieh bth camedeet teenie Le Ee
CCOG00043160
Exhibit 11 - Page 281
CONFIDENTIAL
W420i) DEI RS
SEXUAL ABUSE SCREENING TOOL
DIRECTIONS FOR COMPLETION
2. It should also be noted that questions § and 12 are the same ("Do you have a current a priot conviction of
sexual offense/abuse against a child of adult?"). The question only needs to be asked once, bul the response
should be provided in both areas. [Las been intentionally duplicated in both sections | and i! based on te
fact (his behavior can be both an indicator of polential victimization and predatory behavior
3, With the exception of numbers 10 ang 11, comments shoutd be provided for any YES answer in the space
provided below each question or staff observatic review item, As an cxample, if the detainee/resident
responds he/she has been the victim of sexu ssaull or uiwelcomed activity, and Is willing ta share
information regarding the incident, provide a brief description (i.e. taped while in the community, sexually
ahused by a parent when young, cther detainees/residents sexually harassed him/her, etc.).
4, (t the staff observations or file reviews are in conflict wilh the answeis provided by the delainee/resident, il
should be noled and any addilional YES answers should be taken into consideration in the scoring of each
area, (Le. the delainee/reasident responds that he has nol been convicted of a sexual offense, bul the fe
review reveals a criminal conviction for 4 sexual offense; the detainecfresident should receive a YES
response for that question),
PREA (Prison Rape Elimination Act) alerts for the purpose of tracking predators, potential predators, victims
and potential victirns are in OMS as follows:
*« HOUP ~ Housing P (Predator);
» HOUPP — Housing PP (Potentia! Predatar);
HOUPV ~ Housing PV (Pelential Victim); and
« HOUV - Housing V (Victim).
Use of these alerts should correspond with the findings of the 14-2B-DHS/FRS Sexual Abuse Screening Tool
As an example, if an individual answers YES to question(s) one, the Victim box should be checked on the
14-2B-DHS/FRS and théy should be assigned an alert for HOUV in OMS. If the screening tool reflects YES
answers to three or more of the questions 2 through 11, the Potential Victim box should be checked on the
14-2B-DHS/FRS and an alec for HOUPY should be entered in OMS. This same direction applies to answers
related to predatory history/risk, however, it should be noted that the detainee/resident must answer YES to
both questions 13 and 14 to be considered 8 Potential Predator.
cn
6. It is very important that the completed Sexual Abuse Screening Tools (14-2B-DHS/FRS) gat forwarded to the
Health Services Department to ensure the completion of further mental health screening and evaluation,
. . * eh eet bat MT a Ne BEE Ee eM cat eetiesee A penrnelanb pened “ hw
t ‘ . i ! ‘ {
CCOG00043101
Exhibit 11 - Page 282
CONFIDENTIAL
ten tease
Exhibit 11 - Page 283
oe awa me mty neces
1 opegres eT eae
CCOG00043102
CONFIDENTIAL
9-124
STG QUESTIONNAIRE
MAO OIRW Oreer
Tae amie
oor fy) Ta weak a
if
Nl
B NEC Date Committed: wywie BAS pm
i
bi
4
i
i 2 , ssi Trleans Qt
NIGKWANE,AKAI(MONIKER 6) pw
I. aT a ast)
Inmate/Resident (oat, was advised on (dao): that
failure to respond to the questions in a truthful manner could result in disciplinary action being
taken. In addition, Information obtained can be released fo the contracting agency and/or law
enforcement.
th plicuble race(s) us expressed by the inmate/resident):
CJ white lack or African American O) Hispanic/Latino
CD American Indian or Alaska Native (] Asian or Pacific Islander
Uh. QUESTIONS
. ev FOS cere mee
RMA
Si] LJ Yes -if yes, Name & Relationship: —
: Df (J] Unknown
‘fYes -Describe:
If Yes — When: Where
roupe| (_] Yes (**see note below) IZ No (‘see note below)
(0 Yes (**see note below) tZNo ("see note below)
“IF THE ANSWER TO #4 OR #5 IS "YES," COMPLETE QUESTIONS 6-23 BELOW. “if THE ANSWER TO #5 IS "YES,"
COMPLETE A 9-12C IN ADDITION TO 9-12A,
“IF THE ANSWER TO #4 AND/OR #5 IS "NO," PROCEED TO SECTION IV; UNLESS THERE ARE SPECIFIC
CHARACTERISTICS ABOUT THE SUSPECT WHICH ARE BELIEVED TO BE TRUE, BASED UPON CREDIBLE
EVIDENCE TO SUPPORT ASSIGNMENT AND APPROVAL; THEN PROCEED WITH COMPLETING QUESTIONS 6-23
BELOW.
AIG VOU 8 Ineniber or ana [LI Associate ~
Bi Atwhalloasalayanibe
7 Dis yo Bei i im ‘ (Before —[}'After How long involved?
held: (Yes - if yes, Position; LI No
(] No (lunknown SS s—<Cs~sSSSCid
Page 1 of3 OCTOBER {, 2009
Prapriotary Information — Not For Distribution = Copyrighted Proparty of Corrections Corporation of America
Confidantial andar Sonsitive ~ for Official Use Only
' 1 t . t
CCOG00043103
Exhibit 11 - Page 284
CONFIDENTIAL
9-124
: - STG QUESTIONNAIRE pirat
pee youassaaiat i ih ef, afup um shaln (Yes ~ if yes, who: [No
Sy SEE EON Partie ne AERA Soa as —} os
ase og yee pieraraups:)| [) Yes — if Yea, CINo
, , yee) Who:
Mn i rc! i| Where:
(CTYes —if Yes, LINo
ih 3) From Who:
Libee Sy Sikes ihe Fl How:
z y Ic (Tes --if Yes, C]No
te) 1 { § Det} Oia art) Who:
ranentera ibe 0 > Why: aks a ie
F ( en
; i Po
; S005) it oe
mont suanaed L) Yeo [CINo
ce, i Reve ey i ‘LD Yes —if Yes, CT No
i LIN ONS | From Who: a
Interviewer Printed lCO
Interviewer Signature __
nate: DUP ?.
tor/Dasignes)
Date: Oye2i
NOTE: This form can be completed and filed electronically via the CCA/STG designated intranet site; therefore, this hard
copy form is required only where a hard copy file is being maintained.
TEP PAngemnnnannene unseen enna ne eretAaNan ert qmMeayAQeeusenegsaentssPasensedorés ba ticeneey
SUSAN OREENNOFUNOROON EDTA eH >OETON NG BFUMEINTYMI FAD OENSONESD SeAUNTpSpERE
Page 2 of 3 OCTOBER 1, 2009
Proprletary laformation ~ Not For Distribution — Copyrightod . noe oe ee. Property of Corrections Corporation of America
Confidential and/or Senaitive ~ for Official Uso Only
CCOG00043104
Exhibit 11 - Page 285
CONFIDENTIAL
9-124
STG QUESTIONNAIRE
To Be Completed By Interviewer
'V. INTERVIEWER COMMENTS
inmate/resident’s demeanor during interview: ff Cooperative C1 uncooperative
interviewer's Comments:
— ceaaus Goma OK beaten.
