Independent Monitors’ Report No. 5 March 17, 2016 …...Compliance Report # 5 – March 17, 2016 3...

ComplianceReport#5-March17,2016

UNITEDSTATESDISTRICTCOURTEASTERNDISTRICTOFLOUISIANA

_________________________________________ LASHAWNJONES,etal.,and )THEUNITEDSTATESOFAMERICA, ) )CivilActionNo.2:12-cv-00859

PLAINTIFFS, )SectionI )JudgeLanceM.Africk

v. ) ) MARLINGUSMAN,Sheriff, ) ) )DEFENDANT. )_________________________________________ )

IndependentMonitors’ReportNo.5

March17,2016

www.nolajailmonitors.org

SusanW.McCampbell,M.C.R.P.,C.J.M.,LeadMonitorHarryE.Grenawitzke,R.S.,M.P.H.,D.A.A.S.,EnvironmentalHealthandSanitationMonitorRaymondF.Patterson,M.D.,D.F.A.P.A.,MentalHealthMonitorRobertB.Greifinger,M.D.MedicalMonitorMargoL.Frasier,J.D.,C.P.O.,CorrectionalPracticesMonitorPatriciaL.Hardyman,Ph.D.,ClassificationMonitorDarnleyR.Hodge,Sr.,M.S.CorrectionalPracticesMonitorMcCampbellandAssociates,Inc.1880CrestviewWay,Naples,Florida34119-3302Email:[email protected]:www.nolajailmonitors.org

Case 2:12-cv-00859-LMA-MBN Document 996 Filed 03/17/16 of 178

ComplianceReport#5–March17,2016

ii

ComplianceReport#5LASHAWNJONES,etal.,andtheUnitedStatesofAmerica

v.MarlinGusman,Sheriff

TableofContents

Page

I. ExecutiveSummary 1A. Introduction B. SummaryofCompliance C. ComplianceReport#5D. FormatofthisComplianceReportE. ReviewProcessoftheReport#5 F. BarrierstoCompliance G. PositivesH. ProvisionofTechnicalAssistancebytheMonitorsI. Defendant’sActivitiesSinceComplianceReport#4J. WayForward

II. SubstantiveProvisions A. ProtectionfromHarm 20

A.1.UseofForcePoliciesandProcedures 26 A.2.UseofForceTraining 27A.3.UseofForceReporting 29 A.4.EarlyInterventionSystem 34A.5.SafetyandSupervision 35A.6.SecurityStaffing 38A.7.IncidentsandReferrals 44A.8.Investigations 45 A.9.PretrialPlacementinAlternativeSettings 51A.10.CustodialPlacement 52A.11.PrisonerGrievanceProcess 67A.12.SexualAbuse 70A.13.AccesstoInformation 72

B. MentalHealthCare 74C. MedicalCare 94D. SanitationandEnvironmentalConditions 104 E. FireandLifeSafety 129F. LanguageAssistance 138G. YouthfulPrisoners 139 H. TheNewJailFacility 141I. ComplianceandQualityImprovement 142J. ReportingRequirementsandRightofAccess 144

III. StipulatedAgreements–February11,2015andApril22,2015 145 IV. Conclusions 156



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Table1–SummaryofCompliance–AllTours 1Table2–StatusofCompliance–StipulatedAgreements 1Table3–OPSO-ReportedIncidentsSeptember2015-Feb2016 22Table4–StaffingOverviewbyOPSO 42Table5–CustodialPlacements 55AttachmentA-SummaryComplianceFindings(Chart) 158 AttachmentB–SummaryofRecommendations 165



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I. ExecutiveSummary

A. IntroductionandSummaryofCompliance

TheindependentMonitorsreporttherehasbeennoprogressbytheOrleans

ParishSheriff’sOffice(OPSO)towardcompliancewiththemandatesoftheConsent

JudgmentsinceComplianceReport#4.1ComplianceReport#5documents(Table

1)thatthenumberofparagraphsinsubstantialcompliancedecreased,andthe

numberofparagraphsfoundtobeinnon-complianceincreasedfrom43to61.

Theseareclearlynotpositivetrends.2

Table1–SummaryofCompliance–AllTours3ComplianceReport/Date Substantial

CompliancePartial

ComplianceNon-

ComplianceNA/Other Total

#1–December2013 0 10 85 76 171#2–July2014 2 22 149 1 174#3–January2015 2 60 110 2 174#4–August2015 12 114 43 44 173#5–February2016 10 96 63 4 173

Inaddition,thestatusofcompliancewiththetwostipulatedagreements(February11,

2015,April22,2015)agreedtobythepartiesarereportedasfollows:

Table2–StatusofCompliancewithStipulatedAgreements5

Compliance PartialCompliance Non-Compliance NA TotalFebruary11,2015 22 8 0 1 31April22,2015 3 0 0 0 3

1ComplianceReport#1-http://www.nolajailmonitors.org/uploads/3/7/5/7/37578255/nolajailmonitorsreport1-02_13_2014.pdf,ComplianceReport#2-http://www.nolajailmonitors.org/uploads/3/7/5/7/37578255/compliance_report_2_08_26_2014.pdf,ComplianceReport#3-http://www.nolajailmonitors.org/uploads/3/7/5/7/37578255/jones_et_al_v._gusman_3_compliance_report_02_25_15.pdfComplianceReport#4-http://www.nolajailmonitors.org/uploads/3/7/5/7/37578255/summaryreport992015.pdf2TheConsentJudgmentdefinescompliance(paragraph42.):““SubstantialCompliance”indicatesthatDefendanthasachievedcompliancewithmostorallcomponentsoftherelevantprovisionoftheAgreement.“PartialCompliance”indicatesthatDefendantachievedcomplianceonsomeofthecomponentsoftherelevantprovisionoftheAgreement,butsignificantworkremains.“Non-compliance”indicatesthatDefendanthasnotmetmostorallofthecomponentsoftheAgreement.”3SeeAttachmentAforasummaryofcompliancewitheachprovisionoftheConsentJudgment.4SectionIV.A.6.oftheConsentAgreementwasbrokenoutintoseparatesubparagraphsforthepurposeofreporting.Thisincreased,therefore,theparagraphsfrom171to174.5Seepage145fordetails.



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TheinitiativesneededtoachieveandsustaincompliancewiththeConsent

Judgmenthavebeenlargelyunsuccessful,orignored,byOPSOsinceCompliance

Report#4.Duringthissametimeperiod,OPSOfacedthechallengeofmovingintoa

newfacility,closingoldfacilities,andmovinghundredsoftheParish’sinmatesto

otherjails.OPSOisclearlystrugglingtomeeteventheminimumrequirementsof

theConsentJudgmentandtheenvironmentinwhichOPSOisworkingishampering,

nothelpingthework.Thisisattributableinpartto,intheobservationofthe

Monitors,thenegativerelationshipthatexistsbetweentheleadersoftheSheriff’s

OfficeandtheCityofNewOrleans(CNO).Whileeach“side”vigorouslyand

vociferouslypromotestheirviews,noconclusionsofurgentmattershavebeen

reached6,andinmatesandstaffremaininsignificantdanger.Thisdangerisnot

speculative,butveryclearlydocumented.7

TheMonitorsacknowledgetheopeningoftheOrleansJusticeCenter(OJC)in

September,2015asamajormilestonefortheParish.8TheMonitorsdonotdismiss

thisasunimportant.TheMonitorsbelievethatthetransitionprocesscouldhave

beenhandledmuchdifferentlytoyieldabetteroutcome,butitdoesnogoodto

revisitthatnow.WiththeopeningoftheOJC,theTemporaryDetentionCenter

(TDC)remainedopen,andlaterclosed.9

WhentheOJCopened,approximately250inmatesweretransferredtoEast

CarrollParishandFranklinParish.OPSOreportedthattheseweretheonlyjailsin

theStatethatagreedtotakeinmatesandabidebytheprovisionsoftheConsent

Judgment.TheConsentJudgment’sprovisionsfollowtheOPSOinmatesiftheyare

heldinotherjails.Inmid-October,theleadMonitortraveledtoEastCarrolland

6Forexample,budgetandfinancialaccountabilityissues,PhaseIIIplanningandconstruction,renovationtocourtholding(“theDocks”).7SeeTable3,page22.8WiththeclosureofTDCinFebruary2016,morethan400inmatesweremovedoutofparish.9ThecapacityoftheTDCwaslistedbyOPSOas454.TheMonitors’positionisthatthecapacityofTDCwas254duetothelackofasufficientnumberoftoiletsandshowersinthedormitories,andtheabsenceofsourcesofnaturallight.Thisdeterminationisbasedonnationalstandards.AmericanCorrectionalAssociation,CommissiononAccreditationforCorrections,Performance-BasedStandardsforAdultLocalDetentionFacilities,FourthEdition,Lanham,Maryland,2004.



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FranklinParishestoinspectthejailsandinterviewinmates.10InJanuary2016,the

SheriffclosedtheTDCandtransferredinmateswhocouldnotbeaccommodatedin

theOJCtothesetwoparishjails,aswellastoSt.CharlesParish.

TheimpactontheOrleansParishcriminaljusticesystemofmovingpre-trial

inmatestojailsfourtosixhoursawayfromtheParishisobviouslysignificant.The

primary,andonlyconcernofinmatesinterviewedbytheMonitorinthesetwo

parishes,wascommunicationwiththeirattorney/publicdefender.Thesewerethe

sameconcernsheardbytheMonitorfrominmatesbeforetheyweremovedwhile

stillheldintheOrleansParish.TheEastCarrollParishjailhasthecapacityforvideo

conferencing,andthewardensatbothfacilitiesindicatedtheywouldtakecallsfrom

attorneysandarrangetelephoneconferences.TheMonitorprovidedhercontact

informationtoallinmatesinterviewed,buthasyettoreceiveanylettersfrom

inmatesheldinthosejails.Thecostsofholdingandtransportingtheseinmatesare

paidbyOrleansParish.

Thissignificantchangeinthehousingofinmates,thatis-openingofthenew

jail,transferofinmatesout-of-parish,andclosingtheTDC–resonatesinprimarily

negativeways,andmaycontinuetodosointotheforeseeablefuture.Whilethe

openingoftheOJCshouldhavebeenapositiveimpetustoreform,thismilestone

wasovershadowedanddiminishedforthefollowingreasons:theturmoiland

unilateraldecisionsaboutmovinginmatesout-of-parish,thepoorhousingunit

management,absenceofappropriatein-custodytreatmentforinmateswithacute

mentalillness,thelackofservicesandprogramsforacuteandsub-acutecare,and

absenceofstep-down/residentialmentalhealthhousing.

Importantly,thequestionfacingtheMonitors,andultimatelytheCourt,is

howcantheOrleansParishSheriff’sOfficereachcompliancewiththeConsent

Judgmentgiventhestatusofthejail’soperationsdiscussedinthisreport,and

consideringOPSO’spresentcapabilitiesandapproachestocompliance?The

Monitorsdetailinthisreporttheleveloftechnicalassistancethathasbeenprovided

10TheleadMonitortouredthePlaqueminesParishjailinDecemberandwastoldbystafftherethattherewasnotatthistimesufficientstaffingtoopenadditionalhousingunits.



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sincethecompletionofComplianceReport#4.Theinabilitytoretainemployees,

includingthelossofasecondChiefofCorrectionssincetheConsentJudgmentwas

signed,thelackofprogressonthesuitablehousingforinmateswithacutemental

illness(acute,sub-acute,step-downandresidentialcare)andotherspecial

populations(e.g.juvenilesandwomen),andtheabsenceofacogentstrategyto

achievingcompliancedoesnotbodewellfortheDefendant.Theday-to-daycrisis

environmentobservedbytheMonitorsintheagency’soperationsdoesnotevidence

aprofessional,competent,orinformedleadership.TheMonitorswanttobeclear

thattherearecompetentanddedicatedindividualsworkinghardtokeepthejail

afloat,buttheirworkisovershadowedanddefeatedbyOPSO’snegativeinternal

culture,andlackofcommitmentattheleadershipleveltoachieveandsustain

compliance.TheOPSOleadershipvocalizestheircommitmenttoachieving

compliance,buttheiractions,observedformorethantwoyears,don’tsupportthe

rhetoric.Cityofficialsareresponsibleforsomeofthisdysfunctionbynotexecuting

theCorrectCareSolutions(CCS)contract,resultinginCCS’leadershippositionsnot

filled(medicaldirector,behavioralhealthdirector),andnotfindingawayto

compromisewiththeSheriffontheissueofstartingsalaryforOPSO’slinestaff.

B. ComplianceReport#5

ThisisComplianceReport#5oftheMonitoringteaminthematterofLaShawn

Jones,etal.andtheUnitedStatesofAmericav.MarlinGusman,Sheriff,OrleansParish

Sheriff’sOffice(OPSO)isbasedonthetourbytheMonitorsduringtheweekofFebruary

16,2016.Toprepareforthistour,theMonitorsrequesteddocumentsfromOPSOon

January13,2016.MembersoftheMonitoringteamspeakandcommunicatefrequently

withtheDefendantaswellasDOJandtheplaintiffs.Themonthlyconferencecalls

amongallpartieswerereestablishedinJanuary2015andwhileissuesarediscussed,

thereisoftennoconclusiontomattersormeasurableprogressfromcalltocall.

TherearetwoStipulatedAgreementsbetweenthepartiesthatwereintendedto

spurthedefendantstofasterprogressoncriticalissues.Assuch,thisCompliance

ReportincludesOPSO’sstatusonachievingtheelementsofthesetwoAgreements.This



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reportlinksthethreedocuments(e.g.,theConsentJudgment,February2015

AgreementandApril2015Agreement).

SincetheMonitors’websitewww.nolajailmonitors.orgwasestablishedin

September2014,therehavebeenmore22,300“hits”onthesite.Wearepleasedabout

theinterestinthisworkandwelcomeinput,information,andideasfromthe

communityandstakeholders.Thewebsiteisfrequentlyupdated.

C. FormatofthisComplianceReport

ThisComplianceReportdoesnotincludetheparagraphsoftheConsent

Judgment,verbatim,asinpreviousreports.TheConsentJudgmentisavailableat

http://www.nolajailmonitors.org/uploads/3/7/5/7/37578255/tab_2_consent_judgme

nt.pdfforthosereaderswhoarenotfamiliarwithitscontent.

D. ReviewProcessofMonitors’ComplianceReport#5

ThedraftofComplianceReport#5wasprovidedtoallparties(DOJ/plaintiffs,

OPSO)forreviewonFebruary29,2016,withaduedateforcommentsofMarch15,

2016.TheleadMonitor,intheemailtransmittingthedraftreport,requestedthatall

commentsbewrittentofacilitatedocumentationandreview.Inthereviewprocessfor

previousdraftsofComplianceReports,OPSOprovidedoralstatements.

TheDOJ/plaintiffsprovidedwrittencommentsonMarch14,2015.OnMarch15,

2016,theleadMonitorreceivedtwoemailsfromOPSOcontaininglimitedcomments.

TheleadMonitorcommunicatedwithSheriffGusmanviaemailonMarch16thto

determineifthesetwoemailsrepresentedthetotalityofOPSO’scomments;andoffered

theSheriffuntiltheendofdayonMarch16thtoprovideanyadditionalcomments.No

additionalcommentswerereceivedfromOPSO.

E. BarrierstoCompliance

TheissuesimpedingcompliancewiththeConsentJudgmentandendangering

theinmatepopulation,inadditiontothepublicdisagreementsbetweentheSheriffand

theCityinclude,butarenotlimitedto:(theseitemsarenotlistedinpriorityorder):

1. ForOPSO,developmentandimplementationofanadequateorganization

structure,chain-of-command,andspan-of-controltosafelyoperatethejail

andensureaccountability;



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2. Recruitmentandretentionofcorrectionsprofessionals,atthelineleveland

leadership;

3. Trainingofcorrectionsstafftomanageadirectsupervisionjail;

4. Absenceofacorrectionsadministrator;

5. ThenegativeinternalcultureoftheOrleansParishSheriff’sOfficethat

impedesanysustainableprogresstocompliance;

6. Absenceofafull-timecompliancecoordinator;

7. Safetyofinmates(andthepublic)beingmovedtoandfromcourt(the

“Docks”);

8. Effectivesanitationandenvironmentalcontrols,including,butnotlimitedto

inmatelaundry;

9. Adequatebed-spacetoaccommodateinmateswithmedicalneeds;

10. Housingforinmateswithacutementalillnessandstep-downcare;

11. SpecialPopulationHousing,and/orotherprovisionsforfemalejuvenilesto

allowcompliancewiththePrisonRapeEliminationActof2003(PREA);

12. Developmentofprocessestocollect,analyze,andmanagedatatoinform

facilityoperationsandadoptqualityimprovementpractices;and

13. Noagreementontheneededbedspacetoaccommodatepre-trialinmates

withintheParish.

AchievingandsustainingcompliancewiththisConsentJudgmentrequires

maximumcollaborationandcooperation.Thisissimplynotoccurring.TheDefendants

willnotreachcompliancewithouttheCityofNewOrleans’supportandparticipation.If

theSheriffandtheCitycontinuetheircurrentpath,continuedharmtoinmatesanddanger

tostaffwillpersist.Regardingthebarriers:

1. Developmentandimplementationofanadequateorganizationstructure,chain-

of-command,andspan-of-control

TheOPSOneedsanupdatedorganizationalstructurethatsupportsall

statutoryfunctions,includingjailoperations,toachievecompliance.This

organizationalstructuremustidentifytherequiredstaffing,includingrank

andsupervisors,anddefinethespan-of-control(e.g.thenumberofperson



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reportingtosupervisors),dependentonthedocumentedneedsofthe

organizations.Thestructuremustnotplaceapriorityonretaining

individualswhonolongerserveinthefunctionstowhichtheyareassigned

and/orneededbytheorganization,and/orindividualswhohaverankasa

meanstosupporttheirsalaries.Thisprocessmustincludepositions/posts

neededtoachieveandsustaincompliancesuchastheChiefofCorrections

andacompliancecoordinator,asexamples.

2. Recruitmentandretentionofcorrectionsprofessionals11

Thereisaninsufficientnumberoftrainedstaffworkinginthejail.There

appearstotheMonitorstobesufficientnumberofstaffworkinginthe

Sheriff’sOffice,butthedeploymentofstaffrequiresexamination.In

calendaryear2015,therewasa50%turnoverofstaffworking/assignedto

thejail,mostofwhowererecentlyhired.Thefutilityofrecruitingwhen

facedwiththisattritionrateisbeyondfrustratingfortheOPSOandthe

Monitors.TheMonitorsagreewiththeSheriffthatacompetitivewageneeds

tobepaid,butthereareotherissuesthatmustbesimultaneouslyaddressed

toassurethehiringandretentionofemployees.Theseelementsofa

professionalhumanresourcesmanagementsysteminclude,butarenot

limitedto:

• Incorporationofthecorecompetenciesofthosetobehiredtomatchthe

requirementsofdirectsupervision;

• Afundedandmeasurablerecruitmentprogram;

• Aqualitypre-servicetrainingprogramthatpreparesemployeesfordirect

supervisionmanagement;

• Acoachingand/orfield/correctionaltrainingofficerprogramtosupportnew

hires;

• Acrediblepromotionalprocess;

• Apersonnelsystemthatidentifiesandaccountsforallemployees,including

positioncontrol,rank,andsalary;11SeealsodiscussionofConsentJudgmentsectionIV.A.6.,page38.



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• Acareersalaryplan(forexample,newlyhireddeputiesandthoseworking

therefor10yearsshouldnotbepaidthesame);

• Anin-servicetrainingprogramthatsupportscareerdevelopmentand

achievestherequirementsoftheConsentJudgment;and

• Awaytotracktheimpactofsecondary/off-dutyemploymentonthe

readinessandavailabilityofjailemployees.

Thislistisdaunting.OSPOneedstodemonstrateandacknowledgethat

itiscapableofcreatingandmaintainingacrediblehumanresourcessystemand

tomakeinvestmentinneededsalaryincreasespossible.Thismaybea“chicken

oregg”argument--thatis,theSheriffmayneedasalaryincreasetoattractand

retainqualityindividuals,andthenprovethattheotherimprovementsresultin

retention;whiletheCitybelieves,perhaps,thattheseotherchangesare

necessaryasapreludetoprovidingmorefundingforsalaries.Thereisroomfor

compromise;thepartiesneedtoseekit,andthesoonerthebetter.Theabsence

ofasharedsolutionisendangeringthesafetyofinmatesandstaffwhoworkin

thejail.

Therearemorethan3,200localjailsintheUnitedStates,80%ofwhich

areoperatedbyanelectedSheriff.Whiletheseorganizationsnodoubthave

fundingandcollaborationissueswiththeirfundingauthorities,nonehave

regressedtothelevelofdysfunctionasinOrleansParish.

3. Trainingofcorrectionsstafftobeabletomanageadirectsupervisionjail

ItistheMonitors’observation,supportedbyreviewingjailoperations,

thatthetrainingprovidedpriortomovingintothejailwasinsufficient.This

includestrainingforlinestaffandsupervisors.Thepre-serviceandin-service

trainingmustbemodifiedandinstructedbyexperiencedstafftopreparefor

directsupervisionoperations.Thisincludesareviewofthecontentandlength

ofthetraining.Thisisanurgentmatter.

4. Absenceofacorrectionsadministrator

TheMonitorsbelievethatthe“reputation”ofOPSOinthenation-widejail

communitymakesfillingthisnowvacantpositionwithaqualifiedindividual



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quitechallenging.Importantly,theSheriffmustconsiderwhythetwo

experiencedchiefofcorrectionslefttheirpositions,andwhatinternalissues

causedtheirdepartures.Thisissuealoneshouldspurimmediateactionand

correctionbyOPSO.

5. NeedtoaddressthenegativeinternalcultureoftheOrleansParishSheriff’s

Officethatimpedesanysustainableprogresstocompliance

TheMonitorshaveformorethantwoyearsobservedtheworkingsof

OPSOandtheoutcomesoftheirattemptstoreachcompliance,openanewjail,

hirestaff,etc.TheMonitorshaverepeatedlyidentifiedintheseCompliance

ReportsandtotheOPSOleadershipthattheinternalworkingsoftheagencydo

notsupportachievingandsustainingcompliance.Changinginternalagency

culturefirstrequiresthattheagencyacknowledgethatthereareproblems.The

MonitorsdonotcurrentlyseethishappeningwithOPSO.Changinginternal

agencycultureisnotanovernightprocess,oftenrequiringasmanyastenyears

ofintensive,focusedwork.Iftheinternalcultureoftheorganizationisnot

overhauled,thereisnorealhopethatcompliancecaneverbegainedor

sustained.

6. Absenceofafull-timecompliancecoordinator12

TheConsentJudgmentrequiresafull-timecompliancecoordinator.Thatisa

straightforwardrequirement.Yet,OPSOhasnotmetthisconsistently.Aninitial

hireforthispositionwasassignedtootherfunctions.Thesecondpersonhired

undercontracthasvirtuallydisappeared.Thethirdpersonassignedthetaskof

coordinatingcompliancehasotherrelevantandimportantdutieswhichoccupy

asignificantportionofhistime.Thesefactssuggestnorealcommitmentonthe

partoftheSherifftoachievedevelop,reformandmaintainanorganization

whichisabletoachieveandsustaincompliance.

7. Safetyofinmatesbeingmovedtoandfromcourt(the“Docks”)

12OnFebruary22,2016,theleadMonitorwrotetoSheriffGusmanregardingwhethertherewasafull-timecompliancecoordinator,andifso,thenameofthatperson.OnMarch15,2016inanemail,SheriffGusmannotedthatCapt.BryanPetersisassignedfull-timeastheComplianceCoordinator.Ifthisisthecaseatthetimeofthenexttour,thisprovisionwillbesubstantiallycompliant.



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InpreviousComplianceReportstheMonitorsaddressedtheinmate

safetyandsecurityissuesassociatedwithholdinginmatesforcourtinthearea

inOPPknownas“TheDocks.”13Unilaterally,theSheriffmadethedecisionto

closetheDockswheninmateswereremovedfromOPPtoOJCinSeptember

2015.Thisdecisionresultedinalargenumberofcomplaintsfromthecriminal

courtjudgesasinmateswerebeingwalkedthroughthepublichallwaysandheld

inthecourtroomsforlengthyperiodsawaitingtheircasetobecalled.Afterthe

outcryfromthecriminalcourtjudges,theSheriffbegantousetheDocksagain,

butonlyasapass-throughtothetunnelbehindthecriminalcourts.Thus,

inmatesarenowbeingheldintransportbusesorcourtroomsforlongperiodsof

time.ThedecisiontonotusetheDocks,asimperfectastheDocksmayhave

been,createssecurityissueswhichresultsinaheavyrelianceonovertime,

inefficientuseofstaff,inmateshavingaccesstothepublicwhileinthe

courtrooms,inmatesbeingheldinextremelycrampedquarters,andinmates

havingtoutilizeportabletoilets.Thesituationforinmatesbeingtransported

fromEastCarrollParish,forexample,isevenmoredire.Theseinmatesare

loadedintovansatbetween3to4a.m.anddriventoOrleans,arrivingataround

8a.m.Theseinmatessiteinthetwelve-passengervansforhourswaitingfor

theircasestobecalled.Sometimestheseinmatesarenotneededinthe

courtroom.ThenthetrekbacktoEastCarrollbegins,meaningthatsome

inmatesareonthevansfor18–20hours.

TheSheriffcontinuestorefusetousetheholdingareasoftheDocks.The

DocksCommitteereachedconsensusonwhatthefacilitytoreplacetheDocks

shouldentail.Unfortunately,theCityhasmadenoprogressonconstructingthe

replacementfacility;oreveninfinalizingoptions.TheMonitorsareconcerned

13InitiallytheMonitors’attentionwasdrawntothisareabecauseofthecrowding,reportedinmate/inmatefights,non-functioningfiresystemsinOPP,issueswithlockingmechanisms,absenceofadequatetoilets,insufficientseating,etc.CommitteehasmetthreetimessinceComplianceReport#3inanefforttomovethedecisionprocessforward.AnarchitectwasselectedinOctober2014,butthecontracthasnotbeenfinalizedintheabsenceofadecisionbytheCityonthescopeofthework.



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aboutthesafetyandsecurityortheinmates,aswellasthatofthestaffandthe

public.

8. Effectivesanitationandenvironmentalcontrols,including,butnotlimitedto

inmatelaundry.Inmatesafetyandfacilityhygienerequireaneffective

environmentalcontrol,includingafunctioninglaundry.Alaundryisnot

specificallyaddressedintheConsentJudgment,butclearlyhavingregularaccess

tocleanclothingandlinensisanenvironmentalandhealthissue.Thematter

requiresresolutionbytheparties.

9. Adequatebed-spacetoaccommodateinmateswithmedicalneeds

ThereisinadequateinfirmaryspacewithintheOJC.Thereisinadequate

medicaladministrationandpatientcarespaceintheOJC.

10. Housingformaleandfemaleinmateswithacutementalillnessandstep-down

care

TheHuntfacilitycontinuestobeusedtohousemaleinmateswithacute

mentalillness.Additionally,OPSOcontinuestohouseinmateswhoreport

suicidalideationand/orengageinself-harmingbehaviorsinhousingunitsthat

haveNOsuicideresistantcells.14Thereisalsoinadequatespacefor

psychotherapeuticprogramstofacilitatetherecoveryinmateswithmental

illnessortosafelyandappropriatehousetheseinmatesinstep-downor

residentialunits,orinthejail’sgeneralpopulation.

Nodecisionhasbeenmadebythepartiesregardinghousingforthis

population.Whileareprieveofsortswasgrantedforthepartiestomakea

decisionwhenanadditionalyearofthecontractwithHuntwasannounced,

long-termsolutionsdonotappearimminent.Thereisnocurrentappropriate

placeforcareforfemaleinmateswithacutementalillness.Thereisinadequate

spaceandfacilitylayoutformentalhealthstepdownunitsformaleandfemale

14OPSOispursuingcreationoffoursuicideresistantcellsintheOJC.Theworktoretrofitthesecellshasbeendelayed,andwhiletheMonitorshopedthisworkwouldbeconcludedbynow,thedateforcompletionappearstobeinJune.Thisisacriticalinmatesafetyissue.



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(includingjuvenile)inmates.15ThebedsattheHuntfacilityarenotconsistently

full.Dr.PattersonisworkingwithCCStodeveloptheprocessesandtimelines

formovingacutelyillinmatestoHunt.TheDefendantswillnotachieve

compliancewiththeConsentJudgmentwithoutappropriatecareinan

appropriatesetting.

11. SpecialPopulationHousing,and/orotherprovisionsforfemalejuvenilesto

allowcompliancewiththePrisonRapeEliminationActof2003(PREA)

MuchenergyandresourceshasbeendevotedbytheCitysinceAugust2016

todeterminethebed-spaceneedsforspecialpopulations(e.g.females,juvenile

females,mentalhealth,protectivecustody,disciplinary,etc.).Itisevidentafter

theclosingofTDCthatthereisinsufficientjailspaceinOrleansParish.Whether

ornotinitiativestoreformtheParish’sjusticesystemworkornot,thefactthat

thereisnowinsufficientspaceisundisputed.TheMonitorsprovidedJudge

Northwithourrecommendationsforadditionalbedspacetomeetthe

obligationsoftheConsentJudgment.Thediscussioncontinues,withouta

resolutioninsight.Thecitizenswill,therefore,continuetopaythefeesfor

holdinginmatesout-of-parish,andsufferthemultipleimpactsofhavingthese

inmatesfarawayfrotheParish.

12. Developmentofprocessestocollect,analyze,andmanagedatatoinformfacility

operationsandadoptqualityimprovementpractices

WhatremainscriticallymissingintheOPSO’sresponsetotheConsent

Judgmentaretheprocessestocollect,analyzeandusedatatoimprove

operationsandinsureinmatesafety.ThismaymeanOPSOneedsanew

informationsystemtoupgrade25-year-oldtechnology,butitsurelymeansthat

policiesandproceduresneedtobeinplacetodefinethisquality

assessment/improvementprocess.Thisisaninitiativethatisdifficultforeven

thewell-functioningjailsystems,andwillchallengeOPSO

13. Noagreementontheneededbedspacetoaccommodatepre-trialinmatesin

theParish.15ThemalementalhealthstepdownunitwaslostwiththeclosingoftheTemporaryDetentionCenter.



13

Thereisnoagreementregardingthenumberofbeds,generalandspecial

use,thatarerequiredtosafelyhousethepre-trialpopulationintheParish.As

notedinpreviousComplianceReports,theMonitorsapplaudanyjurisdiction’s

credibleeffortstolowerpre-trialincarcerationrates.Withtheremovalof“state

inmates”fromthejailsystem,thereremainsmorethan400Parishinmatesheld

out-of-parish.TheallocationofhousingspaceintheOJCfortheremaining

inmatesclearlyindicatesthatotheroptionsrequireexamination,concurrence,

andimplementation.Theconsequencesofinactionand/orcontinued

unproductivedebatearesubstantialtotheinmates,theirfamilies,theParish’s

justicesystem,andthecitizensoftheParish.

Thepractical,on-the-ground,implicationsofthesesignificantdeficiencies

are:

• Unacceptableandunder-reportedlevelsofinmate/inmateviolence;16

• Unacceptableandunder-reportedusesofforce;

• Inmatehousingunitsthatarenotconsistentlystaffed,including

insufficientstafftomoveinmatestoandfrommedicalandmentalhealth

appointments;

• Housingunitsthatarenotcleantoensuresafetyandhealthyliving;

• Inmateswithoutcleanclothingandbedding(andwithoutappropriate

clothing);

• Lackofaccountabilityandineffectivesupervision;

• Inadequatemanagementofcontracts,suchasfoodservice;

• Unacceptableshortcutsregardingfiresafetyincludinglackoftrainingto

guideajailsafeevacuation;

• Staffignoringinmateclassificationdesignationsandhousing

assignments17;

• AbsenceofaConstitutionalinmatedisciplineprocess;

16SeealsodiscussioninConsentJudgmentIV.A.5.,page35.17ThenewlyappointedClassificationManagerhasworkeddiligentlytocorrectthis,butthefactitwasallowedtohappen,andnoactionstaken,areofconsiderableconcern.



14

• Whollyineffectivemanagementofdirectsupervisionhousingunits;and

• Collectively,thecreationandmaintenanceofaworkenvironmentthatis

notpositiveorsafe.

F. Positives

ThereissomuchbadnewsaboutcompliancewiththeConsentJudgment

andtheMonitorsdonotwanttooverlookthesepositiveaccomplishments.

InmateMedicalandMentalHealthCare

TheMonitorswishtoacknowledgeastrongpositiveattheOJC–whichisthe

provisionofhealthandmentalhealthservicesbyCCS.Thisworkisbeing

accomplishedwithoutanexecutedcontractwiththeCity.Providinga

Constitutionallevelofmedicalandmentalhealthcareisamonumentaltask,andthe

MonitorscommendCCS’work.Althoughworkcontinuestobeneeded,their

contributionsareabrightspotwithinOJC.

Havingreportedthis,however,theMonitorsnotethattheabsenceofa

medicaldirectorandadirectorofbehavioralhealthimpedestheabilitytogainand

sustaincompliancewiththerelevantpartsoftheConsentJudgment.

OpeningofOJC

TheMonitorsreiteratethatthemoveintothenewOJCisapositive.

Obviouslymovingfromdecayingbuildings,whereinmatescouldliterallytakeapart

thebuildingtocreateweapons,andthephysicalenvironmentwasunsafeisamajor

contributortoahopefulfuture.

Budget

TheMonitorsareappreciativetoMr.TommieVasselforhisworktohelp

createbudgetsanityoutofbudgetchaos.Thereisstillworktobedonetocreatea

credible,defensiblebudgettosupportthejail’soperations,includinghuman

resourceissues.WeconsiderMr.Vasselavaluablecolleaguetoachievingand

maintainingcompliancewiththeConsentJudgment.

G. ProvisionofTechnicalAssistancebytheMonitors

SectionIX.K.oftheConsentJudgmentprovides“TechnicalAssistancebythe

Monitor:TheMonitorshallprovideDefendantwithtechnicalassistanceas



15

requestedbyDefendant.Technicalassistanceshouldbereasonableandshouldnot

interferewiththeMonitor’sabilitytoassesscompliance.”

BetweentheAugust2015andFebruary2016compliancetourstheMonitors

havebeenon-siteasfollows:

• Dr.RobertGreifinger–October19–22,2015,January12–13,2016

• SusanMcCampbell–October18–23,2015(includingtoursofEast

CarrollParishandFranklinParish),December15–17,2015,February1

–3,2016

• MargoFrasier–September17–18,2015,September24–25,2015,

November18–20,2015,December15–17,2015,February1–3,2016

• Dr.PatriciaHardyman–November1–5,2015,December15–17,2015,

January21-22,2016,February1–3,2016

• HarryGrenawitzke–October12–15,2015

• DarnleyHodge–September15–19,2015

OPSOhasgenerallynotobjectedto,andinfacthasagreed,withmanyofthe

recommendationsofthetechnicalassistance.Theorganization,intheviewofthe

Monitors,justdoesnothavetheinternalcapacitytomakeandsustainthenecessary

changesbasedontherecommendations.ThisComplianceReportisrepletewith

OPSO’sbeginninganinitiative,butfailingtocompleteitinamannerconsistentwith

acceptedpractice.ExamplesofOPSOfailingtomaintaininitiativesare:(1)the

processusedtoopenthenewjail,(2)implementationoftheclassificationsystem,

(3)managementofdirectsupervisionhousingunits,(4)maintainingacceptable

environmentalconditions,and(5)mostimportantlykeepinginmatessafe.

Basedontheevidenceinallcompliancereports,theMonitorsbelievea

monumentalamountofworkisrequiredinallareasofjailadministrationand

operationtoaccomplishandsustainthemandatesoftheConsentJudgment.The

Monitorsseenorealisticstrategy,orwayforward,proposedbyOPSO,evenwiththe

assistanceoftheMonitors,toaccomplishtimelycompliancewiththeConsent

Judgment.AstheMonitorsfrequentlyuseasananalogy,OPSOwasinadeephole,

andthatthefirstruletogetoutoftheholeistostopdiggingthehole;butOPSOis



16

stilldigging.TheMonitorsareconvincedthatthereisnotauniversallyshared

commitmenttowardcompliancewithinOPSO’sleadership.

WhiletheMonitorswillcontinuetorespondtotherequestsofOPSOand

offerassistance,wedonotseetheconcreteresultsofourwork.

H. Defendant’sActivitiesSinceComplianceReport#418

TheDefendantsarerequiredtoprovideupdatesregardingprogresstoward

compliance(ConsentJudgmentVIII.A.).Themostrecentupdatewasproducedon

January19,2016andreportsthisprogressandtheseactivities,butdoesnotprovidean

anticipatedduedateonwhencompliancewillbereached.TheMonitorsagreethat

OPSOhasengagedintheseactivities,describedbelow,butasproofsofcompliancewere

notincludedforallofthiswork,theMonitorscannotindependentlyverifythe

effectivenessofthework(e.g.forexample,theMonitorshavenotseenthemonthly

reportsdevelopedbytheChiefofCorrections,oragendafromweeklyaccountability

meetings).19

1. Progresstowardfinalizingwrittendirectivesthroughaninternal

PolicyReviewTeamandacontractor:UseofForce,UseofForce

ReviewTeam,UseofChemicalAgents,CellExtraction,Early

InterventionSystem,ObservationRounds,DirectSupervision,

ContrabandControl,IncidentReporting,EmployeeDisciplinaryRules,

Dept.ofHomelandSecurityHolds,InmateGrievances,Sexual

Abuse/PREA,InmateOrientation,Sanitation,andBiohazards,

Fire/LifeSafety20,

2. DraftpostordersforOJCcompleted;21

3. Progresstowardcompletingthestandardoperatingproceduresfor

theInvestigativeServicesBureau;

18TheU.S.DepartmentofJusticeonFebruary11,2016,providenoticetotheDefendantofintenttoseekjudicialactionpursuanttoSectionX.B-D.oftheConsentAgreement.TheprocesstodocumenthowtheDefendantplansto“cure”thedeficienciesispendingasofthisdate.19Monitorshaveseenmaterialsrelatingtothefollowing:1,3,4,6,8,10,11,12,13,14,15,17,18.20OPSOnotesthatofthe126policiesthatarerequiredbytheConsentJudgment,33arecompletedandfinalized;48areindraft;and45stillrequiredrafting.21Thisisanexampleofworkthatshouldhavebeencompleted,alongwithstafftrainingbeforeopeningOJC.



