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UNCLASSIFIEDHLAW ENFORCEMENT SENSITIVE (When Completed) <br />Does the facility pay USMS prisoners for services provided during scheduled work hours? <br />C Yes C No <br />Are USMS prisoners assigned to work outside of the secure perimeter of the facility? <br />C Yes C No <br />Does the facility document all USMS prisoner work assignments? <br />C Yes C No <br />Prisoner Grievance Program <br />Does the prisoner grievance protocol include at least one level of appeal? <br />C Yes (- No <br />Does the facility document responses and dispositions of prisoner grievances? <br />(' Yes (- No <br />When does the facility respond to the prisoner grievances? <br />Months E= Days <br />Juveniles <br />Does the facility house juveniles? If 'No', move to next section. <br />C Yes (' No <br />Does the facility have procedures for housing juveniles? <br />C Yes C No <br />Does the facility ensure the special diet, exercise, and education needs of juvenile prisoners are met? <br />r Yes (' No <br />Does the facility place prisoners under 21 who are charged as juveniles in restrictive housing? <br />C Yes (' No <br />Does the facility immediately report restrictive housing of USMS juvenile prisoners? <br />C Yes (- No <br />Does the facility ensure that voluntary and involuntary restrictive housing of prisoners under 21 who are charged as <br />juveniles are removed from restrictive housing every 3 hours? <br />(- Yes C No <br />Exercise and Out -of -Cell Opportunities <br />Does the facility provide prisoners with opportunity for exercise and out -of -cell time? <br />(' 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 recipient(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 />UNCLASSIFIED!/LAW ENFORCEMENT SENSITIVE (When Completed) <br />Form USM-21 8 <br />Page 24 of 27 Rev, 02125 <br />