YG UN
List and describe location of scare, brande, tattoos or other identifying marks of body:
S$ Scars B= Brands T= Tattoos O = Other (explain)
-§- Wake , Wea Grom _hesca, lik wf @ banAy
Determining factors to conclude reasonable suspicion:
—_ WY
Page 3 of 3 OCTOBER 1, 2008
Proprietary Information — Not For Distribution - Copyrighted Property of Corrections Corporation of America
Confidential and/or Sensitive - for Official Use Only
' i i ‘J t
CCOG00043105
Exhibit 11 - Page 286
CONFIDENTIAL
CCOG00043106
Exhibit 11 - Page 287
CONFIDENTIAL
~ 38e5SMent Wuestionnaire introrm™ “on
Print Date/Time: 06/22/2017 2:18:02AM\
Facility: OTAY MESA DETENTION CENTER 14-28
Assessments For:
Agency iz DOB: Commitment Date: 06/21/2017
Assessment Type: INITIAL SCREENING TOOL
Date/Time of Scrooning: 06/22/2017 1:24 am Scresning Orfeo
<= =
an ee
# Question
SECTION MGTIMZATIONRISTORGRISKI2 1. SOROTENTIAE VICTIM RAS
4 HAVE YOU BEEN THE VICTIM OF SEXUAL ABUSE OR UNWELCOME SEXUAL ACTIVITY?
aD)
73)
Mae Ras
2 HAVE YOU EVER BEEN THREATENED WITH SEXUAL ASSAULT BY ANOTHER INMATE/RESIDENT WHILE INCARCERATED? ~=NO
3 HAVE YOU EVER BEEN APPROACHED BY ANOTHER iNMATE/RESIDENT FOR SEX WHILE INCARCERATED? NO
4 DO YOU FEEL TAT YOU ARE VULNERABLE TO SEXUAL ABUSE OR ASSAULT WHILE INCARCERATED? NO
6 IS YOUR SEXUAL ORIENTATION OR STATUS LESBIAN, GAY, BISEXUAL, TRANSGENDER, INTERSEX OR GENDER NON- NO
CONFORMING OR DO YOU BELIEVE YOU ARE PERGEIVED TO BE LESBIAN, GAY, BISEXUAL, TRANSGENDER, INTERSEX
OR GENOER NON-CONFORMING?
6 DO YOU HAVE A PHYSICAL, MENTAL, OR DEVELOPMENTAL DISABILITY? NO
7 DO YOU HAVE A CURRENT OR PRIOR CONVICTION OF SEXUAL OFFENSE/ABUSE AGAINST A CHILD OR ADULT? NO
8 INMATE/RESIDENT APPEARS TO BE PHYSICALLY, DEVELOPMENTALLY, OR MENTALLY DISABLED. NO
9 INMATE/RESIDENT HAS A SMALL BUILD OR APPEARS TO BE VULNERABLE. NO
410 INMATE/RESIDENT APPEARS TO BE GENDER NON-CONFORMING. NO
44 INMATE/RESIDENT APPEARS TO BE A LONER, INTROVERTED, OR NAIVE. NO
42 INMATE/RESIDENT HAS A YOUTHFUL OR ELDERLY APPEARANCE WHICH MAY CONTRIBUTE TO VULNERABILITY. NO
43. THIS (S THE FIRST TIME THE INMATE/RESIDENT HAS BEEN INCARCERATED. YES
Additional Information: FIRST INCARCERATION
14. INMATE/RESIDENT HAS ONLY NON-VIOLENT OFFENSES OR INSTITUTION RECORD. YES
Addltional Information: NON VIOLENT OFFENSES
46 INMATE/RESIDENT IS BEING DETAINED SOLELY FOR CIVIL IMMIGRATION PURPOSES. YES
Additlonal Information: IMMIGRATION HOLO
SECON UTR RESATORVMISTORY RI SK WAI ANOTARREIGABLESS
AC RRR M
Ht BY peri S80
46 DO YOU HAVE A PREVIOUS CONVICTION OF SEXUAL ASSAULT OR ABUSE INA PRISON OR JAIL? NO
17 HAVE YOU RECEIVED A DISCIPLINARY SANCTION FOR SEXUAL ABUSE WHILE INCARCERATED IN APRISON OR JAIL? NO
18 DO YOU HAVE A CURRENT OR PRIOR CONVICTION OF SEXUAL OFFENSE/ABUSE AGAINST A CHILO OR ADULT? NO
49 DO YOU HAVE A CURRENT OR PRIOR CONVICTION OF A VIOLENT OFFENSE AGAINST A CHILD OR ADULT? NO
20 HAVE YOU RECEIVED A DISCIPLINARY SANCTION FOR VIOLENCE WHILE INCARCERATED INA PRISON OR JAIL? NO
21 INMATE/RESIDENT HAS A SECURITY THREAT GROUP AFFILIATION, NO
SESHON UI: DisereHANeids HetwGan HEHE; ata (he fle W.:. i
22 ARE THERE DISCREPANCIES BETWEEN THE INTERVIEW AND THE FILE REVIEW? NO
Assessment Questlonnalre Information Page 1 of 1
/ . ih . ! ! ‘
CCOG00043107
Exhibit 11 - Page 288
CONFIDENTIAL
CcCOG00043108
Exhibit 11 - Page 289
CONFIDENTIAL
Appendix 2.2.A: ICE Custody Classification Worksheet
ICE Custody Classification Worksheet”
Tuitiat A Reclassification Special Claveification [_]
Facility: OMDC Date:06/21/2017
Language(s) Used during the Taterview: ENG LISH Interpreter line:
Part 1, Basic Information
Alien Number:
Last, Name: First Name:
Part 2. Special Vulnerabilities and Management Concerns
Does a Spacial Vulnerability exiat? Inquire, observe, und review ‘all documentation, If
baved on your assessment the vulnerability exists, select tha appropriate baxes below, Cy fan
Alao indicate whether there ara other runnagement concerns that may affect the custody
decision.
CO serious physical iness oe
(7) aexious mental iliness
C1] disabitity
CO elderly
Cc pregnancy
i] nursing
Cl sole caretaking responsibility
OO riek based on soxua) orientation/gender identity
C2 victim of persecution/torture
(0 victim of sexual abuse or violent crime
(1 victim of human trafficking
(71 other (specify):
Provide further explanation as neceasary:
~| Iéany boxes are chacked, cansult with the local TCE Field Office regarding appropriate placement and
other management coasiderstious, and record the date and time of consultation hera
2.2 | Custody Classification System 78 PBNDS 20114
(As Modified by May 2016 Errata}
CCOG00043109
Exhibit 11 - Page 290
CONFIDENTIAL
CCOG00043110
Exhibit 11 - Page 291
CONFIDENTIAL
Part 3. Custody Classification Worksheet.
1 ae af Gharge/ Conviction Angociated with tho [CE Encounter (Use Appendix 2.2.0 Severity of OHenve
Seal
None {MMIGRATION 0000 mse ee 0 ITT ces, as
Low 2 a the }
Moderate : 4 | Bore hore!
‘Highest esau “id ener
Single Moat Suvious Conviction in the fndividual's Criminal History (Excluding [lta 1).
2 | fist conviction regardless of ime frame:
“y v None >10 Years ; 10°16 Years : LO 0 Years” <6 Years | Enter lhe
5 Highest | 0 3 5 4 7 [J seore here:
‘5 ‘ Si
gS __ High | 0 a 5. 4 6
g Moderato 0 1 2 4 4 9
‘ | Low olv 0 0 1 2
3 Additional Prior Convictions (Nxeluditig, Te tema Land 2)
‘None 0 | Rntar the
12 misdemeanors, no felonies Lt | acove here
demernors, or 1 felony . 2 :
5 or more misdemeanors, 01 or 2 felonies 4 meets
4 Supervision History | ;
I Nose o
Walle: away or attempted escape from an wnsccured fneility, ubsconding, bond breach, Entar the
violations of prior voluntary departure orders or conditions of supervision, or prior 4 | score hore:
Tevocation of ‘supervision ee eee A 0
Escape or altempted escape from a socure facility 7 See
(s4 ‘G) .
hee a Sa Sceaiibe sae gnantbccas Tasca ata ceeqsasey . Rote the...
(Tl : yernt ation with an STC . ; |.0 | score here:
The individual is a member of an STG 5 Oo .
6 History/Pattern of Violence (Iwo or more. orresta most recent arrest)
pene “IS oF more years ago go _ a
“Over 10 years and Joss than 15 years ago oo 2 i the
‘Over 5 years and Jess than 10 yearsago a a at neste.
Within the last 6 years 5
Number of Sustained Disciplinary lntkactions Involving Violence or Behavior Reprenenting x Thraut to the Facility Cnatitution(e)) List
7 node (Gees atest and/or igh a using, Appe dhe ww % Disciplinary Offense involv ing Violunee or Behavior Represesiting 3 Toreat to the favillty):
: Enter the
score here:
Three ov more 6 0
Check if data not available: (Y] —
Total Custody Classification Score OQ.
2.2 | Custody Classification System 79 PBNDS 2011
(As Modified by May 2016 Errata)
Exhibit 11 - Page 292
t
CCOG00043111
CONFIDENTIAL
“CCOG00043112
Exhibit 11 - Page 293
CONFIDENTIAL
_ [ Custody Level Guideline Ranges
Tf the person has no violent conviction for 4 violent offense, use thi table.
| If the pereon has a conviction for a
Low Cust “0 G
a OW Custody 9-2 | violent offanse, use this table.