17

4. PresentationofuseofforcereportsandEarlyWarningSystemalerts

totheReviewBoard;

5. ConductofweeklyaccountabilitymeetingsbytheChiefof

Corrections;

6. OperationalworkoftheForceInvestigationTeam(FIT)toconduct

reviewsofreportedstaffusesofforce–176investigationsinCY

201522;

7. Implementationofaweeklysummaryreportandamonthly“report

card”toreportdataandtargettrends;

8. ChiefofCorrectionsissuedadirectiveregardinguseofOC/pepper

foam;

9. Useofforcetraininglessonplansarebeingupdated;

10. AppointmentofanewClassificationManager;

11. CompletionofthePREAvideoforinmates;

12. Completionofanorientationvideoandhousingunitvideofor

inmates;

13. FinalizedtheInmateHandbook23;

14. CompletionofCCSlocalpolicies/procedures;

15. DevelopmentofCCS’statisticalreportformatsdeveloped;

16. Developmentofapreventivemaintenanceplan;

17. Improvedmanagementofthepestcontrolcontract;and

18. Identificationofbi-lingualstaff

OPSOhasnotspecificallyaddressedtherecommendationswhichhavebeen

includedinthepreviousfourComplianceReports,norhavetheydisputedor

questionedtheserecommendations.Additionally,whileOPSOhasincludedtheir

22Ninety-eight(98)usesofforcewerereportedtotheMonitorsduringthistimeperiod.Thissignificantdiscrepancymaybeduetothelackoftimelinessofusesofforce.ISBreliesontheVantossystemtoidentifyincidents.Ifadeputy’sorsupervisor’sreporthasnotbeenenteredtimely,itdoesn’tgetpickedup.TheFITcommandersalsoreliesonVantostoidentifyinformation.Theremedyisinsistenceontimelyreportingofallincidents,includingsupervisoryreviews.23AlloperationalpoliciesneedtobecompletedpriortotheInmateHandbookbeingcompleted.ThepoliciesarewhatareincludedintheInmateHandbook.



18

opinionsastoConsentJudgmentcomplianceaspartoftheirdocumentresponseto

theMonitors,wefindthattheirassessmentsareinaccurate,trulyunderminingboth

OPSO’scredibilityandtheirabilitytodiscernthescopeoftheissuestheyarefacing.

TheMonitorshaveprovided“measuresofcompliance”sincethefirstCompliance

Reportsothatthereistransparencyintermsofwhatisexpected.Often,itseemsto

theMonitors,thatOPSO’spushtomoveaConsentJudgmentparagraphintopartial,

orsubstantialcompliance,demonstratesthattheagencyisignoring,orisunaware,

oftheinternalchangesthatmustbemadetomeettheelementsoftheConsent

Judgment.

AstheMonitorsnotedpreviouslyinthisreport,andinourcommentsinthe

fourpreviousComplianceReports,therearequalified,talentedanddedicatedOPSO

employees.Theytendtobeoverworkedasprojectscontinuetobehandedtothe

samepeople.Thisspeakstotheneedforbettermanagementofresourcesto

providetheseindividuals,andotherstaffwithinterestandpotential,thehelpthey

needtodotheirjobs.

I. WayForward

Withthisfifthcompliancereport,theMonitorsnotethattherehasbeenno

progresstowardcompliance,andinfact,therehasbeenregression.Whiletheopening

oftheOrleansJusticeCentershouldhaveheraldedanewerafortheParishintermsof

progressivejailmanagementandinmatesafety;therealityisthatthishasnot

happened.Thisreportcitesthereasonswhy,intheviewoftheMonitors,thishasnot

occurred.

Allinvolvedinthisprocessareexceedinglyfrustrated.Therearesomanyissues

thatareaprioritytoaddressinvolvingcriticalsafetyissues,itisoverwhelmingto

contemplate.Thereisinsufficientleadershipandskilledcorrectionaladministratorsin

theOrleansParishSheriff’sOfficefortheMonitorstoanticipatethatprogresswillbe

madetowardsubstantialcomplianceinthenearorfarterm.TheMonitorsrelyonthe

factthatthebestpredictoroffuturebehaviorispastbehavior;andtherefore,wehave

graveconcernsforthefuture.

TheMonitorswillcontinuetosupporttheworkoftheOPSOstaffwhoaretrying



19

toobtaincompliance.ButwithoutorganizationalchangeinOPSO,theseeffortswillbe

insufficientandunsustainable.

TheMonitorsthankandacknowledgetheleadership,guidanceandsupportof

TheHonorableLanceM.AfrickandTheHonorableMichaelB.North.Withouttheir

intenseinterestintheworkoftheMonitorsandhelptoovercomeobstaclesthis

complianceinitiativewouldbemoredifficultandchallenging.



20

II. SUBSTANTIVEPROVISIONSA. ProtectionFromHarmIntroduction

PrevalenceofUnreportedViolence

Beforethetopicofprotectionofharmisdiscussed,theMonitorsfeelitis

appropriateandnecessarytoaddresstheprevalenceofunreportedviolencewithinthe

OrleansParishjailsystem.OPSOisrequiredtoreportincidentsinvolvingseriousinmate

harmtotheMonitors.TheMonitorsinturntrackthisinformationonaspreadsheet.Since

thebeginningofmonitoring,wewereawarethattherewasalevelofinmate-on-inmate

violenceandstaffusesofforcethatwerenotreported.Theplaintiffsrevieweachmonthly

summaryandthenaddtothelistwhattheyarehearingfromtheirclients,butarenotina

positiontoindependentlyverify.TheMonitorsthenworkwiththeInvestigativeServices

Bureau(ISB)todeterminethevalidityofthereportsfromtheplaintiffs.TheMonitors

foundthattheinformationfromtheplaintiffsresultedintheidentificationofadditional

issuesabout70%ofthetime.Itisalsolikelythatmanyoftheotherincidentsadded

occurred,but,astherewerevirtuallynocamerasinanyoftheinmatehousingareasprior

tothemovetothenewjail,trackingdownallegationswaschallenging.

WiththeopeningofOJC,thetrainingofstaff,theorientingofinmates,effectively

managingdirectsupervisionhousingunits,usingtheinmatedisciplineprocess,andfull

implementationoftheinmateclassificationsystem,allinvolvedanticipatedthat

inmate/inmateviolencewouldabate,andthatusesofforcewoulddecline.Althoughthere

isnobenchmarkforcomparison,theMonitorsknowthatadirectsupervisionjail

effectivelyoperatedshouldnotbeplaguedbyviolence.

WhentheOJCopened,theMonitorscontinuedtohearaboutviolencefromthe

inmatesthemselves,throughtheplaintiffs,andthroughdiscussionwithstaff.Alsoheard

wasthatincidentswerenotbeingreported.Theinmatescontrolledthehousingunitsin

Conchetta,theTents,OPPandTDC.Withdirectsupervision,thestaffshouldcontrolthe

jail.Ascouldhavebeen/canbeanticipated,inmateswillcontinuetotrytomaintainand/or

regaincontroloftheirenvironment,thusmakingthetrainingandsupportofthedeputies

workingindirectsupervisionextremelyimportant.Asthepropertraining,support,and



21

supervisionofdeputiesdidnothappen,theinmatesbegantoregaincontrolofthejail;if

thestaffwaseverincontrol.

TheMonitorscheckedwiththemedicalprovider,andfoundthattheproviderwas

maintainingalogof“walk-ins”–inmatesneedingcarenotscheduledwithanappointment.

Throughthatlog,theMonitorswereabletoidentifyadditionalinmate/inmatealtercations

andstaffuseofforce.TheMonitorsalsoreviewedthe“route”list–thoseinmatestakento

thehospitalforcare,andidentifiedadditionalunreportedseriousincidents.TheSheriff

wasnotifiedofthesefindingsinDecember,withspecificremediessuggestedastohowthe

unreportedincidentsshouldbeflagged,andstaffandsupervisorsretrained.

OPSOrespondedtotherecommendationsandthenumberofincidentsreportedhas

increased,asnotedinTable3,page20.Thescopeoftheunderorunreportedincidentsis

highlysignificantandextremelytroubling.

• Therewere227incidentsreportedtotheMonitorsfortheperiod9/15/15–

12/31/16.

• Thereareadditional119namesonmedicalprovider’swalk-incliniclistsfor

eventsnotreportedtotheMonitorsbyOPSOduringthesameperiod.The

medicalstaff’snotesindicateinmate/inmatealtercations,suspiciousinjuries,

andusesofforce.TheseareNOT119separateincidents–asobviouslymore

thanoneinmatemayhavebeeninvolvedinasingleincident.

• Therewere29additionalincidentsnotreportedtotheMonitorsfromthe

“route”list(fortheperiod9/15/15-12/31/15)forinjuriesseriousenoughto

warrantemergencyroomreferral.Thisisalistofnamesinadditiontothe119

notedabove.

Itshouldbenotedthat,inthemajorityoftheincidents,staffdidnotwriteanincident

reportorauseofforcereportatall.Insomecases,amemorandumwaswritten,butitwas

notenteredinthecomputersystemorreferredtoproperunitforthereviewofthe

appropriatenessoftheuseofforce.

ReviewingOPSO’sreportingsincetheanalysisofthemedicalprovider’sloginmid-

December2015,increasingisreported.TheMonitorsareawaitingISB’sreviewofthe

plaintiffs’listsfromJanuary2016.



22

Table3–OPSOReportedIncidents

Incident September(15days)

October‘15

November‘15

December‘15

January‘16

February‘16

AllegedSexualAssault 1 1 4 0AttemptSuicide/Self-Harm 2 4 1 19 9Contraband 3 4 9 11 7Inmate/InmateAssault 11 47 32 29 57 36InmateMedical 3 10 5 7 33 3UseofForce 2 14 5 2 26 16InmateAssaultonStaff 3 7 5 1 3 101Death 1 CriminalDamage 4 9 Shakedown 1 1 1 1Security 1 1 1 2

Total 22 89 66 51 153 84

Inreviewingthedata,theincidentsincludinginmate/inmateviolenceandusesofforce

werereportedthesehousingunits:

• TemporaryDetentionCenter–53

• Malementalhealthhousing–37

• Malesegregation/discipline/administrative–17

• Malejuvenileunit–21

Analysisofincidentsbytype,locationandtimeofdayispossible,butonlytheMonitors

appeartobedoingthat.Andifitistruethatatleast50%oftheseriousincidents(e.g.uses

offorce,inmate/inmateassault)arenotreported,payingattentiontotrenddataandusing

itinformoperationsiscritical.

TheMonitorsbelievethatthe“causes”ofthisunacceptableinmate/inmateviolence

andusesofforceare:

• Lackofpreparationforstafftooperatedirectsupervisionhousingunits,

includingthefactthatmostofthecriticalpoliciesandprocedureswerenot

completed–reallythisisatleasttwoissues–thequalityoftrainingonhowto

manageinmates,andtheabsenceofpolicydirection.Directsupervision

managementrequires,asnotedinpreviousComplianceReports,theabilityto

communicatewithandmanagethebehaviorofinmates;italsorequiresself-

confidencegainedfromtrainingandfromworkinginsettingwithpeeror

1Includesinmateassaultonattorneyincourtroom.



23

supervisorysupport.AsMonitorHodgefrequentlynotes,staffhaveto

“psychologically”preparedtorunadirectsupervisionjail;andinOPSO’scase

staffwerenotthen,andsomemaynotbenow,readyforthiswork.

• Thestaff’sworktodefeattheclassificationsystembymovinginmatesto

differenthousing(innon-emergencycircumstances)withoutinforming

classification;and/orattherequestofaninmate.Atonepointatthebeginning

ofFebruary2016,therewasnotaccuratelistofwhatinmateswereinwhat

cells/bunks.

• Lackofimplementationoftheinmatedisciplinarysystem,whichinadditionto

requiringdueprocessforprocessingofallegationsforviolationsoffacilityrules,

alsoprovidescriticalfeedbacktoclassificationandforinmatere-housing.

• Lackofappropriatesupervisionofhousingunitsbysergeantsandwatch

commanders.ThesmellofOCsprayisunmistakable.Supervisorscouldnot

havemissedthisiftheywereconductingtheirrounds.Adequatesupervision

andlackofconsequencesand/orretrainingforstaffnotperformingtheirjobsis

non-existent.

• LackofreportingtotallycompromisedtheEarlyWarningSystem(CJSection

IV.A.4)becauseifreportsarenotdone,namesarenotinthesystem.

• Lackofreportingcompromisedtheabilitytoinitiatecriminaland/or

administrativeinvestigations.

• TheTransitionTeam,namedinDecember2013tooverseepreparationsforthe

newjail’soperation,wasdisbandedatthetimeofthemove.TransitionTeams

generallyremaininplaceafteramoveintoanewjailtohelpwithemerging

issues,staffsupportandtraining,andtrouble-shooting.Theabsenceofthe

TransitionTeamcontributedtotheconfusionandproblemsofstaffand

supervisorsdealingwiththisnewjailmanagementstyle.

• Themoveintothenewjailwas,intheMonitors’opinions,donetoorapidly,with

notenoughtimeprovidedtosettletheinmates,thestaff,andassureallsystems

worked.Asnotedearlier,theMonitorsdonotwanttocritiquethehistoryofthis



24

move,andnotethathadthisbeendonebasedonacceptedpractice,someofthe

issuesnotedheremayhavebeenmitigated.

• Insufficientstafftosuperviseinmates,conductrounds,conductshakedowns,

cleanunits,providelaundry,moveinmatestomedical,andgetotherstaffto

respondtotheneedsoftheinmates.

TheDefendanthasbeenunabletodemonstrateimprovementintheprotectionof

inmatesfromharm,andisnoncompliancewiththemajorityoftheelementsinthese

sectionsoftheConsentJudgment-reviewedduringthetoursofSeptember17-18,2015,

October19-20,2015,December15-17,2015,February1-2,2016,andFebruary16-19,

2016.Thelackofonadequatefacilitynotedinthepreviousfourcompliancereportshas

beenremediedtoagreatextent,butthelackofstaff,policies,andtrainingcontinuesto

existandresultinanOrleansParishJailsystemthatfailstoprovideinmateswithasafeand

secureenvironment.Particularly,thereisagreatlikelihoodthatinmateswerebeing

subjectedtoviolencebyotherinmates.

Anewprogramwherebyanadministrativesegregationunitforhighsecurity

inmatesandprotectivecustodyinmateswasimplementedinJuly2015.Thisprogramwas

continuedinthenewjail.Whileitwasreportedthattheadministrativesegregationunit

wasatremendoussuccess,thatdoesnotappeartobefactual.Itwasdiscoveredthata

largeamountofinmateoninmateviolenceanduseofforceoccurredintheadministrative

segregationunit(2B),butiteitherwentunreportedorwasonlyreportedthroughtheuse

ofmemorandumswhichwerenotenteredintotheVantossystemorreferredtotheForce

InvestigationTeam(FIT)forreview.

Onewouldhaveexpectedthatthenewfacility,increaseinstaffingandsupervision,

andtheimprovementininvestigationswouldlessenthelikelihoodofinmatesbeing

subjectedtounnecessaryorexcessiveforcebyOPSOstaffand/oritgoingundetected

and/orpunished.However,asnotedintheintroduction,widespreadunderreportingand

failuretoreportincidentswasdiscoveredbytheMonitorsinDecember,2015.Whilethe

ISBhasdoneagoodjobofinvestigatingincidentsthatarereported,whetherthroughthe

properfilingofincidentreports,grievances,orreportsfromtheplaintiffs’counsel,ISB

cannotinvestigatewhatitdoesknowabout.



25

TheprogressthathadbeenmadeinstaffingintheOPPandinthenewjailwhenit

firstopenedhasdiminished.Thenearly50%turnoverratehasresultedinlivingunits

beingunderstaffed.TheMonitorscontinuetohearofhousingunitsnotbeingstaffedatall

orofdeputiesleavingthehousingunitsforlongperiodsoftime.Reviewofvideosof

incidentsoftendemonstratetheabsenceofstaff.

Progressonthepoliciesonuseofforcethatcomplywiththelanguageofthe

ConsentJudgmentseemstohavestymied.DuringthesitevisitofAugust2015,the

Monitorsfacilitatedagreementbetweenthepartiesonthefinalwordingofthevarioususe

offorcepolicies.TheMonitorsweredisappointedtofindthatinthesixmonthssince

August2015thenextstepsoffinalizingthepolicies,trainingstaffonthepolicies,

implementingthepolicies,andmonitoringstrictcompliancewiththepolicieshasnotmade

anyheadway.Compliancewiththecomprehensivepoliciesontheuseofforceiscrucialto

makingtheOPSOfacilitiesasafeplaceforinmatestobehousedandstafftowork.

FortheperiodAugust1,2015-January31,2016,OPSOreportedtotheMonitors49

usesofforceandoneplanneduseofforce.Itshouldbenotedthat26ofthosereportswere

inJanuary2016aftertheMonitorsdiscoveredandpointedoutthefailuretoreportusesof

force.TheMonitorhavenodoubtthattheuseofforceforthemonthsofAugustthrough

December2015wasmuchhigherthanreported.

AssessmentMethodology

• Datesoftourso September17-18,2015o October19-20,2015o December15-17,2015o February1-2,2016o February16-19,2016

• Materialsreviewed

o MaterialsreviewedincludetheConsentJudgment,policiesandprocedures,useofforcereports,incidentreports,investigationsconductedbyInvestigativeServicesBureau(ISB),investigationsconductedbyInternalAffairsDivision(IAD),newsarticles,trainingmaterials,expertreportsfromunderlyinglitigation,shakedownlogs,andpostlogs.

• Interviewso InterviewsincludedSheriff,Sheriff’scommandstaff,jailsupervisors,

deputiesassignedtohousingunits,deputiesassignedtospecialtyunits,commanderofISB,varioussupervisorsofunitswithinISB,andinmates.



26

A.1.a.–c.UseofForcePoliciesandProceduresFindings:

Non-compliance–IV.A.1.a.Non-compliance–IV.A.1.b.Non-compliance–IV.A.1.c.

Observations:

Thevendorhiredtodraftwrittendirectiveswrotethecomprehensiveuseof

forcepolicytocomplywiththeConsentJudgmentaswellastherequiredpolicies

forreporting,datacollection,anddataanalysis.Thepolicieshadbeenforwardedto

counselforDOJandtheplaintiffs,butnoagreementhadbeenreached.Whileonsite

inAugust2015,theMonitorsfacilitatedagreementbetweenthepartiesonthefinal

wordingoftheuseofforcerelatedpolicies.Onthatbasis,partialcompliancewas

giveninthelastcompliancereport.However,sixmonthslater,thepolicyhasnot

beenimplemented,nolessonplanshavebeendrafted,andthestaffhasnotbeen

trained.Inaddition,areviewofthelargenumberofunreportedusesofforce

providesproofthateventhecurrentuseofforcepolicyisnotbeingfollowed.The

inadequacyoftheinvestigationsofusesofforceatthefacilitylevel(asopposedto

theinvestigationsbyFIT)alsoprovidesproofthatthecurrentuseofforcepolicy

andthetenetsofthenewpolicyarenotbeingfollowed.

ISBhasdevelopedstandardoperatingprocedureswhich,whenfinalized,will

memorializeacomprehensivestrategytoreviewandinvestigateusesofforce.

However,itiseffectivenessislimitedifuseofforceisnotproperlyandtimely

reported.Inaddition,thefailureofshiftsupervisorsandfacilitymanagementto

properlyperformthetasksassignedtothemundertheuseofforcepolicyhas

resultedinFIThavingtospendagreatdealoftimeperformingthosetasks.

Measuresofcompliance:1. Comprehensivenessofwrittenpolicies,2. Training,datacollectionandanalysis,3. Supervisoryreviewofusesofforce,4. Reviewofuseofforcereports,reviewofincidentreports,reviewofinvestigationsby

ISB.



27

Datacollectionisproceeding,butisabsentreliability,analysis,

recommendations,plansofaction,orreportsofoutcomesofplansofaction.

Recommendation:

1. Implementtheuseofforcepoliciesthatwereagreeduponbyallpartiesin

August2015.

2. Trainstaffandsupervisorsontheuseofforcepolicies.

3. Developnotonlythereportingsystems(datacollection)forusesofforce,but

themechanicstoanalyze,producesummaryreports,developplansofaction,

andassesstheimpactofanyplansofaction.

A. 2.UseofForceTraining

Findings:Non-compliance-IV.A.2.a.Non-compliance-IV.A.2.b.Non-compliance-IV.A.2.c.

Measuresofcompliance:1. Comprehensivenessoflessonplans.2. Trainingmaterial,evidenceofknowledgegained.3. Reviewofuseofforcereports.4. Reviewofincidentreports.5. ReviewofinvestigationsbySOD.6. ReviewofinvestigationsbyIAD.

Observations:

Staffmembershavenotbeentrainedonthenewuseofforcepoliciesasthey

haveyettobefinalizedortrainingmaterialsonthem,specifically,written.

TheMonitorscontinuedtobeconcernedaboutadisproportionateamountof

timebeingspentonuseofforcetrainingthatisnotgearedtowardscorrections.Itis

unclearhowmanyhoursaredevotedtothistraining.Thetrainingcontainsno

specificreferencestoOPSO’scurrentornewUseofForcepolicyorUseofForce

ReportingpolicyortherequirementsoftheConsentJudgment.2

AsthereisnotcurrentlyacomprehensiveOPSOpolicyinplace,itgoes

withoutsayingthatthetrainingdoesnotcoveracomprehensivepolicyonuseof

2OPSOisinitiatingtrainingfortrainersbasedontheUseofForcePolicybeginningSeptember5,2015.Thetrainingisbeingconductedbysubjectmatterexpertsincorrectionsspecificscenarios.



28

forcethatiscompliancewiththeConsentJudgment.Therefore,giventhelackof

comprehensivenessofthepoliciesandprocedurescurrentlyineffectandthe

shortageofstaffandtraining,neitherdeputiesnorsupervisorsarebeingadequately

trained;astheybegintheircareers,orthroughregularin-servicetraining.In

particular,trainingneedstostresstheproperusesofforceinajailsetting,andthat

allusesofforcearetobereportedandproperlyinvestigated.Asthevastmajorityof

deputieshiredbyOPSOwillbespentworkingincorrections,thetrainingshoulduse

correctionsbasedscenariosandemphasizeworkingwithinmates,especially

inmateswithmentalillness.Inaddition,OPSOsupervisorsneedtobetrainedonthe

mechanismstoensurethatallusesofforceareproperlyreportedandinvestigated

inaccordancewiththepolicy.Alltraining,deputyandsupervisor,should

emphasizethatfailuretofollowthepolicywillresultindiscipline.Thisisevidenced

bythefailuretoreportusesofforcediscoveredbytheMonitorsinDecember2015

andtheinadequacyofthereportsthatarewrittenandtheuseofforce

investigationsperformedattheshiftlevel.

Recommendation:

4. Implementtheuseofforcepoliciesthatwereagreeduponbyallpartiesin

August2015.

5. Whentheuseofforcepoliciesarefinalized,comprehensivelessonplansand

trainingmaterialswillneedtobedeveloped.Giventhecurrentqualityofthe

trainingmaterial,itmaybethatthetaskofdevelopingcomprehensivelesson

plansandtrainingmaterialwillneedtobeoutsourced(perhapsonthelist

forV/RJusticeService).Trainingneedstoclearlydelineatewhenforcemay

beused,highlightstrategiestode-escalatetheneedtouseforce,andstress

thatallusesofforcemustbereportedandproperlyinvestigated.Asthevast

majorityoffuturedeputy’stimeisspentworkingincorrections,thetraining

shouldusecorrectionsbasedscenariosandemphasizeworkingwithinmates

withmentalillness.Inaddition,supervisorsneedtobetrainedonthe

mechanismstoensurethatallusesofforceareproperlyreportedand

investigatedinaccordancewiththepolicy.Alltraining,forbothdeputyand



29

supervisorlevels,mustemphasizethatfailuretofollowthepolicywillresult

indiscipline.Theadequacyofthepoliciesandproceduresandtrainingis

crucialtofuturecompliancewithIV.A.2.c.thatrequiresOPSOtorandomly

testfivepercentofthejailstafftodeterminetheirknowledgeofuseofforce

policiesandprocedures.

3.a.–h.UseofForceReportingFindings:

Non-compliance-IV.A.3.a.Non-compliance-IV.A.3.b.Non-compliance-IV.A.3.c.Non-compliance-IV.A.3.d.Partial-compliance-IV.A.3.e.Non-compliance-IV.A.3.f.Partial-compliance-IV.A.3.g.Non-compliance-IV.A.3.h.

Observations:

AsitwasdiscoveredbytheMonitorsinDecember2015thatalargenumber

oftheusesofforcewerenotbeingreportedatallorinaccordancewiththecurrent

orproposedpolicy,thefindingsforIV.A.3.a.,d.,f.havebeenmovedfromPartial-

compliancetoNon-compliance.

Theconsultanthasfinalizedthepolicyrequiringreportingofusesofforce,

butithasnotbeenimplementeddespitetheMonitorsfacilitatinganagreementon

thefinalwordingofthepolicyinAugust2015.

TheMonitors’concerninpastcompliancereportsabouttherebeingnothing

inplacetoensureallusesofforcewerebeingreportedandthatusesofforcewere

beingreportedadequatelyandaccuratelyhasproventobewarranted.Simply

havingapolicythatsaysallusesofforcearetobereportedisinadequate.There

Measuresofcompliance:1. Comprehensivenessofwrittenpolicies.2. Training,datacollectionandanalysis.3. Supervisoryreviewofusesofforce.4. Reviewofuseofforcereports.5. Reviewofincidentreports.6. ReviewofinvestigationsbySOD.7. ReviewofinvestigationsbyIAD.



30

mustbeasysteminplacetochecktomakesureusesofforcearebeingreportedand

thatthereareconsequenceswhenusesofforcearenotreportedornotreported

accurately.Therevisedpolicystatesthatforceistobereported,andincludesthe

ConsentJudgmentlanguagethatfailuretodosowillresultindiscipline.The

Monitorsareconcernedaboutapparentinconsistenciesinreporting.Duringreview

ofadministrativecasesinvolvingthefailuretoreportauseofforce,theMonitors

havenoticeddisciplinerangingfromanoralcounselingtoanextensivesuspension.

Thefailuretoreportusesofforceortoinaccuratelyreporthasrenderedthe

EarlyInterventionSystem(EIS)essentiallyuseless.Currently,itappearsthatstaff

willsometimesreportthattheincidentinvolvedauseofforcewhen,infact,itdid

not.Therearealsocircumstanceswherestaffmembersdonotindicatetheincident

involvedauseofforceandthetextofthereportclearlyindicatesthatforcewas

used.Also,sinceuseofforcereportsisprimarycriteriafortheEIS,ifuseofforceis

notbeingindicatedorreported,itisquitepossiblethattherearestaffmemberswho

shouldbetriggeringtheEISandarenot.Foroverayear,therehasbeenarequest

torequireaspecificcheckboxinVantosastowhethertheincidentinvolvedauseof

force.Ifthisiseverputinplace,thestaffmemberwillnotbeabletogoforwardon

thedocumentingofanincidentwithoutindicatingwhetherornottheincident

involvedauseofforce.Thiswillalsoallowforgreateraccountabilityandtracking.

Astaffmemberthatdoesnotaccuratelyindicatetheuseofforcecouldthenbe

subjecttoremedialactionand/ordiscipline.Theadditionofthecheck-boxisa

priority,butnoprogresshasbeenmade.

Therevisedpolicyprovidesfortheuseofforcereportstocontainallofthe

provisionsrequiredintheConsentJudgment.Thepolicydoesprovideforfirstline

supervisorstobepresentforallplannedusesofforcesuchascellextractions.

Reviewofincidentreportsindicatesthepolicyisbeingfollowedonaregularbasis.

However,themechanismisnotinplacetoensurepresenceoffirstlinesupervisors

inallcases;thus,OPSOisinpartialcompliancewiththisrequirement.

Supervisoryreviewhastakenagiantstepbackward.Itseldomoccursatall,

and,whenitdoes,itisnottimelyorthorough.Asnotedpreviously,theuseofforce



31

reportswhichhadbeensignedoffonbysupervisorsandevenjailadministrators

areofteninadequateand/orincomplete,andcontainedboilerplateandconclusory

languagethatdoesnotallowthereadertomakeanevaluationofthelevelof

resistance,thelevelofforceused,and/ortheappropriatenessoftheforce.For

instance,areportwillstate“appropriateforcewasused”or“inmatewasassistedto

thefloor”withoutdetailingwhattypeofbehaviorpromptedtheuseofforce,de-

escalationefforts,andthetypeofforceused.Seldomdoesareportindicatewhether

theuseofforcewasdocumentedbyvideoeventhoughitmostlikelywascaptured

duetotheextensivevideosysteminthenewjail.Ifinterviewsofinmatesaredone

bysupervisors,themostcommonresultofinterviewsofinmatesbysupervisorsisa

notationthattheyeitherdidnotseeanythingordidnotwishtocooperate.TheISB

ismoresuccessfulinobtainingstatementsfrominmatesduringtheISB

investigation.However,often,bythetimeISBinterviewsaninmate,theinmatehas

hadtimetotalktootherinmatestoagreeona“version”ofevents.Therefore,itis

importantthatthesupervisorsobtaintimelyandcompletestatementsfrominmates

ortakestepstoseparatewitnesses.Itshouldbenotedthatthereareacoupleof

shiftsupervisorsthatdoreviewreportsandcompletetheuseofforcepacketsina

thoroughmanner.TheMonitorsrecommendthatthesupervisorswhoaredoinga

goodjobbeutilizedtotrainthesupervisorswhoarenot.

WhilethenewForceInvestigationTeam(FIT)looksateveryuseofforce

report,andissuesaquarterlyreport,itistheMonitors’observationthatwithoutthe

implementationofupdatedpolicyandprocedure,trainingforstaffandsupervisors,

andanauditofthereportingprocedure,thereisnowaytoknowifthereportingis

accuratetonot.Infact,thediscoveryinDecember2015bytheMonitorsof

unreportedusesofforceconfirmedthatthequarterlyreportdidnotcontainallof

theusesofforce.Thecheckboxforwhetherauseofforcewasinvolvedbeforethe

staffmembercangoforwardintheincidentreportingsystemshouldbehelpful.

ThechainofcommandofthejailfacilitystillfailtoreferusesofforcetoISBfor

investigation.Anyinvestigationsonuseforceduringthepastsix-monthperiod



32

wereeitherinitiatedbyISBorasaresultofagrievance,areportfromtheplaintiffs,

orarequestfromtheMonitors.

Inaddition,thereisnoautomatictrackingsystemtoensuretimely

notificationisbeingmade.Whilecompletedreportsaretobeassignedanumber,

thereisnofollowuptomakesurethereportsarewrittenand/orarereviewed

within36hoursandforwardedtotheInternalAffairsDivision(nowaunitofthe

ISB).Areviewofthedocumentationindicatesthatinthemajorityoftime,reviewis

nottakingplaceandtheinformationprovideddidnotallowforadeterminationof

whetherthereviewthathadtakenplacehadbeendoneinatimelymanner.Thereis

notrackingmechanisminplacetomakesureeachofthesestepsiscompleted

timely.ThereisnosystemtoalerttheWardenorAssistantWardenifthe

shift/watchcommanderdoesnotcompletetheinitialreviewinatimelymatter.

ThereisnosystemtoalerttheChiefofCorrectionsiftheWardenorAssistant

Wardendoesnotcompletethesecondaryreviewinatimelymatter.Thereisno

systemfortrackingwhetherthereviewsarebeingsenttoISB.WhileFITdoeskeep

recordoftheresultsofthereview,itisclearthatasignificantnumberofthereports

nevermadeittoISB.Itisclearthatthereportsarenotbeingreviewedin

compliancewiththeConsentJudgment.

Noperiodicreportsdetailingtheuseofforcehavebeensubmittedtothe

MonitorsasrequiredunderIV.A.3.g.The“report”consistssolelyofsendingtothe

MonitorsthespreadsheetthatispreparedbytheMonitorsonincidents.Whilethe

ChiefofCorrectionsimplementedanew“monthlyreportcard”whichshouldhelpto

providesomeanalysisoftheusesofforceandreporting,itisnotbeingutilized.

Recommendations:

6. Thereviseuseofforceisinsufficientdetailtoallowforauditingofcompliance,

andincludes:

a. Eachtimeanincidentinvolvingauseofforceoccurs;aunique

numbermustbegeneratedandassignedtotheincident.The

assignmentofthenumberisinmostagenciesgeneratedbyacentral



33

controlroomordispatchcenter,aidedbytheincidentreporting

systemthatprovidesthenextnumberinsequence.

b. Unlessthesituationdictatesanexceptionisidentifiedinthepolicy,

theinitialincidentreportandsupplementsmustbecompletedbythe

endofthedeputy’sshift.

c. Theshift/watchcommandermustensurethereportiswrittenand

thenhas36(orfewer)hoursfromtheendoftheincidenttoreview

andspecifyhis/herfindingsforcompletenessandproceduralerrors.

d. Whenthewatchcommandercompleteshis/herreview,theWarden

orAssistantWardenmustconductareviewandissueareport.This

reportistobecompletedwithin36hours(orfewer),exclusiveof

weekendsandholidays,ofreceivingthereportandreviewfromthe

shift/watchcommander.

e. Atrackingsystemshouldbeputinplacetoautomaticallyalertthe

nextinthechainofcommandandtheISBifreviewsarenotbeing

timelyperformed.Training,correctiveaction,and/ordiscipline

shouldtakeplaceastosupervisorswhoarenottimelyperforming

theirduties.

f. OPSOpolicy/proceduresshouldrequirethoseholdingtherankof

Majorandabovereviewallreports.Basedonthatreview,additional

trainingshouldbeprovidedtosupervisorswhoarenotrequiring

completeandthoroughreports.

7. MonitorFrasierhasbeengivenrealtimeoffsite,read-onlyaccesstothe

incidentreportingsystem(Vantos)sothatincidentreportscanbereviewed

onacontemporaneousbasis.Whilethisissomewhathelpful,alarge

percentageofreportsarenotbeingenteredtimelyoratall.However,the

Monitorsdonothavereadyaccesstotheresultsofthereviewofincident

reportsandanyfollowupincludingthevideosreviewed.TheMonitorsalso

donothavereadyaccesstotheinvestigationsbyISB.Accessofthereviews,

followups,andinvestigationswouldenabletheMonitorstoprovide



34

feedbackonatimelierbasisandassistincorrectingdeficiencies.Stepsare

beingtakentoprovidethisaccess.

8. OPSOneedstotimelyproducethereportsrequiredbytheConsentJudgment.

Theadequacyoftheperiodicreports(thataretobesubmittedunderIV.A.3.

g.)andtheusefulnessoftheannualreview(thatistobeconductedunderIV.

A.3.h.)arecrucialtofuturecompliancewithIV.A.3.g.thatrequiresOPSOto

assess,annually,alldatacollectedandmakeanynecessarychanges.

9. TheISBproceduresonhowrecordsandinvestigationsaretobestoredand

madeaccessiblehavebeenfinalized.Progresshasbeenmadeonproviding

thoseassignedtoinvestigationswithlaptopsand/orothercomputer

equipmentthatprovidesthesecuritynecessarytotheintegrityof

investigations.

4.a.–e.EarlyInterventionSystem(“EIS”)

Finding:IV.A.4.a.-Partial-complianceIV.A.4.b.-Partial-complianceIV.A.4.c.–Partial-complianceIV.A.4.d.-Non-complianceIV.A.4.e.–Non-compliance

Measuresofcompliance:1. Comprehensivenessofpolicy.2. Identificationofpatternsandtrends.3. Evidenceofreviewbycommandstaff.4. Monitors’reviewofquarterlyreports.

Observations:

TheresponsibilityforreviewingstaffmemberswhotriggeredtheEISwas

transferredtothesupervisoroftheFITinMarch2015.Sincethetransfer,the

qualityofthereviewismuchhigherandthedocumentationmorecomplete.The

reportingcouldstilluseimprovementondocumentingwhythesystemwas

triggered,butnoactioniswarranted.Also,proofneedstobeprovidedastothe

namesofthestaffmembersandtheretrainingreceived.Withtheexceptionofthe

aforementioned,noevidenceofcompliancewasprovidedforIV.A.4.TheEarly

InterventionsystemhasbeeninplacesinceJanuary21,2014,andthepolicyby



35

whichdataiscollected,analyzed,andactiontakenhasbeenapprovedbytheparties

andneedstobefinalizedandimplemented.TheMonitorsstillcontendthata

credibleEarlyInterventionorwarningsystemcollectsdatasuchasusesofforce,

grievances,complaintshandledatthefacilitylevel,absences,etc.andcausesa

review,and,ifnecessary,remedial,documentedaction.Thecurrentsystemrelies

totallyondeputy’sself-initiatedreportsofusesofforcewhichhasproventobe

unreliable.

WhiletheUseofForceReviewBoarddidmeetduring2015,itdidnot

performtheevaluationnecessaryforcompliancewithIV.A.4.e.

Recommendations:

10. OPSOfinalizethecompletionandimplementationofthepolicy/procedure

fortheEarlyInterventionSystem.Therevisedpolicyshouldinclude

accountabilitymandatesrequiringthecollectionandanalysisofdatasuchas

usesofforce,grievances,andcomplaintshandledatthefacilitylevel,

absences,etc.Assurepolicies/proceduresareinplacetodirecthowtheEISis

implemented,andactionstobetakenbyOPSOwhenthresholdsare

triggered.

11. ItisrecommendedthattheMonitorsFrasierandMcCampbellbegivenreal

timeoffsiteaccesstotheEarlyInterventionSystem,whichispartofVantos

sothatdatacanbereviewedonamorecontemporaneousbasis.Thiswould

enabletheMonitorstoprovidefeedbackonatimelierbasisandassistin

correctingdeficiencies.

IV. 5.a.–l.SafetyandSupervision

Findings:Non-Compliance-IV.A.5.a.Non-Compliance-IV.A.5.b.Non-Compliance-IV.A.5.c.Partial-Compliance-IV.A.5.d.Partial-Compliance-IV.A.5.ePartial-Compliance-IV.A.5.f.Non-Compliance-IV.A.5.g.Non-Compliance-IV.A.5.h.



36

Partial-Compliance-IV.A.5.i.Non-Compliance-IV.A.5.j.PartialCompliance-IV.A.5.kPartial-Compliance-IV.A.5.l.

Measuresofcompliance

1. Comprehensivenessofpoliciesandprocedures2. Trainingmaterials3. Postorders4. Reviewofincidentreports5. Installationofcameras6. Documentationoftraining7. Monitors’reviewofrequiredsemi-annualreports.

Observations:

TheonlyprovisionunderIV.A.5thatOPSOprovidedproofofcompliance

wasA.5.l.(2).Partial-compliancewithfiveoftheotherprovisionwasobservedby

theMonitors.However,thelevelofharmandriskofharmintheOrleansParishJail

systemcontinuestobeextremelyhighdespitetheConsentJudgmenthavingbeenin

placeforsinceOctober21,2013.Thisdangerisevidentbythenumberofassaults

oninmatesbyotherinmatesincludingsexualassaultsasreportedtotheMonitors

byOPSOandtheevidenceofnumerousunreportedincidentsofinmateoninmate

violencediscoveredbytheMonitorsthroughreviewofrecords,reportsfrom

plaintiffs’counsel,andgrievances.OPSOhasnotprovidedproofofsecuritycheck

entries.WhileOPSOisbeinggivenpartial-complianceofA.5.d.duetothe

implementationofdirectsupervision,itisclearthat,often,deputiesarenot

conductingtimelyrounds,particularlyinthespecialmanagementhousingunits.

Simplybeingbehindadeskinadirectsupervisionunitisnotprovidingdirect

supervision.

