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UNCLASSIFIEDHLAW ENFORCEMENT SENSITIVE (When Completed) <br />Court Action <br />(If needed, use "Other Notes Section" on last age to document more than 3 actions) <br />Are there any court orders or pending major litigation affecting the facility? <br />f ' Yes C No <br />Case Name/Number Select Functional Area <br />I�_______ ❑ Admin & Mgmt ❑ Food Service <br />Case Name/Number <br />Case Name/Number <br />I_ _ I <br />❑ Health Care <br />❑ Security & Control <br />® Safety & Sanitation <br />❑ Service & Programs <br />Select Functional Area <br />❑ Admin & Mgmt ❑ Food Service <br />❑ Health Care <br />❑ Security & Control <br />❑ Safety & Sanitation <br />❑ Service & Programs <br />Select Functional Area <br />❑ Admin & Mgmt ❑ Food Service <br />❑ Health Care ❑ Safety & Sanitation <br />❑ Security & Control ❑ Service & Programs <br />ADMINISTRATION AND MANAGEMENT <br />Date of Court Filing <br />Date of Court Filing <br />� I <br />Date of Court Filing <br />Policy Development and Monitoring <br />Does the facility maintain policies and procedures that describe facility operations, maintenance and administration? <br />t" Yes C No <br />Do policies have a date documenting the last time the responsible facility manager/administrator reviewed the policy to <br />ensure it remains current, accurate, and relevant to the facility's operation? <br />(— Yes (' No <br />If 'Yes', Date of Last Internal Review <br />Policy Communication and Access <br />Are policies and procedures communicated to all employees? <br />C` Yes (' No <br />Does staff have 24/7 access to policies and procedures? <br />r Yes (' No <br />NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information <br />which is for the sole use of the intended recipients}. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended <br />recipient, please contact the sender and destroy all copies of this document. Any Protected Health Information contained in this document is to be used <br />only to aid in providing healthcare services to federal prisoners, Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be <br />reported as such. <br />UNCLASSIFIEDYLAW ENFORCEMENT SENSITIVE (When Completed) <br />Page 6 of 27 <br />Form USM-218 <br />Rev. M25 <br />