MediuarL we Custody B85
Medium-tigh Custody all 0-6
High Custody 12+ 1+
Ifthe Officer makos a custody recommendation outside of the custody level guideline ranges above, provide the
rationale and include aggravating/ mitigating circumatances that were considered in the decision:
Recommendation Outside the Guideline Ranges | Low C) Medium-Low CJ Modium-High [] High{_]
| Date |
Officer Signature [
In the section below, check the custody level of the individual's housing assignment, following the
guidance provided in the instructions, F. Housing Assignment.
For purposes of housing medium-custody individuals with low-or high level custody individuals, use the
following guidelines:
Medium-Low may be housed with low custody individuals;
Medium-High may be housed with bigh-custody individuals: but,
Low custody individuals may never be housed with high-custody individuals, or medium custody
individuals who have any history of assaultive or cambative behavior.
Ifthe individual is to be placed in administrative segregation, a copy of the administrative segregation
order shall be immediately provided to the Field Office Director or his designee, as required by
Standard 2.12 “Special Management Units."
Final Housing Assignment Custody Level | LowfiMedium-Low (Medium-High{—JHigh[JAdminivtwntivel_]
Supervisor Signature ——— o [XY lhe! r
2.2 | Custody Classification System 80 PBNDS 2011
(As Modifled by May 2016 Errata)
{ " { t . I
CCOG00043113
Exhibit 11 - Page 294
CONFIDENTIAL
CCOG00043114
Exhibit 11 - Page 295
CONFIDENTIAL
en emul ania Keinoval Uperstions
eye U.S. Immig . tion
b = ae U.S. Department of HouetandSecurity
aN ~) and Custoass 7488 Calvada De Ce Fuente
Seige’ Enforcement San Dlago, CA 92156
0
ICE Detaince Request Form
Peticion de Detenide)
Nome:
er Nombre,
Last Name} Fi
(Apelfido) (Pri
Housing UnivPod: Room i: Led Alien #:
(Unidad letra de Unidad) (Habitacion) (WNumero de limigracion) .
DockevDeportstio Osc I Nationality: Ltt A “ee ef _
(Off]elal de ICE) _fNawtonetidad)
C1 Who is my Deportation Officer? Response; on seca
(Quien es mi oficial de deportacian?)
QO When is my next court date? Response: . Siereiss
(Cuando sera mi proxima corte?)
QQ When will T get deported? Response: an =
(Cuando sere deportado?)
@” What is my case status? Response, —
(Cual es el estado de mi caso?) J
& Other/Otros:__LQonv $0 56s ALA (een
ra LEAN Spare x oe ze ve We
Cw 2 - 1. “, ‘s G7
,
v - 9
Detainee Signature: Se Request Date: © Md -/§ = 20/3
(Firma del Detenide (Fecha de Solicitud)
— No cou Daler pave Raw Seu p
OL Ths Moma Case pons may Back To
LaeuGnAa fon Couel, poKiep pes dbie St
ICE Response:
Zul Cotal FA . ”
ICH Officer Name: _ (esi ICE Officer Signature
(Print)
4
Date Received: JUL | § 2018 Request Number: yea 7 Date Responded:
Notice! You must fill out this form completely, or It will nat be delivered to your Deportation Ofticer.
Aviso! Debe llenar esta forma completamente, 0 no sera eatregada a su oficial de deportatcton.
HOVE AE A
t ‘
Exhibit 11 - Page 296
CCOG00043115
CONFIDENTIAL
CCOG00043116
Exhibit 11 - Page 297
CONFIDENTIAL
ON
sy CS
Oy
U.S. Immigy “ion
and Custom.
U.S, (rivet of HomelandSecurity
7488 Calzada De b.8 Fuciie
nei Enforcement San Diego, CA 92154
ICE Detainee Request Form
(Peticion de Detenida)
(Apellido)
Housing UnitPod: g]__
(Unidad letra de Unidad)
Room #4: (0-2)
Tlabditucion)
Docket/Deportation Officer,
(Primer Nombre)
Alien #:
(Numero de Inmigracion)
Nationulity: WMA LIE _
(Ofictal de [CE} (Nacionalidad)
C} Who is my Deportation Officer? Response:
(Quien es mi uficial de deportacion?)
Q When is my next court date? Response:
(Cuando sera mi proxima corte?)
0 When will I get deported? Response: =
(Cuando sere deporiado?)
& = What is my case status? Response: ee
(Cual es el estado de mi caso?)
O Other/Owes: eae Str psuire xe - Bla vere py
‘ L 5 ° “fs a
ened fas ce fom BLA"
___ Li :
Detainee Signature: |
(Flrma del Detenido)
apy fee?
Request Date: ” a
(echa de Solicitud)
(Weg Hos MoT Sctedutery You Pa
oun Cas & Ms etn Tran mlon__
ICE Response:
__ AT Tfis Morty
THE ex Count Dee .
fnors HE LIE phe’ Te US. No seymule cou
_pei FE for Mow) _
«| ACE. Officer. Nevacs ACK Officer. 3ignaluce: _
(Pnnt)
Date Reveived: JUL 1 6 2018 ust
Request Number: Date Responded: _
Notice! You must fill out this form completely, or it will not be delivered to your Deportation Officer.
Aviso! Debe llenar esta forma completamente, 9 no sera entregada 8 su oficial de deportatcion,
ANU NS
'
CCOG00043117
Exhibit 11 - Page 298
CONFIDENTIAL
CCOG00043118
Exhibit 11 - Page 299
CONFIDENTIAL
este,
RON
US, Immigration
and Customs
Enforcement
‘einen und Kewovnl Onavutleans
US. Deparunene of Moneland Security
adel In Fuente
CA W218
ICE Detainee Ree Form
(Peticion de Detenido)
Ragin #: oI 8
(Apefitdo)
Po
Housing Unit/Pod: i
(Unidad letra de Unidad)
Docket/Deportation Officer:
(Ofieiul de ICE)
Fist Name; eile
(Primar Nombre
Alien a:
(Numero de Inmigracion)
Nationality:
(Nactanaliced)
Who is my Deportation Officer?
(Quien es mi oficial de deportacion?)
When is my next court date?
(Cuando sera mi proxima corte?)
When will I get deported?
(Cuando sere drportada?)
What is my case status?
(Cual es ef estado dp nil caso?)
Other/Otres:,_ Ai
Bret.
Response,
Response:
Respouse:,
Response:
diel Z
Ee) ee eee
itis f
7 “se
GL Cities
7
Detainees Sigaature:
(Firma det Detenid
Request Date: _O¢ “2 4 Lat, ee
(Fecha de Solicitud)
ICE Response:
have ath che d_.
Phe seguasted copies ee
(Print)
Date Received: FEB 0 0 1 1 2018
{CE Officer Signatu
Request Number: US Date Responded: 2 i Ne
Notice! You must fill out this form completely, or lt WU not be delivered to your Deportation OMicer.
Aviso! Debe Uenar esta fornia completamente, 0 No sera entregada a su oficial de deportatcion,
i . fi
CCOG00043119
Exhibit 11 - Page 300
CONFIDENTIAL
CCOG00043120
Exhibit 11 - Page 301
CONFIDENTIAL
REQUEST FOR ASSISTANCE
Hnmate {Detainee name: ae: ee es vn & 2 & g
TO: Chen Kt hoy. vats CO Lap Lt
Sl 2
SUBJECT: (state briefly the problem on which you need assistance) Pall en ee wt se
eA ee eee 2
“bu a a a pti
NOTE: If nacessary, you may be Interviewed in order to handle your request. Your failure to specifically state your problem
may result In no actlon being taken,
DO NOT WRITE BELOW THIS LINE
DISPOSITION / RESPONSE: ebbewgpert. won Cerconstys. be Co
LO Rf F
STAFF MEMBER DATE
02805-3036
' ‘ ' !
CCOG00043121
Exhibit 11 - Page 302
CONFIDENTIAL.
CCOG00043122
Exhibit 11 - Page 303
CONFIDENTIAL
REQUEST FOR ASSISTANCE
Date; of” = Of - 2067
Inmate / Detainee name!