Noproofthatthecurrentstaffassignedtoworkthespecialtyunitswas

provided;thusA.5.gandh.weremovedtonon-compliance.Shakedownsare

reflectedasbeingconducted,butarestillnotconductedwithsufficientfrequencyas

evidencedtheamountofcontrabandwhichisdiscoveredeachtimeshakedownsdo

occur.OtherthanbyISBinthecourseofaninvestigation,thereislimitedeffortto

determinethesourceofthecontrabandandremediatethedanger.Noproofofdaily

inspectionswasprovidedandtheconditionsofthelivingunitsfoundontours



37

certainlyprovidesevidencethatinspectionsarenottakingplacedailyorthatthere

areconsistentstandardsofwhatisexpected,orthatchangesaremadetothe

facilitiesasaresultoftheinspectionfindings.

WhileOPSOdocumentswereprovidedregardinginmatesbeinghousedin

protectivecustody,documentationinaccordancewiththeConsentJudgmentwas

notprovided.AlistofallcontrabandinaccordancewithA.5.l.(2)wasprovided.

Asstressedinpreviouscompliancereports,manyofthesituationswillnotbe

lessenedwithoutanadequatenumberofproperlytrainedstaffalongwitha

sufficientnumberofsupervisors.TheMonitorswouldencourageOPSOtohavea

senseofurgencyregardingtherecruiting,hiring,andtrainingofstaff.

Recommendations:

12. Policiesregardinginmatesupervision,rounds,inspections,shakedownsand

communicationneedtobefinalized.

a. Thepolicymustincludeaccountabilitymethodsforensuringthat

deputiesandsupervisorsconducttheirroundstimely.Anytimean

incidentoccurs,itmustberoutinepracticetoincludeexaminationof

sourcedatatodeterminewhetherroundshavebeenconductedtimely

inthearea.Theresultsofthedeterminationshouldbedocumented.

b. Thepolicymustincludeasupervisory/managementevaluationto

determineifanemployeeinvolvedinauseofforceshouldbe

temporarilyassigneduntilatleastapreliminaryinvestigationhas

beenconducted–tosafeguardboththestaffandinmates.

13. OPSOmustmaketherecruiting,hiring,andtrainingofcustodialstaffforthe

jailfacilitiesthehighestpriority.SeeSection6.SecurityStaffing.

14. OPSOmustdevelopandimplementariskmanagementphilosophysothat

incidentsareroutinelyreviewedbysubjectmatterexpertswithagoalof

determiningactionsneededtobetakenbyOPSOtoavoidsuchincidentsin

thefuture.



38

IV.6. SecurityStaffingFindings:(SeeAlsoExecutiveSummary)

IV.A.6.a.(1)–ComplianceIV.A.6.a.(2)–Non-ComplianceIV.A.6.a.(3)–Non-complianceIV.A.6.a.(4)–PartialComplianceIV.A.6.b.–Non-Compliance

MeasuresofCompliance:1. Writtenpolicy/proceduregoverningstaffing,andreportingasrequiredbyconsent

agreement.2. Completionofastaffinganalysisperhttp://static.nicic.gov/Library/016827.pdf3. Staffingplan(existingandnewfacilities);recruitingplan.4. Dailyrosters.5. Overtimerecords.6. Housingunitlogs.7. Hiringofprofessionalcorrectionsadministrators(CV).Postorder/job

description/organizationalchart.8. Staffingreportcontainingrequiredinformation;conclusions;actionplans,ifany.

Observations:

ThestaffingplansubmittedinFebruary2014constitutedproofof

compliancewithparagraphIV.A.6.a.(1).However,asdetailedbelow,compliancein

February2014hasnoeffectonwhetherthereisanadequatestaffingplaninplace

inFebruary2016orstafftoimplementit.

TwostaffingplanshaverecentlybeensubmittedbyOPSO;oneonFebruary

12,2016,andoneonFebruary24,2016.Bothofthemareinadequatestaffingplans.

ParagraphIV.A.6.a.(2)isthereforeinnon-compliance.Duetothepreliminary

draftsthathadbeenpresentedinthepast,thisparagraphwaspreviouslyinpartial

compliance.

AstoParagraphIV.6.a.(3),ChiefofCorrections,CarmenDeSadier,resigned

onFebruary2,2016.Therefore,OPSO,onceagain,returnstonon-compliancefor

thisrequirement.

ParagraphIV.6.a.(4)isinpartialcompliance,butonlybecauseamonthly

reportwasproducedregardinghiringandterminationofemployees.Theparties

havepreviouslyagreedthatreportinghereisnotrequiredforIV.6.(4),vi.Other

requiredinformationhasnotbeenreported.TheMonitorsareconcernedthat,not



39

onlyistherequiredinformationnotbeingreportedtotheMonitors,itisnotbeing

collected.

ParagraphIV.6.b.isinpartialcompliance.Thesubmissionofproposed

staffingplanswillbetheproofofpartialcompliance.

Discussion:

OneofthemosturgentquestionsinthemonitoringofthisConsentJudgment

iswhetherthereissufficientstafftooperateOrleansParishjailsystem;andatwhat

inmatescapacity.WiththeclosingofalljailfacilitiesotherthanOJCandthe

McDanielsWorkReleaseCenterandtheoutplacementofalmost450inmates,OPSO

muststafftheOJC,theMcDanielsWorkReleaseCenter,andjailrelatedoperations.

Therearethreequestionsthatmustbeansweredtodeterminetheanswerto

thestaffingquestion.

• Thefirstquestionis:howmanystaffdoesittaketooperatetheOJCand

theMcDanielsWorkReleaseCenter3,includingthesefunctions:inmate

housing,classification,IntakeProcessingCenter,andthetransportation

ofinmates.Additionally,thestaffassignedtofunctionswithinthe

Kitchen/Warehouse,InvestigativeServicesBureau,Training,and

AdministrativeServicesrelatedtotheoperationsofthejailareincluded.

• Thesecondquestionis:howmanystaffarefundedinthecurrentbudget

relatedtotheoperationoftheOrleansParishjailsystem;ascontrastedto

theCivilDivisionorotherdivisions/functionsoftheOrleansParish

Sheriff’sOffice?

• Thethirdquestionis:howmanyofthepositionsinthecurrentbudgetto

theoperationoftheOrleansParishjailsystemarefilled?

TheMonitorsarefrustratedtoreportthattheanswertothequestionof

whetherthereissufficientstaffingallocatedtojailoperationsiselusiveatthispoint.

TheMonitorscanstatethatthereappearstobesufficientbudgetedpositionswithin

3TheMonitorsdidnotevaluatedthestaffingattheMcDanielsWorkReleaseCenterbyraisetheissuesaboutthetotalnumberofdeputiesneeded,includingtherankassignedthere.Thisreviewmustevaluatetheprogram’sneedsbasedontheaveragedailypopulation,andwhetherthereareotherstaffingoptions(suchastheuseofpara-professionals)tocoordinatetheprogram.



40

theSheriff’sOfficetosupportjailoperations,butthedeploymentoftheseresources

requiresmorein-depthanalysis.4Moreimportantly,theMonitorsneedtoevaluate

themostrecentlyproducedstaffingplan.Inordertoconductthereview,the

Monitorsmustbeprovidedwiththeanswerstothethreequestionsnotedabove.

Preliminarily,theMonitorsbelievethatthestaffingplandatedFebruary24,2016,is

inadequate.

Toattempttoanswerthestaffingquestion,theMonitorreliedontheOPSO

updatedstaffingplan,datedFebruary12,2016(providedatthestartofthe

compliancetour)5,andtheinformationprovidedviaemailbySheriff’scounselon

February24,2016,regardingauthorizedversusactualstaffing.Consideredinthis

staffingevaluationisthefactthatonAugust13,2015,OPSOreportedthatitneeded

tofill/hire176positionstoreachthenumbersindicatedbythestaffinganalysisfor

jailoperations.6TheMonitoralsoreliedontheinformationprovidedbythe

defendantonFebruary16,2016,regardingallpositionsintheOrleansParish

Sheriff’sOffice,accordingtopayrollreports,andtheirfunctions.TheMonitor

conductedasthoroughareviewaspossibleofthisinformationtoidentifywhere

individualsareassignedandtheirdistributionacrossthefunctionsofOPSO.The

reasonstoexamineallpositionsintheSheriff’sOfficeistodetermineifthereare

potentiallyotherpersonnel,includingmanagementandsupervisorystaffassigned

inotherthanjailfunctionswhocanbere-allocatedtothejail.Inaddition,if

4Forexample,therearefifty-nine(59)deputiesassignedtoCourtServicesincludingeight(8)inTransportation,thirty-seven37inCourtSecurity,and14forSubpoenasandCapias.TwooftheMonitorshavebeenresponsibleforoverseeingcourthouse/courtroomsecurityandcivilprocess,andsuggestthattherearequestionsaboutwhethertheseresourcesarestaffedcorrectly(toomany,toofew)andhowthepersonnelassignedtoTransportationinthisbudgetfitintothelargerneedstoaccommodateinmatemovementinsidetheCourthouse(and/or“theDocks”).Thereareanothertwenty-seven(27)individuals,five(5)posts,assignedto“outsidetransportation”includedinOPSO’sstaffingplandatedFebruary24,2016.TheMonitorsaresuggestingthatfurtherreviewofanexistingstaffingplan,ordevelopmentofsuchaplan,forcourthouse/courtroomsecurity(alsocivilprocessandcivildistrictcourt)andassociatedcourtfunctionsmaybeinformativeintermsofpotentialreassignmentsofpersonneltojailoperations.5AnupdatedplanwassubmitteddatedFebruary24,2016,followingthetour.6Thisincluded48positionsforOJC,32forTDC,2forIntakeandProcessing(IPC),13fortheworkreleasecenter,4forISB,18for“theDocks”,5fortransportation,7forclassification,9fortheemergencyresponseteam(ERT),10fortraining,6forthevisitationfacility,15foradministrativeservicesand7forjailadministration.StaffingwasnotedasNOTneededforthekitchen/warehouse.Thisbroughttheentirecomplementto800.



41

personswhodonotperformfunctionsinsupportoftheoperationoftheOrleans

Parishjailsystemarebeingfundedfromthejailbudget,thecostofthosepositions

shouldbereallocatedtotheproperbudget.Thismaythenre-obligatefundsforthe

jail--additionalstaffifneeded,and,potentially,employeeraises.Asnotedabove,

theCityofNewOrleansonlyhasastatutoryobligationtopayforthecostofthe

operationofthejailsystem.

Ultimately,theresponsetothisstaffingquestionmustexamine;

i. Thenumberoffulltimeequivalentpositionsneededbasedonan

acceptablestaffingplan;

ii. Thenumberoffulltimeequivalentpositionsincludedintheapproved

budget(budgeted);

iii. Thenumberoffulltimeequivalentpositionsthatcanbefilled(difference

betweeni.andii.,above)-authorizedpositions.

iv. Thenumberoffulltimeequivalentpersonscurrentlyemployed;and

v. Vacancies(thedifferencebetweeniii.,andiv.above)

Atthispointintime,theMonitorsdonothaveinformationaboutthenumber

ofspecificallybudgetedpositions(bypostorposition)forthejailandrelated

functions(ii.oriii.above).

Table4indicateshowdifficultitistodeterminewhatOPSObelievesis

adequatestaffing–forexamplepleasenotethedifferenceinOJCstaffcontainedin

plansproduced12daysapart.TheMonitorreluctantlyincludesthisTableto

demonstratethechallenge.Thefunctionshavetobeviewedintotalitytodetermine

adequacyofstaffing.Forexample,thedecreaseinthenumberofOJCstaffisthe

deductionofforty-five(45)correctionsmonitoringtechnicians(CMT);postswhich

arenotfullystaffedanddonotconstitutefulltimeequivalentemployees(asthey

arelimitedto30hoursperweek).Additionally,whiletheMonitorsstrongly

supporttheuseofparaprofessionalstofillappropriatepostscurrentlybeingstaffed

bydeputies,ananalysisneedstobemadeastowhetherallpostsinthemaincontrol

centercansafelybeconvertedtocivilianCMTswithoutdeputysupervision.The



42

Monitorsalsohaveconcernsabouttheexpansion,deployment,anduseofthe

EmergencyResponseTeam(ERT)inthefacility.

Table4-StaffingOverviewByOPSO7

Facility/Operation StaffingPlan8/13/15

StaffingPlan2/12/16

StaffingPlan2/24/16

Actual(2/24/16)

OrleansJusticeCenter 299 256 191 246ERT 34 28 42 21

IntakeProcessing 108 107 107 97Transportation 27 27 27 23Classification 24 24 24 13

ChiefofCorrections 13 10 10 CorrectionsMonitoring

Technicians8 45 45 17

Kitchen/Warehouse 33 26 26 NR9Sub-TotalDirectJail

Operations468 523 472 417

TDC 88 0 0McDanielWR 36 29 29 NR

ISB 54 39 39 NRInternalAffairs/Intelligence 22 NR

Docks 18 NREM 4 0

Training 14 14 14 NRVisitationFacility 6 4 4 NR

AdministrativeServices10 42 42 42 NRTotal 62 60 622

Ofnote,forcalendaryear2015,OPSOexperienceda50%turnoverofstaff

forthejail.Afterthehiring/resignations/terminationstherewasanetgainof347Includesshiftrelieffactorforthejailoperationsposts.Thestaffinganalysisreliesontheapplicationofashiftrelieffactor/multipliercalculatedbasedontheactualnumbersofOPSO(e.g.sickleave,annualleave,trainingleave,leavewithoutpay,FMLA).Theshiftrelieffactorhasnot,totheMonitor’sknowledgebeenupdatedfortwoyears,andwiththesubstantialstaffingchangesatOPSOshouldberecalculated.8OPSOiscommendedforimplementingtheuseoftrainedcivilianstaffforpositionsthatdonotrequireswornpersonnel.Thisisamodelusedinmanyjailsaroundthecountry,andinmany,thisisthepoolfromwhichtheyfindcandidatesforsecuritypositions.Therearepart-timepositionsusingtrainedpara-professionalstostaffcontrolrooms.Theirdeploymentisbasedon8hoursaday(thedeputiesareworking12-hourshifts).Applicationofthemaximumnumberofhourstheycanworkaweekandstillbeconsideredpart-time,andtheshiftrelieffactorneedstobereexamined.WiththerecalculationtherewilleitherneedtobemoreCorrectionsMonitoringTechniciansonafull-timeratherthanpart-timebasis,ortherewillneedtobemoredeputies.9NR–NotreportedbyOPSO10ThisincludesfunctionsforallOPSOoperationsincludingfiscalmanagement,humanresourcemanagement,purchasing,crimevictimsassistance,forexample.ItdoesnotincludeSheriff’sadministrativesupportasreportedinthepayrollinformationsuppliedonFebruary16,2016.Todeterminethecostsassociatedwiththejail’soperationforAdministrativeServicesrequiresthebreakoutoftheemployees’individualtasksassociatedforthejailvs.otherOPSOfunctions(e.g.courthouse/courtroom,etc.).



43

employeesasOPSOpreparedtoopentheOJC.OPSO’spersonnelreportforJanuary

2016indicatedtherewere14separationsfromservice,2hiresasdeputies,and7

hiresascivilianstaff;anetlossof5.TheDirectorofHumanResourcesreportedto

theMonitorduringthetourthattherewillnotlikelybeanyhiresofdeputiesin

February2016;theOPSOplanstohireforanearlyMarchstartdatefor

candidates.11

GivenwhattheMonitorhasbeenabletodetermine,thejailisshortatleast

55personstofilltherequiredposts.Asitwilltakesometimetohireenough

deputiestofillthosepositionsandtrain,themostviablealternativesmaybe

reassignstafffromotherfunctionsoftheSheriff’sOfficeand/orincreasetheamount

ofovertimebeingworked.

Oneoftheobstaclestorequiringdeputiestoworkovertimeinthejailin

additiontotheissuesofworkingovertimeaftercompletinga12-hourshift-isthe

extenttowhichdeputiesassignedtothejailareregularlyworkingsecondary/off-

dutyemployment/detailsthatmakethemlessalertandeffectiveontheir12-hour

shift,and/orunavailableforover-time,and/ordonotcometoworkandareinstead

workingoff-dutydetails.12TheMonitorsunderstandthatmanydeputiesrelyonoff-

dutyemploymenttomakeendsmeet.TheMonitorsareraisingthisissueas

requiringresolution,promptly,butarenotsuggestingpossiblesolutions.The

Monitorswillcontinuetoinsistthatanovertimereportbedevelopedtoevaluate

thisissue,amatterthathasbeenunresolvedsinceAugust,2015.

Insummary,theMonitorsneedtoevaluatethenewlyproducedstaffingplans

todetermineiftheproposedcoverageissufficient.Asnotedabove,itappears,given

evenOPSOscenarios,thejailisabsentatleast55personnelwithouttheMonitors’

11OPSOprovidedarecruitmentplanforthenextfivemonthswhichproposestoidentifythemeanstoreachmilitarymembers,hireafull-timerecruiter,conductoutreachtominoritycommunities,updatedisqualifiers(e.g.arrestrecords),reviewcurrentworkschedules,advertisemorewidelyintheGulfregion,shorteningtheperiodoftimetoscreenapplicants,evaluatethepossibilityofmorepart-timepositions,considerarecruitmentincentiveplanforcurrentemployees–rewardingthemforsuccessfulrecruitments,provideattendanceincentivestocurrentstaff.Usingthesestrategies,OPSOproposestohire20deputiesamonth.12TheMonitorswereassuredbyChiefDeSadierthatthejailcloselyexaminesifstaffwhoarenotreportingasscheduledforworkmaybeworkingoff-dutydetailseitherbeforeoraftertheirshift.TheMonitorshavebeenworkingsinceAugusttryingtogetOPSOtocapturethisinformation,orotherwisedemonstratethattheycanprovethatstaffareatworkasassigned,andnotelsewhere.Wehaveyettogetthisdata.



44

in-depthreviewofcoverage,especiallygiventhefindingsofinadequatestaffingin

areassuchasinmatemovementtomedical,sanitation,andfire/safetyofficers.The

Monitorsalsoneedtoevaluatethedesignationanddeploymentoffirstandsecond

linesupervisorsandthejail’sorganizationalstructure.13

Recommendations:

15. Complete,withtheassistanceoftheMonitors,anadequatestaffingplan.

Thisincludesanexaminationoftherankstructure,span-of-control,and

deployment.

16. OPSOmustproduceanorganizationalchartthatmaximizesstaffingand

accountability.

17. OPSOmustdevelopastrategytoworkwiththeCityofNewOrleanstogain

theappropriatestartingsalary,andcareerladderincentivesthatwillallow

hiringandretentionofemployees.

18. OPSOmustimplementtheelementsofacrediblehumanresourcesfunction

thatsupportcareeremployeesasoutlinedinthisreport.

19. ThereareotheroptionstoevaluatethestaffinginOPSO,forexample,the

McDanielsWorkReleaseCenterandcourthouse/courtroomsecurity.These

functionalareasareoutsidethescopeoftheConsentJudgment,butgiventhe

criticalissueofjailstaffing,theMonitorsareobligatedtoraisethematter.

IV.7.a.–j.IncidentsandReferrals

Findings:Non-Compliance-IV.A.7.a.Non-Compliance-IV.A.7.b.Partial-Compliance-IV.A.7.c.Non-Compliance-IV.A.7.d.Partial-Compliance-IV.A.7.e.Partial-Compliance-IV.A.7.f.Partial-Compliance-IV.A.7.g.Partial-Compliance-IV.A.7.h.Non-Compliance-IV.A.7.i.

13ThepreliminaryanalysistheMonitorconductedonthepayrollinformationprovidedbytheDefendantsonFebruary16,2016indicatesthatthereareapproximately575budgetedpositionsassociatedwiththejail.Thereareseveralpositionsinwhichthereareindividualslistedasperformingservicesforthejail,buttheMonitorshavenotmet,and/orareawarearenotworkingonbehalfofjailoperations.



45

Non-Compliance-IV.A.7.j.

Measuresofcompliance1. Comprehensivenessofwrittenpolicies2. Training3. Datacollectionandanalysis4. Supervisoryreviewofusesofforce5. Reviewofuseofforcereports6. Reviewofincidentreports,reviewofinvestigationsbySOD7. ReviewofinvestigationsbyIAD8. Monitors’reviewofrequiredsemi-annualreports.

Observations:

Whenthepolicyonincidentsandreferralsisfinalized,itwillsetoutthe

processfordocumentingandreferringincidents.14However,thereisnothingin

placetoensureallreportableincidentsarebeingdocumentedandthattheincidents

arebeingrecordedadequatelyandaccurately.Infact,twoareasinwhichOPSOhad

beenfoundtobeinpartial-compliance,OPSOhasnowbeenfoundtobeinnon-

compliance(IV.A.7.b.andi.).TheMonitors’concerninpastcompliancereports

abouttherebeingnothinginplacetoensureallusesofforcewerebeingreported

andthatusesofforcewerebeingreportedadequatelyandaccuratelyhasprovento

bewarranted.Simplyhavingapolicythatsaysallusesofforcearetobereportedis

inadequate.Theremustbeasysteminplacetochecktomakesureusesofforceare

beingreportedandthatthereareconsequenceswhenusesofforcearenotreported

ornotreportedaccurately.Therevisedpolicystatesthatforceistobereported,

andincludestheConsentJudgmentlanguagethatfailuretodosowillresultin

discipline.TheMonitorsareconcernedaboutapparentinconsistenciesinreporting.

Duringreviewofadministrativecasesinvolvingthefailuretoreportauseofforce,

theMonitorshavenoticeddisciplinerangingfromanoralcounselingtoanextensive

suspension.

Theproblemwiththequalityofreportsnotonlyexists,itisnowofeven

greaterconcern.ThedeclineinthequalityofthereportscallstheMonitorsto

questionwhethernewstaffarereceivingpropertraininginreportwriting.Also

14SeealsoSectionV.Defendant’sActivitiesSinceComplianceReport#4PositiveChanges,ChallengesandBarrierstoCompliance.



46

alarmingisthatreportsarestillnotbeingreviewedandtherenotappeartobea

processtoinsurewhatreviewthatistakingplaceisoccurringtimely.Aswiththe

useofforcereports,incidentreportsexaminedbytheMonitorswerefoundtobe

inadequateand/orincomplete,andcontainedboilerplatelanguageandconclusory

languagethatdoesnotallowthereadertomakeanevaluationofwhatoccurred,the

reasonfortheoccurrence,whetherstaffactedappropriately,andwhatstepsshould

betakentopreventasimilarincidentfromoccurringinthefuture.Suchreports

arebeingsignedoffonbyasupervisor.Asnotedabove,thereisnoautomatic

trackingsystemtoensuretimelyreviewsandnotificationsarebeingmade.While

completedreportsaresupposedtobeassignedanumber,thereisnofollowupto

makesurethereportsarewrittenand/orarereviewedwithinthe24hours

required.Asnotedabove,theMonitor’sreviewindicatedsomeofthereportshave

notbeenreviewedandapproved,andthecontentofthereportdidnotallowfora

determinationofwhetherthereviewofhadbeendoneinatimelymanner.It

appearsthatanyreviewforthequalityofthereportsisoftenbeingdonebyinISB

byFITortheCriminalInvestigationDivision.

Noperiodicreportsdetailingreportableincidentshavebeensubmittedto

theMonitorsasrequiredunderIV.A.7.f.Thereportsthatwereprovidedwerethe

listofcriminalinvestigationsconductedbytheCriminalInvestigationDivisionof

ISB.

Theadequacyofthepoliciesandproceduresandreportingsystemiscrucial

totheMonitorsbeingabletorelyontheaccuracyoftheperiodicreportsthatareto

besubmittedunderIV.A.7.f.andg.andthesufficiencyoftheannualreviewthatis

tobeconductedunderIV.A.7.h.whichrequiresOPSOtoassesswhetherthe

incidentreportingsystemismeetingtherequirementsoftheConsentJudgment.

Recommendations:

20. Develop,implement,andtrainontherevisedpolicyregardingincident

reporting.



47

a. Inparticular,thepolicyandthetrainingonthepolicyneedstostressthat

allreportableincidentsaretobereportedandproperlyinvestigatedand

thatfailuretoreportwillresultindisciplineand/orremedialtraining.

b. Inaddition,supervisorsneedtobetrainedonthemechanismstoensure

thatallreportableincidentsareproperlyreportedandinvestigatedin

accordancewiththepolicy.

c. Thepolicieswillneedtosetoutindetailthetimelinesandhoweachstep

ofthereviewprocessanddatacollectionistotakeplaceandwhois

responsibleforenforcementofeachdeadline.SeeSectionVII.andVIII.

8.a.–f.Investigations

Findings:Partialcompliance-IV.A.8.a.Partialcompliance-IV.A.8.b.Partialcompliance-IV.A.8.c.Partial-compliance-IV.A.8.d.Partial-compliance-IV.A.8.e.Partial-compliance-IV.A.8.f.

Observations:

TheinvestigativefunctionsatOPSOunderwentamajorreorganizationafter

ComplianceReport#2.Allinvestigativeactivitieswereplacedundertheleadership

ofthecommanderoftheInvestigativeServicesBureau(ISB).Duringthis

complianceperiod,unbeknownsttotheMonitors,theInternalAffairsDivision-

AdministrativeandtheIntelligenceUnitweretransferredundertheChiefof

Corrections.Thiscreatedaseriousconflictofinterestasitappearedthatthe

independenceoftheseunitshadbeencompromised.Recently,boththe

AdministrativeandCriminalSectionsoftheInternalAffairsDivision(IAD)were

movedorganizationallysothatthelieutenantsinchargeofthoseunitsreport

directlytotheSheriff.TheIntelligenceUnitisstillundertheChiefofCorrections.

Measuresofcompliance:1. Reviewofincidentreports,2. Reviewofuseofforcereports,3. ReviewofinvestigationsbySOD,4. ReviewofinvestigationsbyIAD,and5. Monitors’reviewofrequiredsemi-annualreports.



48

SignificantevidenceofpartialcompliancewasprovidedforIV.A.8.The

trainingthathasbeenprovidedisnowincompliancewithIV.8.b.ISBhasfinalized

itswrittenpoliciesandprocedures,and/orjobdescriptions/postordersgoverning

theirwork.Thequalityoftheinvestigationshascontinuedtoimprove.The

Monitorsareconcernedaboutthetimeinvestigationsaretaking,butpartofthatisa

reflectionofthepoorqualityofthereportsfromwhichtheinvestigationbegins.

TheISBcommanderandthreeofthefivelieutenantsinISBhavea

backgroundinlawenforcementasopposedtojails/corrections.Asstatedina

previousreport,thereisasimilarskillsetneededforlawenforcement

investigationsinajailsetting,butthereisasteeplearningcurveforthoselacking

jailexperienceastohowtheinmatecultureandthejailinterpersonaldynamics

influenceallegationsandinvestigations.TheleadershipofISBisattemptedto

overcomethislackofcorrectionsexperiencebyattendingtrainingdirectlyrelated

toinvestigationsincorrectionsfacilityandspecificallyrelatedtosexualassault

(PrisonRapeEliminationActPREA).Thestridesmadeinunderstandingthe

correctionsenvironmenthasbeenimpressive.

Previouslynotedasasignificantpositivechangewasthetimingon

administrativeinvestigationsiftheemployeeisbeinginvestigatedforpossible

criminalconduct.Previously,ifitappearedthatauseofforcemaybeunnecessary

orexcessiveorothercriminalconductbyastaffmemberhadoccurred,IAD-

AdministrativewouldwaituntiltheDistrictAttorney’sOfficedecidedwhetherto

prosecutebeforethestaffmemberwassuspendedordisciplined.Thisprocess

needlesslydelayedthefindingoffactsandpotentiallyjeopardizedinmatesafety.

Suchalengthyprocesswasparticularlytroublesomewhenthestaffmember

involvedremainedondutyandincontactwithinmates.Thispracticehasnowbeen

changed.Assoonasapossiblepolicyviolationisidentified,thecommanderofISB

notifiestheIADsupervisortoopenanadministrativeinvestigation.Thisisan

indicationoftheon-goingchangestothisprocessnotonlytocomplywiththe

ConsentJudgment,butalsotoincorporateacceptedpractice.However,the

MonitorsareawareofatleastonecaseinwhichastaffmemberwhichISB



49

recommendedbeeithersuspendedorplacedinapositionthatdidnotallowfor

contactwithinmatesthatthestaffmemberwasallowedtoworkahousingunitin

directcontactwithinmates.

TheMonitorsacknowledgethatinvestigatingincidentsofinmate/inmate

assaults,sexualassaults,staff/inmateassaults,etc.withagoalofseeking

indictmentsisappropriate.Inajailsetting,investigationsplayjustascriticalarole

intermsofprotectinginmatesfromstaff,andcorrectingpolicy,practice,

supervisionandtraining.TheMonitorscontinuetobeconcernedaboutsolely

approachinganinvestigationtoseekcriminalcharges.Inordertocomplywiththe

ConsentJudgment,greateremphasisontherootcausesofviolenceanddisorderin

thejailneedtobeaddressedintheinvestigationsandbythereviewofthem.This

willrequireincreasedcooperationandcommunicationbetweenISBandoperational

staff.

Inthepast,reviewsofasampleofinvestigationsconductedbyISBrevealeda

contrastbetweentheinvestigationsconductedbythecriminaldivisionandIAD.

Thecriminaldivisioninvestigationsappearedtobemorethoroughandcomplete.

WithachangeinleadershipintheIAD,thequalityofinvestigationshasimproved

greatly.

ThenumberofstaffassignedtoISBhasbeenincreased,andmostdutieshave

beenreassigned.However,thestaffassignedtotheISBisstillrequiredtofillother

jobdutiesoutsideofISB.Assuchareoftenpulledawayfrominvestigationstoother

dutiesthatresultininvestigationstakinglonger.Forinstance,ISBhasbeencharged

withprovidingguarddutyatthehospitalandaddedsecurityforinmatetransportto

court.ISBhasanemployeedeployedtoHumanResourcestoconductbackground

investigations.Whilethiswasdoneinitiallyonatemporarybasis,itisclearthatthe

positionwillneedtobepermanentfortheforeseeablefuture.Therefore,an

additionalpersonshouldbeassignedtoISBtoreplacethisperson.

Previously,apotentialconflictofinterestwasidentifiedinthatISBwasoften

calledintorespondtoquellpotentialdisturbancesandactanemergencyresponse



50

team.AnEmergencyResponseTeam(ERT)hasnowbeenestablishedwhichhas

greatlyreducedISB’sinvolvementinuseofforcesituation.

ISBhasreceivedsignificantadditionaltraining.Continuedemphasisneeds

tobeplacedonhavingasoneofISB’sgoalsbeingthepreventionoffutureincidents

throughanalysisofthepolicy,procedures,training,supervision,andphysicalplant

contributorstotheincident.Thislevelofassessmentrequiresinputfrom

individualswhohaveexperienceinjail/correctionswork.Thiscanbeaccomplished

throughateamapproachintheISBorbyhavingtheirinvestigationsreviewedby

thoseinleadershippositionswhohavemorecorrectionsexperience.

InadditiontotheinvestigatorsassignedtoISB,watchcommandershavea

roletofill.Watchcommandersshouldbeundertakinginterviewsofinmates

involvedinincidentsbeforecallingISB.Unfortunately,thewatchcommanders

oftenlacktheinvestigativeknowledgeorskillsandthusactuallyhamperISB’s

thoroughinvestigation.Inparticular,thelackofinvestigativeknowledgeandskills

bywatchcommanders,especiallyinregardtotheinvestigationofsexualassaults,

hasthepotentialtofurthervictimizeorre-traumatizeinmates.ISBhasprovided

trainingtoprovidetosupervisorsoncrimescenepreservation.Furthertrainingof

supervisorsininterviewingandreportwritingandreviewneedstobemadea

priority.ISBshouldalsobeinvolvedinthetrainingofdeputiesonhowtowrite

properreports.

Recommendations:

21. OPSOmadesignificantimprovementinISBandinformalizingthe

organizationalstructure,roles,mandates,responsibilities,placementinthe

chain-of-command,andjobdescriptionsofboththecriminal,FIT,

intelligence,andadministrativedivisionsofISB.BothsectionsofIADshould

beorganizationallyplacedbackundertheISBCommanderandthe

IntelligenceUnitshouldbereturnedtoISB.

22. OPSOshouldevaluatetheneedsforresourcesinconductingpre-employment

backgroundchecksandprovidethoseresourceswithoutdepletingIAD.



51

23. ISBhasfinalizedandimplementedwrittenpolicies,procedures,and

protocolsforconductingallinvestigations.Thevendorresponsiblefor

developingjail-basedpoliciesandproceduresshouldreviewthosepolicies

anddeterminewhichonesshouldbeincludedinthegeneralpoliciesfor

OPSOasawhole.

24. OPSOshouldcontinuetoworkwithMonitorstoperiodicallyreviewand

critiqueinvestigations.

25. OPSOshouldprovideadditionaltrainingtoinvestigators;particularly

regardingcorrectionsoperations,orhire/promoteindividualswith

correctionsexperiencetobeinvestigators.Trainingforinvestigatorsneeds

tocontinuetomeetthemandatesinthePREAstandards.Thetwoagents

assignedtosexualassaultinvestigationsshouldbegiventheopportunityto

attendadditionalPREAtraining.

26. OPSOneedstoproducetheperiodicreportsrequiredbytheConsent

Judgmentinauseableform.Currently,withtheexceptionoftheFITreport,

thereportsimplyprovidestheinformationonachartanddoesnodata

accumulationoranalysis.

9.PretrialPlacementinAlternativeSettings

Findings: IV.A.9.a.-ComplianceIV.A.9.b.-Compliance

MeasuresofCompliance:

1. Memorandumofunderstanding(MOU)withPre-TrialServices.2. Observation3. Interviewwithpre-trialservicesstaff4. Reviewoffiles5. Reviewofdataregardingpre-trialdiversion

Observations:

OPSOandVERAexecutedaCooperativeEndeavorAgreement(CEA)on

February18,2015addressingtheprovisionsofthisparagraph.Monitorsdidnot

observeanypre-trialstaffintheintakeareasduringtours.Theseisnoindicationthat

anyissueshaveemergedsincethefindingofComplianceisReport#4.



52

IV.A.10.CustodialPlacementwithinOJC(OPP)Introduction

OPSOhasdesigned,validated,andimplementedanobjectiveclassificationtoassess

andhouseeachOSPOmaleandfemaleoffenderaccordingtotheriskshe/sheposesto

institutionalsafetyandsecurity.Theautomatedclassificationsystemwasrolledoutinthe

JailManagementSystem(JMS)onJanuary15,2015.15AsofFebruary7,2016,theUnit

included11civilianandtwocommissionedclassificationspecialistsandaclassification

manager.Sgt.MichaelHollidaywasappointedastheclassificationmanagereffective

January04,2016.Inanattempttoensurethatallclassificationactivitiesareconsistent,

timely,andaccurate,Sgt.Hollidayhasre-organizedtheUnitstaffintotwosquadswithtwo

platoons.Eachplatoonhasroleforshiftcoordinator,initialclassification,and

transfers/reclassification.Thecommissionedofficersserveashousingauditorstoidentify

andresolveplacementerrors.

Sgt.HollidayhadlittletimesincehisappointmenttoworkwiththeUnit,thusthe

learningcurvehasbeensteepandfast.Hispositionwasexpandedtoincludehousing

manager.WiththemultipletransfersofinmatestoEastCarrollandFranklinParishes,as

wellastheclosingofTDC(TemporaryDetentionCenter),thisrolehasconsumedmuchof

histime.ItiscriticalthatSgt.Hollidayreceiveobjectiveclassificationsystemtrainingas

soonaspossible.Eachoftheclassificationspecialistsreceivedtrainingontheprinciplesof

objectiveclassificationandinstructionforthenewcustodyandPREAassessment

instruments.Additionaltrainingandinstructionontherevisionstothehousingassignment

processandcustodymandatoryrestrictorshavebeenprovided.Itappearsthatremedial/

additionaltrainingonhowtoreadandinterpretNCICcriminalhistoryreportsisneeded.

DuringtheJanuary2016onsitevisit,forexample,inaccuratescoresfortheoffender’s

criminalhistorywerenotedwhenreviewingcustodyassessmentscompletedbythe

classificationspecialists.

15Hardyman,PatriciaL.(2015).“DesignandValidationofanObjectiveClassificationSystemfortheOrleansParishSheriff’sOffice:FinalReport.”Hagerstown,MD:CriminalJusticeInstitute,Inc.



53

OPSOhasdevelopedanautomatedhousingassignmentprocessthatconsidersthe

offender’scustodylevel,gender,specialpopulationstatus,PREAdesignations,enemies,

andassociatesaswellasbedavailabilitytorecommendanappropriatebedforthe

offender.Theclassificationspecialistisprovidedalistof“appropriate”housinglocations

fromwhichtheclassificationspecialistmustselectahousingassignmentforthedetainee.

Thisprocessforassigninganindividualtoahousingunitisnotfullyimplemented.The

HousingUnitAssignmentPlan(HUAP)withinJMSwasupdatedtoreflecttherecent

changesinmissionofeachoftheOPSOhousingunits.However,separationsbycustody

levelorPREAdesignationwithinthemedicalanddisciplinarypodshavenotbeenfully

identifiedandincorporatedintotheautomatedHUAP.TheHUAPhastobemodifieddaily

toreflectthecurrenthousingneedswithinthesepods.Theclassificationspecialistare

provideddailyamanuallistingofthesespecificseparations.Moretroublingthanthe

delaystoimplementtheselastfewtweakstotheautomationoftheHUAPisthattheactual

housingtransfers/assignmentshavenotbeenconsistentlycontrolledbytheClassification

Unit:

• Inmatesarenotalwayshousedinthepod,cellandbedaccordingthehousing

transferformgeneratedbyclassificationunit;and

• Security/Operationsdonotconsistentlygothroughtheclassificationunitfor

housingassignments.

ThusdespiterepeatedassurancesfromOPSOleadershipthatallhousingassignmentswere

tobecontrolledbyclassification,thispolicyhasnotbeenfullyimplemented.Housing

assignmentshavenotbeenmadeinaccordancewiththehousingrulesregardingthe

individual’scustodylevel,PREAdesignations,andspecialpopulationneeds(e.g.,youthful

offender,suicidewatch,mentalhealth-stepdown,etc.).

ItisanticipatedthattheautomatedHUAPwillbefullyimplementedbytheendof

March2016.Implementationofanon-goingqualitycontrol/randomauditproceduresfor

thehousingassignmentprocessisrequiredtoensureintegrityofthecustodyassessment

aswellasthehousingprocesses.

ReportsfortrackingtheclassificationprocesswereincludedtheJMSautomationof

theSystem.ThereportsregardingtheAugustandNovemberof2015custodyassessments



54

wereincompleteandmisleading.ThemonthlydataforDecember2015andJanuary2016

wereprovidedattheendofFebruary2016.OPSPstaffisdevelopingJMSreportsthatwill

provideuseful,accurate,andtimelyinformation.

