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UNCLASSIFIEDULAW ENFORCEMENT SENSITIVE (When Completed) <br />Adequate and Varied Meals <br />Does the facility provide 3 meals per day? <br />(- Yes (- No <br />Does the facility provide a minimum of 2 hot meals per day? <br />(- Yes (- No <br />Does the facility provide meals that are nutritionally adequate and varied, as approved by a dietitian? <br />(' Yes (' No <br />Does the facility serve meals that match the approved meal menus? <br />(' Yes (- No <br />Does the facility provide special meals for prisoner religious or medical needs? <br />C Yes (- No <br />SAFETY AND SANITATION <br />Fire Safety <br />Was an annual fire safety inspection conducted by an external entity? <br />(- Yes r No <br />If 'Yes', Date of Inspection <br />Were any violations identified? <br />(- Yes (- No <br />Have those violations been corrected? <br />C Yes (- No <br />Was the facility re -inspected to ensure the violations were corrected properly? <br />C Yes C No <br />Control of Dangerous Materials <br />Does the facility have procedures for the maintenance, inventory, and storage of flammable, toxic, and caustic materials <br />and chemicals? <br />(' Yes C No <br />Does the facility have adequate personal protective equipment for the safe handling of chemicals? <br />C Yes (' No <br />Does the facility receive training on the safe use of each chemical? <br />(- Yes (' No <br />If yes to the above question, is the training documented? <br />C Yes C 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 reciplent(s). 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 />UNCLASSIFIEDULAW ENFORCEMENT SENSITIVE (When Completed) <br />Form USM-218 <br />Page 20 of 27 Rev. 02125 <br />