TO: CMS:
SUBJECT: (state briefly the prablam on which you need assistance) # CLs CBS. Bin a fee
a
ASL 45, eG he 4e hfe on a thon GL x. 0 hifte
St. zheo bn her AL et Cue oP of een LL _ Zo, “py
fire but 6 xtLe KG ging iden oll —
Cte yer an ake Soe iy A a fe: oh
at OO of me oy va LZ hase f daasee ew, va
o: VVe Lie ae. PO Wa Oe a pe tey
a a a a
~akisplaite a ~ eae a
7
Les Se
NOTE: It nacessary, you may be interviewed In order to handle your request. Your failure to specifically stata your problem
ray result in no action belng taken.
DO NOT WRITE BELOW THIS LINE
DISPOSITION / RESPONSE:
A ees, n
KC — LAAN ME
602605-3036
/ S fo: { ; |
CCOG00043123
Exhibit 11 - Page 304
CONFIDENTIAL
Padi)
CCOG00043124
Exhibit 11 - Page 305
CONFIDENTIAL
,
REQUEST FOR ASSISTANCE
Date: £2 mead ~ ete
inmate / Detainee name: .
TO; _ Mester. a bila fe.
SUBJECT: (state briefly the problem on which you need assistance)
- WZ Sry Lhtal w4 ee cx. deed . Irak
pr 7
NOTE: If necossary, you may bo Interviewed In order to handle your request. Your fallure to specifically stale your problem
may result In no action being taken.
DO NOT WRITE BELOW THIS LINE
DISPOSITION /RESPONSE:_IM"'S IS ICE ReGuesr QA. CoA “Youtl- DepmAartion
OPI Cen FOR CORY OF Le Brew ceenecwe 2
?
B-20-1F
STAFF MEMBER DATE
02805-3096
| t i t
CCOG00043125
Exhibit 11 - Page 306
CONFIDENTIAL
Exhibit 11 - Page 307
4 oy
‘CCOG00043126
CONFIDENTIAL
() e & geen 16-16
___ PROHIBITED PUBLICATION
Publications listed on the facility's ban list or publications that contain pictures, depictions, illustrations, or
information (as outlined balow) will be denied when the content Is extensive enough that removal of the affocted
pages will be ovarwhelmingly burdensome, will destroy the publication, or will modify the publication In any way
that would endanger the safety and security of the facility, employees, and/or Inmates/residonts. The following
publication is belng denied:
(RUDIRSOMINETNET* CoMipicre ENG, AH PAN? BURT Pace Neen. |
Is this publication on the facility's ban list: ( Yas pr Anger. cow
' i
Contents of Publication That Support Denial (Chack All That Apply):
Inciting, alding, of abetting riots, work stoppages, or means of resistance
Sendigireceuiogaleaniabend — Wy) OWHiVg AUTH ZATION ON He —psenntsy
Gang Information ((o include codes, signs, symbols, training matorial, etc.) - pense as BMIT (NE
Terroriam information
Functionality of locks and/or security devices (¥.9, fameras, alarms) or how to bypass or defeat the security functions of thece
devicos = al
Use of hands, feet, or head as weapons, fighting weapons and techniques, self-defense and mantal arts «
Drug paraphernalia, brewing of alcoholic beverages, or the manufacture or cultlvation of drugs, narcotics, of poisons
Racism and/or religious opprossion ard the superiority of ono racefreligion/potitical group over enother, and/or the degradation of
one race/eligion/poalitical group by anather
Sale, manufacture, concealment, or construction af ammunition, guns, rifles, bombs, explosives, or any other type weaponry
Sabotige or disruption of computers, communications, or olectronics
Identiy:theft ra,
Escape methods (e.g. blueprints, drawings, road maps, or descriptions of a correctional facility, etc.)
Survival skills that could be used as an aid to eluding capture following an escape
Obscene material ,
Pubitcations which encourage deviate soxual behavior which is criminal, in violation of facility rules, detrimental to the rehabiiitation
of yea or délermined by the Warden or designee to be dotrimental to the eafoty and socunily of the factity (these
Oogo0ccnwo aog oocgsoa
materials Inchete, but are nol iimlted to, piciuras, drawings, of pholographs which display or suxgest vaginal, rectal, or oral
penetration by a person Or abject, ejaculation, bestality, sadistic or masochisiic behaviors, child pomography, of the suggestion of
child pomography .-*
Gambling stmtagles and other gambling-related material
Patterns for lattoos and/or skin modification equipment which would provide, at a minimum, visual aids for inmates/rasidents
wishing (9 reproduce this type of body ornamentation and/or equipment .
o
Oo
(2 Coritents that Include cipher or code or instruct on the usage of codes
Q
Acts of violence, that cause or intend to cause, serlous criminal Injury or hatm such ae murder, rape, sexual assault, and cruelty to
animals ; bs
Graphic-vlolence that Includes amputation, deCopati
-
Form Completed By: a
inatlce 0,
Attached:to this form /s,@ 16-1H Corrospondencworis/Publication Aapga ave soven (7) calendar days trom recaipt {0,appey::
Complete Soni bok cad 12/18
Proprietary Information - Nat For Distribution — Copyrighted Praperty of Corrections Corparation of America
Original: Inmate/Resident
Copy: Mali Room Fila
10/28/08
CCOG00043127
Exhibit 11 - Page 308
CONFIDENTIAL
CCOGI0043128
Exhibit 11 - Page 309
CONFIDENTIAL
a 4 See ae
_CORRESPONDENCE/PUBLICATIONS APPEAL mt
“TENTION CENTER ,
What was'denlod (Chack One)? .
O Co respondenca (Ailach copy of tho 16- 1E) i Publigatlon (Attach copy o! the 16-1Q)
. State Redsosi for Appeal (Attach additional p
es if necessary):
‘ =
‘ 7
ra owt WA ‘ Be ey _ _
Warden or Asst. Warden's Response (Attach additional pages if necessary): ——
L\p oon fs ae
COM Dhal Sn PIO =
Original: inmate/Resident
Copy: Sandor (lor correspondence only)
Capy: Mail Room File
10/29/08
Proprietary Information ~ Not Far Distribution ~ Copyrighted Property of Corrections Corporetion of Amurica
HOGA ATE
t t / y
CCOG00043129
Exhibit 11 - Page 310
CONFIDENTIAL
" - ‘
t
‘ DS i
‘ j .
y +
~ : ~, —™ ~ + wan ine
CCOG00043130
Exhibit 11 - Page 311
CONFIDENTIAL
e & xi, (EME
16-1F
~
This is to inform you that prohibited items to/from the following individual have been discovered with your
correspondence:
See
items received’<
Aen tpeetendetas seta veurenesuye rea rene
« j
‘request the prohibited items to be destroyed f* “
{request the prohibited Items to be picked up by my visitor (I understand Wayden'o, designge spproval is tequiradit
[request to pay for the prohibited items to be mailed to the follawing eddies; Pie }
this option)
— = aaa eee
Cs el ee
. ——_ = HOY
=~ bur 7
NOTE: Inthe events dispoultiGn h pen recolved within thirty (30) calendar days and no pending grioyances or other hold notices
exist, the prohibited Items wlll be dginsyod.