Summary

OPSOisincompliancewithSectionsIV.A.10.a.,andb.,howeverSectionsIV.A.10.

c.-h.areassessedaspartialtonon-compliance.OverallOPSOisinpartialcompliancewith

theparagraphsoftheConsentJudgmentrelatedtoCustodialPlacementwithinOPP

(IV.A.10).Objectiveinitialandcustody-reassessmentinstrumentsandanautomated

housingassignmentprocesshavebeenimplemented.Thebacklogofcustodyreviewsnoted

duringtheAugust2015monitorreporthasbeenaddressed.However,thecustody

assessmentsdonotincludecompleteandaccurateinformationontheprisoner’shistoryat

OPSObecauseinstitutionalinfractionsoftheOPSOinmatedisciplinarycodehavenotbeen

consistentlyprocessedthroughaformaldisciplinaryprocess,includingtheentryof

findingsofguiltyintotheJMS.Aspriorinstitutionalbehavioriscriticalclassificationrisk

factorassessments,thecustodyassessmentshavenotaccuratelyaccountedforoffenders’

institutionalbehavior.Withoutaccuratedataontheinmates’priorinstitutionalthe

custodyassessmentswillunderestimatetherisksposedbytheoffenders.DuringJanuary

andFebruary2016,OPSOimplementedproceduresfortrackinginmateinstitutional

misconduct,butifthedisciplinaryprocessisnotfullyimplementedbysecuritystaffin

accordancewiththenewdisciplinaryprocesstherewillstillbenothingtotrack.


Thisreportwasbasedon:1.WorkwithOPSOstafftoautomateandimplement

thenewOPSOclassificationsystemandtoupdatethePREAassessmentinstruments;and2.

OnsitemeetingsandemailwithOPSOclassification,JMS,andExecutivestaff.Table1

summarizestheonsitedatesandissuesaddressedbetweenAugust2015–February2016

relatedtoOPSOCustodialPlacements.



55

IV.A.10.a.

Finding: ComplianceMeasuresofCompliance:1. Writtenpolicy/proceduregoverningtheintake,booking,classificationandre-classification

process.2. ReportincludingastatisticalvalidationoftheOPSOcurrentcustodyclassificationsystemthat

includesstatisticalassessmentoftheriskandneedfactorsoftheinmatepopulationsbygenderandrace.

3. ImplementationoftheidentifiedupdatesviaanelectronicfilewiththecompletedcustodyassessmentsforOPSOpopulation.

4. Reportdocumentingrequiredstaffingneeds.5. Implementationofviableclassification/casemanagementstaffingplans.

Table5-CustodialPlacementsRelatedSiteVisitDatesandIssuesAddressed–

August2015–February2016

SiteVisitDate IssuesAddressedNovember1–5,2015 1. Effectivenessofthescreeningofclassification–PREA

vulnerabilityandpredatoryscreenings2. Classificationstaffing3. DisciplinaryProcessanddatawithinJMSandVantos4. Housingassignmentplan–updates/tweakswithinthenew

building5. Validation/tweakstothesystem6. MonthlyCustodialReportsCounts7. FacilityTour/Inmateinterviews

Dec15–17,2015 1. Housingassignmentsarenotcontrolledbytheclassificationunit;and

2. DisciplinarydataarenotavailableforcustodyassessmentsJanuary21-22,2016 1. Inmategrievances/metwithfourinmates

2. Classificationstaffing–newclassificationmanager3. DisciplinaryProcessanddatawithinJMSandVantos4. Housingunitassignmentplanandhousingassignments

February1–3,2016 1. StatusConference2. Disciplinarydata3. CustodialReports4. Housingunitassignmentplanandhousingassignments



56

Observations:

o TheautomatedclassificationsystemwasrolledoutintheJailManagement

System(JMS)onJanuary15,2015.

o ClassificationandPREAassessmenthandbooksthatincluderulesforwhenand

howtoscoretherespectiveinstrumentsweredevelopedanddistributedtothe

classificationstaffaspartoftheimplementationofthesystem.The

classificationhandbookwasupdatedinNovember2015todocumentchanges

tothescoringofdetainers/warrantsandthemandatoryrestrictors.

o Avalidationreportdocumentingthedesignandvalidationwassubmittedon

July16,2015totheplaintiffsandDepartmentofJustice.

o Theclassification“unit”includes13classificationspecialistsandaclassification

manager.Theclassificationspecialistsreceivedtrainingontheprinciplesof

objectiveclassificationandinstructionforthenewcustodyandPREA

assessmentinstruments.ThetrainingincludedscoringofactualOSPOoffenders

andpracticewiththenewautomation.Follow-uptrainingfortheclassification

staffwasprovidedNovember3–4thregardingadjustmentstothescoringfor

warrants/detainersandmandatoryrestrictorsthatdetermineanoffender’s

leastrestrictivecustodylevel.Aschedulefor24/7coveragebythe

classificationstaffhasbeendevelopedandimplemented.

o AnewclassificationmanagerwasappointedeffectiveJanuary04,2016.

Unfortunately,Sgt.HollidayhadlittletimewiththeUnitpriortohis

appointment,thusthelearningcurvehasbeensteepandfast.Providedwere

.pdfsofNationalInstituteofCorrectionspublicationsregardingobjective

classificationsystems.16Hispositionwasexpandedtoincludehousingmanager.

WiththemultipletransfersofinmatestoEastCarrollandFranklinParishesas

16TheNICobjectiveclassificationdocumentswere:

Austin,James(1998)“ObjectiveJailClassificationSystems:AGuideforJailAdministrators.Austin,JamesandHardyman,Patricia(2004)“ObjectivePrisonClassification:AGuideforCorrectionalAgencies.Austin,JamesandMcGinnis,Kenneth(2004)“ClassificationofHigh-RiskandSpecialManagementPrisoners:ANationalAssessmentofCurrentPractices.



57

wellastheclosingofTDC(TemporaryDetentionCenter),thisrolehas

consumedmuchofhistime.

Recommendations

Date Status StillStand?

27. DevelopandcirculateamongOPSOexecutive

andsupervisorystaffstandardizedautomated

reports.

Aug-15 NoChange Yes

28. Sgt.Hollidayshouldreceiveformalobjective

classificationsystemtrainingassoonas

possible.

Jan-16

NoChange Yes

29. Implementanauditprocesstoverifythe

actualhousinglocationoftheinmateto

ensurematcheshousingassignments

generatedbyclassification.

Jan-16

Partial-

intermittent

Yes

IV.A.10.b.

Finding:Compliance


1. ImplementationofavalidclassificationsystembasedontheobjectiveandreliableriskandneedfactorsoftheOPSOinmatepopulationsasdocumentedbyawrittenreportonthedesign/validationoftherevisedclassificationsystemandelectronicfileofcustodyassessments.

2. Provideaquarterlyreportthattrackscustodydistributionsbyhousingunitrace,andgendertotheMonitor.

Observations:

o TheOSPOobjectiveclassificationsystemwasimplementedinJanuary2015.

CustodyandPREAdistributionsbyhousingunit,raceandgenderfortheentire

OPSOpopulation.Custodyassessmentsbasedontheobjectiveclassification

systemfortheentireOPSOhavebeencompleted.Asof1/29/2016,thenumber

ofoffendersdueforacustodyreviewforacustodyre-assessmentwas~80.As

of2/22/2016,thenumberofcasesdueforreclassificationwas42.

o ClassificationManagementReportsAvailable:



58

• Aggregatestandardizedreportstotrackoffendersecuritydesignations,

PREAdesignations,overrideratesbytype,andhousingassignmentsby

facilitybyunitwereprovidedforAugust2015–January2016.Thereports

appeartoprovideaccuratecountsofthecustodyassessments.TheAugust–

Novemberinstitutionalviolencecounts/rateswerequestionable.For

December2015,itappearedthat47%ofthedetaineeswrittenupfor

predatoryinfractionswerefoundnotguiltyornodisciplinaryhearingwas

held.ForJanuary,itappearedthat55%ofthedetaineeswrittenupfora

predatoryinfractionwerefoundnotguiltyornodisciplinaryhearingwas

held.

• AreporttotrackinmateslocationbyPREAdesignationswasdevelopedfor

theclassificationmanagerandPREAcoordinatoraspartoftheNovember

2015sitevisit.

• Screenstodisplaydataon“misplaced”inmatesareavailable,howeverthese

assumethattheinmateisactuallylivinginthecell/unittowhichhe/shewas

assigned.GiventhatsecuritystaffdonotalwaysgothroughtheClassification

Unitforhousingassignments,thesedataarequestionable.

o OPSOJMSstaffhavebeeninstrumentalanddiligentinthedevelopment,

testingandimplementationofautomatedclassificationandupdatedPREA

assessmentsintheJMS.InparticularJoeSimmons,OPSOProgrammer

Analyst,hasworkedcloselytoupdatethemandatoryrestrictors,automated

housingassignments,andcreateaccurate,usefulclassificationreports.

Recommendations Date Status StillStand?

30. Eliminatethebacklogofcasesduefora

custodyreview.Completecustodyreviews

within72hoursofthetimethecaseappears

ontheclassificationmonitorlog.

Aug-15 Addressed Yes,Conduct

custody

reviewsw/in

72hours

31. Revisethemonthlystatisticalreportsto

accuratelytrackthecustodydistributionof

Aug-16

NoChange Yes



59


OPSOoffendersbyhousingunitraceand

genderduringthelastquarter.

32. Generatetimelyandmonthlycustodial

reports

Nov-15 Partial Yes

IV.A.10.c

Finding:Partial-compliance

MeasuresofCompliance:1. Developandimplementahousingunitassignmentplanthatoutlinesthemission,numberof

bedsandcustodylevel(s)foreachOPSOhousingunit.2. Provideareportofthedailycountstotheclassificationhousingstaffastothenumberof

occupied,vacant,andout-of-orderbedsperpodperhousingunitwithelectroniccopiesofthedailyreportsprovidedtotheMonitor.

Observations:

o OPSOhasdevelopedanautomatedhousingassignmentprocessthatconsiders

theoffender’scustodylevel,gender,specialpopulationstatus,PREA

designations,enemies,andassociatesaswellasbedavailabilitytorecommend

anappropriatebedfortheoffender.Theclassificationspecialistisprovideda

listof“appropriate”housinglocationsavailablefromwhichhe/shemustselecta

housingassignmentfortheindividual.However,thisprocessforassigningan

individualtoahousingunitisnotfullyimplemented.TheHousingUnit

AssignmentPlan(HUAP)withinJMSwasupdatedinJanuaryandFebruary2016

toreflecttherecentchangesinmissionofeachoftheOPSOhousingunits,except

forspecificcellswithinthemedicalanddisciplinarypods.Separationswithin

OJCUnits2B(disciplinaryunit)and2A(mentalhealth/men)havenotbeenfully

identifiedandincorporatedintotheautomatedHUAP.TheHUAPhastobe

modifieddailytoreflectthecurrenthousingneedswithinthesepods.The

classificationspecialistsareprovideddailyamanuallistingofthesespecific

separations.

o Housingtransfers/assignmentshavenotbeenconsistentlycontrolledbythe

ClassificationUnit:



60

• Inmatesarenotalwayshousedinthepod,cellandbedaccordingthehousing

transferformgeneratedbyclassificationunit.

• Security/OperationsdonotconsistentlygothroughtheClassificationUnitfor

housingassignments.

• Inmatesappeartomanipulatetheirhousingassignmentsbyreporting

conflicts/separationissueswithinthepod.Thesehousingrelocationsarenot

verified/investigatedpriormovingtheinmate(s).

ThusdespiterepeatedassurancesbyOPSOleadershipthatallhousing

assignmentsweretobecontrolledbyclassification,thispolicyhasnotbeenfully

implemented.Housingassignmentshavenotbeenmadeinaccordancewiththe

housingrulesregardingtheindividual’scustodylevel,PREAdesignations,and

specialpopulationneeds(e.g.,youthfuloffender,suicidewatch,mentalhealth-

stepdown,etc.).


33. Updatecustodylevel,gender,mission,and

PREAdesignationswiththeJMStoreflect

thecurrentHUAP.TheHUAPwithinJMS

mustbecurrentandcomplete.The

classificationmanagermustdevelopthe

skillsanddaily,asneededprocess,for

updatingtheHUAPasanybed/cellistaken

offlinedueformaintenanceorchangeinthe

missionofthebed/unit.

Aug-15 Addressed Yes,maintain

theHUAP

withinJMS

34. Ensureinmatesarehousedinaccordance

withhousingassignmentsgeneratedby

classificationviaOPSOleadershipdirectives

andongoingauditsofhousingassignments.

Jan-16 Partial Yes

IV.A.10.d.

Finding:Partial-compliance



61

MeasuresofCompliance:1. Anyautomatedmanagementinformationsystemwillincludeaccuratedatawithineighthoursof

thecustodyassessmentorstatuschange,dataregardingtheinmates’custodylevel,medical,disciplinaryinfractions,mentalhealth,andcustodyassessment(date,riskfactorscoring,overridereason[ifapplicable],andcustodylevel).Monitorwillconductauditofrandomsampleofcasestodetermineaccuracyandtimelyentryofdata.Compliancestandardwillbe90%accurateandreliable.

2. Thecustodyassessmentsshallbeupdated/reviewedevery120days,ahearingforadisciplinaryinfractionformajorinfraction,legalstatuschange,newinformationfromthecourt,andamajorjailincidenttoincludePREAorothermajorincident/investigation.Monitorwillconductauditofrandomsampleofcasestodetermineaccuracyandtimelyentryofdata.Compliancestandardwillbe90%accurateandreliable.

Observations:

o ReviewofthehousingpopulationwithineachoftheOPSOhousingunits

indicatedthatacustodyassessmenthasbeencompletedforalldetaineesprior

totheirtransferfromIPC(booking)toahousingunit.

o Backlog(700+detainees)ofcasesdueforacustodyre-assessmentnotedduring

theAuguststatusreporthasbeenaddressed.Asof1/29/2016,thenumberof

detaineesdueforacustodyreviewforacustodyre-assessmentwas~80.Asof

2/22/2016,thisnumberhaddroppedto42detainees.

o Custodyassessmentsdonotincludecompleteandaccurateinformationonthe

prisoner’shistory,becauseinstitutionalinfractionsoftheOPSOinmate

disciplinarycodehavenotbeenconsistentlyprocessedthroughaformal

disciplinaryprocess,includingtheentryoffindingsofguiltyintotheJMS.As

institutionalbehavioriscriticalforaccurateassessments,thecustody

assessmentshavenotaccuratelyaccountedforoffenders’institutionalbehavior.

Withoutaccuratedataontheoffender’spriorinstitutionalthecustody

assessmentswillunderestimatetherisksposedbytheoffender.DuringJanuary

-February2016,OPSOimplementedproceduresfortrackinginmate

institutionalmisconduct,butifthedisciplinaryprocessisnotfullyimplemented

bysecuritystaffinaccordancewiththenewdisciplinaryprocesstherewillstill

benothingtotrack.



62


35. Eliminatethebacklogofcasesduefora

custodyreview.

Aug-15 Addressed Yes,compute

allreviews

within72hrs

36. DevelopQCprocessestoensurethe

integrityofboththeclassificationand

disciplinaryprocesses.

Aug-15 Partial Yes.Created

tracking,but

mustfully

implement

disciplinary

process.

IV.A.10.e.

Finding:Partial-Compliance

MeasuresofCompliance.1. Writtendirectivegoverningtrainingofstaffassignedtoclassification.2. Curriculumforcompetency-basedtrainingregardingthecustodyclassificationsystem,housing

assignmentprocess,work/communityassignments,andcasemanagement.Evidenceofknowledgegained.

3. Stafftrainingroster(s)andcompetencytestsfollowingcompletionofcompetency-basedtrainingbycurrentclassification/casemanagementstaff.

4. Stafftrainingroster(s)andcompetencytestsfollowingcompletionofcompetency-basedtrainingbyallneworre-assignedstaffonassignmenttoclassification/casemanagementduties.

5. CurriculumforclassificationmodulewithinthebasicacademytrainingcurriculumforOPSOstaff.Evidenceofknowledgegained.

6. Stafftrainingroster(s)andcompetencytests.Observations:

o ClassificationUnitandsomeoftheTransitionTeammembersreceivedobjective

classificationtrainingaspartofthedesignandtestingoftheclassification

system.MandatorytrainingregardingtheclassificationsystemforOPSO

leadershipandfacilitymanagerwasprovidedMay21-22nd.Additionaltraining

wasprovidedfortheclassificationspecialistsonJune25–26thandNovember3-

4,2015.InJanuary2016,Sgt.Hollidaymetwithhisstafftooutlinenew

classificationproceduresandstaffingplan.

o PowerPointpresentationsdevelopedforbasicclassificationtrainingwere

providedtoSgt.Holliday.



63

o DuringtheJanuary2016onsitevisit,itappearedthatremedial/additional

trainingonhowtoreadandinterpretNCICcriminalhistoryreportsisneeded.

Inaccuratescoresfortheoffender’scriminalhistorywerenotedwhenreviewing

custodyassessmentscompletedbytheclassificationspecialists.

Recommendations: Date Status StillStand?

37. Provideon-goingtrainingand

monitoringtoensurethe

classificationstaffcompletethe

custodyandPREAassessments

correctly.Asystematicrandomaudit

processshouldbeimplementedto

monitorstaffcompetency.

Aug-15 Partial Yes,on-going

trainingprovided.

Needtorandomly

auditcustody

assessmentsfor

accuracy.

38. Provideremedialtrainingonhowto

readandinterpretNCICcriminal

historyreportstotheclassification

specialists.

Jan-16 No

Change

Yes.

IV.A.10.f.

Finding:Non-compliance

MeasuresofCompliance:theOPSOinformationsystemtomonitor:1. Custodydistributionsbygender,raceandspecialpopulations.2. Overriderates.3. Housingbycustodylevel/specialneeds,andrace.4. PREAseparations.5. Custodyre-assessments(regularandfor-cause,#over-due,etal.).6. ElectroniccopiesofthequarterlyandannualreportsshallbeprovidedtotheMonitorwith

documentationofsteps(tasksanddates)takentoaddressanynotedinconsistencieswithOPSOpolicies.

Observations:

o TrackingreportswereincludedtheJMSautomation,buttheclassification

managerneedstoimplementatrackingandQCprocesstoensureintegrityofthe

custodyassessmentandhousingprocesses.



64

o Akeyrecommendationinthereportdocumentingthedesignandvalidationof

theOPSOclassificationsystem(seeIV.A.10.a.)wasthattheOPSOconducta

statisticalreviewoftheclassificationsysteminearly2016.Whilethis

recommendationiscriticalforcompliancewiththeConsentJudgment,untilthe

OPSOhasfullyimplementeditshousingassignmentanddisciplinaryprocesses,

thedatarequiredforastatisticalvalidationarequestionable.


39. Createqueriesforsimple

classification-relatedmanagement

reportswithintheJMS.Thesereports

shouldbereviewedatleastmonthly

tomonitortrends.However,

classificationmanagershouldreview

thereportsonPREAseparationsand

housingbycustodyleveldailyto

ensurethatanydiscrepanciesare

correctedimmediately.Note:the

reportsshouldincludecolumnsfor

notingthedateandtype(s)of

correctiveactionsrequired

addressinganydiscrepanciesor

problematictrends.

Aug-15 No

Change

Reportson

placementerrors

bycustodyand

PREAare

available.No

indicationdata

areused

routinely.

IV.A.10.g.

Finding:Non-compliance

MeasuresofCompliance:1. Annualandbi-annualtrackingreportswithintheOPSOinformationsystemtomonitor

number/ratesduringthelast12monthsandforthestockpopulation:o numberofprisoner-on-prisonerassaults/custodylevelbygender;o numberofassaultsagainstprisonerswithmentalillnessbygender;o numberofprisonerswhoreporthavinggangaffiliationsbygangaffiliation;o mostseriouscurrentoffenseleadingtoincarcerationbygender;



65

o numberofprisonerscurrentlyclassifiedineachsecuritylevel;o numberofprisonersplacedinprotectivecustody;o numberofprisonersinadministrativesegregation;ando numberofmajorandminormisconductcomplaints.

Observations:

Nochange.Accuratedataonthenumber/ratesduringthelastsixmonths

andforthestockpopulationwerenotprovidedtothemonitors:

• numberofprisoner-on-prisonerassaults/custodylevelbygender;

• numberofassaultsagainstprisonerswithmentalillnessbygender;

• numberofprisonerswhoreporthavinggangaffiliationsbygangaffiliation;

• mostseriouscurrentoffenseleadingtoincarcerationbygender;

• numberofprisonerscurrentlyclassifiedineachsecuritylevel;

• numberofprisonersplacedinprotectivecustody;

• numberofprisonersinadministrativesegregation;and

• numberofmajorandminormisconductcomplaints.


40. Createqueriesforsimple

classificationandincident-related

managementreportswithintheJMS

reportmodule.Thesereportsshould

bereviewedatleastmonthlyto

monitortrends.However,

classificationstaffshouldreviewthe

reportsongeneralpopulation,

protectivecustody,medical,mental

health,disciplinary,and

administrativesegregationhousing

bycustodyandPREAdesignation

dailytoensurethatany

discrepanciesarecorrected

immediately.

Aug-15 No

Change

Reportsonthe

numberandtype

ofinstitutional

disciplinary

infractionswere

providedfor

Decemberand

January.



66

IV.A.10.h.

Finding:Partial-complianceMeasuresofcompliance:1. ReporttotheMonitorwithrecommendedchangeandrational/dataregardinganypolicy

changes.

Observations:

o Reviewedwere:

• OPSOdisciplinecode(policies1301.06and1301.07).Reviewedthree

versionsofthedisciplinarypoliciesre:majorandminorinfractions(V2on

Nov16th,V3onDec17th,andV4onJan26th);

• Inmateworkers–(policy#801.32–Sept2nd);and

• Proceduresforscreeninginmatesforout-of-parishplacements(Sept).


41. ImplementtheInmate

ClassificationPolicyand

Procedures(501.14),PREA

Policy,andinmatediscipline

codetoreflectrevisedpolicies.

Aug-15 Partial Clspolicy

completed.

Disciplinary–still

pending.

42. Promptlydevelopacomplete

andviablepolicyfortheuseof

administrativesegregationif

theAdministrativeSegregation

unitistocontinue.

Aug-15 Complete Trainand

Implementasper

policy

43. Revisetheinmatehandbookto

addressquestionsand

concernsnotedbythe

monitors.

Aug-15 Nochange Yes.



67

11.PrisonerGrievanceProcessFinding:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandproceduresgoverninginmategrievances,andgrievanceappeals.

Directiveshallincludebutnotbelimitedtoavailabilityofgrievanceformsinrequiredlanguage,abilityofinmatestosecureformsuponrequestanddepositintosecuredboxes,prohibitionagainstretaliationagainstinmateswhofilegrievances,timedeadlinesonresponses,assistancetoinmatestofilegrievances(includingassistancetoinmateswithmentalillness,lowfunctioning,non-Englishspeaking).

2. Writtenpoliciesandproceduresthatdesignatesaposition/postresponsibleforassuringthecollectionandresponsetogrievances,includingmaintenanceofrecords,trends,andanalysisofgrievancedata.

3. Anelectronictrackingsystem.4. Writtenorientationtoinmatesregardingthegrievanceprocess.5. Inmatehandbook.6. Curriculum/lessonplanstotrainstaff(pre-serviceandin-service)regardingtheirrolesand

responsibilitiesregardingtheinmategrievanceprocess.7. Interviewswithinmates.8. Interviewswithemployees.9. Observationofstafftraining.10. Observationofinmateorientation.11. Writtenpolicies/proceduresgoverningtheinmaterequestprocess.12. Inmaterequestforms.13. Reviewofreferralsforinvestigationresultingfrominmategrievances.14. Reviewoforiginalinmategrievancesandresponses.15. Monitors’’reviewofgrievancelogs,grievances,analysisofgrievancesconductedbyOPSO.

Observations:

Thepolicygoverningthegrievanceprocessisinfinaldraftform.Thispolicyill

revisesthecurrentprocedurestorequirethatthedesignatedgrievancecoordinator

reviewtheresponsespriortosendingitback.Thisreviewisforthepurposeof

assuringthattheresponseanswerstheinmate’sissue,thatitisprofessional,andfor

recordkeeping.

InOPSO’sreportpursuanttoIV.A.11.a.(6),datedJanuary26,2016grievances

arereportedfortheperiodOctober1–December31,2015,totally276(223involving

unprofessionalconduct,12regardinginmate/inmatephysicalcontact;20involving

inmate/inmatenon-physicalaction;and13regardingenvironmentalconditions.The

reportdoesnotanalyzethedata.InasmuchastheleadMonitorreceived93grievances

duringthissamereportperiod,questionthesamenumberofgrievances.



68

Theelectronickioskslocatedinallhousingunitsprovidethemeansforinmates

tofileandappealgrievances.Inmatesarenowbeingorientedontheuseofthekiosk,

includingtheappealfunctions,bythenewlydesignatedgrievancecoordinator(Sgt.

Verret).Whentheelectronickiosksarenotworking,OPSOprovideshardcopiesof

grievanceforms(whichtheleadMonitorhasseenforwardedtoher).

TheleadMonitorreceivesgrievanceswhenaninmateindicatesthatitshouldgo

totheMonitor.TheleadMonitorcorrespondswiththeinmatetolethim/herknow

theirgrievancewasreceived,andtotrytoeitherhelptheinmateorinformtheinmate

itisnotamatterfortheMonitors(e.g.personallegalissues,commissary).These

grievancesareinadditiontocorrespondenceinmatessendtotheleadMonitor.17The

Monitorssupportthisprocessasanadditionalwaytheycanlearnaboutissuesof

concerntoinmates,andwhetherrecurringtopicsareaddressed.

DuringthetechnicalassistancetourDecember15-17,2015,organizational

issueswereidentifiedwiththeprocessofgrievancesaswellashowtheinformationis

usedtoflagissuesandimproveoperations.Thegrievancenumberswerebeing

reportedtotheSheriff’sleadershipteammeetings,butwithoutanyanalysisofissues,

identificationoftrends,orreviewoffinaloutcomesofthegrievance(e.g.foundforthe

inmate).Additionally,theMonitorslearnedthattheChiefofCorrectionswasnotbeing

providedwithinformationaboutcriticalgrievances/allegations.Whilegrievances

allegingstaffmisconductwerebeingforwardedtotheInvestigativeServicesBureau,

thefunctionofgrievancesasanearlyproblemidentificationsystemwasnotreached.

Additionally,thegrievancefunctionwasbeingmanagedbyasupportservicesfunction

oftheSheriff’soffice.

RecommendationsmadetoOPSOfollowingthistechnicalassistancetourwhich,

haveforthemostpartbeenaddressedbyOPSOincluded:

• Improveprocesstodesignatemattersasraisedbyinmatesasgrievableor

not,anddocument;

17SincetheAugust2015compliancetour,theleadMonitorhashad185grievancesdirectedtoher,andreceivedanother44letters.Ofthe185grievancesthetopicsincluded,inorderoftopicprevalence:medicalandmentalhealthcare,conditionsofconfinement/housingunitoperations,food,staffmisconduct,andpersonallegalissues.These185grievanceswerefrom89differentinmates(includingoneinmatewhoforwarded30separategrievances).



69

• CoordinatewithISBsoasnotsendgrievancesfor“investigation”thatcanbe

handledbyjailstaff;

• Assurethereisareviewofresponsespriortoforwardingtotheinmate;

• Periodicallyauditresponses(pertheConsentJudgment);

• Maintaindataregardingtopicalareastoinformoperationsandtracktrends;

• Conductorientationsessionsininmatehousingunits;

• Assuretheinmatehandbookisup-to-dateregardingtheappealprocess;

• Trackappealsandoutcomes;

• Reconsidertheorganizationalplacementofthegrievanceprocess;

• Analyzethedata;

• Reviewstaffofthegrievancefunctiontodetermineifadequateornot;

• Collaboratewithfoodserviceandmedicalcontractorstoassurethat

necessaryresponsesareprovidedintherequiredtimeframe;and

• Evaluatethecurrentelectronicsystemtodeterminehowbesttoestablisha

systemtoforwardinmatemedicalrequestsdirectlytomedical(separate

fromgrievances),toprovideaninmate“request”process(removingitfrom

grievance),andtoallowinmatestoselectthegrievancetopicasawayto

bettermanagetheinformation.

Asnotedabove,OPSOhasaddressedmanyoftheseissues,includingmoving

thegrievancefunctiontotheChiefofCorrections,andfinalizingthepolicytoinclude

therelevantsections.Thegrievancecoordinatorhasconductedtrainingsinhousing

units,withsomesessionsremainingtobeheld.

Atthistime,OPSOisworkingtodevelopareportingsystem,trendanalysis

andcoordinationasnotedabove.Therefore,therearenoreportsatthistimethat

provideanymorethanbaselinedataregardinggrievancetrends.Thisauditofthe

processrevealedlargenumberofgrievancesinonecategory,forexample2,600

labeled“WardenFacilityIssues”;andsomecategorieswithjust1grievance(inmate

workers.Thisdataneedstobestructuredsoitusefultothejail’sleadership,not

fortheinformationoftheMonitors.

Recommendations:



70

44. Completethedirective,developlessonplans,andtrainstaff,contractorsand

inmates.

45. ProvidefinaldraftsofreportingformatsandcontentstotheMonitors.

Refinetherecordkeepinganddataanalysisensuringthatthemostprevalent

grievancestopicsaredocumented,includingtrends.

46. ContinuetoevaluateelectronicoptionstogiveOPSOthesupportneededto

separateinmaterequestsfrominmategrievances,andpromptlyforward

medicalrequestsecurely.

47. ConsiderusingtheEarlyWarningSystemtotrackstaffwhosenameappear

ingrievanceswhomayneedsupplementaltraining.

48. Continueperiodicmeetingsbetweensecurityandmedicaltodiscusstrends,

data.AssurethatthenumbersregardinggrievancesmaintainedbyOPSO

areconsistentwiththosemaintainedbyCCS.

49. AssurethegrievanceprocessprovidesnecessaryassistancetoLEPinmates

orthosewhoneedhelpduetomentalillnessordisabilities,orwhenan

inmaterequestsassistance.

12.SexualAbuse

Finding:PartialCompliance

MeasuresofCompliance:1. Checklistofpoliciesandprocedures

http://www.prearesourcecenter.org/sites/default/files/library/checklistofdocumentationfinal2.pdf

2. AuditorComplianceToolhttp://www.prearesourcecenter.org/sites/default/files/library/auditorcompliancetoolfinal2.pdf

3. CompletionofJailToolkithttp://static.nicic.gov/Library/026880.pdf4. Writtenpoliciesandprocedures,protocols,memorandumofagreement/understanding,

trainingcurriculumrequiredbythestandards.5. Memorandumofagreement,sexualassaulttreatmentcenter6. Reviewofinvestigations.7. Interviewswithemployeesandinmates.8. Referralsforprosecution9. Qualificationsofinstructors.

Observations:

OPSOisschedulinga‘mock’auditforPREAcomplianceinApril2016,withplans

torequesttheauditintheFallof2016.Policiesandproceduresremaintobe



71

completed,alongwithadditionalstafftraining,andcoordinationwiththemedical

andmentalhealthprovider.

OPSOhasproducedaninmatevideoregardingsexualsafetyanditplaysin

booking(beginning1/25/16)andthreetimesadayinhousingunits(alongwiththe

orientationandhousingunitvideos).ThePREAvideoiswellproducedand

providesadequateinformationforinmates.ASpanishlanguageversionisalso

available.

OPSOhasacontractwithViaLinktoserveasthePREAhotline,toll-freecalls.

Thiscontactnumberispostedinallhousingunits,alongwithapostedaboutsexual

abuse.OPSOprovidedevidenceofcallsreceivedbyViaLink,aswellasthefollow-

upbythePREACoordinator,Sgt.HazelBowser.Forexample,ViaLinkreportedfor

thefirstsixweeksof2016thatatotalof9callswerereceived(ascomparedto8

reportedforCY2015),someofwhichincludedallegationsregardingsexualsafety,

andothersregardingotherissuessuchastheinmate’smedicalneeds.18As

indicatedintheIntroductiontothisComplianceReport,therewereasignificant

numberofincidentsthatwerenotreportedtoOPSOand/orbyOPSOtothe

Monitors.Reviewingthelistofunreported,therearealmostnosuchreportsrelated

tosexualsafety.Itishardtodrawaconclusionfromthatasmaleinmatesareoften

reluctanttoreport.Thisisanotherexampleofhowimprovedstaffandsupervision

willperhapsyieldmorereportsand/orconfirmthatthefacilityissafer.

DataprovidedbythePREACoordinatorforfirstthreequartersofCY2015

indicatestherewereatotalof30reportedincidentsthatfallwithinthedefinitions

ofPREA,ofthose14weredeterminedafterinvestigationtobeunfounded,13

unsubstantiated,and3substantiated.

Thelackofstaffingisimpactingthesafety,includingthesexualsafetyofinmates.

SowhileprogresshasbeenmadeworkingtowardPREAcompliance,asstaffingisa

18DefinitionscontainedinthePREAstandards:Unfounded-Anallegationthatwasinvestigatedanddeterminednottohaveoccurred;Unsubstantiated-Anallegationthatwasinvestigatedandtheinvestigationproducedinsufficientevidencetomakeafinaldeterminationastowhetherornottheeventoccurred.PREAStandards,28CFR,Part115.6.



72

partoftherequirements,untilthereisadequate,trainedstaff,thefullintended

impactofPREAwillnotberealized.

Recommendations:

50. CompleteboththerelevantOPSOpolicyonPREA,CCS,andtheISBstandard

operatingprocedureforhandlinginmateallegationsofsexualassault,

harassment,andvoyeurism.Continueemployee,volunteer,andcontractor

trainingandre-training.

47. ContinuetodocumentinmatereportingbyViaLink.

48. AssureanyandallnewcontractsforservicesatOPSOrequirevendor

compliancewithapplicablePREAstandards.

13.AccesstoInformation

Findings: Partialcompliance

MeasuresofCompliance:1. Writtenpolicy/proceduregoverninginmateorientation,includingbutnotlimitedtoinmates

withLEP,developmentaldisabilities,mentalillness,etc.2. Inmatehandbook;orientationvideosinEnglish,Spanish,Vietnamese.3. Observationofinmateorientation.4. Inmateinterviews.5. Lessonplans,employeetraining,evidenceofknowledgegained.6. Reviewofgrievances.7. Postorders.

Observations:

OPSOhasproducedtwoinmatevideos–onefororientationandoneforhousing

unitoperations(andoneforPREA).TheInmateHandbookprovidedfortheMonitors

reviewremainsindraft(4/29/15).

Whileisrepresentsprogress(intermsofthevideos),untilallpoliciesand

proceduresarecompleted(whicharethebasesfortheInmateHandbook)andstaffare

trained,theprocessofmanaginginmatehousingunitsisuneven,andwithlackof

staffing,veryproblematic.Throughgrievancesandcorrespondencereceivedbythe

Monitors,itiscleartotheinmateshow,dependingonthedeputyassignedtothe

housingunit,dictateshowtheunitismanaged(ornotmanaged).Consistency,fairness,

andcommunicationarecriticaltosuccessfullyoperatingadirectsupervisionjail.Until



73

thatisreachedwithhiring,adequatetraining,supervision,andoversightofoperations,

what’sinthevideosorhandbookswon’tmeanmuch.

Recommendations:

53. CompleteOPSOpoliciesandprocedures,edittheInmateHandbook,produce.

Assurethatthereisconsistencyofhousingunitoperationthrough

requirementofstaff/inmatemeetings,andestablishmentofmeasureable

waystoassurehousingunitsareeffectivelymanaged(e.g.cleaning

standards,grievances,noise,conditionofindividualcells,laundry,etc.).

54. Assurethatthematerialsareatagradeappropriatelevel.Assureprocedures

fororientationofinmateswhoareilliterate,LEP,lowfunctioningand/or

havementalillness.



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II.B.MentalHealthCare

ExecutiveSummary

ThisreportofthementalhealthMonitorprovidesthefindingsregardingmental

healthservicesandriskmanagementandqualitymanagementbasedonthe2/16–

2/18/16sitevisittotheOPSOnewlyopenedOrleansJusticeCenter(OJC)facilityandtour

oftheOPSOmentalhealthunitatHuntCorrectionalFacility(Hunt).Duringmostofthesite

visitthemedicalMonitorandmentalhealthMonitormetwithCCSadministrative,mental

health,medical,andnursingstaffaswellastouringtheOJCmentalhealthandmedical

units.AstheMonitorsstatedduringandafteroursitevisitinAugust2015,theOJCisnot

equippedtoprovideadequatementalhealthormedicalservicesaswellasmorespecific

counselingservicesregardingtheyouth,victimsofsexualabuse,andotherspecific

populations.Thementalhealthandmedicalmonitorsprovidedanexitbriefingon

2/18/16andthementalhealthmonitorparticipatedinthepost-visitexitbriefingvia

telephoneon2/19/16.

Duringthecourseofthesitevisit,thementalhealthmonitorworkedcloselywith

themedicalmonitoronprovidingtechnicalassistancetoCCSintheareaofdevelopmentof

performancemeasuresoftheirserviceprovisionsdirectlyrelatedtotheConsentJudgment.

ThementalhealthmonitorandmedicalmonitormetwiththeDirectorofNursing,

incomingHealthServicesAdministrator,andChiefofQualityManagement,anddiscussed

theperformancemeasuresandtouredwiththecurrentHealthServicesAdministrator

(HSA).Further,theChiefPsychiatristforCCS,interimMedicalDirectorandRegional

MedicalDirectorforCCS,DeputyMedicalDirector,andtheRegionalAdministratorwerein

attendanceduringthesitevisitandprovidedinputandassistanceworkingthroughsome

oftheperformancemeasuresfromthetoolkitviachartreviewsanddiscussions.

TheissuesregardingthelackofconsistentonsiteleadershipandturnoveratCCSare

atthehighestpriorityofconcernwithregardtoprovisionofmentalhealthandmedical

services.ThecurrentHSAisscheduledtoleaveherdutiesasof2/19/16andthenewHSA

wasintheprocessofassumingherduties.ThereisnoDirectorofBehavioralHealthand



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thecurrentBehavioralHealthCoordinatorisalsoprovidingtheseparatedutiesofDirector

ofBehavioralHealth.TheDirectorofBehavioralHealthpositionshouldbestbemanaged

byadoctorallevelappointee,whichcouldbeadoctoralclinicalpsychologistor

psychiatrist.TheabsenceofleadershipinthispositioniscriticalanddespiteeffortsbyCCS

corporatetosupplementservicesandattentionbyonsitestaff,theeffortsaresimply

inadequateforappropriateadministration,andtheshapinganddevelopmentofan

adequateandcomprehensivementalhealthservicesprogram.Suchadministrationand

developmentrequiresonsitepresencefivedaysperweekatminimumandparticipationby

theDirectorofBehavioralHealthandBehavioralHealthCoordinator,aswellasregional

andcentralsupportfromCCS.

TheHuntFacilityis,asexpected,anecessaryandvitalcomponentofthebehavioral

healthservicesdeliverysystemandfunctionsastheacute/sub-acutemalementalhealth

unit.ThemedicalMonitorandmentalhealthMonitorobtainedinformationthatthe

detaineesatHunthaveremainedtherefromafewdaystoseveralmonthstooveroneyear

(asmallpercentageofthedetainees,with50of153inmatesadmittedtoHuntsinceit

openedremainedfourmonthsorlonger.TheconcernsarenotonlythattheHuntprogram

mustprovidetherequiredacuteandsub-acuteservices,butalsothatacuteandsub-acute

inmatesremaininthenewOJC.The2A“MentalHealth”unitisnodifferentthantheother

unitsinOJCandthereforecannotprovidethenecessaryacuteandsub-acuteservicesother

thanmedicationmanagementandsuicidewatch/directobservationincellsthatarenot

suicideresistant.Thereareverylimitedpsychotherapeuticactivitiesonthe2Aunit

becauseofspacelimitations(adayroom,onemultipurposeroomadjacenttotheunit,and

onecentralmultipurposeroomperfloorexceptforthethirdfloor)fortheprovisionof

mentalhealthservices.Theabsenceofleadershipinprovisionofbehavioralhealth

servicesisabarriertocareandsufficienttherapeuticprogramming.Thecriticallackof

adequatenumbersofdeputiestoprovideescortservicesandobservationofstaffshould

therebeattemptsbythementalhealthstafftoprovideservicesinthedesignatedspaces

furtherpreventsadequatepsychotherapeuticinterventionsincludingstructured



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therapeuticgrouptherapies,andnecessaryout-of-celltimeforassessmentandmonitoring

ofinmatebehaviorandadjustmenttoachieveplacementingeneralpopulation.

Duringthecourseofthistour,therewerenineinmatesinsuicidesmocksonthe

Unit2Aandanotherthreewhowereincourtthatday,foratotalof12individualsonone

formoranotherofsuicidewatchordirectobservation.Inaddition,twodetaineesonthe

firstdayofthesitevisitandfourinmatesonthe3rddayofthesitevisitwerehousedon

Unit2B(asegregationunit)insuicidesmocksonsuicidewatchordirectobservation.In

ComplianceReport#4manyoftheseissueswereclearlydelineatedandanticipatedtobe

problematicandunsafebecauseofthelackofadequateandappropriatededicatedunitsat

OJCforacute/sub-acutementalhealthcare,step-down/residentialmentalhealthcare,and

dedicatedoruseablespaceforoutpatientmentalhealthcareincludinggrouptherapies,

groupyouthcounseling,andpossiblecounselingforvictimsofsexualabuse,and

counselingforsubstanceabuse.

OnFebruary17,2016thementalhealthMonitortouredtheHuntAcute/sub-acute

mentalhealthunit,whichhasacapacityof39beds.TheTemplemanVA4unitwasclosed

downinSeptember2015andtheTemporaryDetentionCenter(TDC)unitsformalestep

downandwomen’sacute,sub-acute,andstep-downmentalhealthserviceswasclosed

downinFebruary2016.ThoseinmatesrelocatedtounitsinOJC.Ratherthandormitories,

theseunitsconsistofindividualcellsthatmayhouseoneortwoindividualdetainees,and

currentlythereisnodormitory-likesettingformentalhealth.Thecurrentrealignmentin

theOJCdoesnotallowforanypsychotherapeuticout-of-cellactivitiesformenorwomen

otherthanthedayroomandfouroff-unitmultipurposerooms.Thesespacesare

inadequateforprovisionofnecessarymentalhealthservicesandduringthetouritisclear

thattheinmatesareconfusedastowhytheyhadbeenmovedfromadormitorysetting

wheretheywereinteractingmuchmoreintensivelyduringstructuredtherapeutic

activitiessuchasgrouptherapiesandduringunstructuredout-of-celltimethanthey

currentlyareabletoengageinbecauseofin-cellhousingandverylimitedout-of-celltime.



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Theincidentsofinmateviolenceandsuicidalandself-harmingideation,behaviors

andattemptshavenotdecreasedsincethemovetoOJC,inpartbecauseofthecontinued

lackofadequatenumbersandtrainingofdeputiesandlackofadequatementalhealth

services.

ThementalhealthandmedicalMonitorsprovidedtechnicalassistancetotheCourt,

City,andSheriffviameetingsandtheMentalHealthWorkingGroup(MHWG)

commissionedbyJudgeAfrick.TheMHWGprovideditsreportinSeptember2014astothe

needformentalhealthservicesandcontinuityandcontinuumofcare,whichincluded

acute/sub-acute,stepdown/residential,andoutpatientservices.Thepartiesdecidednot

toaccepttherecommendationsoftheMHWGanddespiteeffortstoprovideenforcementof

therecommendations,atthetimeofthisreportthematterofhowandwherethemental

healthaswellasmedicalandotherspecificunitswithdesignatedpurposeswouldbe

implementedhasnotyetbeenresolved.WhileitisclearthatthemoveofOPPfacilities

fromthevariousjailstoOJCisalongrangeproject,theimplementationofthemovesin

September2015andFebruary2016hasbeenveryproblematicandresultsarenot

sufficientformeetingtherequirementsoftheConsentJudgment.

SincethelastsitevisitinAugust2015,thementalhealthMonitorhasprovided

additionaltechnicalassistancebyphoneandemailsregardingthedevelopmentofmental

healthservicesasrequiredwithintheConsentJudgment.Morespecifically,conversations

witharchitectJerryHerbertincludeddiscussionsofthearchitecturallayoutandplansfor

TDCconversiontoamentalhealthstepdownunitforinmatesreturningfromHunt.That

planisnolongerbeingconsideredasalloftheTDCinmateshavemovedintotheOJC

building.ThementalhealthMonitoralsoprovidedtechnicalassistancetotheSpecialCare

PopulationsWorkingGroup(SCPWG),chairedbyCouncilmemberSusanGuidry,regarding

theCity’splanforrenovationofthePhaseIIOJCbuildingandadvisedthattheMaw’s

recommendationtobuildPhaseIIIremainedthebestoptionforcomprehensivemental

healthservices.



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TheOPSOcannotprovidecomprehensivementalhealthservicesasrequired

becausetheOJCbuildingdoesnothaveadequatespace,custodialsupport,or

programmaticservicesforacute/sub-acuteorstepdown/residentialservices.Thereis

effectivelynocomprehensivementalhealthprogramattheOPSO.Clinicalandcustody

staffappeartobeworkingtotheirmaximumpotentialsfortheprovisionofservices,

howevertherearebothacuteandsub-acuteservicescontinuingatHuntwiththeircapacity

of39bedsandatOJCwithinmatesremainingonsuicidewatchand/ordirectobservation

rangingfromafewandhopefullynomorethanwhatwasobservedonthissitevisitof14

inmatesononedayinnon-suicideresistantcellsorappropriateobservation.

ThementalhealthMonitoradvisedtheCCSandOPSOstaffthatgiventhecurrent

restrictionsandconstraintsitisbetterthattheytreatthesuicidewatchesanddirect

observationsoccurringinOJCas“crisisintervention”onlyforverylimitedtimeframes.

Becausethecellsarenotsuicideresistantandhavemultiple“tieoff”pointswhereinmates

mayattachligatures,theinmatesrequirevigorousandconsistentobservationand

supervisionbyclinicalstaff(CNAsandlicensednursingstaff),andcustodial/operations

staff(deputiesandrank).Thecostfornecessarysupervision,oversight,monitoring,and

clinicalserviceswillbewhateverisnecessaryfortheconstitutionallyadequateprovisionof

mentalhealthcareatthispointintimeandgoingforward.Thetypical“crisisintervention”

unitsarelimitedtomaximum10-daylengthsofstayforinmateswhoareundergoing

furtherevaluationtodeterminewhetherornottheyshouldbemovedtotheHunt

acute/sub-acuteunitprovidedthereisavailablespace,asHunthashadwaitinglists.

Thedesignationofunit2Aasa“mentalhealth”unitisabsolutelyunacceptableas

theunitdoesnothavethespace,configurationormilieuthatisnecessaryandrequiredfor

anacute/sub-acuteorstepdown/residentialmentalhealthunit.Thementalhealth

Monitor,onceagain,recommendsasanemergencycircumstancethattheCityandthe

Sheriff’sofficedecidehowmentalhealthandmedicalservicesaregoingtobeprovidedto

inmatesintheircustodyandthatalldeliberatespeedbeexercisedinmovingforwardto

remedytheunacceptableandinadequatementalhealthprogramandservices.



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ThementalhealthMonitorprovidedtechnicalassistancetoCCStofurtherthe

developmentoftheirpoliciesandproceduresparticularlywithregardtomentalhealth

careandspecificallyintheareasofsuicidepreventionandmanagement,includingthe

utilizationofaneffective,comprehensivesuicideriskassessmenttool,theassessment

processandtreatmentplanningformentalhealthpurposes,andprogrammaticservices

thatmustbecoordinatedwithcustody/operationstoprovidethemosteffectivedeliveryof

mentalhealthservices.TheimplementationofthetoolkitdesignedbythemedicalMonitor

withregardtomentalhealthserviceswillprovidethebeginningsofmeasurementsof

performanceandnecessarydeterminationsofmechanismsforperformanceimprovement,

adequateservices,andcompliancewiththeConsentJudgment.

Recommendations:

55. ThemovementofinmatesfromOPSOfacilitiesdidproceedinSeptember

2015andwascompletedwiththetransferofTDCinmateswhowere

receivingmalestep-downmentalhealthservicesandfemaleacute/sub-acute

andstepdownmentalhealthservicesinTDCduringFebruary2016.While

thepurposeofthismovementwastotransferinmatesoutofOPSOfacilities,it

hasnotgonesmoothlywithregardtomentalhealthservicesinthatthe

collaborationbetweenmentalhealthandcustodyfortheprovisionof

adequatesuicidepreventionandmanagement,structuredtherapeutic

activitiesandunstructuredout-of-celltimetopromoteappropriatebehavior

byinmateswithotherinmatesandstaff,andcounselingservicesis

inadequateandunacceptable.-Theimmediateneedforresolutionofhowand

wheretheseservices,bothmentalhealthandmedical,areprovidedto

inmatescurrentlyandinthefuturecannotbeoverstated.

56. CCSmustproceedwithalldeliberatespeedandeffortsatfillingtheirstaffing

allocationsparticularlywithregardtoleadershippositionsinbothmental

health(DirectorofBehavioralHealth)andmedical(MedicalDirector),aswell

asvacantstaffpositions.Whiletherehavebeensubstantialandreallygood



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additionstothelocalmanagementteamforCCSonwhichwehave

commentedinourbriefingsandinthisreport,theneedforprogrammatic

directiononsiteforcomprehensiveandconstitutionallyadequatemental

healthandmedicalhealthprogramsinadditiontootherservicesrequiredby

theConsentJudgmentisessential.

57. Therehasbeensomeprogressinthedevelopmentofpoliciesandprocedures,

howeverthereremainsomefinalizationsofpoliciesandproceduresthatmust

bedoneespeciallywithregardtothesuicidepreventionandmanagement,

treatmentplanning,referraltimeframesforcompletionofreferrals,mental

healthstaffparticipationinthedisciplinaryprocess,andneedsassessments

anddocumentationofthenumberofinmateswhorequirementalhealthand

counselingservices.OPSOhasnotachievedcompliancewiththeConsent

Judgment,andtodosorequirescollaborationandcoordinationbetween

mentalhealth,medical,andcustody/operationsstafftoprovide

comprehensiveassessmentandtreatmentservicesandsufficientand

adequatemanagementplansforinmatesinneedofcoordinatedservices.

58. Thepracticeofplacinginmateswhoareonsuicidewatchorconstant

observationstatusasdeterminedbyCCSbutremainhousedatOJCfor

extendedperiodsoftimewhileundergoingfurtherevaluationtodetermine

whethertheyareappropriatefortransfertotheHuntacute/sub-acute

servicesiscontinuingatunacceptablelevels.Thisincludesinmateson

constantobservationorsuicidewatch,housedincellsthatarenotsuicide

resistantfor23hours/day,andminimaltonopsychotherapeutic

interventionsotherthanmedicationsandobservation.Theservicesprovided

atOJCarenotadequateforacute/sub-acuteorstepdown/residential

services.Tolabeltheseunitsorservicesas“mentalhealth”issimplythat,“a

label”,butcertainlynotaccurateoradequateinthattheservicesrequiredto

meetthenecessarymentalhealthneedsofinmatesarenotbeingprovided.



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59. CCStoadequatelyandaccuratelyreflectthenumberofindividualsforwhom

theyareprovidingmentalhealthservices.Basedonthedocumentsprovided

priortothesitevisitanddiscussionswithstaff,itisveryclearthatthe

numberofinmatesreceivingorinneedofmentalhealthservicesaswellas

counselingservicesbymentalhealthstaffhasbeenunderestimated.Further,

CCSthroughourdiscussionsisclearlyadvisedandhasagreedthattheywill

revisetheirtreatmentplanningprocessandinsteadofhavingtwotreatment

plans,onedevelopedbythementalhealthprofessional(MHP)andaseparate

treatmentplandevelopedbythepsychiatristorpsychiatricnurse

practitioner,treatmentplanswillbedevelopedinacomprehensive

multidisciplinaryteamformatbasedonthelevelofneedoftheindividual

inmates.Further,thementalhealthtreatmentteamsatHuntandOJC

currentlymeetonlyonceperweek,whichisinadequatetoaddresstheneeds

oftheOJCpopulationwithmentalhealthneeds.Comprehensive,

multidisciplinarytreatmentteammeetingsataminimumoftwiceperweekat

eachfacilitywillprovideformore

appropriateandcoordinatedtreatmentwithinthementalhealthstaffbutalso

byextensiontomedicalandcustody/operationsstaffforcoordinated

services.

ThementalhealthMonitor’sfindingswithregardtospecificitemsintheConsentJudgment

areasfollows:

IV.B.1a-e:

Finding:PartialComplianceMeasuresofCompliance:

1. TechnicalassistancetoCCSmentalhealthandadministrativestaffregardingpoliciesandprocedures2. Documentreviewofmentalhealthpoliciesandprocedures3. ReviewofalimitednumberofmedicalrecordsandinterviewsofprisonersandstaffatHunt

CorrectionalFacilityandOJC4. DiscussionswithCCSandOPSOadministrativeandlinestaff5. ReviewoftoolkitasdesignedbymedicalMonitorwithCCSstaff6. TourofOJCfacilityincludingallunitsdesignatedashavinga“mentalhealth”designation.



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Observations:

CCShasprovidedthegreatmajorityofpoliciesandprocedureswithregardto

mentalhealth,howevertheyhaveonlyrecentlyfinalizedthesuicideriskassessment

toolandhavenotyetmeasureditseffectiveness.Thescreeninginstrumentisadequate,

howevertimeframesfortheprovisionoffollow-upforpsychiatricassessmentand

servicesisnotadequatelyaddressedordefined.Thepoliciesandproceduresfor

assessmentofinmatesinvolvedinthedisciplinaryprocesshasnotbeencompleted.

InmatesatOJCcontinuetobehousedonunitsthatarenotadequatementalhealthunits

anddonothavesuicideresistantcells,anddonothavethespaceorcustodialstaffing

supportnecessarytoprovideadequatepsychotherapeuticprogrammingforeitherthe

acute/sub-acutedesignationorstepdown/residentialdesignation.Thiscondition

appliestomaleandfemaleinmates,andthefemaleinmatesdonothaveaccesstoHunt

CorrectionalFacility.TheHuntCorrectionalFacilityacute/sub-acutementalhealthunit

appearstobefunctioningwell,however,thelengthsofstayareexcessiveforinmates

whohaveachievedthehighestleveloffunctioningatLevel3anddonothaveaccessto

anadequatestep-downunitatOJC.

Theoverallmentalhealthcaseloadnumbers(approximately26%oftheinmate

population)remainunderestimatedinthatCCSisprovidingtreatmentservicesto

inmatesthattheydonotreportasbeingontheircaseloadandthedesignationof

“specialneeds”includesyouthoffendersaswellasthoseonthementalhealthcaseload.

Recommendations:

60. OPSOandCCStofinalizethepoliciesasrequiredbytheConsentJudgment

includingthesuicideriskassessmenttool,participationofmentalhealthstaff

inthedisciplinaryprocess,counselingservicestospecificoridentified

groups,andperformancemeasurestoreflectperformance.

61. CCSshouldcontinuetheprocessofidentificationofthementalheath

caseloadandtheirlevelsofcareneeds,andaggressivelyimprovedthe



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staffingnecessarytoprovideservicesincludingonsiteleadershipstaffas

wellasstaffpositionstoprovidedirectservices.

IV.B.1.f

Finding:Non-complianceMeasuresofCompliance:

1. Documentreview,includingincidentreportsandsuicidewatchchecklists2. ObservationofsuicidewatchesatHuntandOJC

Observations:

InmateswhoarehousedatHuntforsuicideassessmentandmanagementas

wellasthoseforpsychiatricobservationappeartobereceivingtheappropriate

services.However,inmateshousedatOJCforsuicideassessmentandmanagement

andpsychiatricobservationandthosespecificallyfor“directobservation”and

“suicidewatch”continuetohavecertifiednursingassistants(CNAs)aswellas

licensednursesprovidingobservationthatisnotdirectorconsistent.Thisis

continuingtobeanongoingproblemandithasdeterioratedwiththeopeningofOJC

inthatinmatesinthesecategoriesarehousedonmultipleunitsincellsthatarenot

suicideresistantinthepresenceofinmateswhoarenotonthementalhealth

caseload,andtheplanningfortwosuicideresistantcellsatOJCisinadequateand

theirlocationistobeinthesegregationunit.Theseissueshavebeendiscussed

throughoutthecourseofthemonitoringprocess.Thenumberofsuicideattempts

orinmatereportedsuicidalorself-harmideationand/orintenthasnotdecreased

butratherhasincreasedsincetheopeningofOJCandthemanagementofthese

inmateshasnotresultedintheirconsistenttransfertoHuntbutrathertheir

housingonmultipleunitsinOJC.ThewomenatOJCcontinuetobehousedina

standardnon-mentalhealthunitdespitetheirdesignationashavingacute/sub-

acuteneedsand/orstepdown/residentialmentalhealthneeds.

IV.B.1.g.-k.




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1. Documentreviewofpoliciesandproceduresandmedicalrecordsreview2. InterviewsofprisonersandstaffonOJCandHuntCorrectionalFacility3. Reviewofqualitymanagementdata

Observations:

Aspreviouslyreportedtheidentificationofinmateswhoshouldbeonthe

mentalhealthcaseloadandtimelytransferofinmatestoHuntfortreatmentofacute

andsub-acutementalhealthneedsand/orinmatesreporting/demonstrating

increasedriskforsuicideorself-harmremainsproblematic.Thesuiciderisk

assessmenttoolhasbeenrecentlyimplementedandhasnotyetbeenreviewedfor

itsadequacy.Further,inmateswhoremainatOJCwhoareinneedofacute/sub-

acutementalhealthservicesincludemaleandfemaleinmateswhoareplaced

(housed)onvariousunitsinnon-suicideresistantcells.Thequalitymanagement

reviewofthesepracticesisnotfullyimplementedanddespiteattemptstoimprove

theprocesswiththedevelopmentandreviewofthetoolkitrecommendedbythe

medicalandmentalhealthMonitors,theprocesshasnotyetbeenimplemented.

TheimprovementinmentalhealthservicesdeliveredattheHunt

CorrectionalFacilityisnotablehowevertheservicesatOJCarenegativelyimpacted

bytheinadequatestaffingandlackofonsitementalhealthleadershipwhichaffects

notonlythedevelopmentofacomprehensiveandmultidisciplinarymentalhealth

servicesdeliverysystembutalsothelimitedtreatmentteammeetingsatbothHunt

andOJC.ThecustodystaffingandotherlimitationsatOJCisimpactingthedelivery

ofmentalhealthservicesbytherebeingdelaysinreceiptofmentalhealthservices

andmedicalservicesincludingriskassessmentsandtreatment,referrals,

medicationmanagement,andfollow-upassessmentsbymentalhealthstaffbasedon

referrals.

Recommendations:

62. ExecutethecontractbytheCitywithCCS.

63. CCStoaggressivelyrecruitandfillthevacantpositionsatHuntandOJC.



85

64. Increasethefrequencyoftreatmentteammeetingsandreviewsoftreatment

plansatHuntandOJC.

65. DocumentationofreferralsandriskprofilesbyCCSandsecurity.

66. Completionofpoliciesandproceduresincludingperformancemeasures.

67. ContinuedmonthlymeetingsoftheMentalHealthReviewCommittee,and

appropriatedocumentationofidentifiedperformancemeasures,problems

andissueswithregardtomentalhealthservicesandfollow-uponcorrective

actions.

IV.B.1.l.

Finding:Non-Compliance

MeasureofCompliance:1. TheassessmentwastobecompletedbyOctober2015

Observations:

Theprocessforscreeningprisonershasbeenimplemented,howeverthereis

noreviewoftheeffectivenessofthescreeningonanannualbasisor

recommendationsforchangeinthescreeningprocess.

IV.B.2.a

Finding:PartialcomplianceMeasuresofCompliance:

1. Reviewofpoliciesandprocedures,currentstaffing,andstaffingprojections,andqualitymanagementdataandanalysis

2. TourofHuntandOJCfacilities

Observations:

CCShasprovidedpoliciesandprocedureshoweverthesuicideprevention

policyandsuicideassessmenttoolrequirefurtherdevelopmentand

implementation.Thecurrentstaffingandstaffingprojectionsarenotableforstaff

vacanciesattheleadershipanddirectserviceproviderlevels,thestaffing

projectionsdonotincludethenecessaryprovisionsforincreasedtreatment

planningservicesincludingtreatmentteammeetingsandthecontinuumofservices



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fromacute/sub-acute,stepdown/residential,andoutpatientservicesforinmates

onthementalhealthcaseloadaswellasotherspecificpopulationswhorequire

counselingservicesbymentalhealth.ThevacancyoftheDirectorofBehavioral

HealthpositionandcoveragebytheCoordinatorofBehavioralHealtharetwo

positionsthatmustberemediedbecauseeachpositionisessentialforanadequate

continuumofcare.Thecontinuumofservicesisinadequate.

IV.B.2.b.–d.Treatmentservicesandevaluations


1. ReviewofthetreatmentservicesatHuntandOJC2. ReviewofevaluationsincludingsuicideriskassessmentsatHuntandOJC,andavailabilityof

treatment3. Reviewofperformancemeasuresdevelopedwithtechnicalassistancebythemedicaland

mentalhealthMonitors4. Reviewofincidentreports

Observations:

TheinformationprovidedbyCCSareglobalnumbersforgroup,individual

therapyandcounselingservices,howeverthedatadoesnotdemonstratethatthe

numbersfortheseservicesaresufficientforthepopulationsinneed.Thenumberof

inmateslistedonthementalhealthcaseloadis468orapproximately26%oftheoverall

OPSOcensus.However,basedonreviewofthedocumentsanddiscussionwithCCSand

OPSstaffthesenumbersareunderestimationsandrequirefurtherrevisiontoclarify

thoseinmateswhoareonthementalhealthcaseloadaswellasthosewhoare“special

needs”andequivalentinothersystemsasseriousmentalillness(SMI).Thecounseling

servicesthatarenecessaryfordistinctpopulationsaspertheConsentJudgmenthave

notbeenquantifiedspecificallyandinthoseinstanceswherecounselingservicesare

providedthereisnoestimateoridentificationoftheactualnumberofinmateswho

requiresuchservices.Therefore,althoughthereisareportedincreaseincounseling

services,distinctpopulationsincludingvictimsofsexualabuseandsubstanceabusers

aswellasyouthfuloffendersarenotadequatelyidentifiedwithregardtothosewhoare

inneedsuchcounselingservicescomparedtothosewhoreceivethem.Thenumbers



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reportedareanimportantstepintherightdirectiontoprovidingsuchservicesandare

basedcurrentlyonthesickcallprocessandindividualswhohaveidentifiedthemselves

atthereceptionandintakeservicesprovidedbyOJC.However,necessaryservices

mustbeprovidedforthoseindividualswhoarenotonlyself-identifiedoridentified

duringtheintakeprocessbutmustincludethoseindividualswhoarereferredby

custodyandclinicalstaffformentalhealthevaluation,assessment,andcounseling

servicesasnecessary.

ThestaffingdeficienciesattheleadershiplevelincludingtheDirectorof

BehavioralHealthandtheestablishmentofdutiesfortheBehavioralHealth

Coordinatortocoverbothpositionsinadditiontostaffingvacanciescontinuesto

contributetotheinadequacyofmentalhealthservices.Theseinadequaciesarealso

impactedbythespacelimitationsatOJCandthelackofspaceatOJCfor

psychotherapeuticinterventions.

Thetoolkitincludesperformancemeasuresfortreatmentplans,howeverthe

measureshavenotbeenimplemented,andonsitereviewdemonstratesinadequate

multidisciplinary,comprehensivetreatmentplans.

Thementalhealthevaluationstobedoneaspartofthedisciplinaryprocesshas

beenunderdiscussionandwhilethereappearstobeagreementonpolicythatthe

inmatesonthementalhealthcaseloadwillbeevaluatedwithregardtodisciplinary

charges,theprocesshasnotbeenimplemented.

Thedataregardingmentalhealthevaluationsofinmatesonthementalhealth

caseloadwhoareplacedinsegregationindicatesthatthosenumbersareextremely

highbutthereisnodatatodemonstratethatmentalhealthevaluationsareconducted

regardingdisciplinarychargesorthatinformationfromthoseevaluationsisprovided

todisciplinaryhearingofficers.

Recommendations:

68. Developpolicyandprocedureformentalhealthevaluationsforinmateson

thementalhealthcaseloadinvolvedindisciplinaryproceedings.



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69. Clarifytheinformationtobeprovidedtohearingofficersregardinginmates

onthementalhealthcaseload.

70. Developqualityimprovementdata,collection,andperformancemeasuresto

demonstratethatevaluationsareindeedconductedandtheoutcomeofthose

evaluationsareprovidedtoinmatedisciplinaryhearingofficers.

IV.B.2.e.–h.

Finding:PartialcomplianceMeasuresofCompliance:

1. Reviewofpoliciesandproceduresandmedicalrecords2. Reviewofperformancemeasuresregardingreferrals3. Psychiatricprovidersbymentalhealthstaff4. Inmateinterviewsforreviewofdatacollectionpractices

Observations:

Thedevelopmentoftheprocessforappropriatemedicationmanagement

continues,howevertheprocessforreferralstopsychiatricprovidershasnotyet

beenclarifiedwithrelevantandnecessarytimeframes,andthereforetherecontinue

tobedelaysintheprovisionofpsychotropicmedications.Further,thestaffing

deficienciesforpsychiatricproviders,specificallynursepractitioners,andthe

inadequacyofthefrequencyoftreatmentteammeetingstoassurethatinmatesare

reviewedinatimelymannerwithregardtotheirmedicationneedscontinuesto

impedeadequatemedicationmanagement.Themedicationmanagement

performanceindicatorswerereviewedduringthissitevisitandrecommendations

weremadeforrevisionofthoseindicatorsbythementalhealthMonitortothe

onsiteCCSstaffaswellasCCScorporatecentralofficestaff.Thepractice,process

andreviewoftheorderingandadministrationofprescriptionsofnon-formulary

medicationsisnotreflectedinperformanceindicatorsandshouldbeimplemented.

TherehasbeendiscussionofprotocolsforinmatestransferredfromFeliciana

ForensicFacilityregardingthecontinuationofthosemedicationsupontheinmates’

returntoOJC,howeverthereisnopolicyorperformancemeasuresimplementedon

theeffectivenessofthatprocess.



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Recommendations:

71. Fullystaffforpsychiatricandnursingproviderpositions.

72. Performanceindicatorsformedicationmanagementpracticeswith

appropriatedatacollectionandanalysisincludinginmateshousedinOJC,

othercorrectionalfacilities,andFelicianaForensicFacility.

IV.B.3.a-bCounselingServices


1. ReviewofpoliciesandproceduresandperformanceindicatorsforcounselingsessionstospecificgroupsidentifiedintheConsentJudgment

2. Interviewswithinmatesanddiscussionswithstaff3. Reviewandanalysisofmentalhealthcontactsviaperformancemeasures.

Observations:

CCShasnotcompleteditsprocessofdevelopingandimplementingpolicies

andproceduresforcounselingintheareasofgeneralmentalhealth/therapy,sexual

abusecounseling,andalcoholanddrugcounselingandcounselingtoyouroffenders.

CCSacknowledgesthattheyhavenotengagedincounselinginseveraloftheseareas

anddespitetherebeinga“lumpingtogether”ofcounselingservices,thereisno

specificityastothespecificgroupsoridentificationoftheneedforcounseling

servicestoinmateswhoareinthespecificgroups.Thestatisticsprovidedon

individualtherapycontactsandgrouptherapysessionsdoesnotspecificallyidentify

whomtheinmatesreceivingsuchservicesarenordoesitidentifytheadequacyof

services.Indiscussion,CCSreportsthatanumberofthescheduledgrouptherapies

and/orcounselingsessionsaredelayedorcancelledbecauseofthelackofcustody

supporttoescortinmatestothesessionsand/orprovidesupervision/observation

ofthesessions.Thisisfurthercomplicatedanddiminishedbythelackofavailable

treatmentspaceinOJCforcounselingservicesandotherstructuredtherapeutic

activities.



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Recommendations:

73. Reviewpoliciesandproceduresformentalhealthservicesforthese

populations.

74. IdentifythelevelofneedforinmatesintheOPSOwithregardtothespecific

services.

75. Developperformanceindicators.

IV.B4.a-dSuicidePreventionandTrainingProgram

Findings: a.PartialCompliance b.PartialCompliance c.PartialCompliance d.NonCompliance e.NotAudited f.PartialCompliance

g.PartialCompliance

MeasuresofCompliance:1. Reviewofpoliciesandprocedures2. ObservationofclinicalandcustodystaffatHuntandOJC3. DiscussionswithCCSstaff.

Observations:

Thesuicideriskreductioncurriculumandtrainingofmedicalandbehavioral

staffinsuicidereductionandimplementationofthattrainingisprogressing,

howeverthesuicideriskassessmenttoolhasonlyrecentlybeenimplemented.

Therefore,theneedtomeasuretheeffectivenessofthetraininghasnotbeen

completed.CNAsandnursesareresponsiblefordirectobservationandsuicide

watchatOJCbutCCSisnotyetprovidingadequateperformancemeasuresforthe

adequacyofCNAobservationandparticipationinthedirectobservationandsuicide

watchprocesses.TherecontinuetobeinadequatenumbersofCNAsproviding

directobservationandsuicidewatchanddocumentationofthosesuicide

preventiontechniques.Further,thedirectobservationandsuicidewatchbythe

CNAsappearstobeonlyobservationwithoutanymeaningfulclinicalinteractionsby

theCNAswiththeinmateswhoareundersuicideprotocols.Pastrecommendations



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thatCNAsbetrainedtointeractwithinmatesunderthesupervisionofnursingstaff

isnotbeingdemonstrated.

Thesuicidecutdowntoolwaspresentinthecontrolboothonunit2B.Idid

notcheckallunitsbutwasassuredbyOPSOcustodystaffthatthecutdowntoolisin

placeonallunitsandthecontrolboothsaremannedbydeputies24hours/day.

Recommendations:

76. ContinuetoprovidetrainingandsupervisionofCNAswithregardtodirect

observationatOJC.

77. Providetrainingtomentalhealthstaffandcorrectionalstaffwithregardto

directobservationofinmateswhohavebeenreferredorpresentedwith

concernsforsuicideorself-harm,anddocumentaswellasanalyzethedirect

observation/supervisionofthoseinmatesbycustodystaffuntiltheyareseen

andevaluatedbymentalhealthstaff.

78. Providesuicidepreventionandobservationinsuicideresistantcells,and

therearenoneatOJCdespitemaleandfemaleinmatesbeingplacedon

suicidewatchanddirectobservationinOJCinunsafeandnon-suicide

resistantcellsonmultipleunits.

IV.B.5a.-k.SuicidePrecaution

Findings:Non-complianceMeasuresofCompliance:

1. Reviewofpoliciesandprocedures2. DiscussionwithCCSandOPSOstaff3. Observationandinterviewofprisoners4. Reviewofincidentreports.5. Reviewofreportedsuicideattempts

Observations:

TheCCSpoliciesarestillindevelopmentbutnotyetdemonstrated.Further,

thenumberofCNAsprovidingdirectobservationandsuicidewatchisinadequate

forthenumberofinmatesonsuicidewatchordirectobservationatOJC.



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TherearenosuicideresistantcellsatOJCdespitethecontinuationofhigh

numbersofinmatesonsuicidewatchordirectobservationonmultipleunitsatOJC.

Therearenoadequatementalhealthstepdown/residentialunitsatOJC.

ThementalhealthMonitorwasinformedthatmortalityandmorbidity

reviewsarebeingconductedbyCCS,howeverpsychologicalautopsiesand

psychologicalreviewsforinmateswhohavecompletedsuicideormadeserious

suicideattemptswerenotreviewedduringthissitevisitandshouldbefurther

developedaspertherequirementsoftheConsentJudgment.Theprocessof

reviewingmorbidityandmortalityforinmateswithpsychiatricdisordersisstill

beingdevelopedandtherehasnotbeenanadequateanalysisbyCCSorOPSOofthe

conditionsorsituationsthatcontributetoinmateswhoreportsuicidalideationor

engageinsuicidalorself-harmingbehaviors.

Recommendations:

79. CCStotrainandsuperviseCNA’sondirectobservationsandinteractions

withprisoners.

80. CCStodevelopandpresentCNAtoprisonerratiosof1:1or1:2fordirect

observationratherthanthecurrentpracticeof1:3ormoreinmates,andone

CNAornurseforsuicidewatchesformultipleinmateswithoutevidenceof

interactionswiththoseinmatesregardingtheirmentalstatus.

81. CCStodemonstratereviewsofallseriousself-harmattemptsandassessthe

periodicreportstodetermineifinmatesareappropriatelyidentified,

protectedandtreated.

IV.B.6a.–g.UseofPhysicalandChemicalRestraints


1. Reviewofpoliciesandproceduresandmedicalrecords2. DiscussionswithOPSO,Hunt,andCCSstaff3. ReviewofincidentreportsatOPSOandHunt.



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Observations:

CCShasdevelopedphysicalrestraintpolicytoincludeuseofphysical

restraintswhennecessary,howevernoneoftheincidentreportspresentedreflect

useofphysicalrestraintsinanyinstanceforanyperiodoftimedespitetherebeing

inmateswhowereagitatedandinsomeinstanceswereabletojumpfromor

threatentojumpfromtiers.Theneedfortherapeuticrestraintscontinuesto

requirereassessmentbybothCCSandOPSO.TheuseofchemicalagentssuchasOC

SprayappearstohavedecreasedatHunt,howeverapolicyandcollaborationat

HunthasnotbeendevelopedforcompliancewiththeConsentJudgmentandfor

inclusionofmentalhealthandpossiblytrainednursingstaffinde-escalation

techniquespriortoplanneduseofforceatHuntorOJC.Theincidentreportsdonot

reflectmentalhealthstaffparticipationintheplanneduseofforce.

Recommendations:

82. Assurethatwhentherapeuticphysicalrestraintsmaybeindicatedfor

preventionofself-harm,theyareindeedutilizedfortheshortestpossible

timeperiod,andproperlysupervised,monitored,reported,andassessed.

83. MaintainuseofrestraintlogsforbothphysicalandchemicalrestraintsatOJC

andHunt.

84. ContinuerevisionandimplementofpoliciesatHunttoincludementalhealth

staffandpossiblyspecificallytrainednursingstaffinde-escalation

techniquespriortotheuseofplannedusesofforceincludingandspecifically

OCspray.



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II.C. InmateMedicalCare

ExecutiveSummary

CorrectCareSolutions,Inc.(CCS)continuestoprovidemedicalandmentalhealth

servicesfortheOJCandtheHuntacutecareunit.CCSisworkingwithoutasignedcontract

withtheCity.Thishasimpededtherecruitmentandretentionofapermanentmedical

directoranddirectorofbehavioralhealth.Nonetheless,CCShasusedcorporateresources

tomanagetheoperationsandtorecruitandretainexcellentseniorstaff,notablythehealth

servicesadministrator,directorofnursing,andqualitymanagementnurse.CCSis

searchingforapermanentmedicaldirector;intheinterim,CCShasassignedacorporate

regionalmedicaldirectortoOPSOonafulltimebasis.

AttherequestoftheSheriff,themedicalMonitorhasworkedwithCCScorporate

andsitestafftodevelopatoolkitforclinicalperformancemeasurement.Thistechnical

assistanceisdesignedtomeasureclinicalperformance;toidentifyopportunitiesfor

improvement;toimplementremedies;andtotrackperformanceovertime.Theworkhas

beencollaborativeandverywellreceived.SincethelastcompliancevisitinAugust2015,

themedicalMonitormadeon-sitetechnicalassistancevisitsOctober19-22,2015and

January11-13,2016andworkedwithcorporateandsitestaffintheinterim.This

assistancetotaled62hours,excludingtraveltimeandtechnicalassistanceprovidedduring

thecompliancetours.

ThemoveintoOJCwasrelativelyuneventfulfromamedicalcarepointofview,

thoughthereisinsufficientspaceforclinicalcare,practitioneroffices,storage,andmental

healthtreatment.TherearenospecialneedsbedsatOJCandnospecificplanstoprovide

thismuch-neededspace.TheOJCisneitherdesignednorequippedforhousingspecial

populationsandispoorlydesignedfortheefficientdeliveryofmedicalcare.

Thereisnodefinitiveplanfortheimplementationofanelectronichealthrecord,

thoughtheCityproposestouseERMA,CCS’proprietaryrecordsystem.Ontheotherhand,

asystemcalledEPICisapparentlyavailableforusebytheOPSO.TheUniversityHospital

(LSU),mostotherlocalhospitals,andmostcommunityhealthcentersintheNewOrleans

areauseEPIC.Totheextentpossible,withthetailoringofthesoftwareforjailoperations,



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asneeded,EPICwouldbeagreatassetforcontinuityofcareonreceptionandonrelease.

CriteriaforanadequateelectronicrecordsystemaredetailedinComplianceReport#4.

AccesstocarehasimprovedconsiderablyatOJC,thoughthereareconsiderable

opportunitiesforimprovementintimelyaccesstoanappropriatelevelofcareforinmate

patients.CCShasmadeprogressonimprovingthetone,attitude,andefficiencyofcare.

CCScontinuestofocusonriskreductionthroughtraining,supervision,developmentof

clinicalperformancemeasurementtoolsandtrackingsystems.

Besidethesearchforapermanentmedicaldirector,CCSisrecruitingtofillmedical

andpsychiatricnursepractitionervacancies.

Thepaucityofcustodystaffisamajorimpedimenttotimelyaccesstocarefor

patientsatOJC.Approximately35%ofscheduledpatientvisitsaremissedbecauseof

insufficientcustodyescortstaffingforsickcall,x-rays,providervisits,andhealth

assessments.Reschedulingthesepatientsincreasesthelagtimeforaccesstocare.Nurses

oftenhaveconsiderabledowntimewhentheyhavetowaitforanescorttodeliver

medicationinthehousingunits.