Sess sanveunvasensannassersbreansHiwennennseMneensstsansnunens¥sDanen sa eeres torent en vaneestnsanennndansssrirneneneMemanasan nee UAdsrarreyadvarenerarereurensursreerenrersensedertsnimotsees
*, This section tobe comploted by facility employees:
For items requesting to be destroyed or for Items where no disposition Indicated within thirty (30) calandar daye of notice:
Are thera any pending appeals, grlevances, or other hold notices tor the prohibited tem? (] Yes CJ) No
Ifyes, do not destroy the prohibited items until 4 final disposition has been reached.
ry }
[eatin aE eSIE NSS
mation:
For items requesting to be picked up by visitor:
0 Approved 0 Disapproved
fOatera] |
For items requesting to be malied out:
aera _ [eae }
eee amacineeert RTS. Secret
10/28/09
| laformation — Not Far 0} Property of Correctlons Corporation of America
CCOG00043131
Exhibit 11 - Page 312
CONFIDENTIAL
yi . FTN,
CCOG00043132 _
Exhibit 11 - Page 313
CONFIDENTIAL
i : CORRESPONDENCE/PUBLICATIONS > APPEAL a
Fachityiny {| owpe
li Tae NEN n|
a
What was denied (Check One)? , +
(1 Correspondence (Altsch copy of tha 16-1€) (1) Publication (Attach copy of the 16-1G)
,
State Reason for Appeal (Attacli additional pages if necessary): , hut: yt 4 d | toms lee] f
Disposition of Appeal: (_] Approved [] Denied
Roe J
Ne RT Asne — 4
Prohibited a s was returned to the sender. Prohibited aia will be ndenroyed *y oe stat.
oes a eunneees MONT Oe eUeANsnanMd ame ede ae es tne re des eee (HEC A ceUseue
PUNE davensanienseneoneannenan nace nsunnenson nn teneae sees see
Originak: Inmate/Rusldant
Copy: Sander (for correspondance onty)
Copy: Mall Room Fila
10/28/08
Property ©) Corrections Corporation of America
4 _i A me
Propriatary information — Not For Oletibutlan — Copyrighted Gatmee renee nate
CCOG00043133
Exhibit 11 - Page 314
CONFIDENTIAL
CCOG00043134
Exhibit 11 - Page 315
CONFIDENTIAL
. 2
RELIGIOUS DIET AGREEMENT on
Inmate/Residant's Name: iar) number:
Facility: _ Pp Uc, :
Inmate/Residant's Religion: Lam
By signing thls agreement, | confirm that conUnuing parilolpation In the Religious Diet Program requires
compliance with rules associated with the program. . :
Having requested and been approved for participation {n tho Religious Olet Program, | understand that {
will racelve a diel a8 described below. | understand the facillly’s Food Service sfaff will make every effort
to meet my dietary needs and thal menus will be prepared and evaluated by-appropriata staff.
{ understand | have the responsibility to participate In the ery ao Dlet Program by presenting myself to
recelve my Religious Olat Tray/Meal as directed by tho Food Sarvice Schadule. { understand that | am fo
esent my. tdentification (ID) and sign for my Religious Diet Tray/Meal at the Ume 1 regelva IL t
Underatand that my fallure to pick up my-Rellglous Dfet Tray/Meal creates an edministrative end cost
burdan for the feolfity and undermines the overall Religious lat Program. | further undsroland that! may
be subjeal to removal from tha Raliglous Dlet List when facillt personnel determine that my fallure to
comply wlth this agreement Is Interfering with the ofderly administration of the Retfglous Diet Program
andor the faclilly Food Service Progrant, ‘
| fucther understand that eating from the raguler food line Is a vlolattan’ of the Religleus Diet Fragram
unlags my Religious Diet and the regular menu are one ‘and the samo for thet meal, Fachily pereonnel
will monitor ray participation to ensure the ordarly administraion of the Food Service Program sad will
dooumentinstanées of non-complianoe,
consistant wilh my Religious
L understand that.purchases | make from tho Commissary of terns that ere in
Dlet may result In belng ramoved from thé Religious lot Program, If | am ramoved'from tho
Program, { understand that I will be required to re-apply for partloipation In tho Religious Diet Proyram,
and thal relnstatement may take up to thirty (80) days dye to the administrative process neogssary fo
review and evaluate my request. ‘ hd
(ft lam removed from the Rellglous Dlel Program for cause (violation of sy Religious Dietary
Laws/Requiremente),,| may request to bo relnatated by submitiing to the Chaplain e new 20-4D Request
for Religious Diet | renagnize that ralnstatement may take up to thiny (80) days due fo thé adrainisirative
west ( elso understand (hat repeated romovals may
process nacossary to review and evaluate. my 16 h
lead to my baling required to waltstx (6) months hefore applying for rolnstatoment,
{ undorstand that-| may request, In walling, to withdraw from the Religtous Diet Pragram and thus ba
removed, If | desire rainstatement efter & voluntary removal, | may raquest to be relnstatad after 0 period
7-6-1T
InmatelRestdents Signature Date
TWe:_CaBeLAd is)
Ge
ala
cc Fle
osr20119
+ Praprietary information — Not for Dlsteibuttan- Copyrighted — Peoparry of GGA
f ! i : i
CC0G00043135
Exhibit 11 - Page 316
CONFIDENTIAL
CC0G00043136
Exhibit 11 - Page 317
CONFIDENTIAL
Appendix 4.4.4: Authorization for Common Fare Particlpation
Nume of detaines:
U hereby request authorization to particlpatc in the Common Fore Program. | agree to comply with the program
requirements, | understand that i€ { am observed consuming malniine foods or violating other program
requirements, { may be removed from program participatlon and will not be eligible for immediate
reinstatemont. Repeated program violations may result in romoval from the program for up to ane yenr, | furthor
undorstand that the same conditions for reinstatement may apply if I voluntarily withdraw fron: the program for
any reason. .
Cundarstand that { must have a recorded religious preference in order ¢o be oligtblo for the program and that
must provide a writtan reason for requesting to partlalpate in the religious diet program,
Religious proferonce:__) Si-At
Speol fic reason for wanting to participate In the Common Pare Religious Diet Program:
HALAL
Signature of detainee:
Signature of Chaplain:
Once: 1-6 - 1?
Record Copy—Dotaince Detention File: Copy - Chaplaincy File; Copy—Detnince
4.1 [ Food Service 228 PBNDS 2044
CCOQG00043137
Exhibit 11 - Page 318
CONFIDENTIAL
“
CCOGN0043138
Exhibit 11 - Page 319
CONFIDENTIAL
REQUEST FOR ASSISTANCE
TO: _— eatin sous a Date; . , Z Lk LO F
SUBJECT: (state briefly the problem on which you need assistance) ——
a “. ——
a a an a a _
NOTE: If necessary, you may be Interviewed in order to handle your request. Your failure to specifically state your problem
may result In no action being taken,
DO NOT WRITE BELOW THIS LINE
Us[ 2017
DISPOSITION / RESPONSE:
_ 2k -~(H)
um 2-1-1
—_ { sibs pln
_ 14-1]
STAFF MEMBER DATE
602605-3036
‘ { a { : i
CCOG00043139
Exhibit 11 - Page 320
CONFIDENTIAL
CCOG00043140
Exhibit 11 - Page 321
CONFIDENTIAL
8-5A
“2. - CORRECTIONS. CORPORATION OF AMERICA - F
‘DOCUMENTATION OF INMATE/RESIDENT- WORK PLACE SAFETY ORIENTATION
Assigned. Work Place: Ly de Cy ln
| have been provided all necessary information regarding those hazardous
‘materials, chemicals, and ‘personal protective equipment (PPE) which | may
come in contact with in the performance of my assigned job duties. :
aa a Name
sident’s Signature
Inmate/Resident’s Number
. Let Lolg
Signature of Staff Conducting Orientatian Date
NOTE: Completion of this form is required in-each area/department that
the inmate/resident ts assigned to work,
‘ Proprietary Information - Not For Distribution - Copyrighted
Property of Corrections Corporation af America
‘
10/06
CCOG00043141
Exhibit 11 - Page 322
CONFIDENTIAL
CCOG00043142
Exhibit 11 - Page 323
CONFIDENTIAL
pie
Inmate/Resident Pre-Assiqnment Training Record
Inmate Name / Nombre del Confinado:
Inmate Number / Numero de Registro:
Date Hired / Fecha de Inicio: [2/79 ole
LABEL
Job Description Review
Descripcion del Trabajo
Food Service Department Rules & Regulations
Reglas & Regulaclonas del Departamento del Servicio de Comida
Food Safety
Comida Saludable
Accident Prevention
Prevencion de Accidentes
Use of Safety Equipment
Uso de Equipo de Seguridad
Chemical Usage
Uso de los Quimicos
Floor Care
Culdado del Piso
Sanitation & Hygiene Issues
Limpieza y Higlene
Food Service Space and Equipment — Proper Operatlon and Cleaning
Equipo y Espacio del Servicio de Alimentos — Limpieza y Operacion
Adecuada
SQRR<QRRAQRUA
Other / Otro:
Other / Otro:
Other / Otro:
Other / Otro:
Other / Otro:
OOOoOO
| certify that | have received the training listed above and am responsible for performing
my work duties as trained.