OPSOstaffhasnotdevelopedamechanismtonotifyhealthcarestaffofknown

pendingdischarges,sothatmedicationscouldbeorderedforcontinuityonrelease.

IV.B.7.a.–d.DetoxificationandTraining

Finding:PartialcomplianceMeasuresofcompliance:1. Documentreviewofcourseoutline,lessonplan,trainingrecords,andmedicalrecords.

Observation:

PerformancehasnotimprovedinthisareasinceComplianceTour#4.

CCShasatrainingcurriculumandhastrainedhealthcarestaff.TheCCSintake

screenhasclearqueriesregardingtheriskofwithdrawal.Theintakescreenisinuse.

CCShasimplementedCIWAandCOWSmonitoringforpatientsatriskofwithdrawal.

CCSstaffisnowwelltrainedandisperformingwell.

CCShasdevelopedacurriculumfortrainingcustodystaffonwithdrawaland

detoxification.ThattrainingbeganonAugust17,2015andabruptlyceasedin



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November2016.CCShasreachedouttocustodystafftobeinvolvedintrainingnew

recruits,butCCSreportsthattrainingstaffhasnotrespondedsinceNovember2015.

Thereisnocurriculumforcustodystaffforrecognitionofurgentmedicalc

conditions.

Thereisnocurrentplanforoversightofthetrainingprogram.

Recommendations:

85. OPSOresumepre-servicetrainingandprovideannualtrainingforcustody

staffonwithdrawalanddetoxification.OPSOprovidesufficientoversightto

assurecompliance.

86. OPSOreviseitsintakepolicytoreflectadequatescreeningforriskof

withdrawal.

87. OPSO,inconjunctionwithCCS,developandimplementtrainingforcustody

staffonrecognitionofurgentmedicalconditions.

IV.B.8.MedicalandMentalHealthStaffing

Finding:Partialcompliance

Observations:

PerformanceinthisareahasimprovedsinceComplianceTour#4.CCShas

beenactivelyrecruitinghealthprofessionals.Themedicaldirectorpositionisfilled

onaninterimbasis.Therearemedicalandpsychiatricnursepractitionervacancies.

Therearefewernursingvacanciesthaninthepast.

CCShassuccessfullyrecruitedahealthservicesadministrator,directorof

nursing,andqualitymanagementnurse.

Throughmedicalrecordreview,itisapparentthatthereareample

opportunitiesforimprovementintrainingandsupervisionofclinicalstaff.CCSis

activelyinvolvedinthisenhancedtrainingandsupervision.

Recommendations:(verbatimfromComplianceReport#1):

88. OPSO/CCSrecruitandretainamedicaldirector,directorofbehavioralhealth,

andthebudgetednursepractitioners.

89. CCScontinuetrainingandsupervisionofnursingstaff.



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IV.B.9.a.–f.RiskManagement

Finding: a.Partialcompliance b.Partialcompliance c.Partialcompliance d.Non-compliance e.Partialcompliance f.PartialcomplianceObservations:

PerformanceinthisareahasimprovedsinceComplianceTour#4.Working

withthemedicalandpsychiatricMonitors,CCShasdevelopedmeaningfulclinical

performancemeasuresformedicalcareandbehavioralhealthcare.CCSpilot-tested

approximately30toolsinDecemberandJanuaryandcollectedbaselinedatausing

revisedtoolsinFebruary.Thereareapparentopportunitiesforimprovement.CCS

hasusedtheresultsofthismeasurementtoidentifyopportunitiesforimprovement.

Specifically,CCShasusedtheresultsofclinicalperformancemeasurementand

grievancedatatodevelopnewoperatingprocedures;improvemedication

verificationprocessesandorders;improvenursingsickcallandprovidervisit

scheduling;improveinjurynotificationandnursingdocumentation;increaseuseof

themasterproblemlist;improveinformationontransfers;andimprovecarefor

patientsonanticoagulantmedication.

CCSstaffisrevisingsystemsandenhancingtrainingandsupervisiontomeet

agreeduponstandardsofcare,basedontheclinicalperformancemeasurements.In

thepast,corporatestaffdidperformancemeasurement.Sitestaffisnowmuch

moreinvolved.Thissenseof“ownership”hasbeenconstructive.Sitestaffhas

beguntoanalyzedatatoimplementcorrectiveactionplans.

CCShasalsobeenparticipatingin“TownHall”meetingsoneachhousingunit

tofurtheridentifyopportunitiesforimprovement.TownHallmeetingsare

currentlyscheduledmonthlyoneachhousingunit.

Mortalityreviewsareappropriatelyself-critical,thoughtheycouldbemore

explicitonopportunitiesforimprovement.

Dr.Patterson:



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ThefirstMentalHealthReviewCommitteemeetingbyCCSthatincluded

OPSOstafftookplaceinJanuary2016.Thisisthefirstmeetingandthecommittee

memberswereappropriatetomeetthefullcompositionnecessaryfortheMental

HealthReviewCommittee.However,theminutesofthecommitteemeetingindicate

thatanumberofitemswerediscussedwithsomerecommendationsbutresultsof

theactualdiscussionandpossiblecorrectiveactionstobeimplementedhavenot

beenprovidedgiventhattheinitialmeetingwasthemonthbeforethissitevisit.It

isanticipatedthatshouldthesemeetingscontinuewiththeappropriatestaff

participation,documentationofimplementationofrecommendationsandanalysis

oftheresultswillbeforthcoming.

Recommendations:

90. CCScontinuetoimprovetrackingsystemsforfollow-upappointments,

medicationorders,andlaboratorytestinganddevelopsystemsfor

documentingallcareinasingle,unitmedicalrecord,whetheritbepaperor

electronic.

91. CCSdevelopaqualitymanagementplan,continuetomeasureclinical

performance,integrateallqualityimprovementactivitiesunderone

committee,trackandtrendresults,andevaluatetheprogramannually.On-

sitehealthcareleadershipshouldbecomeincreasinglyinvolvedinthequality

managementprogram.

92. ContinuemonthlymeetingsoftheMentalHealthReviewCommitteewiththe

designatedmembershipandprovisionofminutesofthosemeetingstoassure

theyaddresstheappropriatementalhealthissuesasspecifiedintheConsent

Judgment.

IV.C.MedicalCare


• February15-18,2016on-site.

• MeetingswithOPSOandCCSstaff,tourofOJC(IPC,andhousingunits2A,2B,

3B,3C,3D,4A,&4B)



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• MedicalrecordreviewandreliabilitytestingofCCSclinicalperformance

measurement

• Medicalrecordreviewsofselectedincidents,patientsreferredtothe

emergencydepartmentforambulatorysensitiveconditions,allegedsexual

assaults,andreferralsfromPlaintiffs’attorneys.

Finding: PartialcomplianceMeasuresofcompliance:1. Qualitymanagementdocuments,2. Inmatecomplaintsandgrievances,3. Medicalrecords.

Observations:

PerformanceinthisareahasimprovedsinceComplianceTour#4.

Accesstocare–accesshasimprovedmeasurably,thoughtherearelagsto

accessforsomeinmateswho“fallthroughthecracks.”Therearefewerinmate

patientswho“fallthroughthecracks”astimegoeson.Thoughaccesstimehas

improved,accesstophysiciansandpsychiatristsislongerthansatisfactory.

Pregnancycare–theOPSO/CCSpracticesforpregnantinmatesleadtodelays

inaccesstofirstvisitsanddonotcurrentlyprovideforhepatitisvaccinationand

screeningforsexually-transmittedinfectionsinatimelyway.

Medicalrecordkeeping-medicalrecordsremaindisorganizedanddifficultto

review.Becauseofseverelylimitedspace,therecordsofrecentlydischarged

inmatesaresentforarchivalstorage,makingthemrelativelyunavailablefor

continuityofcare.

Thereisnoeasymechanismforamalgamatingoldermedicalrecordsintothe

medicalrecordsofrecentlybookedinmates.Thismakesitdifficulttoprovide

continuityandcoordinationofcare.

OPSOneedsanelectronicmedicalrecordthatcansurvivechangesin

vendors.Amongotherthings,itneedstocommunicatewiththejailmanagement

systemforlocatorfunctionsandthediagnosticlaboratory.Further,itshouldhavea

schedulingsystemandtrackingsystemtobeusedforpatientcareandclinical

performancemeasurement.



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Eachpersonshouldhavearetrievablemedicalrecord,filedbyperson,witha

personalidentifier,andnotbyeachbooking.

Utilizationmanagement–theCCSutilizationmanagementprogramis

reasonableandbasedoncommonlyacceptedpreceptsofresourcemanagement.

Medicationmanagement—therehasbeenmeasurableimprovementin

medicationmanagement.Thelagtimefromprescriptiontofirstdoseisnow

acceptableinmostcases.Therearefewerinterruptionsincontinuityofmedication.

Continuityonrelease-OPSOisnotnotifyingCCSstaffofallimpending

discharges.Asaresult,departinginmatesarenotgettingmedicationordered.CCS

currentlyprovidesaprepaidelectronicprescriptionforsevendaysofmedication,to

befilledinaneighborhoodpharmacy.ThoughtheCourtOrderrequiresactual

provisionofaseven-daysupplyofmedication,Ithinkaprepaidseven-daysupply,

withprintedinstructions,isequivalentandeasiertomanage.

Continuityontransfer-CCSispreparingtransfersummariestoandfromthe

Huntfacilityandwhenevernecessaryotherwise.Thesummariesaremore

comprehensivethantheyhadbeeninthepast.

IPCdesign-WetouredtheIntakeProcessingCenter.Thereisanotablelack

ofprivacyforthemedicalandmentalhealthintakeprocessandanawkwardbank-

tellerlikewindowfortakingvitalsigns.Thedistancebetweenthenurseandthe

patientistoofartomeasurevitalsigns.Thelackofprivacyimpedesreliable

reportingofmedicalandmentalhealthhistory.

JailDesign–PhaseII-Althoughmedicalandpsychiatricpatientsare

clusteredongeneralpopulationhousingunits,thereisnoprovisionforhousing

patientswithspecialneeds,bothmedicalandpsychiatric,intheOJC.

GrievanceProcess-Thegrievanceprocessistimelierandmuchmore

responsivethanitwas.CCSistrendinggrievancedataandusinganalyzeddatato

implementimprovementsinmedicalcareprocesses.

MedicalCo-Pays-TheMonitorsarenolongerreceivingcomplaintsabout

inappropriateco-payments.

Recommendations:



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93. OPSOassuremedicalcarefacilitiesthatareclean,safe,andsecure.

94. OPSOhasarrangedforprofessionallanguageinterpretationservicessoasto

provideconfidentialityofmedicalinformation.Theuseofthisserviceneeds

tobetrackedasaproofofcompliance.

95. CCScontinuetomeasureandtrackclinicalperformanceaspartofitsquality

managementprogram.

96. CCSrevisititspoliciesandclinicalguidelinesforpregnantinmates,

consistentwithnationally-acceptedrecommendationsforobstetricalcarefor

highriskpatients.

97. OPSOrevisitthedesignofthemedicalandmentalhealthintakeareasinthe

IPCinconcertwithhealthcareproviders,toprovideeasyflowand

appropriateprivacy.

98. OPSOdevelopandmaintainanelectronicmedicalrecordsystemthathas

elementsdescribedintheexecutivesummaryportionofthisreport.

IV.C.1.QualityManagementofMedicationAdministration

Findings:PartialcomplianceMeasuresofcompliance:1. Qualitymanagementdocuments2. Inmatecomplaintsandgrievances3. Medicalrecords.

Observations:


Nurseshavebeentrainedonmedicationadministrationanddocumentation.CCS

hasbeenmeasuringperformanceonaquarterlybasis.

Recommendations:

99. CCScontinuetomonitortheeffectivenessofthemedicationadministration

program,includingtimelagtofirstdose,managementofserialnon-

adherence,andmisseddoses.

100. OPSOcommunicateimpendingdischargestoCCSsothataprescriptionfor

medicationcanbepreparedanddeliveredtotheinmate.

IV.C.2.HealthCareDelivered



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Findings:PartialcomplianceMeasuresofcompliance:1. Reportsonnumbers,asspecifiedintheConsentDecree2. Reportsonclinicalperformance,withdiscussionofproblemidentificationand

remedies

Observations:


CCSisreportingonstaffing,clinicalactivity,andclinicalperformance.Thisis

asignificantimprovement.Staffhasbeentrainedinmedicationadministration.

Cliniciansnowhaveachecklistforchroniccarethatincludesremindersfor

medicationrenewal,housingaccommodations,andreturnvisits.Appropriate

medicationprotocolsareinplace.

CCShasbeenreviewingtheappropriatenessofreferralstothehospital

emergencydepartment.Therearefewerunnecessaryoutsidetripsandno

compromiseofnecessarytrips.Outboundandinboundmedicalrecord

documentationhasimproved.

ThereisnodocumentationofongoingoversightofCCScarebyOPSO.

Recommendations:

101. CCScontinueitscurrentperiodicauditsofclinicalperformanceand

grievancedataandcontinueitsdataanalysisthathasbeenusedrecentlyto

developremediesforopportunitiesforimprovement.

102. OPSOandCCSanalyzetrauma-relatedhospitalreferralsforthepurposesof

prevention(e.g.,reducingon-siteinjuries)anddiversiontoon-siteprimary

care.

103. OPSOdevelopandmaintainamethodforclinicaloversighttoeventually

replacethecurrentroleofthecourt-appointedMonitorandsub-Monitors.

IV.C.3.ReleaseandTransfer

Finding: PartialcomplianceMeasuresofcompliance:

1. Interview Observation:



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PerformanceinthisareahasnotimprovedsubstantiallysinceCompliance

Tour#4.

OPSOhasnotdevelopedamechanismtonotifyqualifiedstaffofimpending

releases.Asaresult,bridgesuppliesofmedicationandprescriptionsarenot

suppliedformostpatientsreleasedtothecommunity.OntheoccasionswhenCCSis

awareofpendingdischarges,CCSarrangesfora7-daysupplyofmedicationthrough

communitypharmacies.Theproportionofprescriptionspickedupbyreleased

inmatesislow,consistentwiththelowratesachievedinotherjurisdictions.

CCSisprovidingtransfersummariesforpatientsgoingtoHuntandtheLADOC.

CCShasexpandedthetransferformtoproviderelevantdata,suchasrecent

laboratorytesting,todocumentlevelofcontrolforpatientswithchronicconditions,

includingmentalillness.

Recommendation:

104. OPSOdevelopandimplementamechanismtonotifyqualifiedhealthcare

staffofimpendingreleasessoastoprovidebridgesuppliesofmedication

andprescriptions,asmedicallyappropriate.



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IV.D.SanitationandEnvironmentalConditionsIntroduction

Thisreportsummarizingthefindingsofcompliancetour#5regardingthe

EnvironmentalHealthandFireandLifeSafetyprovisionsoftheConsentJudgment.The

MonitorconductedthetourFebruary16-19,2016.TheMonitoralsoconductedaTechnical

AssistancetouronOctober16-20,2015toaddressseveralspecificprovisionsofthe

ConsentJudgmentincluding:pestcontrol,waterpressureanddrainageissuesatOJC,

biohazardousspillresponseanddisposal,sanitation(includinghousekeeping,mattress

inspection,cleaningandstorage,andchemicalcontrol)andfireandlifesafety.

ForthistourtheonlyfacilityhousinginmateswasOrleansJusticeCenter(OJC).The

TemporaryDetentionCenter(TDC),Conchetta,OrleansParishPrison(OPP),TemplemanV

(TP5),andtheIntakeProcessingCenter(IPC)areclosed.Theonlyotherfacilityoperated

byOPSOistheKitchen/Warehousethatisusedtoprepareinmatemeals.Daily

approximatelytwenty-five(25)inmateworkersassistthefoodservicecontractor.OPSO

deputiessupervisetheinmateworkers.ToassesscompliancewiththeConsentJudgment

theMonitorreviewedalargevolumeofdocumentsprovidedbyOPSOpriortothetour,

visitedhousingunitsatOJC,observedthefoodserviceoperationatthe

Kitchen/Warehouse,andconductedmeetingswiththeFacilityMaintenanceDirector,Fire

SafetyOfficer,Sanitarian,TransitionManager,andfoodservicecontractor.

ProgressmadesinceComplianceReport#4andtechnicalassistancevisitare:

1. Improvementinreportingconcerningthepestcontrolcontractandmonitoring

pestactivitytrends;

2. Completionofaninterimpolicyonbiohazardousspillresponseandthe

purchaseofspillkits;

3. ResolutionofthewastewaterdrainageissuesatOJCcausedbyineffective

mechanicaldevisesinstalledinthenewfacilitydesignedtocatchsolidwaste

beingflushedthroughinmatetoilets;

4. Improvementsinthefoodtemperatureswhenfoodisdeliveredtoinmates;



105

5. Developmentofaninterimpolicyforinspecting,cleaning,andstorageof

mattressesbetweeninmateuses.

6. Independentdietaryanalysisofdailymealmenusforinmates.

ConsiderableworkisneededtogaincompliancewiththeConsentJudgment.While

recommendationsareincludedinthissectionofthereport,presentedhereisasummaryof

significantissuesthatneedimmediateattentionbyOPSO:

1. FireSafety:ThefirepreventionandevacuationspolicesforOJCandthe

Kitchen/Warehousemustbecompleted.Designatedsafetyofficersforallshifts

inbothOJCandtheKitchen/Warehouseneedtobeselectedandtrainedasto

theirresponsibilitiesandexpectationsforbothstafftrainingandfacility

inspections.Deputies,supervisors,maintenancestaff,andcontractors(medical,

foodservice)mustcompletecompetency-basedtrainingonfirepreventionand

evacuationforthebuildingsinwhichtheywork.Alloftheseactionsshouldhave

beencompletedpriortotheopeningofOJC.

2. Sanitation:Thehousekeeping(sanitation)policy,procedures,schedules,and

staffandinmateresponsibilitiesmustbecompletedastheinmatehousingareas

includingtoiletsandshowersarenotcleanposinghealthrisks.Thisworkis

hamperedbynothavingthestaffreferencedabove,1.Thehousekeepingplan

mustbeimplementedthroughoutOPSO.Housingunitofficersdonotseemto

seecleanlinessasahighprioritygiventheconditionsobservedduringthistour.

3. BiohazardousSpillResponse:Thenewinterimpolicymustbeimplementedand

staffassignedforcleanuptrained.

4. OJCVentilation:TheventilationsystemservingtheshowersthroughoutOJC

needstobeevaluatedandchangesmadetoeliminatetheexcessivemoisture

drippingfromthestainlesssteelceilingandcondensingonwallsandglass.This

conditioninadditiontoposinghealthrisksalsoobstructsthedeputy’sabilityto

observeandsuperviseinmateactivitythere.Someofthechrome-platedsleeves

thatattachtothesprinklerheadsarealreadyrustingandstainingthewall

underneath.Thisisasignificantissueforimmediate,andlong-termfacility

maintenanceissuesandcosts.



106

5. MaintenanceWorkOrderSystem:OPSOmustreassesstheprocessbywhich

stafffilesworkorderrequests.Basedonobservationsmadeduringthetour,

officersarenotcompletingworkorderrequestsand/ornotreporting

maintenanceissuesastheyoccur(especiallyplumbing),resultingin

unnecessarydelaysinprovidingtimelyresponseandcorrection.

6. Requisition/Purchasing:AlthoughnotincludedintheConsentJudgment,OPSO

mustreviewandrevisethecurrentprocessfororderingsuppliesand

maintenancepartstosupportjailoperations.Staffreportthatwhena

requisitionisnotapproved,thereisafailuretocommunicatethedecisionand

reasontostaffrequestingthesupplies,parts,etc.Thisresultsindelaysfor

neededrepairs,equipmentreplacement/repairimpactingthehealthandsafety

ofinmates,andstaff.

7. FoodService:Althoughthematterofmealsprovidedtoinmatesisnot

specificallyincludedintheConsentJudgment(otherthanIV.D.3.a.–c.),the

Monitorsareveryconcernedaboutthiscriticalmatter(criticaltoinmates).The

comments,grievances,andletterstheMonitorsreceivedfrominmatesforat

leastthelastyearidentifythequalityandquantityofthefoodasconsistently

inadequateandsometimesservedattheincorrecttemperature.TheMonitors

alsohaveidentifiedcoordinationissuesregardingmedicallyordereddietsand

religiousdiets.TheMonitors’observationofthefoodasitisdeliveredtothe

housingunitssupportstheinmates’complaints.Itisaxiomaticinthejail

businessthatfoodisoftenaflashpointfordisorderincorrectionalfacilities.

Theinmates’constantcomplaintstostaffaboutfoodmakemanagementofthe

inmatesdifficult,andpotentiallycompromisessafetyandsecurity.TheMonitors

stronglyurgeOPSOtoworkwiththefoodservicecontractortoaddressthese

issues:quality,quantity,andvarietyoffood,provisionofmedicallyordered

diets,andprovisionofreligiousdiets.1

8. ToolControlintheKitchen/Warehouse:Althoughnotspecificallyincludedin

theConsentJudgment,documentationofthetoolinventorywasfoundtobe1TheseobservationsandconcernsweretransmittedtotheSheriffinaletterdatedFebruary22,2016.



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incomplete.Failuretocontroltoolsresultsinunreasonablehealthandsafety

hazards,includingintroductionofcontraband,intothejail.Forsevenofthefirst

14daysofFebruaryandforseveraldaysinJanuary,2016therewasno

inventoryconducted/documentedattheendoftheshift.Furthertherewasno

supervisor’ssignatureindicatingthattheinventoryhadbeenreviewed(as

requiredontheinventoryform)foranyinventoriescompletedforJanuaryand

February2016.Onsomeinventories,theofficercompletingtheinventorydid

notsigntheform.Theinventoryfortoolsneedstobedoneatthebeginningof

theshiftandattheend.Awrittentoolpolicyandprocedurecontrolforalltools

throughoutOPSOmustbedevelopedandimplemented.

9. KitchenChemicalControl:Controlofpotentiallydangerouschemicalsrequires

immediateattention.TheMonitoridentifiedthatinthechemicalcontrollogfor

thekitchen/warehousethatwhenchemicalsweresignedoutforuse,the

chemicalcontrolofficerdidnotrecordthatthechemicalswerereturned,orthat

allchemicalsdistributedwereusedanddidnotrecordtherewerenoneto

return.Achemicalcontrolpolicyandprocedureforallchemicalsused

throughoutOPSOwhereinmatesarehousedorassignedmustbedevelopedand

implemented.

D.1.SanitationandEnvironmentalConditionsIV.D.1.a.

Finding:Non-ComplianceMeasuresofCompliance:1. Writtenpoliciesandproceduresforcleaninganddisinfecting,monitoringprocesswith

responsibilityandaccountabilityassigneddevelopedincollaborationwithMonitors.2. Listofcontrolledinventoryofacceptablecleaninganddisinfectingchemicals.3. Developmentandimplementationofaneffectiveweekly[ormorefrequently]auditing

processwithassignedresponsibilityandaccountabilityanddocumentation.4. Monitors’onsiteverificationofimplementationofboththepolicy(s)andtheauditing

processandreport,alongwithcorrectiveactionwhennon-conformitiestothepolicy/proceduresaredocumented.

5. Observationofconditionsalongwithinterviewswithinmatesandstaff.

Observations:



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TheonlyfacilitycurrentlyusedtohouseinmatesistheOrleansJusticeCenter

(OJC).Thefindingsforthisprovisiononlypertaintothatfacility,astheMonitordid

notvisittheclosedfacilities.

October12-16,2015theMonitorconductedatechnicalassistancetouratthe

requestofOPSOtoaddressseveralenvironmentalandsanitationissuesrelatedto

theConsentJudgment.AwrittensummarywasprovidedtoOPSOfollowingthe

tour.Sanitationandenvironmentalconditionsincludinghousekeepingofinmate

livingareaswasonekeyfocus.Asaresultofthediscussionswithstaff,theMonitor

andOPSOSanitariandevelopedexpectationsandprioritiestobeaddressedbefore

thenextscheduledcompliancetour(February2016).Theseareasincluded:

1. Immediatelyimplementaninterimdirectiveoutliningcleaningschedulesfor

allareasforbothTDCandOJC.*

2. Immediatelyimplementapolicythatassuresthatcellsarethoroughly

cleanedanddisinfectedbetweeninmates,includingthebed,mattress,

writingsurface,glass,floors,toiletandlavatory.

3. Whenthesepoliciesaredevelopedandapproved,implementamentoring

programandevaluatetheprocessweeklytoidentifyandimplementany

neededmodificationsareneededtothecleaningproceduresorthe

mentoringprogram.

4. Immediatelyestablishandinterimpolicythatidentifieswhateachinmateis

toreceiveuponintake,i.e.twosheets,oneuniform,oneundershirt,one

blanket,onetowel,etc.andwhataninmateisallowedtomaintainintheir

cellorattheirbed.

5. Aspartoftheinmatepropertypolicy,establishapolicythatmandatesall

inmatessubmituniforms,personallaundry,beddingandtowelsonatleasta

weeklyschedule.

6. Immediatelyimplementawrittenschedule(shift,daily,weekly,monthlyetc.

forcleaningallareasofOJCandTDC.

7. WhenOPSOmakesadeterminationofwhetherinmateworkers,supervised

bydeputieswillbeusedtocleancommonareas,developawrittenprocedure



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forcleaninganddisinfectingcellsandcommonareas.Assurethis

informationisincludedintheinmatehandbookandthehousingunitofficer’s

dailybriefing.

a. Whenthepolicy/proceduresiscompletedandapproved,developa

trainingsyllabusfortheMonitor’sreviewforbothhousingunitdeputies

andsupervisorsthatestablishtheexpectationsandconsequencesfornot

followingthepolicy/procedure.

8. Finalizeaninterimpolicyfortheinspection,cleaninganddisinfecting

mattressesbeforeissuingtoaninmate.*

a. IdentifyadesignatedinternalstorageroomorareaattheOJCandTDCfor

thepurposeofstoring,inspecting,cleaninganddisinfectingmattresses

thatassuressoiledandcleanedmattressesarephysicallyseparatedfrom

eachotherintheroomandstoredoffthefloor.*

9. Developandimplementachemicalcontrolinterimpolicythatincludesa

minimumofdailyinventoryofallchemicalsthroughoutallOPSOfacilities

thatincludesasignin/outanytimechemicalsareremovedandreturnedto

thedesignatedchemicalstorerooms.

a. Provideacopyofthechemicalcontroltrainingsyllabusforreviewbythe

Monitorpriortostartingthetraining.

Oftheagreeduponexpectations(seeabove),thosecompletedareidentified

abovewithanasterisk(*).

AccordingtothePolicyTrackingspreadsheetdatedFebruary1,2016,the

CleaningProcedures-Pod/HousingUnitPolicy1101.03isnotfinished.Touringthe

housingpodsinOJCdocumentedalackofcleanlinessespeciallyinthecommon

toilet/lavatoryareasandshowers.Examplesinclude:

1. Inmatesindormitoryunitsareallowedtokeepmattressesonthefloor(4-A,

4-B,and4-C)andnotonthebunks.

2. Inmateshavedamagedthefloorbybreakingseveralfloortilesandmoldings

onthemezzanine(4-A)andbrokentilesunderthefrontstairwell(4-B)of



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whichsecuritystaffwereunaware.Suchsharpobjectscanbeusedas

weapons.

3. InmatecellsB-4014mandB-4017mwereemptyandhadnotbeencleaned.

4. Inmatesarepermittedtotakechairsfromthedayroomtablesintothe

showers.Compoundingtheproblemofhavingplasticchairsinashowerarea

isthevisibilityinmanyshowersisobstructedfromdeputy’sviewbecauseof

excessivemoisturecondensationcoveringthewindows.

5. Inmatesarenotbeingrequiredtostorepersonalitems,including

commissary,intheirpersonalpropertybags.Inmatesarepermittedtokeep

mealtraysintheircells(numeroushousingunits)bydeputiesnotcollecting

themafterserviceandfailingtoobservethereturnoftrays.

6. Mops,buckets,brooms,anddustpanswerenotsecurelystoredwhennot

beingused,potentiallyallowingtheiruseasweaponsagainstinmatesor

staff.

7. Thechemicalstorageandjanitorialroomwasnotmaintainedclean(4-B).It

needstobeincludedonthecleaningschedule.

8. Someinmatescomplainedtheyarenotabletogetcleaningsupplies.

9. Floorsinseveralshowerareashadstandingwaterbecauseoflackof

ventilationintheshowers,creatingahighprobabilityofslips,tripsandfall

accidents.Showerwallsandlavatorysinkswerecoatedabuildupofsoap

residuedemonstratingalackofconsistentcleaning.

OPSOhasnotselectedandtrainedsanitationofficerswhoareresponsibleto

manageandsuperviseinmateworkersinthehousingunits.TheOPSOSanitarian

developeda“MasterCleaningandSanitationSchedule”thatincludesthefrequency

ofcleaning,andthechemicaland/orequipmenttobeused,buthasnotassigned

developedpostorders,therebydesignatingtheworkresponsibility,norhasthe

schedulebeenimplemented.WorkingwiththechemicalvendorOPSOdevelopeda

draftwrittencleaningprocedure,butittoohasnotbeenincorporatedintothe

housekeepingpolicyorimplemented.



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OPSOprovidedadraftlistofauthorizeditemsinmatesareallowedto

maintainintheircellorlivingarea,butithasnotbeenincorporatedinan

authorizedpolicy,trained,includedintheInmateHandbook,orimplemented.

PriortothecompliancetourOPSOprovidedcopiesofweeklyinspections

conductedbythoseresponsibleforthissectionoftheConsentJudgment.Basedon

observationsduringthetourtheinspectionsfailedtoaccuratelydocumentthe

conditionsobservedbytheMonitor,andhadhavehadlittle,ifanyimpactin

improvingthecleanlinessoftheinmateoccupiedareas.Theprocessisalsonot

beneficialinidentifyingneededmaintenancerepairssuchaslowwaterpressure,

non-functioningdrinkingwaterfountains,orwatershutoff.Thedocuments

identifiedmostlyinmatecomplaints.Thisprocessmustbeimproved.

Recommendations:

105. Completeandimplementwrittenpoliciesandproceduresgoverningthe

provisionsofthisparagraph.Thesepoliciesinclude,butarenotlimitedto:

i. Detailedhousekeepingprocedures,schedule,training,anda

comprehensiveinspectionprocessthatincludesestablishingstaffand

inmateexpectationsthatmanagementiscommittedtoenforce

consistentlyandcontinuallyforhousingunits,toilets,showers,and

commonareas.

ii. Includeinthepolicyawrittenprocessandproceduretoassure

inmatecellsarethoroughlycleanedanddisinfectedbetweeninmates.

iii. Developandimplementaprocessforconsistentandcontinual

managementreviewandoversightofsanitation.

106. Includeinthepolicyinmaterulesthatlisttheallowableitemsandquantities

inmatesarepermittedtomaintainintheircellsandwheretheyareexpected

tobestored.Includetherulesandlistintheinmatehandbook.

107. Developandimplementachemicalcontrolpolicyandproceduresthat

includeatleastdailyinventoryprocess,signin/outrequirementstoassure

safetyofinmatesandstaff.



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108. Selectasufficientnumberofsanitationofficersforeachshifttosupervise

housekeeping.

109. Implementthemattressinspection,cleaninganddisinfectionpolicy.

110. Establishandimplementdocumentedongoinghousekeeping,biohazardous

spillresponse,workersafety,andchemicalcontroltrainingforsanitation

officersthatincludesameasurementofcompetencysuchaspreandpost

testing.

111. Providedocumentedhousekeepingtrainingforhousingunitdeputies,

supervisors,andinspectorsthatincludesevidenceofunderstandingoftheir

responsibilitiessuchasapreandposttesting.

IV.D.1.b.Findings:PartialComplianceMeasuresofCompliance:1. Reviewofthepreventativemaintenanceplantodeterminewhohasresponsibilitytofile

workorders.2. Evidenceofmeetingthetimelinesforsubmissionofworkorders.3. Evidenceoftrainingofthoseassignedtheresponsibilitytofileworkorders.4. Observationofpracticeandconditions.5. Workorders,invoices,andpurchasesinsupportofthepreventivemaintenanceplan.

Observations:

AccordingtothePolicyTrackingspreadsheetdatedFebruary1,2016,Policy

601.01“CompliancewithRequiredPhysicalPlantStandardsandCodes”hasnot

beendrafted.Policy601.02“ReportingMaintenanceProblems”hasbeendrafted

andsubmittedtoOPSO,commentswereprovidedbytheMonitor,butthepolicyis

notcompleted.Policy601.03“PreventativeMaintenance”wasdraftedbuthasnot

beenprovidedtotheMonitor’sforcomment.Policy601.04,“Maintenance

Inspectionshasnotbeendrafted.

FacilityManagementcontinuestousethemaintenanceworkordersystem,

“FacilityDude.”Ontheprevioustour,OPSOprovidedattendancesheetsforthetwo-

hourtrainingthatwasconductedin2014.OPSOreportedinthecompliance

summarythattrainingwasprovidedagainin2015;howeverOPSOdidnotprovide



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anyattendancesheets.Uponrequest,FacilityMaintenancestatedtheydidnothave

acurrentlistofstafffromOJCortheKitchen/Warehousedesignatedtofilework

orders.

Duringthecompliancetourofficersassignedtoinmatehousingareaswere

unabletoexplaintotheMonitorwhenaskedhowtorequestaworkorder(“IguessI

callmaintenance”wasoneresponse).Thereisnomechanismforthehousingunit

officertoknowwhetherornotaworkorderhasbeensubmittedbyapreviousshift.

TheMonitorsuggestedthatOPSOrevisittheworkorderrequestprocess,by

creatingaprocedurewherebyofficerscancallaboutmaintenanceissuesusinga

“maintenancehotline”.FacilityMaintenancewouldthenentertherequestintothe

systemandassigntradestocompletetheworkmoreefficiently.

Recommendation:

112. Completeandimplementwrittenpoliciesandproceduresgoverningthe

provisionsofthisparagraph.Thesepoliciesandproceduresmayinclude,but

arenotlimitedto:

a. Trainemployeestofiletimelyworkordersmeetingthe24-and-48hour

requirementofthisprovision.

b. Reviewanddevelopasimplesystemforofficerstoreportmaintenance

issuesandcompletethemaintenancereportingpolicy.

c. Maintainatrackingsystemforpendingworkordersbytypetodocument

needsforeffectiveresourceallocationforspecifictrades.

d. Establishanmaintenance/repairsupplyinventorytoassureadequate

andavailablesuppliesofregularlyneededpartsforrepairssuchbelts,

fans,andmotorsforHVACequipment;plumbingpartssuchasshower

heads,valves,andfaucets;andcommonelectricalpartsincluding

electricalpanels,lights,transformers,andballaststoquicklyand

efficientlyresolveroutinemaintenanceissues.

IV. D.1.c.

Findings:Non-compliance



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MeasuresofCompliance:1. Writtenpolicyandprocedurespecifyingtheprocessofhowadequacyofventilationwillbe

measuredinaccordancewiththemechanicalcodeadoptedbytheapplicablestateorlocaljurisdiction.

2. Evidenceofacontractwithaqualified/licensedmechanicalcontractortodemonstratethattheventilationsystemcomplieswiththeInternationalMechanicalCodeineffectinLouisiana.

3. Reportsfromvendorregardingtheventilationsystem,airflow,etc.

Observations:

AirbalancereportsforOJChavebeensubmittedtotheOPSOcontractor,

OMK,forreviewandacceptance.Thereportshavenotyetbeenaccepted.The

Monitorobservedexcessivecondensationinseveralhousingunitshowerswhere

condensatewasdrippingontothefloorfromtheceilinganddoorframescreatinga

slipandfallhazard.Windowsandwallsintheshowerareaswerecoatedwith

excessivecondensateobstructingofficervisibilityandmakingitvirtuallyunableto

effectivelycleananddisinfect.AfterthetourtheMonitorlearnedthatmanyofthe

damperscontrollingtheshowerventswereclosedandthecontractorwas

evaluatingwhethertheexhaustfanswereoperatingasdesigned.

TheMonitordidnotobserveanyissues,norreceivedanycomplaints,orsee

anygrievancesfrominmatesregardingheatingorairconditioning.Preventative

maintenanceonallHVACsystemsinscheduledin“FacilityDude”systemandit

alignedwithequipmentmanufacture’sscheduledmaintenancerecommendations.

Thesystemprovidesappropriatenotificationwhenfilterchanges,beltinspections,

etc.areneeded.Itisabsolutelyessentialthatthesecostsforallfacilitiesare

includedinthebudgetandthattheworkisaccomplishedasrequired.Otherwise,

thisbuildingwillbegintodeteriorate,andtherewillbehealth/safetyissues,and

unnecessarylong-termcosts.

Recommendation:

113. Developandimplementawrittenpolicyandprocedurecontainingthe

requirementsofthisparagraph,whichincludes,butisnotlimitedto:

a. Implementasystemtomeasureandassureadequateventilation

throughoutthehousingtiersincludingtheshowers.



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b. Completeandprovidedocumentationfortheairbalancereportfor

OJC.

c. Assurethepreventativemaintenancepolicyincludesaprovisionfor

maintenancestafftoreviewcompliancewiththeprovisionatleast

twiceeachyear.Implementthepolicy.

d. OPOSmustbeabletodemonstratethatscheduledmaintenancewas

completedasscheduled.

114. AssurethattheOPSObudgetincludesthecostsofimplementingthe

preventivemaintenanceplan.

IV.D.1.d.

Findings:SubstantialComplianceMeasuresofCompliance:1. Maintenanceofpendingworkorderlistshowingthepurchaseorderforpendingwork

orderregardinglightingfixtures.Reviewofworkorderlists.2. Visualobservationconditions.

Observations:

TheonlyfacilityhousinginmatesistheOJC.Adequatelightingisprovided

throughoutthefacility.TheMonitordidnotobserveanymalfunctioninglight

fixtureswithinthelivingareas.OPSOdoesnotcurrentlymaintainasupplyof

replacementbulbs,transformers,orballaststorepairmalfunctioninglighting.Any

replacementshavetowaitforthebuildingcontractortosupply.

Recommendations:

115. Provideaninventoryofreplacementbulbs,transformers,ballasts,and

fixturestoassuretimelyrepairs.

116. AssureelectriciansareavailableinOJCtoassurethattheprovisioncontinues

ismet.

IV. D.1.e.Findings:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandprocedures.



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2. Copyofvalidcontractforintegratedpestcontrolserviceswithalicensedpestcontrolcontractor.

3. Mapshowingthelocationofallbaitandtrapstationsbothinternallyandexternally.4. Copiesofpestcontrolreportsprovidedbythelicensedpestcontroloperatorshowingareas

ofconcern,recommendationsforcorrectiveactionsneededtobetakenbysanitationandmaintenance.

5. Evidenceofcorrectiveactiontakenforrecommendationsprovidedbythelicensedpestcontrolcontractor.

6. Evidenceofapestcontrollogwheredeputiescanlogsightingofpestshowingdate,time,location,andtypeofpest.

7. Visualobservationofpestactivityandinmateinterviews.8. Inmategrievancesregardingsanitationandmaintenance.

Observations:

OPSOcontinuestomaintainapestcontrolcontract.TheOPSOSanitarianis

designatedtomanagethecontract.Thecontractorhascompletedapestcontrol

planforOPSO.Therecentreportsshowlittleactivityforbothinsectsandrodents.