Yo certifico qua he recibido el entrenamiento que esta en el listado de arriba y soy
responsable de hacer el trabajo basado en el entramiento.
Mit Signature Inmate/Resident Number
Cer CF 67
Signature of Staff Trainor Date
Mut
Proprietary (nformation — Nat For Olstributlon = Copyrighted - Property of CCA wn
QUST ER TE A AAU
l i { ‘
CCOG00043143
Exhibit 11 - Page 324
CONFIDENTIAL
ac On ‘ oo i
CCOG00043144
Exhibit 11 - Page 325
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVICES
INMATE WORKER SERVICE SAFETY LIST
Keep all perishable foods at 40 degrees F. or below until ready to use,
Keep all cold food cold 40 degrees F. and below and all hot food hot, 140 degrees F. and
above.
Do not place cooked food on shelves under raw meat. Raw meat must always be stored
on bottom shelves.
Do not use any food if there |s a doubt about its freshness or wholesomeness.
Discard all food dropped on the floor after consulting with your immediate supervisor.
Slice, dice, chop and mince on a clean sanitized cutting board. Cut away from yourself
when using a peeler,
When opening can foods, avold touching the rim.
Follow all Job procedures. Never short cut approved procedures,
Use the proper equipment for the job ensuring that It Is in good condition.
Follow Instructions or warning labels on aif toxic and flammable materials. Keep work
areas clean and clutter free.
Observe restricted areas, such as “No Smoking" or "Authorized Personnel Only",
Report all unsafe conditions to your immediate supervisor.
Watch where you are going at all times, especially through doorways, busy isles and
around comers.
Keep isles, halls and walkways free from clutter, electrical cords, and hoses.
Pull; do not push carts through doorways.
Turn down heat once food starts boiling to avoid bolling over.
Potholders save you from burns. Keep them near the stove or oven, While using
potholders keep them away from open flames.
Turn off oven or stove when cooking process Is finished.
Put plug Into electrical appliance, then into wall outlet when using electrical appliance.
(Note: Do not let plug or extension cord rest on the floor. When finished, remove the
plug from the wall outlet ad then from the appliance). Pull the plug, not the cord when
unplugging an appliance.
Da not touch an electrical appliance with wet hands,
Date_ 2/07 / Gol F
Inmates Signatures: | & ceases
Trainer/Manager's Signature: Eweameaae _ Date ¢Z-0# 77
LABEL
‘ i
CCOG00043145
Exhibit 11 - Page 326
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVICES
INMATE KITCHEN WORKER HYGIENE AND GROOMING STANDARDS
Report to work in a clean uniform as specified by the correctional facility.
Hair restraints are to be worn at all times In the production, storage, and serving areas.
Jewelry |s not to be worn, other than a watch, wedding ring or stud earrings.
Practice personal cleanliness:
® Take a bath or shower dally
* Brush your teeth at least twice @ day
« Use a deodorant
* Wash halr at least once a week and keep It neat
«Keep nalls clean, neat and well-trimmed
« Wear clean undergarments daily
Avoid touching your face, hair or nase. Oo nat scratch, pick sores or work with open wounds.
Wash hands frequently and every time after having performed one of these activities:
* Visiting the tollet
« Coughing or sneezing into hands or handkerchief
¢ Touching your face, nose or halr
e Smoking: the sallva from the butt of the cigarette or cigar will contaminate hands
* Handling boxes, crates, packages
«Handling garbage
© Handilng anything soiled
Report to your supervisor when you have been Injured, including minor Injuries such as cuts and burns.
Report any skin eruptions, bolls and the like,
Report to your supervisor any illness of the respiratory system (head colds, etc.) and Intestinal disorders,
such as diarrhea,
Keep hands and fingers out of faod; do not taste food with your fingers; use a clean tasting spoon each
time.
As much as possible, use utensils for preparing faod. Use tangs, spoon, forks, etc., far handling ice,
butter (Oleo) rolls, breads, etc., instead of using hands. Be sure all utensils are clean before using.
Observe the "No Smoking" rule In all food preparation and service and storage areas,
Avoid touching parts of dishes, trays, and utensils that will come In contact with food,
If food must be manipulated by hand, use plastic disposable gloves. Dispose of used gloves,
| HAVE READ, UNDERSTAND, AND AGREE TO ABIDE BY THE ABOVE STATED STANDARDS TO THE BEST OF
MY ABILITY.
INMATE SIGNATURE: h ree vareeW XR AD wGE
TRAINER/MANAGER'S - (gates pate, C2-4-"2
C10
€C0G00043146
Exhibit 11 - Page 327
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVICES
INMATE AGREEMENT CONTRACT
DATE: J1 fee lulz
\, _____ agree to abide by and follow any and all rules and cegulations set by
the CANTEEN Company and or any regulatory agency governing to operations of the Food Service Department.
1. | will perform dutles as listed and described on any Job Description and any additional work assigned to
me by a Food Service Supervisor to the best of my ability.
| will work the times assigned me as scheduled by the Faod Service Department.
Iwill eat only during designed break times, set by the Food Service Department,
| will eat off the service line only those ttems and portions served to the Genera! Population, unless
assigned a special diet or unless permitted by a Food Service Supervisor,
5. Swill not be in possession of, nor will | cook of prepare Items which are not designated menued items tor
that particular meal for myself or others, unless directed to do so by a Food Service Supervisor,
! wiil not eat, drink, of smoke in any food preparation area, dish roam, or food storage areas.
, lam not aliawed in the Food Service Cepartment Office unless authorized by the Site Manager.
8. Iwill not attempt to nor remove any food Items, supplies, or equipment from the Food Service Building
unless directed ta do so by Food Service Supervisor.
9. Iwill take breaks only when scheduled or agproved by a Food Service Supervisor,
10, { will not bring any personal property inta the kitchen or dining facillty, including radlos, stereos, games,
cards, ete.
11. (will not enter the Food Service Department kitchen at unscheduled times, unless called for or authorized
by a Supervisor.
12. | will wear clean kitchen whites and appropriate hair covertngs at all times while In any food preparation,
dish room or food storage areas,
{understand that by not complying with these and other rules and regulations listed and described In the
13,
San Diego Correctional Facility inmate/Detainee Admission and Orientadion Handbook, it could result In
disciplinary action, loss of good time and or lass of my job.
14, | understand that | shall be evaluated on my job performance on a monthly basis, which could effect, pay,
promotions, demotions or loss of Job.
JOB: rr: rs y
Inmate Nam lcm Sa
Mil. 0. O.C.#
LLM aOR
oaTE
Seri
FOOD SERVICE SUPERVISOR: —
First Mi Title
CL-t G1 FD
SIGNATURE DATE
c1 LABEL
I : { / . !
CCOG00043147
Exhibit 11 - Page 328
CONFIDENTIAL
10.
11.
12,
13,
14,
15.
16.
17.
18.
19,
CANTEEN CORRECTIONAL SERVICES
INMATE WORKER KITCHEN RULES
. Inmate must report to work In the proper uniform, Halr restraints supplied by Canteen
Correctional Services must be worn working in the kitchen and during the meal service perlod.
Inmate kitchen workers must be clean and fingernalls must be trimmed and clean,
Plastic gloves must be worn when handling any food during the various preparation and
cooking stages and during the serving of food.
There Is to be no smoking In any food preparation, storage, or service area, Smoking is allowed
only in designated areas.
No sitting on the worktables or other equipment is allowed.
. Horseplay and/or fighting will not be tolerated.
There will be no eating In the kitchen except at your scheduled mealtime and tn the designated
break or eating area.
There will be no drinking In any food preparation area, All beverages are to be consumed In the
designated break or eating area.
Leaving the kitchen area with food, beverages or utensils without permission Is prohibited,
No inmate is permitted a double portion of food.
Playing with tools or equipment ts Prahibited.
Only one Inmate will be permitted to use the restroom at a time,
The use of foul or abusive language in the kitchen Is prohibited.
Inmates working with knives or utensils are not permitted to leave the work area with those
Items.
Inmates are not allowed to serve themselves.
Inmates are expressly forbidden to leave the kitchen and/or department without first obtaining
permission from the Canteen Supervisor,
Inmates on the serving line must be polite to the: Inmates they are feeding.
No inmate Is permitted to operate any equipment withaut being trained by an employee of
Canteen Correctlonal Services.