Sincethelasttourtherehavebeennogrievancesorcomplaintsfrominmatesor

staffregardingpestissues.

Beforethisprovisionwillbeinsubstantialcompliance,OPSOmust

demonstratecompletionandevidenceofimplementationofthemaintenancepolicy

601.03,“PreventativeMaintenance”thatincludesaprovisionforongoingpest

controlservices.Topreventpestissueswithinfacilities,theOPSOsanitationpolicy

andinmatehandbookneedtoincludealistitemsinmatesarepermittedtomaintain

intheircells/housingunit,howmuchandwhereinmatecommissaryfoodistobe

stored,andhowlonginmatesarepermittedtoretainfoodfrommealservice(ifat

all).Thesanitationplanalsomustincludethescheduleforregularremovaloftrash

andgarbagefromthehousingunitsandthebuilding.

Recommendations:

117. Implementthepreventativemaintenancepolicythatincludesthepest

controlprogram,sanitationpolicies,andproceduresandincludetherelevant

informationintheinmatehandbook.

118. Providetrainingtoinmates,housingofficersandsupervisorsonrulesand

expectations.

119. Evaluatethepestcontrolcontractandreportsregularlyto:



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a. Assurethatthepestcontrolcontractorismeetingthetermsofthe

contractandtheirworkmeetstherequirementsofthisparagraph;

b. Assurecontractorcontinuestoprovidequarterlytrendreportsand

thatOPSOreviewsthemforchangesoractionitemsneedingtobe

completed;

c. Establishaprocessforofficersandinmatestoreportanypestactivity

withinOJCandtheKitchen/Warehouse.

d. Reviewthepestcontrolreportstoassurethatallrecommendations

areimplementedtopreventpestinfestationsandcomplaints.

IV.D.1.f.

Findings:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandprocedures.2. Developmentandimplementationofatrainingsyllabusforbloodbornepathogens.

Qualificationsofthetrainer(s).3. Documentedlistofdeputiesandinmatestrainedinbloodbornepathogens.4. Developmentandimplementationofabiohazardouswastepolicyandproceduresforeffective

andsafeclean-upofanyspills.5. Maintenanceofasupplyofbiohazardousspillkitsincludingpersonalprotectionitems

including,butlimitedtoeyeshield,mask,gloves,gownwithcap,CPRbarrier,towelettes,absorbentpowder,scraper,scoopbag,andbiohazardbag.

6. Observationanddemonstrationofknowledgebystaffandtrainedinmates.7. Inmateinterviews,inmategrievances.8. Medicalpolicyandprocedures.

Observations:

TheStipulatedAgreement(paragraph16)ofFebruary11,2015mandated

OPSOtoaddressbiohazardousspills.AtthetechnicalassistancevisitinOctober,

2015,OPSOcommittedtodevelopapolicyandproceduresforbiohazardousspill

clean-up,providespillkits,andidentifyandtraindesignatedstaffonallshiftsas

wellasinmatesiftheyaretobeusedonsafespillresponse.OPSOhasdeveloped

Policy1101.7,“BiohazardousSpillsCleaningProcedures”datedFebruary15,2016

(thedaybeforethecompliancetourbegan).ThepolicyprovidesthatonlyOPSO

deputiestrainedinbio-hazardousspillresponseshallbeutilizedforcleaningupany

biohazardousspills.Itisplannedthatdesignatedsanitationofficersoneachshift



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willbetrained.However,asofthecompliancetourthesanitationofficershavenot

beenidentifiedortrained.Theproceduresarethoroughanddevelopedin

accordancewiththespillkitdirectionsandincludesarequiredinventorybe

maintainedbythesafetyandsanitationdeputy.OPSOcurrentlymaintainsasupply

ofspillkitsthatarestoredinthechemicalstorageroomoneachflooratOJCandat

thewatchcommander’sdeskinintake.ThepolicydesignatestheOPSORegistered

Sanitariantoprovidethetraining.Noreportswereavailableregardinganyuseof

thekitssincetheywerepurchased.

Recommendation:

120. ImplementPolicy1101.07addressingspillresponseincluding,butnot

limitedto:

a. Designatepostspershiftthatwillresponsibleformanagingbloodborne

pathogenandbiohazardousspillcleanup.

b. ProvidetheMonitorwithadraftofthelessonplanforthetrainingprogram.

c. CompletedocumentedtrainingofthedeputiesonOSHA’sbloodborne

PathogensStandard,29CFR1910.1030andonthepolicy’sspillresponse

procedures

IV.D.1.g.

Findings:PartialCompliance

MeasuresofCompliance:1. Writtenpolicyandprocedures.2. Inventoryofcleaninganddisinfectingchemicals.3. Lessonplans/curriculum-evidenceofeffectivetrainingofdeputiesandinmates

responsibleforcleaninganddisinfectingsurfacesinhousingandcommonareas.4. Policyandproceduresaneffectivecleaninganddisinfectionpolicyandproceduresforall

facilities.5. Observationofeffectiveimplementationanddemonstrationofknowledge.6. Inmateinterviews,inmategrievances.

Observations:

OPSOmaintainsasupplyofspillkitsthatincludesa“SpillClean-UpPack”

thatincludesthechemicalstobeusedforclean-upanddisinfection.Thekitshave

beendistributedtothechemicalstorageroomsinOJCandatthewatch



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commander’sofficeInIntake.Reviewandimplementtherecommendationslisted

inIV.D.1.g.

Recommendation:

121. ImplementInterimPolicy1101.07,“Bio-HazardousSillsCleaningProcedures

including

a. DistributingthespillkitstothedesignatedlocationswithinOJC

b. Identifythedeputieswhowillbeassignedresponsibilityforspillresponse

andprovidetherequiredtraining.

IV.D.1.h.

Findings:Non-compliance

MeasuresofCompliance:1. WrittenpolicyandproceduresforaninfectioncontrolplanandpolicyfollowingCenter

forDiseaseControl’srecommendations.2. Lessonplans/curriculum-evidenceoftrainingofalldeputies,staffandinmates

responsibleforcleaninganddisinfectingallmedicalanddentalareaswithinOPSO.3. Demonstrationofknowledgeofthepolicyandplan.4. Observation.5. Inmateinterview,inmategrievances.

Observations:

SinceOPSOhasnopolicy,theMonitorprovidedpartialcomplianceinReport

#4basedontheexistenceofCCS’infectioncontrolpolicy.Butithasnotbeen

implemented,thereforethisparagraphisinnon-compliance.

TheOPSORegisteredSanitarianiscurrentlyworkingwithCCStodevelopa

comprehensiveinfectioncontrolplanforOPSO.Oncecompleted,OPSOhousingunit

deputies,supervisors,andsanitationofficerswillneedtobetrained.

Recommendation:

122. Implementwrittenpoliciesandproceduresgoverningtheprovisionsofthis

paragraphthatinclude,butisnotlimitedto:

a. Managementofcontactwithbloodborneandairbornehazardsand

infections

b. Identification,treatment,andcontrolofMethicillin-Resistant

Staphylococcusaureus(“MRSA”)atallfacilities;



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c. Trainingforallaffectedemployeesontheimplementationoftheplan.

d. AssurethattheCCSInfectionControlpolicyalsoaddressthesespecific

requirements.

V.D.2.EnvironmentalControlD.2.a.

Findings:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandprocedure.2. EvidenceofimplementationoftheProvisioninaccordancewiththeNationalElectrical

Code.3. Maintenanceofpendingworkorderlistshowingthepurchaseorderforpendingwork

orderregardingelectricalpanels.4. Observationofpractice.5. Observationoffacilities’conditions.

Observations:

OPSOonlyhousesinmatesatOJC.Allelectricalpanelsarelocatedinsecure

areasinaccessibletoinmates.TheFacilityMaintenanceManagerstatedthatsince

theopeningofOJCtherehavebeennoincidentsofbrokenormissingelectrical

panels.Theworkordersystemschedulesandtracksallworkorders.Duringthe

tourtheMonitordidnotidentifyanypanelsinneedofrepairorreplacement.

Thepreventativemaintenancepolicyandthemaintenancereportingpolicy

hasbeendrafted,buthasnotbeencompletedasofthiscompliancetour.Whenthe

policyiscompletedandimplemented,thisprovisionwillbesubstantiallycompliant.

Recommendation:

123. DevelopandimplementPolicy601.02“PreventativeMaintenance”andPolicy

601.03“ReportingMaintenanceProblems”addressingtherequirementsofthis

paragraphincludingnecessarytrainingandestablishaprocesstoassure

repairs/replacementiscompletedwithin30daysunlessthereisadelayduetoneed

forapartnotmaintainedinstock.

IV.D.2.b.Findings:Non-compliance




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1. Writtenpolicyandprocedureforpreventativemaintenanceandrepairsforelectricalissues.

2. EvidencethatallrepairsarecompletedinaccordancewiththeNationalElectricalCode.3. Evidencethatallrepairsarecompletedwithinareasonabletimetoassurethatinmates

andstaffarenotexposedtohazardsthatcouldcauseinjury.4. Observationofconditions.

Observations:

SeeObservationsandrecommendationsforIV.D.2.a.above.Electrical

repairsarescheduledwhenworkorderrequestsarefiled.Draftpolicies601.02,

“PreventativeMaintenance”and601.03“ReportingMaintenancePolicies“havenot

beencompleted.OnthecompliancetourtheMonitordidnotidentifyany

malfunctioninglights,exposedwiresorexposedwires.Oncethepreventative

maintenancepoliciesarecompletedandimplemented,thisprovisionwillbe

substantiallycompliant.

IV.D.3.FoodServiceIV.D.3.a.

Findings:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandprocedure.2. Developmentofatrainingsyllabusforannualtrainingforfoodsafetyandhygiene.²3. EvidenceofFoodServiceManagerCertificationinaccordancewithLouisianaRetailFood

Regulations.4. Evidenceoftrainingoffoodservicestaffandinmateworkers.5. Demonstrationofknowledgebythefoodservicestaffandinmates.6. Observation.7. Inmateinterviews,inmategrievances.8. HealthDepartmentinspectionreports.

Observations:

OPSOdoesnothaveanyfoodservicepoliciesgoverningtherequirementsfor

annualtrainingofdeputies,and/orinmateworkersassignedtothekitchen;and

thereforedon’tmeettherequirementsofthisprovision.OPSOcurrentlycontracts

forinmatemeals.OPSOprovideddocumentationthatthecontractor’sDirectorof

FoodServicesatOPSOmaintainsServ-SafeFoodManagerCertificationandalso

holdsaCertifiedInstructorandanexaminationproctorcertificate.OPSOprovided

copiesofServ-SafeCertificatesdemonstratingcurrentcertificationsforelevenofthe



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contractor’semployees.OPSOprovidedsign-insheetsasevidenceoftrainingof

inmateworkers.ThetrainingwasheldfromJulythroughDecember,2015.

Recommendation:

124. Developapolicyandprocedurethatincorporatetherequirementsofthe

provisionincludingarequirementfordocumentedinitialfoodsafetytraining

fordeputiesandinmateworkersassignedtofoodserviceinthekitchenor

there-thermkitchensofOJCandtheannualtrainingasrequired.

IV.D.3.b.

Findings:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandprocedureforthecleaningandsanitizationofallfoodservice

equipmentfollowingtheequipmentmanufacturer’sspecifiedcleaninginstructions.2. Maintenanceofadocumentedcleaningscheduleforequipmentandareasincluding

kitchens,storageareas,warewashing,refrigeratorsandfreezerswithassignedresponsibilityforoversight.

3. Visualevidenceofeffectivecleaningandinterviewswithstaffandinmatesoncleaningprocedures

4. Evidenceofacleaninglogforallequipmentandobservationofpracticemeetingthepolicy/procedures.

5. Inmateworkerinterviews.6. HealthDepartmentinspectionreports.

Observations:

OPSOdoesnothaveapolicypertainingtofoodservice,otherthanthevendor

contract,andawrittenlistofcontractor/OPSOresponsibilities/authoritydocument

thatwasagreetobytheContractoronMarch25,2015.AnOPSOpolicymustbe

developedtogovernkitchenoperationsincludingincorporationoftheprinciplesin

theMarch25thdocument,trainingprovidedandthepolicyandprocedures

implemented.

OPSOprovidedcopiesof12“internalinspections”completedbetween

August12,2015andDecember13,2015todemonstrateOPSOoversightofthefood

serviceoperation.Thereportswerenotsignedbythepersonconductingthe

inspectionandonlyonereportdatedAugust27,2015showedtheword“corrected”

onsixviolationsoutof19identifiedinthereportnarrative.Threeofthe19

violationswerenotedat“repeat”meaningthattheyhadnotbeencorrectedfrom



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thepreviousinspection.TheMonitorquestionsthevalueoftheinternalinspection

programthatdoesnotprovidetimelyfollow-upandresponsefromtheauditto

documentcorrectiveactionandclosingoftheviolation.Thereportsalsodidnot

indicatethatitwasreviewedwiththecontractororsharedwithappropriate

managementstaffatOPSOtoassuremanagementoversightoftheoperation.

OPSOalsoprovidedacopyofinspectionsofthreeinspectionsfromthelocal

healthdepartmentconductedonAugust28,2015attheOJC’sre-thermkitchens

thatshowednoviolationsoftheLouisianaFoodCode.Theseinspectionswere

conductedpriortotheopeningofOJCandthere-thermkitchenslocatedintheOJC

TheMonitortouredthekitchenandwarehouseandfoundthatthefloorsand

equipmentweremaintainedclean.Thecontractormaintainsacleaningplanand

scheduleforallequipmentandappearstofollowtheequipmentmanufacture’s

recommendationsforcleaningandsanitizing.TheMonitoralsonotedthatthere

wereseveralpiecesofequipmentinthecentralkitchenthatwereeitherinoperable

duetobreakdownandneededrepairandequipmentincludingthetrayfilling

conveyorsthataccordingtothecontractorcontinuallymalfunction.OPSOneedsto

assurethatallequipmentusedismaintainedinaccordancewiththeequipment

manufacturer’srecommendationsandisincludedinthe“FacilityDude”

preventativemaintenanceschedule.

Recommendation:

125. Developandimplementafoodservicepolicyandwrittenprocedures

addressingthisparagraphincludingbutnotlimitedto:

a. Establishingrequirementsforcleaningandsanitizationandaschedule

andplanforeachareaandspecificequipment,andincludewhatistobe

cleaned,howitistobecleaned(followingtheequipmentmanufacturer’s

instructionsfromtheoperationsmanual),whoisresponsibleforthe

cleaning,(ifaninmate,whosuperviseshim/herneedstobeidentified),

andthefrequencyofthecleaning.Thecompletionofthecleaningmust

bedocumentedonthesanitationlogshowingtheinitialsoftheperson

whocompletedthecleaning.ThelogsshouldbereviewedbyandOPSO



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FoodServiceKitchenSupervisororDirectorforverificationofcompletion

andmaintainedintheOPSOFoodServiceDirector’soffice.

b. Asabestpractice,itrecommendedthatOPSOcontinuetheweekly

documentedoversightinspectionsbyaqualifiedinspectorwhois

independentofthefoodservicecontractortoidentifyanycontractnon-

complianceandincludedocumentationofcorrectiveactiontakenforall

previouslyidentifiedviolations.Awrittencorrectiveactionprocessmust

berequiredforareasofnon-compliancethatincludesretrainingof

employeesorinmates,requiredmaintenancerepairs,safefoodhandling,

personalhygiene,etc.

c. Assureallinspectionsarereviewedwiththefoodservicecontractorand

designatedmanagementstaffwithinOPSO.

d. Designateinthepolicytheposition/postresponsibleforoversightfor

thesefunctions.

IV.D.3.c.Findings:Non-ComplianceMeasuresofCompliance:1. Writtenpolicyandproceduresformeasuringandrecordingtemperaturesofall

refrigerators,freezers,hotfoodholdingequipment,washandrinsetemperaturesofwarewashingequipment,inaccordancewiththeLouisianaFoodRegulations.

2. Developmentandimplementationoftemperaturelogsdemonstratingeffectivemeasurementsasrequiredinthisprovisionand/ortheLouisianaFoodRegulations.

3. Reviewoflogsanddirectobservationsofmeasurementsbeingtakenandrecorded.4. Observationofconditions.

Observations:

OPSOdoesnothaveapolicyandproceduresforfoodservicethat

incorporatestherequirementsofthisprovision.Priortothecompliancetour,OPSO

providedcopiesofthedailycoolertemperaturelogsforallrefrigeratorsthatwas

completedbyOPSOstaffassignedtothekitchenforNovemberandDecember2015.

TheMonitornotedthatthetemperaturelogswerecompletedforMondaythrough

Friday.Therewerenologsforholidaysorweekends.Thereportsshowed

temperaturesabovethemaximumtemperaturesof41°Fforrefrigeratedfoodand



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0°Fforthefrozenstorageofpotentiallyhazardousfoodsforfourrefrigeratorsand

twofreezers.Theseunacceptabletemperatureswererecordedformostdays

duringNovemberandDecember.TheMonitoralsonotedthatthefoodservice

contractor’smeasurementsforthesameperioddocumentedsimilarresults.

However,therewasnowrittenevidenceprovidedthatnotedanycorrectiveaction

takenbyOPSOstafforthecontractor,suchastorepairtheequipment,transferfood

tofunctioningunits.TheseactionsonlyoccurredaftertheMonitorreviewedthe

logsandraisedtheissuewithOPSO.

TheMonitorcouldnotdiscernfromtheprovideddocumentswhetherornot

potentiallyhazardousfoodwasactuallybeingstoredinthesefreezersor

refrigerators.TheMonitorreferencestheFDA’sModelFoodCodewhichestablishes

maximumtemperaturesforrefrigeratedorfrozenfood,notairtemperaturesthat

wereactuallymeasuredbyOPSOstaff.However,theairtemperaturescanbeavalid

indicatoroftheapproximatetemperatureofthefoodbeingstoredthere.

WhentheMonitoraskedstafftakingtemperatureswhatshouldbedone

whentemperaturesexceedthemaximumpermittedlevel,theycouldnotcorrectly

answercorrectlythattheactionmustbetotransferordiscardthefood.Thismay

beduetolackofawrittenprocedureorlackoftraining.

ForthistourOPSOdidnotprovideanytemperaturelogsforthewash,rinse

andfinalsanitizingrinsetemperatureforthe“potshack”warewasherasprovided

priortopreviouscompliancetoursandasrequiredintheprovision.TheMonitor

concludesthatthesetemperaturesarenotmonitored.

Recommendation:

126. OPSOneedstodevelopandimplementafoodservicepolicyaddressingthis

paragraphincluding,butnotlimitedto:

a. Identifyingallrefrigerators,freezers,hotandcoldfoodholding

equipment,andwarewashingequipmentlocatedinKitchen/Warehouse

andthere-thermkitchensinOJC.

b. Schedulingthefrequencythattemperaturesaremeasuredandrecorded

inaccordancewiththeLouisianafoodsafetyregulations.



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c. Establishingawrittencorrectiveactionplanthatidentifieswhatactions

staffwilltakewhenmonitoringidentifiesunacceptabletemperaturesfor

equipmentholdingpotentiallyhazardousfood.

d. RequiringevidenceofdocumentedtrainingoftheOPSOsupervisor

assignedtofoodserviceattheKitchen/Warehouseand/orOJCtoreview

temperatureslogsdaily,andassurethatanypotentiallyhazardousfoodis

removed,andifnecessary,destroyedandthatworkordersaresubmitted

wheninspectionsindicateequipmentthatisnotoperatingasdesigned.

e. Requiringdocumentedtrainingdeputiesassignedtomeasureandrecord

temperaturesforrefrigerated/frozencoldpotentiallyhazardousfood,hot

foodholdingunits,andwarewashingequipment

f. Requiringuseoftemperaturelogsforallequipmentwherefoodisheld

includingKitchen/Warehouseandre-thermkitchensandwhere

kitchenwareandutensilsarecleaned,thatincludesarecordretention

schedule.

g. Designatingtheposition/postresponsibleforoversightforthese

functions.

IV.D.4.SanitationandEnvironmentalConditionsReportingD.4.a.(1)–(7)

Findings:PartialCompliance MeasuresofCompliance:1. Writtenpolicyandproceduregoverningreporting.2. Evidenceofwrittenreportprovidedasspecifiedintheprovision.3.

Observations:

OPSOhasnowrittenpolicytoassureongoingreporting.TheDirectorof

FacilityMaintenance,alongwiththeassistanceoftheMonitor,developeda

reportingformatforSanitationandEnvironmentalConditionsthatwasusedforthe

tworeportsduring2015.Theformatmustnowberevisedtoincludethetwo

facilities--OJCandthekitchen/warehouse.



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OPSO’slatestreportincludesdatacollectedfromJuly-December,2015.Data

collectedwasfacilityspecific.OPSOFacilityMaintenanceneedstobeabletoreview

andtrackwhyworkordersarenotbeingsubmittedandlookatwaystoassurethat

theyaresubmittedtoreceivetimelyrepairs.

Asaresultofthepestcontroldatafromthefirstreport,thepestcontrol

contractorrevisedit’strackingtoprovidemorecomprehensivetrenddata.The

secondtrendreportsshowedverylittleinsectandrodentissuesinOJCandthe

kitchen/Warehouse.2

TheonlyHealthDepartmentinspectioncompletedduringthereporting

periodwasforTDC,whichisnowclosed.TheLouisianaDepartmentofHealthand

HospitalsdidnotdoanyinspectionofOJCduringthereportingperiod.Becausethe

facilityhasnotbeenopenforsixmonths,someregulatoryinspectionshavenotyet

beencompletedasofthisreportendingdateofDecember2015.

Asmoredataareavailable,thereportingformatmayneedtoberevisedto

captureinformationusefultoOPSOmanagementtouseinmodifyingpolicies,

training,implementationissues,andinspections.Theformsneedtohavea

governingpolicy/procedure.AspartofthisreportingprocessOPSOneedsto

includethenumberofinmategrievancesfiledandresolvedforenvironmental

conditions.

Recommendation:

127. Developandimplementwrittenpolicyandproceduresaddressingthis

paragraphincluding,butnotlimitedtoassuringthatthetracking

mechanismsareinplacetorecordtherequiredinformation.Such

documentationmayincludehealthdepartmentreports,pestcontrolreports,

preventivemaintenanceworkordersystemreports,inmategrievancelogs,

andmaintenancelogs.

a. Designatetheposition/postresponsibleforoversightforthese

functions.

2MoredetailcanbefoundinthepestcontrolprovisionIV.D.1.e.



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b. Trackgrievancesforenvironmentalandmaintenanceissuesincluding

regardingmaintenanceissues.

D.4.b.Findings:PartialcomplianceMeasuresofCompliance:1. Writtenpolicyandproceduregoverningreportingonenvironmentalconditions.2. Evidenceofareviewofthesanitationandenvironmentalconditionsreportbystaff

responsibleforimplementingpoliciesandproceduresforfoodservice,bloodbornepathogens,chemicalcontrol,sanitation,andpreventivemaintenance.

3. Evidenceofwrittenauditsofthefacilities.4. Evidenceofcommandstaffreview.DeterminationbyOPSOthattheimplementedpolicies

andproceduresareeffectivetoaddresstheprovisionsofthisAgreement.5. EvidenceofeffectiveCorrectiveActionsaretakentoaddressnon-conformitiesidentified

duringthereviewprocess.6. Changestopolicy,trainingcurriculum,etc.resultingfromthesereviews.

Observations:

Thereisnochangeincompliancefromthepreviousreport.Thereisno

policyorprocessgoverningtheelementsofthisparagraph.

Recommendation:

128. Developandimplementwrittenpolicyandproceduresaddressingthis

paragraphincluding,butnotlimitedtousingthedatafromIV.D.4.a.(1)-(7)

todocumenttrendsanddevelopmanagementresponseand

recommendationstoaddresstheissuesobservedintheSanitationand

EnvironmentalConditionsReportandtheprovisionsoftheConsent

Judgment.

a. Designatetheposition/postresponsibleforaddressingthisprovision.



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IV.E.FireandLifeSafety

IV.E.1.a.Findings:PartialcomplianceMeasuresofCompliance:1. Writtenpolicyandproceduregoverningtheproceduresandstaffresponsibilityand

accountabilityassignedforaminimumofquarterlyinspections,repairand/orreplacementofallfireandlifesafetyequipment,includedinthecontrolleddocumentinventory.

2. Inspectionsshallbecompletedbycompetentfireinspectorhavingataminimumsuccessfullypassed“FireInspectorII”trainingandexaminationinaccordancewithNFPA1031,ProfessionalInspectorLevelIIQualificationsandallrequirementsoftheOfficeoftheLouisianaStateFireMarshall.

3. Developmentandmaintenanceofacompleteinventoryofallfireandlifesafetyequipmentforeachfacility.Thelistneedstoinclude,butnotlimitedtosprinklerheads,firealarmpullboxes,smokedetectors,firesuppressionsystems,fireextinguishers,defibrillators,SCBAequipmentandetc.

4. Annualmastercalendarforallinternalandexternalinspectionofallfireandlifesafetysystemequipment.

5. Developmentofafacilityspecificauditformthatdemonstratesthedateofcompletionofinspection,identificationofallnon-conformingequipment,alongwithacorrectiveactionreportformthatcandemonstratethateffectivecorrectiveactionwastakenforallnon-conformities.

6. Lessonplans/curriculumforstaffassignedasauditors/inspectors.7. Executionofcontractwithaqualifiedcontractortoperformtheinspectionsspecifiedin

thisprovision.8. Evidenceofacompleted,signed,andsupervisoryreviewofallinspectionandtesting

reports,alongwithdocumentedcorrectiveactionstakentoresolveidentifyissueonnon-conformance.

9. FireDepartmentinspectionreports.10. InterviewwithFireDepartmentofficials.

Observations:

AccordingtothePolicyTrackingspreadsheetprovidedbyOPSOPolicy

701.01EmergencyEquipmentInspectionshasnotyetbeendraftedforreview.

OPSOprovidedcopiesofthe4thquarterFacilityQuarterlySafetyInspectionReport

forOJCcompletedonDecember12andfortheKitchen/WarehouseonDecember

12,2015bytheFireSafetyOfficer.TherewerenodeficienciesreportedatOJCor

theKitchen/Warehouse.OPSOprovidedacopyoftheCertificateofCompletion

fromthecontractorsandcopiesoftheStateFireMarshallpre-openinginspections

completedpriortooccupancyonAugust25,2015.OPSOprovidedacopyofthe

CertificateofOccupancyandcompletionissuedbytheCityofNewOrleansand

issuedOctober21,2015.



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TheConsentJudgmentrequiresquarterlyinspectionsofall“necessaryfire

andlifesafetyequipmentisproperlymaintainedandinspectedatleastquarterly.”

Untilpoliciesaredevelopedwithassignedresponsibilityforoversight,theprovision

cannotbeincompliancewiththeprovision.3

TheKitchen/Warehousesprinklersysteminspectionwaslastcompleted

April,1,2015andNovember5,2015byS&SSprinklerCompany.Itisrequiredto

becompletedeverysixmonths.ItwillbedueagaininMay2016.

Thecopiesofallwarrantiesforthenewfacility’sfiresafetyequipmentneed

tobeobtainedfromtheconstructioncompany,reviewed,andcataloguedforfuture

reference,trainingandaccountability.OPSOemployeesneedrefrainfromtaking

anyactions(e.g.repairs,inspections)thatwouldviolatethosewarrantieswithout

approvaloftheapplicablecontractor.Additionally,OPSOmustassurethat

maintenancecontractsareinplaceBEFOREthewarrantiesendandbudgeted

accordingly.Otherwisethereisariskthattheequipmentwillnotbeservicedas

required.

OPSOhasdevelopedaninventoryofallfireextinguishersforbothOJCand

theKitchenWarehouse.OPSOhasdeterminedthatLouisianaregulationsrequirea

minimumofannualinspectionsoffireextinguishers.

Recommendations:

128. ReviewandrevisePolicy701.2toincludeabuilding-specificlistofallfire

andlifesafetyequipmentthatisrequiredtobeinspectedand/ortestedboth

annuallyandquarterly.Therevisionsinclude,butarenotlimitedto:

a. Thepostsand/orpositionshavingresponsibilitytoassurethetesting

and/orinspectediscompleted.

3TheexistingOPSOPolicy701.2FirePreventionRegulations;AnnualTestingofEquipmentdatedJune6,2008,lastreviewedOctober10,2009,requiresaquarterlyinspectionoffireequipmentinspectionandtestingincludingfiresprinkler/suppressionsystems.Thetitleofthisdirectiveismisleading.ThepolicyrequiresthattheDirectorofMaintenanceshall,“uponnotificationthatsubstandardconditionsexistregardingfire-fightingequipment,”takeappropriatemeasurestocorrectsubstandardconditionsandthatinspectionreportsshallbekeptonfilewiththeDirectorofMaintenance.TheexistingpolicydoesnotincludeanylistofwhatequipmentisincludedintheinspectionandtestingsuchasSCBA,sprinklersystems,firealarms,fireextinguishers,smokedetectors,generators,hydrants,etc.



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b. AssureOJCschedulestheannualinspectionfor2016asrequiredby

statelaw.

c. Designatetheposition/postresponsibleforoversightforthe

testing/inspections.

129. Assurethatpreventivemaintenancecontractsareinplacepriortothe

expirationofwarrantiesonequipment.

IV.E.1.b.Findings:PartialComplianceMeasuresofCompliance:1. Jobdescription/postorders,includingqualificationsforafiresafetyofficerinaccordance

withNFPArequirementsfora“CertifiedFireInspectorLevelII”2. Writtenpolicyandproceduresincludingevidenceofattendanceatanyandall3-year

certificationseminarsforcertificationrenewalorcurrentlicensefromtheOfficeoftheStateFireMarshall

3. Alsoincludemeasures3,4,5,7ofIV.E.1.a.4. Reviewandobservationofcompletedreportsandcorrectiveactionstaken.5. Interviewwithfiresafetyofficer.

Observations:

Policy701.1,FireInspections:lastupdatedJune10,2008andreviewed

October16,2009requiresthattheOPSO’sfireinspectorshallconductmonthly

inspectionsofthefacilitiestoensurecompliancewithsafetyandfireprevention

standardsandthatcorrectiveactionstakenfornon-conformancesaredocumented.

Thereportsshallbekeptonfileinfireinspector’soffice.Theexistingpolicyis

inadequateasitdoesnotspecifytheinspectioncriteriatobeincludedinthe

inspectionsuchascells,dayrooms,classrooms,chemicalstorerooms,offices,clinics,

hallways,stairs,fireescapes,sprinklerheads,smokedetectors,fireextinguishersor

ingressesandegressesanddoesnotreflectcurrentpractice.

OPSOprovidedcopiesofmonthlyFacilityFireInspectionReportsforthe

monthsofOctober,November,andDecember2015completedbytheFireSafety

OfficerandsignedbytherankingofficerforOJCandKitchen/Warehouse.The

monthlyinspectionformsusedmustbeincludedasappendicestotheFireSafety



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InspectionPolicytoassurethattheformisacontrolleddocumentthatisreviewed

aspartoftheannualpolicyreview.

Theexistingfiresafetypolicydoesnotspecifythequalificationsofthefire

safetyinspectororafacilitysafetyofficer.OPSO’sFireSafetyOfficerstatedthat

OPSOhasnamedthesafetyofficerpositionsforeachbuildingforallshifts.However,

trainingofthesafetyofficershasnotstarted.Whentherevisedpolicyiscompleted

andtheMonitorcanverifyalltherequirementsfortheprovisionaremet,itwillbe

substantiallycompliant.

Recommendations:

130. Eitherrevise701.1orcreateanewOPSOpolicyandprocedurethat

establishesthespecificparameterstobeincludedinthemonthlyinspections

inaccordancewiththeprovision.

a. Designatetheposition/postresponsibleforoversightforthesefunctions.

b. Establishanddefinetheterm“qualifiedfiresafetyofficer”.

IV.E.1.c.Findings:Non-ComplianceMeasuresofCompliance:1. Writtenpolicyandproceduresgoverningstaffresponsibilitiesandaccountabilityfor

conductingfiredrillswithineachfacilityinaccordancewiththeprovision.Thepolicyshallincludeapplicabledrillreportsthatoutlineataminimumstartandstoptimesofthedrillsandthenumberandlocationofinmateswhoweremovedaspartofthedrills,areviewprocessforeachdrillthatidentifiestherootcauseandverificationofeffectivecorrectiveactionsasnecessaryfornon-conformitieswiththefiresafetyandevacuationplan(s)

2. Developmentandimplementationoffiredrillauditform(s)3. Annualscheduleofdrillsforeachfacility;demonstratingrotatingdrillstoassureallareasare

drilledataspecifiedfrequency.4. Observationofdrillsand/ordrillreports.5. EvidenceofcollaborationwiththeNOFD;interviewwithNOFD.6. Interviewswithinmates.

Observations:

Policy701.4updatedSeptember1,2004andlastreviewedOctober16,2009

states,“Eachfacilitywillconductfire/emergencydrillstoensurethatallpersonnel

arecapableofcarryingoutfire/emergencyplansandprocedures.Ifandwhenitis

notathreattofacilitysecurity,inmatesmaybeincludedinevacuationdrills.”



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DraftPolicy701.05,“Emergencies–Evacuation”wascompletedon

November13,2015.TheMonitorprovidedcommentsandsuggestionson

December21,2015.ItwasrevisedandsenttotheOPSOpolicycoordinatorin

January2016,buthasnotbeenissued.

OPSOdidnotconductanyfiredrillsintheKitchen/Warehousein2013,

2014,and/or2015.TheFireSafetyOfficerreportedthatOPSOhasnotconducted

anydrillsinOJCsinceit’sopeningonSeptember15,2015.Thefiresafetyofficer

reportedthatstaffhasnotbeentrainedinfiresafetyorevacuationasrequiredin

provisionIV.E.1.d.

OPSOdidprovidereportsforprevioustoursdrillsconductedinthenow

closedOPP,Conchetta,TDC,IntakeProcessingCenter,TPV,andtheTents.

Aspartofthedrillprocess,OPSOneedstoreviewthedrillsanddocumentthe

outcomes,lessonslearnedandrecommendations–toimproveinitialandannualin-

servicetraining,andimproveoperationalpractices.InthepreviousreportOPSO

didprovidesign-insheetsfor138officerswhoparticipatedinthein-service

trainingon“FireSafetyinJailsRefresher.”However,manyofthosedeputiesmay

haveleft.

Recommendations:

131. ReviewandrevisePolicy701.4WrittenEvacuationPlantoaddressthe

minimumrequirementsspecifiedintheprovision.AsbestpracticeOPSO

shouldconsiderconductingdrillsmorefrequentlythanspecifiedinthe

provisionandonallshiftstoassurecompetencyandthatallstaffisfamiliar

withevacuationproceduresandthatinmatescanberelocatedquicklyand

safelywhileprotectingsecurity.


b. ProvidetheMonitorcopiesofallfiredrillreportsandassessmentsaftereach

drill.

IV.E.1.d.Findings:Non-compliance



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MeasuresofCompliance:1. Developmentandimplementationofacompetency-basedtrainingpolicyforallcorrection

staffonsafeandeffectiveuseofallfireandemergencyequipment,firefighting,safeevacuation.

2. Developmentandimplementationofafireandemergencypracticesandprocedurestrainingcoursesyllabus/outline,alongwithawrittenexamthatmeasuresthecompetencyofthecorrectionsstaffforthefiresafetyandevacuationplanandestablishesanacceptablepassingscore.

3. WrittendirectiveregardinghowOPPwillidentifyeachofficerandstaffwhoisrequiredtoreceivetraining,thetrainingdate,nameofofficer/stafftrained.

Observations:

Policy701.5,“TrainingofStaffinEmergencyPlanswasupdatedSeptember

1,2004andlastreviewedOctober16,2009andprovides“Allfacilitypersonnelwill

receivetrainingandperiodicretrainingintheimplementationofOrleansParish

Sheriff’sOfficeemergencyplans.(Noemergencyplanshavebeenprovidedtothe

Monitortoreview.)OPSOprovidedthepolicydevelopmentcontractorwithadraft

ofPolicy401.05EmergencySituationTrainingandDrills.Asofthiscompliance

tour,ithasnotbeensenttotheMonitorforreview.TheFireSafetyOfficerprovided

acopyofatrainingsyllabusandcurriculumforfacilitySafetyOfficers.Itisplanned

thattheSafetyOfficerswillgothrough24-hourtrain-the-trainerprogram.They,in

turnwilltraintherankandfileofficersinan8-hourclass.Asindicatedearlierin

thisreport,theSafetyofficerswereselectedforOJC,buthavenotbeenavailablefor

trainingreportedlybecauseofastaffshortage.OPSOisconsideringtheelimination

oftheSCBAunitsthatwillchangetheannualtraining.TheFireSafetyOfficerwill

prepareasyllabustoaddressfireandlifesafetyannualtrainingprovision.

RevisiontotheexistingOPSOPolicy701.5oranewtrainingpolicymustbe

developedasthisdocumentdoesnotrequireannualcompetencybasedtrainingon

properfireemergencypracticesandproceduresasspecifiedintheConsent

Judgment.Furtheritdoesnotidentifywhichstaffneedsgeneralorenhanced

training,identifythequalificationofthetrainer,specifythetrainingcontent,and/or

describehowpost-trainingstaffcompetencywillbemeasured.

Recommendation:



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132. Reviseexistingwrittenpoliciesandprocedurestoaddressthisparagraph

includingbutnotlimitedto:

a. Assuringthatthefiresafetyandevacuationtrainingforalljailstaff

meetstherequirementsoftheNewOrleansFireDepartment,the

StateFireCode,andthatstaffareabletodemonstratecompetency.

b. ProvidetheMonitorwithacopyofthePowerPointpresentationfor

the24-hourtrainingforreview.

c. ProvidetheMonitorwithacopyofthe8-hourtrainingsyllabusand

curriculumandanytrainingmaterials.

d. ProvidetheMonitorwithcopiesofthepreandposttestinstruments

forthe24-hourandthe8-hourclass,ifdifferent.

e. Assuringthatthepersonconductingthefiresafetytrainingis

qualifiedtoconductthattraining.

f. Designatetheposition/postresponsibleforoversightforthese

functions.

IV.E.1.e.Findings:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandproceduresregardingstaffresponsibilityandaccountabilityforthe

systematicmarkingofallemergencykeys,includingsightandtouchidentificationanddesignatedlocationsforquickaccessforallkeys.Allpoliciesandproceduresaretobereviewedandupdatedasnecessaryandatleastannuallyonaschedule.

2. Implementationofthepolicyandprocedure3. Documentedevidenceofofficerandstafftrainingonthepolicyandprocedure.4. Observationofkeys.5. Observationofstaffutilizingkeys.Observations:

ThereisnowrittenOPSOpolicythataddressesemergencykeys.ThePolicy

TrackingspreadsheetdatedFebruary1,2016statesthatthecontractorisnot

assignedtodoakeycontrolpolicyandthereisnoplantodoaseparatepolicyfor

emergencykeys.Thisisunacceptable.TheemergencykeysforOJCaresecurely

locatedinafingerprintaccesscontrolboxlocatedjustinsidethesecureentrance.