No Inmate Is allawed In any office area without permission.
Date: L268 Loe
Inmate Signature: payed i TETHSS eornyeet, Beet
Tralner/Manager's —— Date:_ (R040
c2
CCOG00043148
Exhibit 11 - Page 329
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVICES JOB DESCRIPTION
er ee
Our mission is to; Provide wholesome hot meals in a timely manner and In accordance to the
established menu, to all residents and staff of San Diego Correctional Facility every day of the
year.
SANITATION WORKER
PURPOSE:
OUTIES:
To maintain a clean and sanitary kitchen In a correctional food service program.
A. The Sanitation Worker in the area of “Sanitatlan" will:
1
2.
3
4.
5.
6
7
8.
9
10.
11.
Check cleaning schedule dally.
Assist in the cleaning of alt areas of the kitchen,
Use only authorized cleaning chemicals.
Clean and sanitize equipment per written Instructions,
Sweep and mop floors as required throughout the day.
Keep trash containers emptied, .
Clean restrooms, hand sinks, and break areas at designated times.
Clean walls, cellings and other areas with proper cleaning equipment.
Keep all cleaning chemicals away from food area.
Follow Instructions from staff personnel in the cleaning and sanitizing of the kitchen.
Asslst In any ather duties deemed necessary by food service.
B, The Sanitation Worker In the area of “Equipment Usage" will:
1.
2
3.
4
Completely understand the operation and safety procedures of all cleaning equipment.
Make sure that equipment ls in the proper working condition at all times.
Place cleaning equipment in the proper worklng condition at all times.
Assist In any other dutles deemed necessary by food service,
"All kitchen workers will wear hair restraints, etc. while in the kitchen and glaves when handling food."
Print Name;
Signature:
Ci
‘a
pater BZ? OR oo"
LABEL
t / , t
CCOG00043149
Exhibit 11 - Page 330
CONFIDENTIAL
CANTEEN CORRECTIONAL FOOD SEK vICES
INMATE JOB DESCRIPTION
JOB TITLE: UTILITY
WORK AREA: KITCHEN
NORMAL WORK HOURS: AM Shift or PM Shift, Shift will be assigned by Food Service Manager.
PAY SCALE: GRADE UNSKILLED
CAPSULE JOB DESCRIPTION: Assist In cleaning and sanitation of all areas in the kitchen. Must be in Utility
Position for a minimum of 90 and have three (3) evaluations of 2.5 or above to
stay In position.
SPECIFIC WORK DUTIES:
Clean and sanitize all hot carts, segregation carts, and cambro carts when they are returned to the kitchen,
Clean and sanitize all dry storage racks and tray carts.
Clean and sanitize baking racks.
Keep kitchen floor swept and mopped at all times,
Keep floor drains clean,
Empty and wash out trash contalners, as needed,
Assist In trash runs to dispose of trash.
Wash and sanitize walls, walk-ins, freezer doors, and tables, etc,
Follow all safety instructions and posted operational rules.
10. Any other duties asked of you by Food Service Staff.
PRPNAM hone
SPECIAL REQUIREMENTS: — Medical Clearance must be able to lift 40 Ibs.
TERMINATION:
Failure to follow Safety Procedures,
Fallure to follow Supervisor's instructions.
Excessive absenteeism,
Misconduct, horseplay, etc,
Theft
Unsatisfactory work performance.
Ae puny
other duties may be assigned as deemed necessary,
DATE: ZZ
NOTE: These are not all of your work duties;
PRINT NAME;
OFFENDER SIGNATURE;.
SUPERVISOR: : DATE:
C12
CCOG00043150
Exhibit 11 - Page 331
CONFIDENTIAL
CANTEEN CORRECTIONAS SERVICES
INMATE TRAINING
LESSON PLAN
COURSE TITLE: KITCHEN EQUIPMENT
Lesson Title: Safaty Precautions (all equipment)
Course Objective: To Instruct inmate workers on the following safety guidelines for all kitchen
equipment.
Equipment/Supplies Required: Slicer or Mixer to be used in demonstration.
Lesson Tools: Presenter Demonstrations/Lecture
Safety precautions must be observed and proper maintenance and cleaning must be
consistently applied In order to keep equipment functioning properly and to prevent Injury or
accidents. Observe the following safety guidelines when working with any kitchen equipment.
1, Obtain proper instruction In the machine's safe operation. Do not be afrald to ask
questlons.
2, First turn off and then unplug electrical equipment before assembling or breaking down
the equipment for cleaning.
3. Use all safety features: Be sure that lids are secure, hand guards are used, and the piece
of equipment is stable.
4, Clean and sanitize the equipment thoroughly after each use,
5. Be sure that all pieces of equipment are properly reassembled and left unplugged after
each use.
6. Report any problems or malfunctions promptly to your supervisor.
Presenter uses a particular plece of equipment to demonstrate safety features, break down,
and set-up.
C8
i ; { ‘ i f
CC0G00043151
Exhibit 11 - Page 332
CONFIDENTIAL
" CANTEEN CORRECTIONAL SERVICES
INMATE TRAINING
LESSON PLAN
COURSE TITLE: KITCHEN EQUIPMENT
Lesson Title: Kettles and Steamers — THE BASICS
Course Objective: To instruct the Inmate on the various pieces of equipment listed abave.
Equipment/Supplies Required: Demonstrator to lecture at each piece of equipment listed
above point out its features and explain what it does.
Lesson Tools: Presenter Demonstrations/Lecture
Kettles and steamers enable a chef ta prepare large amounts of food efficiently, since the heat
ls applied over a much larger area than is possible when a single burner is used. Cooking times
for dishes prepared in steamers and large kettles are often shorter than for those prepared ona
range top.
STEAM-JACKET KETTLE + This freestanding or tabletop kettle circulates steam through the walls
of the Jacket, providing even heat. Units vary: they may tilt, may be insulated and may have
splgots or lids. Available in a range of sizes, these kettles are excellent for producing stocks,
soups and sauces, as well as some casserole items, They are generally made of stainless steel
and sometimes have specially treated non-stick surface. Gas or electric models are available,
TILTING KETTLE — This large, relatively shallow freestanding unit Is used for braising, stewing
and a hot of other cooking processes. Most tliting kettles have lids, allowing for steaming, as
well. They are usually made of stainless steel and are avallable In Bas or electric models.
PRESSURE STEAMER — Water Is heated under pressure In a sealed compartment, allowing It to
reach higher than bolling temperature (212 degrees F.) The cooking time ts controlled by
automatic timers, which open the exhaust valves at the end. The doors cannot be opened until
the pressure has been released,
CONVECTION STEAMER — The steamer generated in a boller and then piped to the cooking
chamber, where it Is vented over the food. Pressure does not build up in the unit: it is
continuously exhausted, which means the door may be opened at any time without danger of
scalding or burning. ‘
” CcOG00043152
Exhibit 11 - Page 333
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVICES
INMATE TRAINING
LESSON PLAN
COURSE TITLE: KITCHEN EQUIPMENT
Lesson Title: Stoves, Ranges and Ovens — THE BASICS
Course Objective: To instruct and demonstrate to the Inmate workers the various pleces of equipment
listed above.
Equipment/Supplies Required; Demonstrator to lecture at each piece of equipment listed above, point
out its features and explain what it does,
Lesson Tools: Presenter Demonstrations/Lecture
It Is difficult to imagine a kitchen without a stove. The stove top Is known as the range; the oven Is
‘usually below the range. There are a number of different variations on this standard arrangement,
however, just as there a number of different range tops and ovens available today.
RANGES — Gas or electric ranges are avallable In many sizes with various cambinatlons of open burners,
flattops (not to be confused with griddle units), and ring tops. Open burners and ring tips supply direct
heat, which is easy to change and control, Small units known as candy stoves or stockpot ranges have
rings of gas jets that allow for excellent heat contral. Flat-tops provide indirect heat, which /s more even
and less intense than direct heat. Foods that require long, slow cooking, such as stocks, are more
effectively cooked on a flat-top.
Open Burner ~ This is an Individual grate-style burner that allows for easy adjustment of heat.
Flat-Top — This consists of a thick plate of cast-lron or steel set over the heat source. Fiat-tops give
relatively even and consistent heat but do not allow for quick adjustment of temperature.
Ring Top. - This is flat-top with concentric rings or plates that can be removed to widen or close the
opening, supplying more or less direct heat.
Induction Burner — This Is a relatively new technology based on the transference of an electric current
Into a magnetic vibration. It is the vibration that heats the pan as it sits on the top of the burner. The
food is cooked via heat transferred from the pan while the burner itself stays cool, All pans used on this
type of burner must be made of steel or iron; copper and aluminum cookware will not respond to this
type of process.
t . i t t
CCOG00043153
Exhibit 11 - Page 334
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVICES
iNMATE TRAINING
LESSON PLAN
COURSE TITLE: KITCHEN EQUIPMENT
Lesson Title: Stoves, Ranges and Ovens — THE BASICS (Page 2)
OVENS ~ Ovens cook foods by Surrounding them with hot alr, a gentler and more even source of heat
than the dlrect heat of a burner. Many types of roasted and baked food are prepared in ovens, Delicate
foods, such as custards, are alsa cooked in an oven usually (n a hot water bath (bain-marie). Different
ovens are avallable to suit a variety of needs, and both the establishment's menu and its available space
should be evaluated before determining what type and slze oven ta Instali,
Convection Oven ~ Hot air is forced through fans to circulate around the food, cooking it evenly and
quickly. Some convection ovens have the Capacity to introduce steam. They are avallable in gas or
electric models, in a range of sizes, with stainless steel interiors and exteriors, and glass doors, Speclal
features may include Infrared and a convectlon-microwave combination.
Conventional Oven ~ The heat source Is located on the bottom, underneath the deck, or floor, of the
oven. Heat is conducted through the deck Into the cavity. Conventional ovens can be located below a
range top or as Individual shelves arranged one above another. The latter are known as deck ovens, and
the food Is placed directly on the deck, {in a pan), instead of on a wire rack. Deck ovens usually are gas
or electric, although charcoal and wood burning units are also options, The basic deck oven Is most
often used only for roasting, but several variations are avallable for other purposes, Additlonal styles of
ovens include pizza ovens, rotary ovens, conveyor ovens and rotating deck ovens.
Slow. Cookers/Combi Stoves — These stoves have been used extensively in Europe and are becoming
more common [n this country. The stove coaks at low temperatures, and may also steam foods, It can
be used for both cooking and holding them at the correct serving temperatures, making them deslrable
In a number of different instances (catering, banquets, large scale operations). Some versions of these
stoves are capable of smoking foods, as well.
ca
—_ oO , CCOG00043154
Exhibit 11 - Page 335
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVICES
INMATE TRAINING
LESSON PLAN
COURSE TITLE: KITCHEN EQUIPMENT
Lesson Title: Griddles and Grills - THE BASICS
Course Objective: To Instruct and demonstrate to the Inmate workers the various pieces of
equipment listed above.
Equipment/Supplies Required: Demonstrator to lecture Inmate workers the varlous pieces of
equipment (if avaliable), listed above.
Lesson Tools: Presenter Demonstrations/Lecture
There are two other over/range features, the griddle and the grill that are part of the traditional
commercial food service setup.
GRIDDLE — Similar to a flat-top range top, a griddle has a heat source located beneath a thick plate
of metal, generally cast-iron or steel. The food is cooked directly on this surface. A griddle may be
a gas or electric.
GRILLS, BROILERS AND SALAMANDER =~ In a grill, the heat source Is located below the rack, ina
boller or salamander the heat source is above. Some units have adjustable racks, which allow the
food to be raised or lowered to cantrol cooking speed. Most units are gas, although electric units
with ceramic “rocks” create a bed of coals, producing the effect of a charcoal grill. Salamanders
are small broilers used primarily to finish or glaze foods.
CCOG00043155
Exhibit 11 - Page 336
CONFIDENTIAL
CANTEEN CORRECTIONAL SERVi:2S
INMATE TRAINING
' LESSON PLAN
COURSE TITLE: KITCHEN EQUIPMENT
Lesson Title: Grinding, Slicing and Pureeing Equiament - THE BASICS
Course Objective: To Instruct the inmate on the varlous pieces of equipment listed above.
Equipment/Supplies Required: Demonstrator to lecture at each plece of equipment listed
above, point out its features and explain what It does.
Lesson Tools: Presenter Demonstratlons/Lecture
MEAT GRINDER = This is a freestanding machine or an attachment fora standing mixer. A meat
grinder should have "dies" of varying sizes and in-general will have a feed tray and pusher, The
"dies" determine the coarseness of the grind, the smaller the holes In the "dle" the finer the
grind. All food contact areas should be kept clean.
VERTICAL CHOPPING MACHINE — This machine operates on the same principle as a blender. A
motor at the base Is permanently attached to a bowl with integral blades, As a safety
precaution, the hinged lid must be locked In place before the unit will Operate, The vertical
chopping machine is used to grind, whip emulsify, blend, or crush foods.
FOOD CHOPPER (Buffalo Chopper) ~ ~The food Is placed ina rotating bowl that passes under a
hood, where blades chop the food. Some units have hoppers or feed tubes and
interchangeable disks for slicing, and grating. Food choppers are In floor and tabletop models
and are generally made of aluminum with a stainless steel bowl,
FOOD PROCESSOR — This Is a processing machine that houses the mator separately from the
bowl, blades, and lid. Food processors can grind, crush, knead, and, with special disks, slice,
Jullenne, and shred foods.
FOOD/MEAT SLICER - This machine is used to slice foods in even thickness, A carrier moves the
food back and forth against circular blade, which is generally carbon steel, There may be
separate motors to operate the carrler and the blade. To avoid injury, all safety features
incorporated in a food slicer, especially the hand guard, should be used.
C7
CCOG00043156
Exhibit 11 - Page 337
CONFIDENTIAL
Food Handler Form Page 1 of |
e
\ U.S. Immigration
.) and Customs
ee“ Enforcement
Department of Health Inmate Faod Handler's Certificate
A iii FACILITY: San Diago Contract Datentlon Facility -
CCA
nlew
DEPARTMENT OF CORRECTIONS COPY
RECEIPT OF NOTIFICATION OF
PATIENT'S FOOD HANDLER CERTIFICATE
Electronically signed | have reviewed patient's record and found (I's) (her) general health to be
by: satisfactory for assignment in food handing, preparation and service
areas of In the bakery,
07/04/2017 16137
Print Name/Date/Tima
https://prodapp.ehr-icchealth.ary/mobiledoc/jsp/Corrections/PrintFoodHandlerForm,jsp?B0.. 7/4/2017
j * i l !
CCOG00043157
Exhibit 11 - Page 338
CONFIDENTIAL
CCOG00043158
Exhibit 11 - Page 339
CONFIDENTIAL
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CCOG00043159
Exhibit 11 - Page 340
CONFIDENTIAL
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Exhibit 11 - Page 341
CONFIDENTIAL
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CCOG00043161
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Exhibit 11 - Page 342
CONFIDENTIAL
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CCOG00043162
Exhibit 11 - Page 343
CONFIDENTIAL
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CCOG00043163
Exhibit 11 - Page 344
CONFIDENTIAL
CCOG00043164
Exhibit 11 - Page 345
CONFIDENTIAL
DEPARTMENT OF HOMELAND SECURITY
U.S, IMMIGRATION AND CUSTOMS ENFORCEMENT
DETAINEE TRANSFER NOTIFICATION
NATIONALITY SOMAL
TRANSFER DESTINATION
NAME OF NEW FACILITY ETOWAH COUNTY DETENTION CENTER
ADDRESS 827 FORREST AVENUE
GADSDEN, AL 35901 eee 7
TELEPHONE NUMBER (256) 649-8454
| hereby acknowledge that | have recelved the transfer destination Information. | have also been notifled
that It ls my responsibility to notify famtly members, if | sa desire, and that | will be provided with one
(ree phone call when | arrive
DETAINEE SIGNATURE ym !|UlUtC« DATE _ 12.12.18
OFFICER SIGNATURE DATE 12.12.18
Reason for detainee transfer BED SPACE TRANSFER
‘Transfer of Detainees
ce.detention file
CCOG00043165
Exhibit 11 - Page 346
CONFIDENTIAL
CCOG00043166
Exhibit 11 - Page 347