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Thekeysareidentifiablebysightandbytouch.Glowsticksareattachedtoeachkey

ring.Theemergencykeysandlockshavealsobeencolor-codedbyfloor.

TheFireSafetyOfficerisdevelopinga“FirePacket”thatcontainskey

location,floorplans,andcontactnumbersofessentialOPSOpersonnel.Thepacket

canbegiventotherespondingNewOrleansFireDepartmentincaseoffireorother

emergency.Alistofthelocationoftheemergencykeysispartofthepacket.

Thepolicytomeettherequirementsofthisprovisionalsoneedstoidentify

whoineachfacilityoneachshiftcanaccesstheemergencykeys,andthereforebe

trainedontheiruse.ThequarterlySafetyInspectionReportformrequiresthat

emergencyexitkeysareproperlymarkedandstoredandtheemergencyexitlocks

aretestedandoperational.

Recommendations:

126. Developandimplementawrittenpolicyandprocedurethataddressesthis

paragraph.


b. Continuethequarterlyinspectionprocesstotestemergencykeysandthe

locksofalldoorsforwhichtheyareexpectedtoopen.

E.2FireandLifeSafetyReportingIV.E.2.a.(1)–(3)

Findings:PartialComplianceMeasuresofCompliance:1. Writtenpolicyandproceduregoverningrequiredreporting.2. Evidenceofwrittenreportprovidedasspecifiedintheprovision.

Observations:

Asofthiscompliancetournopolicyhasbeendevelopedthatassigns

responsibilityorparametersforeithersupervisorsorfiresafetyofficerstoroutinely

inspectallhousingareastoidentifyfirehazards.Thisisrequired.

OPSOprovideddocumentationthathighlightedthefewviolationsidentified

throughtheinternalmonthlyandquarterlyfireandlifesafetyinspections

completedbytheFireSafetyOfficer.Alsoprovidedwerethespecificreportsthat



137

identifiedthedetailforthenon-conformities.Inallcasescorrectiveactionwas

takenanddocumented.Therewerenoinspectionsbycontractorsduringthe

reportingperiodastheOJCreceivedthefiremarshal’sapprovaljustpriorto

opening.

Recommendations:

127. Developandimplementwrittenpolicyandproceduresaddressingthe

requirementsofthisprovision.


b. Includefiredrillassessmentsandannualstafftrainingprogressinfuture

reports.

IV.E.2.b.

Findings:Non-complianceMeasuresofCompliance:1. Writtenpolicyandproceduregoverningrequiredreporting.2. Evidenceofreviewsofthefireandlifesafetyconditionsreportbystaffresponsiblefor

implementingpoliciesandprocedures.3. Evidenceofwrittenauditsofthefacilities.4. Evidenceofcommandstaffreview.DeterminationbyOPSOthatthepoliciesand

proceduresareeffectivetoaddresstherequirementsofthisJudgment.5. DocumentationofCorrectiveActionstakentoaddressnon-conformitiesidentifiedduring

thereviewprocess.6. Changestopolicy,trainingcurriculum,etc.resultingfromthesereviews.7. ReviewofFireDepartmentreports/inspections;interviewswithNOFD.Observations:

Seeaboveregardingpolicyrequired.Therewasnofiresafetyinspectionand

actionpolicydevelopedandimplementedforfiresafety.

OPSOFireSafetyOfficerprovidedevidenceofcorrectiveactionsdeveloped

asaresultofthequarterlyandannualinspections.

Recommendation:

128. Developwrittenpolicyandprocedurestoaddresstherequirementsofthis

provisionandimplementit.




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b. Basedonfiredrillassessments,inspectionsandtrainingfeedback,

demonstratechangesmadetofiresafetyproceduresandtraining.

IV.F.LanguageAssistance

Findings:PartialCompliance-IV.F.1.a.NotApplicable-IV.F.2.a.NotApplicable-IV.F.2.b.PartialCompliance-IV.F.3.a.PartialCompliance–IV.F.4

Measuresofcompliance:1. Comprehensivenessofpolicy2. Training,3. Reviewofinmatefiles4. Interviews

Observations:

OPSO’spolicyonLanguageAssistance(801.25)wascompletedon4/15/15;

OPSOindicatesthepolicywillbefinalizedinthenearfuture.Traininghasnottaken

place.

InregardtoparagraphIV.F.1.a.(4)–thepartiesagreedthatthisevaluation

couldbeannual,notmonthly.OPSOwastoassurethatdatawasbeingcollectedat

intaketoinformthismatter.Thisdatacollectionwasnotprovidedforreviewbythe

Monitors.

OPSOprovidedalistofstaffwhohaveidentifiedthemselvesasproficientin

anotherlanguagethanEnglish(Vietnamese,German,FrenchandSpanish).Thislist

ismaintainedbytheDirectorofHumanResources.

OPSOusestheCityofNewOrleanscontractforalanguagelinethatprovides

translationservicesasneededforoperationsandmedical/mentalhealthcare.The

CityprovidedreportsthatindicateOPSO’suseoftheline.

Theplaintiffs/DOJhaveagreedthatinformationisnotrequiredtobe

translatedintoVietnamese.

RegardingIV.F.2.,LanguageAssistancePoliciesandProceduresregarding

holdfortheU.S.DepartmentofHomelandSecuritythereisnoevidencethatany



139

inmatesinthatstatuswereheldinOJC.Theratingprovidedthereforeis:not

applicable”.

Theplaintiffs/DOJhaveagreedthat8hours(seeIV.F.3.(a))oftrainingnoted

maybedecreasedbasedonaproposalandevidenceprovidedbyOPSO.

Recommendations:

129. Completerelevantpolicies/procedures

130. Whenthepolicyhasbeenfinalized,allcorrectionsandmentalandhealth

staffshouldbegintoreceivethetrainingrequiredundertheConsent

Judgment.Itmaybepossibleforsomeofthistrainingtobecomputerbased.

IfOPSOwishestoproposelessthanan8hourblockofinstruction,thisneeds

tobedonealongwiththespecificsofanysuchproposal.

131. TheplaintiffsanddefendantsshouldconferregardingtherequirementsofIV.

F.3.a.andadvisetheMonitors.

IV.G.YouthfulPrisoners

Findings: Partial-compliance

MeasuresofCompliance:1. Writtenpolicy/proceduresgoverningclassificationandhousingofyouthfulinmates,

includingbutnottosight/soundseparation,provisionofservices,protectivecustody,educationandotherservices,servicesforyouthfulinmateswithmentalillnessorwhoaredevelopmentallydisabled,accesstomedicalandmentalhealthservices.

2. Housingplan;classificationplan.3. Observation4. Interviewwithyouthfulinmates.5. Reviewofrecreationandprogramschedules.6. Reviewofinmatefiles(developmentallydisabled,mentalillness)7. Reviewofhousingunitlogs,programschedules.

Observations:

ThemalejuvenilesheldattheOrleansJusticeCenterarehousedinoneunit

regardlessofclassificationthatconsistsof30doublecells.Theseinmatesare

managed,accordingtoOPSObyschedulingin/outofcelltime.Becausenotallmale

juvenilesareclassifiedthesame,orhavethesameriskfactors,thereisnostrategy

otherthanlockdowninacellasameansofsafehousing.Thisisaviolationofthe



140

PREAstandards,aswellasagenerallypoormanagementstrategyforthis

population.OPSOhasfewotheralternativeswiththespacecurrentlyavailable.

Femalejuvenilesaresinglecelledinoneofthewomen’sunitsinOJC,a

housingplanthatdoesnotcomplywithPREA.

OPSOhashiredtwoindividualstodeveloppoliciesforappropriate

programming(includingmentalhealth)fortheyouth,incollaborationwiththe

SchoolBoard.Thesetwoindividualshavedevelopedaschedule,someofwhichthey

instruct,andsomewhichrelyoncommunityvolunteers.Draftpolicieshavebeen

developedregardingtheuseofvolunteers,andpredicatedonOPSO’sinitiativeto

hireavolunteercoordinator.Theprogrammingneedstoidentifyspecificmeasures

toassessimpactsuchas:reductionofinmate/inmatealtercations,reductionof

inmatedisciplinarywrite-ups,reductioninusesofforce,numberofjuveniles

enrolledinprogramming,receivingGED,etc.,andhoursbyrelevantprogramtopics.

Achallengeforprogrammingisthehousingissuesdescribedabove–thatis–

thejuvenileinmatesarenotthesameclassification,andposeriskstothesafetyof

eachotherifco-mingledinprogramming.Therefore,programmingneedstobe

expansiveandflexibletoreachallthejuvenilestocomplywiththeConsent

Judgment.

Itwillremainachallengeinthecurrenthousingtoprovideservicestofemale

juveniles.TheMonitordidobserveaninstructorfromtheSchoolBoardpreparing

toprogrameducationalservicestofemalejuvenilesintheprogramspace

immediatelyadjacenttoherhousingarea.

Absenttheavailabilityofsmallerhousingunits(e.g.lessthan30cells),or

arrangingtoholdfemalejuvenilesinanotherfacility,itwillbedifficult,ifnot

impossible,forOPSOtogaincompliancewiththissectionoftheConsentJudgment.

Smallerunitsformalejuvenileswillenhancesecurity,abilitytoseparateby

classificationandrisk.Thesesmallerunitsarenotavailableinthisfacility.



141

Recommendations:

132. Developandimplementwrittenpoliciesandprocedurestocomplywiththis

paragraph.[Seealsothemeasuresofcompliance.]Includeobjectivedata

measuresoftheinitiative’scompliancewiththisrequirement.

133. TheSheriffandtheCityneedtodevelopstrategiestobringcompliancewith

thisrequirements(sightandsoundseparationforfemalejuvenilesand

appropriateseparateformalejuveniles)andtotheextentpossiblegiventhe

physicalplantlimitations,notuselockingdownjuvenilesasameansof

populationcontrol.

VI.A–D.TheNewJailFacilityandRelatedIssuesA. NewJail

TheOrleansJailCenteropenedforinmatesonSeptember15,2015.

Finding–SubstantialCompliance

B. DesignandDesignDocument

Finding–SubstantialCompliance

C. Defendantshallconsultwithaqualifiedcorrectionsexpertastotherequiredservicesandstaffinglevelsneededforanyreplacementfacility.OPSOshallcompleteastaffingstudytoensurethatanynewfacilityisadequatelystaffedtoprovideprisonerswithreasonablesafety.

Finding–PartialCompliance

Thestaffinganalysisandplanneedstobeupdated.Severalplanshavebeen

submittedsincetheopeningofOJC,themostrecentdatedFebruary24,2016.These

planshavenotbeenevaluatedbytheMonitors.

D. CompliancewithCodesandStandards

Finding–Notevaluated.TheMonitor’sdonothavetheknowledgebasetoevaluatethisparagraph.

I.ComplianceandQualityImprovement

Finding: Partialcompliance MeasuresofCompliance:

1. Policiesandproceduresmanual.2. Process/spreadsheettoidentifyallexistingandplannedwrittendirectives,dates

whenexpectedtobesubmittedforMonitors’review.



142

Observations:

Workcontinuestocompletethewrittendirectivesystem(seeIntroduction

tothisreport).AsindicatedinthisCompliancereport,nothavingcompleted

policiesandprocedurescontributedtodifficultiesinopeningtheOJC.Thechallenge

willbewhenthepoliciesaredonetoconducttraining.OPSOisplanningonusing

thevendortodeveloptraininglessonplansforthemostcritical(10)policiesand

proceduresandthenhavethevendortrainthetrainersforOPSO.Thisisan

acceptablestrategytotheMonitorsprovidingthatthetrainingisconducted,

documented,andmeasuresofknowledgegainedrecorded.

Recommendation:

134. OPSOcontinuetoMonitorstheperformanceofthevendor,aswellasprovide

internalassetstoreviewthepolicydraftsbeforeforwardingtotheMonitors

forreview.

135. Completethelessonplans,trainthetrainers,schedule,conduct,andevaluate

thetraining.

VII.(H).B.ComplianceandQualityImprovement

Finding: Non-compliance

MeasuresofCompliance:1. Writtenpolicy/proceduregoverningqualityimprovement.2. Writtenreport.3. Resultsofactionplanfromwrittenreport.

Observations:

NochangesinceComplianceReport#3.OPSOandtheplaintiffs/DOJagreedona

schedulefortheproductionofperiodicreports(September9,2015).Thereports

submittedtodatehavebeenunsatisfactoryintermsofanalysisofinformationand

developmentofplansofactiontoaddressdeficiencies.Importantly,thereisnowritten

directiveguidingtheprocess.

Recommendation:

136. OPSOshouldconsiderhiringstaffwhoarequalifiedtoassistinthecollection,

analysisandmanagementtodata(e.g.aplanningandresearchperson).



143

137. Completetherelevantwrittendirective.

IV.(I).C.ComplianceandQualityImprovement

Finding:Non-complianceObservation:

OPSOnamedacompliancecoordinatorinMay2014,whowasreassignedto

otherduties.ThenOPSOcontractedwithaqualifiedperson(March2015),butthe

MonitorshavenotseenhisparticipationsincetheAugust2015tour.OnFebruary

22,2016,theleadMonitoraskedtheSherifftoidentifythepersononstaffwho

meetstheserequirements,andnoinformationisyetavailable.TheMonitors

believethatCapt.Petersisattemptingtoperformtheseduties(designatedbythe

SheriffonJanuary3,2015),alongwithotherassignedduties.OnewaytheSheriff

canreaffirmhiscommitmenttocompliancewiththisConsentJudgmentistoname

afull-time,qualifiedperson.

Recommendation:

138. Nameafull-timequalifiedpersonasComplianceCoordinator.

VI.(J.)D.ComplianceandQualityImprovement

Finding: Partialcompliance

Observations:

PartialcomplianceisindicatedasOPSOhasprovidedbi-annualreportsas

partofthebi-annualcompliancetours.AsnotedinReport#4,thesereportsneed

tobeguidedbywrittendirectives.Thescopeanddepthofthereportsneedsto

improveasthedirectivesarecompleted,stafftrained,andexperienceusingthe

reportsforinternalmonitoringandimprovementmoveforward.OPSOandthe

plaintiffshavediscussedwaystoimprovereportingbyclarifyingrequirementsof

theConsentJudgmentandrelatedduedates.

Recommendations:

137. Ensurethattherearewrittenpoliciesandproceduresthatsupportthese

functions,includingperiodicityofreporting,andaccountability.



144

138. Producetherequiredreports.

J.ReportingRequirementsandRightofAccess

VIII.A.Finding: Partialcompliance

Observations:

ThecompliancereportwassubmittedpriortotheFebruary2016compliance

tour.Itisnotincludetheinformationrequiredbytheparagraph.Asnotedin

Report#4,thereportingisnotincludedinthewrittendirectivesystem.

Recommendation:

139. Prepareawrittenpoliciesandproceduresthatsupporttheserequirements,

includingperiodicityofreporting,andaccountability.

VIII.B.Finding: Compliance

Observations:

Nochangefromlastcompliancereport.Notificationsareprovided.

Requirementsneedtobeincludedinwrittendirectivestoachievesubstantial

compliance.

Recommendation:

140. Ensurethattherearewrittenpoliciesandproceduresthatsupportthese

functions,includingperiodicityofreporting,andaccountability.

VIII.C.Finding: Compliance

Observations:

Informationrequiredregardinginmatedeathsisprovided.

Recommendation:Noneatthistime.



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III. StipulatedAgreements

TheOrleansParishSheriff’sOffice(OPSO)andtheplaintiffs(U.S.Departmentof

Justice,MacArthurJusticeCenter)negotiatedtwoagreementssinceComplianceReport#3.

Theobjectiveofthesetwoagreementsistomovecriticalrequirementscontainedinthe

ConsentJudgment,andnotyetcompleted,toafastertrack.TheMonitorsperiodically

reporttothepartiesandtheCourtregardingthedefendants’compliance.

Agreement/Order(2/11/15)# Language Due

DateStatus NotesonCompliance

1.OPSOReportingonComplianceStatuswiththeConsentJudgment1.a. AteachofthescheduledCourtstatus

conferences,theSherifforhisdesigneeshallreporttotheCourtregardingOPSO’scompliancestatuswitheachsection(e.g.SectionIV.A,IV.B.)oftheConsentJudgment.ThisreportshallincludeasummaryofOPSO’sprogresssincetheimmediatepreviouslyscheduledstatusconference,andwillincludeinthereportingOPSO’splannedactionsinthenext60daystocomeintocompliance

3/26/15 Compliance

1.b. OPSOshallcomplywiththeConsentJudgment’srequirementforperiodicacompliancereportassetforthinConsentJudgmentSectionVIII.A.4ThereportshalldescribethestepsOPSOhastakeninfurtheranceofcompliance,andtheactivitiesplannedduringthenextreportingperiod.ThefirstreportisduebyApril1,2015,andperiodicreportsshallbedueinaccordancewithSectionVIII.A,and/orondatesmutuallyagreedtobythepartiesandtheMonitors,andapprovedbytheCourt,asnecessary.

4/1/15FutureTBD

PartialCompliance Areportwasprovidedon1/19/16providingOPSO’sassessmentoftheircompliance,butdoesnotincludealltheitemsrequiredintheCJ(seefootnote1).SeealsoConsentJudgmentVII.J.(D.),VIII.A.

4A.OPSOshallsubmitperiodiccompliancereportstotheMonitor.TheseperiodicreportsshallbeprovidedtotheMonitorwithinfourmonthsfromthedateofadefinitivejudgmentonfunding;andeverysixmonthsthereafteruntilterminationofthisAgreement.EachcompliancereportshalldescribetheactionsDefendanthastakenduringthereportingperiodtoimplementthisAgreementandshallmakespecificreferencetotheAgreementprovisionsbeingimplemented.Thereportshallalsosummarizeauditsandcontinuousimprovementandqualityassuranceactivities,andcontainfindingsandrecommendationsthatwouldbeusedtotrackandtrenddatacompiledattheFacility.Thereportshallalsocapturedatathatistrackedandmonitoredunderthereportingprovisionsofthefollowingprovisions:UseofForce;SuicidePrevention;HealthCareDelivered;SanitationandEnvironmentalConditions;andFireandLifeSafety.



146

# Language DueDate

Status NotesonCompliance

1.c. Within24hoursoftheoccurrenceofanyofthefollowingincidents,OSPOshallnotifytheMonitorviaemail:• Deathofaninmate/arresteewhile

heldincustody(orhousedinahospitaltowhichtheinmatehasbeencommittedforcareandremainsinthecustodyofOPSO;orwhoseinjuryoccurredwhileincustodyandwassubsequentlyreleasedfromcustody);

• Aninmate’s/arrestee’ssuicide,suicideattempt,abortedsuicideattempt,suicidalintent,and/ordeliberatesuicideself-harmgestureasdefinedbytheAmericanPsychiatricAssociation;

• Aninmate’sallegationofsexualabuse,sexualassault,sexualharassment,orvoyeurismwhethertheincidentisbetweenoramonginmates,orbetweenoramonginmatesandastaff/contractororvolunteer;

• Aninmate’sreport,orareportbyastaff/contractororvolunteer,ofanyinmate/inmateallegationofassault;orotherinmateallegationsoffeloniesoccurringtothemwhileincustody;

• Aninmate’sreport,orareportbyastaff/contractororvolunteer,ofanyallegationofuseofexcessiveforcebyanemployee,volunteerorcontractor;

• SuspensionorarrestofanyOPSOemployee,volunteer,orcontractorforallegedcriminalactivitieswhileon-dutyand/orinafacilityunderthecontrolofOPSO;and

• Recoveryofsignificantcontrabandspecificallyweapons.

On-going

PartialCompliance Thisisanon-goingissue–seeIntroductiontoComplianceReport#5seeIntroductiontothisSeealsoConsentJudgmentVIII.B.

2.PoliciesandProcedures(AllRelevantSections)2.a. ByMarch31,2015,OPSOshallprovide

ascheduleforthedraftingandfinalizingofallpoliciesandproceduresrequiredundertheConsentJudgment.Thisscheduleshallinclude:deadlinestosimultaneouslysubmitdraftsto,andreceivecomments,fromtheMonitor(s),andfromthePlaintiffsandUSDOJ

3/31/15 PartialCompliance7/26/15

UpdatedMatrixprovidedon1/12/16Needmatrix/duedatesforcompletedmedical/mentalhealth/dentalpoliciesandprocedures.



147

# Language DueDate


(“Plaintiffs”).ThePlaintiffswillalsoprovideacopyoftheircommentstotheMonitor.IntheeventthattheMonitorortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues.

SeealsoConsentJudgmentVII.A.

2.b. Thescheduleshallidentifythepoliciesandproceduresthatareconsideredtobeapriorityincluding:useofforce,incidentsandreferrals,theearlyinterventionsystem,inmategrievanceprocess,andinmateclassification.ThedraftsofthesepoliciesshallbesubmittedtotheMonitor(s)forinitialreviewonorbeforeMarch31,2015.FollowingreceiptoftheMonitors’comments,OPSOwillmakeanynecessaryrevisions,consultwiththeMonitor(s)asneeded,andprovideafinaldrafttothePlaintiffstoprovidesubstantivecommentstobothOPSOandtheMonitor(s).IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues.

Onorbefore3/31/15

Partialcompliance Allprioritypoliciesandprocedureshavenotbeentransmittedtothemonitors.Updatedlistingprovidedtoallpartieson1/12/16.SeealsoConsentJudgmentVII.A.

3.MemorandatoImplementSubstantiveProvisionsoftheConsentJudgment3. Pendingimplementationofpoliciesthat

implementtheConsentJudgment,OPSOshallprepareamemorandatoallOPSOstaff,contractors,andvolunteers,asoutlinedinvariousprovisionsbelow.Foreachprovision,thememorandashalldelineatetheresponsibilitiesofstaff,contractorsand/orvolunteersunderthetermsoftheConsentJudgmentaswellastherequiredproceduresfornotification/action.OPSOshallsubmiteachdraftmemorandatoPlaintiffsandtheMonitornolaterthanMarch1,2015.PlaintiffsandtheMonitorwillhavethreebusinessdaystocommentonthedraftmemoranda.IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillimmediatelyconveneaconferencecall

3/1/15 Compliance Providedinfinal2/24/15;completed.SeealsoConsentJudgmentVII.A.



148

# Language DueDate


forthepurposeofresolvingissues.WithinsevenbusinessdaysoffinalizingthememorandabasedonthecommentsoftheMonitor(s)andPlaintiffs,OPSOwillassurethatthememorandaisreadatrollcallonallshifts,inallfacilities,andinalllocations(e.g.medical)forthreeconsecutivedays.DiscretememorandaregardingsimilartopicsnotedinthisStipulatedOrdermaybecombinedintoasinglememorandum.OPSOwillmaintainawrittenlistofstaff,contractorsandvolunteerspresentduringthereadingofthememorandaandwillproducethatlistonrequest.OPSOwillalsopostanymemorandainplaceswhererollcallsareheld,lockerrooms,andothernon-inmateareaswherestaffmayviewtheinformation.

4.UseofForceReporting4.a. OPSOshallissueamemorandumto

OPSOstaffandcontractorsregardingtheirobligationtoreportusesofforceforinmatesunderthelegalcare,custodyandcontrolofOPSOandinanyfacilityoperatedbyOPSO,andincludinginvehicles,hospitals,duringtransports,andincourtholdingareas.Thememorandawilloutlinetherequirementsandtimelinesforreporting.

3/1/15 Compliance Completed2/24/15SeealsoConsentJudgmentIV.A.3.a.

4.b. OPSOshallissueamemorandumtostaffandcontractorsthatallincidentreportsregardingauseofforcewillcontainallConsentJudgment-requiredelementsasoutlinedin§IV.A.3.b-c,e.ThememorandumwillbeissuedinaccordancewiththetermsspecifiedinItem3ofthisStipulatedOrder.

3/1/15 Compliance Completed2/24/15SeealsoConsentJudgmentIV.A.3.

4.c. OPSOshallissueamemorandumtoWatchCommandersandtoWardenstoensurethatWatchCommandersandWardens’reportscontainallelementsrequiredundertheConsentJudgment,asoutlinedin§IV.A.3.d.f.ThememorandumwillbeissuedinaccordancewiththetermsspecifiedinItem3ofthisStipulatedOrder.

3/1/15 Compliance Completed2/24/15SeealsoConsentJudgmentIV.A.3.

5.EarlyInterventionSystems5.a. ByFebruary15,2015,OPSOshall

identifythenamesofthemembersof2/15/15 Compliance4/10/15

SeealsoConsentJudgment



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# Language DueDate


theUseofForceReviewBoardtotheMonitorandthePlaintiffs/USDOJ.

IV.A.4.b.

5.b. CommencingMarch1,2015,OPSOwillmakeavailabletoMonitors,attheMonitors’request,thequarterlyreviewsconductedbyISBandthecommandstaffregardingtheoperationoftheEISsystem,includingsupportingdocumentationreviewed,asdelineatedbySectionIV.A.4.b.,c.,d.,ande.oftheConsentJudgment.

3/1/15 Compliance SeealsoConsentJudgmentIV.A.4.c.

6.SafetyandSupervision6.a. ByFebruary15,2015inorderthatthe

housingforyouthfuloffendersiscontinuallystaffbyadeputywillassurethatadeputyisworkingoneveryshift,oneverydaytoontheunithousingyouthfuloffenders.Thisdeputymaynotbeassignedtoothertiersorotherresponsibilities,andshallbeperiodicallyrelievedbyanotherdeputyand/orsupervisor.Theevidenceofcompliancewiththisdocumentwillbethestaffingassignmentseachday,eachshiftforthefacilityinwhichyouthfuloffendersareheld,andsamplesofthelogbooksfromthatunit.

2/15/15 Compliance SeealsoConsentJudgmentIV.G.

6.b. OPSOshallensurebyMay15,2015thatallstaffassignedtothehousingforinmateswithacuteandchronicmentalhealth(inTemplemanV,TDC,orotherhousinginwhichthispopulationisheld)attendtrainingregardingworkingthispopulation.Thelessonplans/curriculaforthistrainingshallbereviewedandapprovedbytheMonitors.ThedraftofthetrainingcurriculumandtrainingplanisduetotheMonitorsbyApril15,2015,andshouldincludeparticipationbysubjectmatterexpertsemployedbythemedicalcontractor.

5/15/15 PartialCompliance Trainingmaterialsprovidedforsuicideprevention;butnotforstaffassignedtomentalhealthhousing.SeealsoConsentJudgmentIV.B.4.a.,7.a.

7.Staffing,StaffingPlans,andRecruitment7.a. OPSOshallprovideamonthlyreportto

theMonitors,identifyingthenumberofdeputieshiredthepreviousmonth;thenumberofdeputieswhoresigned,ifknown,thereasonforresignation,andthedatethedeputyenteredservice;andthenumberofdeputieswhowereterminated,thereasonfortermination,

Monthly Compliance SeealsoConsentJudgmentIV.A.6.



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# Language DueDate


andthedatethedeputyenteredservice.Thesamereportshallbeprovidedfornon-sworn(civilianstaff).Acumulativeannualtotalwillalsobeincludedaspartofthisreport.

7.b. ByMarch15,2015,OPSOshallprovidearecruitmentplanforsworn(e.g.deputysheriffs)andnon-sworn/civilianstaffthataddressescurrentandanticipatedvacanciesforthenext18monthsandbasedonthestaffingplan.TheplanwillbeprovidedtotheMonitorsforcommentandrecommendationsbyMarch1,2015.

3/15/15 Compliance SeealsoConsentJudgmentIV.A.6.

7.c. AtthescheduledstatusconferenceswiththeCourt,OPSOshallreportregardingprogresstoachievinghiringbasedontheplan,aswellasanymodificationsandupdatetotheplan(Seeparagraph1,a.,b.,above.)


7.d. ByApril30,2015,OPSOwillevaluateallpoststodetermineifuseofcontractorsisfeasiblefornon-inmatecontactpositions(e.g.,perimetersecurity,securityscreeningofstaffandvisitors).ThereportwillbeprovidedtotheMonitorsandPlaintiffsfortheirreview.

4/30/15 Compliance

8.IncidentsandReferrals8. OPSOshallissueamemorandumtoall

staffandcontractorsregardingtheirresponsibilitiesandtheprocesstodocumentallreportableincidentswithin24hours,identifiedin§IV.A.7oftheConsent.ThememorandumwillbeissuedinaccordancewiththetermsspecifiedinItem3ofthisStipulatedOrder.

Compliance4/17/15 SeealsoConsentJudgmentIV.A.7.e.

9.Investigations9.a. ByMarch31,2014,OPSOshalldevelop

policiesandproceduresgoverningtheoperationsoftheInvestigativeServicesBureau(ISB)includingpostordersforallpositionswithinOPSOthathaveinvestigativeresponsibilities,criminaland/oradministrative.ThisdraftwillbeprovidedtotheMonitors.FollowingreceiptoftheMonitors’comments,OPSOwillmakeanynecessaryrevisions,consultwiththeMonitor(s)asneeded,andprovideafinaldrafttothePlaintiffstoprovidesubstantive

3/31/15 PartialCompliance Preparingfinaldocuments.SeealsoConsentJudgmentIV.A.8.a.



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# Language DueDate


commentstobothOPSOandtheMonitor(s).IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues.

9.b. ByMarch15,2015OPSOshallmakeavailablealaptopcomputertoinvestigativestaffassignedfull-timetoISBforuseintheemployees’officialcapacities.Supervisorsshallhavetheabilityaccessallfiles.Totheextentpossiblethelaptopcomputerswillbelinkedtoamainframe/cloudtofacilitatethesupervisor’sremoteaccesstothefiles.

3/15/15 Compliance 3/20/15-ProvidedpurchaseordersandmemofromMajorHosli.OPSOindicatedon4/2thatthelaptopshadbeenreceived.

10.Grievances10. ByMarch1,2015,OPSOshalldevelopa

jobdescriptionfortheGrievanceOfficerandreviseOPSO’sorganizationalcharttoidentifythechain-of-commandforthisposition.

3/1/15 Compliance Provided3/9/15SeealsoConsentJudgmentIV.A.11.

11.PREA11. ByMarch15,2015,OPSOshallproduce

totheMonitorstheoutlineandproductionscheduleforthevideoandorientationmaterialsadvisingprisonersofthePrisonRapeEliminationAct.FollowingreceiptoftheMonitors’comments,OPSOwillmakeanynecessaryrevisions,consultwiththeMonitor(s)asneeded,andprovideafinaldrafttothePlaintiffstoprovidesubstantivecommentstobothOPSOandtheMonitor(s).IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues.

3/1/15 Compliance FinalproductprovidedtoleadMonitorforreviewon5/14;withsubsequentupdatesprovidedthefollowingweek.MonitorshaveencouragedOPSOtoprovidetheseproductstotheplaintiffs.Videosprovidedtoplaintiffson6/3/15.SeealsoConsentJudgmentIV.A.12.

12.AccesstoInformation12. ByApril1,2015,OPSOshallproduceto

theMonitorstheoutlinesandproductionschedulefortheinmateorientationvideoandmaterials,includingtherevisedinmatehandbook.OPSOshallalsoincludethestrategyfororientinginmates,andmaintenanceofinmatehandbooksthroughoutOPSOfacilities,includinglanguageaccess




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# Language DueDate


requirements,SectionIV.F.oftheConsentJudgment.FollowingreceiptoftheMonitors’comments,OPSOwillmakeanynecessaryrevisions,consultwiththeMonitor(s)asneeded,andprovideafinaldrafttothePlaintiffstoprovidesubstantivecommentstobothOPSOandtheMonitor(s).IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues.

13.MedicalCare13. ByMarch15,2015OPSOshallprovide

theMonitorwiththemedicalandmentalhealthcarecontractor’sactionplanforcompliancewithallthemedicalandmentalhealthprovisionsoftheConsentJudgment.TheactionplanshallincludetheduedatesforcompliancewiththeparagraphsoftheConsentJudgment,theindividual(s)responsiblefortheactivities,thespecificactivitiestobeundertaken.FollowingreceiptoftheMonitors’comments,OPSOwillmakeanynecessaryrevisions,consultwiththeMonitor(s)asneeded,andprovideafinaldrafttothePlaintiffstoprovidesubstantivecommentstobothOPSOandtheMonitor(s).IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues

3/15/15 PartialCompliance SeealsoConsentJudgmentIV.B.,C.

14.MentalHealth14.a. OPSOshallissueamemorandum

requiringthatinmateswithmentalillnesshousedinthementalhealthhousinghaveaccesstonon-contactfamilyvisitationandfamilytelephonecalls.Thedecisionastovisitingandtelephonecallswillbedeterminedinconsultationwiththementalhealthstaffassignedtothatinmate’scare.Ifaninmateisdeniedvisitingandtelephonecallsthereasonsarespecificallyincludedintheinmate’schart.

Compliance ProvidedbyCol.LaughlinonApril9,2015



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# Language DueDate


14.b. ByApril1,2015,OPSO,incollaborationwithCCS,willproduceamanagementplanforinmatesonthementalhealthcaseload(Levels1–4),whethertheseinmatesarehousedinthestep-downunit,oringeneralpopulation.

4/1/15 Compliance10/26/15 SeealsoConsentJudgmentIV.B.2.

15.TheNewJailFacility15. ByApril30,2015,OPSOshallsubmitto

theMonitorstheplanforopeningthenewjail,includingthescheduleformovementofinmatesintothefacility,andclosingofexistingfacilities.Thescheduleshallbepredicatedonthepotentialopeningdatesknownatthattime,includingalternativescenarios.

4/30/15 NA SeealsoConsentJudgmentVI.

16.SanitationandEnvironmentalConditions16. OPSOshallissueamemorandumtoall

staffthatthatinmatesandstaffassignedtocleanbiohazardsspills/incidentsmustbetrainedondoingso,outfittedwithproperequipment,andproperlysupervisedinaccordancewith§IV.D.1.foftheConsentJudgment.FollowingreceiptoftheMonitors’comments,OPSOwillmakeanynecessaryrevisions,consultwiththeMonitor(s)asneeded,andprovideafinaldrafttothePlaintiffstoprovidesubstantivecommentstobothOPSOandtheMonitor(s).IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues.ThedirectivewillbeissuedinaccordancewiththetermsspecifiedinItem3ofthisStipulatedOrder.

Nodate Partialcompliance Draftscompleted2/18/16availableforreviewbyplaintiffs/DOJSeealsoConsentJudgmentIV.D.f.

17.YouthfulOffenders17.a. ByMarch1,2015,OPSOshallcontact

theschoolboardandcommunitygroupstosolicitproposalsforprogrammingintheyouthfuloffenderunit.

3/1/15 Compliance OPSOhasreachedouttoseveralorganizations.OPSOreportstheseorganizationsincluded:AspenInstitutePartnershipforYouthDevelopment,TheYouthEmpowermentProject,OrleansParishSchoolBoard,CenterforEducationalExcellencein



154

# Language DueDate


AlternativeSettings,andtheYCS.Severaloftheseorganizationsindicatedaproposalwouldbeforthcoming,butapparentlyhavenotbeenprovidedtoOPSO.RegardlessoftheworktosolicitproposalstoconformwiththisparagraphoftheConsentJudgment,otherthanthemovementof12prisonerstoYSC,noprogresshasbeenmade.SeealsoConsentJudgmentIV.G.

17.b. AtthescheduledCourtstatusconferences,OPSOshallreportonprogressinsecuringsuchprogramming,and/ortheresponsesfromtheschoolboardandstakeholders.

3/26/15 Compliance

17.c. ByMay1,2015OPSOshallprovideaprogrammingplan,basedontheresourcesithasbeenabletosecure,toincludeeducation,foralleligibleyouthinitscustody,toMonitorsforreview.FollowingreceiptoftheMonitors’comments,OPSOwillmakeanynecessaryrevisions,consultwiththeMonitor(s)asneeded,andprovideafinaldrafttothePlaintiffstoprovidesubstantivecommentstobothOPSOandtheMonitor(s).IntheeventthattheMonitorand/ortheOPSOdisagreewithanycommentsorrecommendationsbythePlaintiffs,theMonitorwillconveneaconferencecallforthepurposeofresolvingissues.

5/1/15 Compliance SeealsoConsentJudgmentIV.G.



155

StipulatedAgreement/Order(4/22/15)# Language Due

DateStatus ComplianceNotes

1. BynolaterthanApril24,2015,theOrleansParishSheriff’sOffice(“OPSO”)shalldraftamemorandumtoallstaffmembers,5includingsupervisors,outliningthespecificactionsstaffwilltaketorespondiftheyobserveaprisonerexhibitingsignsorsymptomsofa)suicidalityorb)alcoholordrugintoxicationorwithdrawal.ThismemorandumwillbedraftedbyOPSOstaffincollaborationwithstafffromCorrectCareSolutions(“CCS”).ThismemorandumwillbeprovidedforreviewindraftformtotheLeadMonitorandsub-monitorsforMedicalCareandMentalHealthCare(“theMonitors”).WithinthreedaysofreceivinganyeditsorrevisionsfromtheMonitors’,OPSOshallincorporatethoseeditsand/orrevisionsandissuethememorandumtoallstaffmembers,includingsupervisors.Thememorandumshallbereadatdailystaffbriefingsforthreeconsecutivedaysandpostedinlocationswherestaffarelikelytoviewit.

4/24/15 Compliance SeealsoConsentJudgmentIV.B.5.

2. BynolaterthanApril30,2015,OPSOshallconductaone-hourtrainingforallclinicalandcustodystaff(includingsupervisors)whohavenotbeentrainedinthepast12monthsregardingthesignsorsymptomsofa)suicidalityorb)alcoholordrugintoxicationorwithdrawal,andthespecificactionsstaffwilltaketorespondifaprisonerexhibitssuchsymptoms.ThistrainingshallbedevelopedanddeliveredincollaborationwithstafffromCCSandincorporatethespecificlanguageoftheConsentJudgment.Thisinterimtrainingdoesnotsupplantanypre-serviceorannualtrainingrequiredbytheConsentJudgment,whichwillbeprovidedatalaterdate.


3. BynolaterthanApril30,2015,OPSOshallsubmitallcustodialandsite-specificmedicalpolicy(ies)regardinga)suicide


5“Staffmembers”isdefinedintheConsentJudgmentas“allemployees,includingcorrectionalofficers,whohavecontactwithprisoners.”SeeConsentJudgment,ECFNo.466,at8.



156

# Language DueDate

Status ComplianceNotes

riskreductionandb)alcoholordrugintoxicationandwithdrawalrequiredpursuanttoSectionIV.B.5oftheConsentJudgment.Thepoliciesshallintegrateandcross-referenceallrelevantCCSpoliciesgoverninghousingandcustodydecisionsforindividualsexpressingsuicidalityoralcoholordrugwithdrawal.AllOPSOpoliciesandanyupdatedCCSpoliciesshallbesubmittedtotheMonitorandPlaintiffsforreviewpursuanttoSectionVII.AoftheConsentJudgment.

IV. Conclusions EveninspiteofanewjailfacilityopeninginOrleansParishinSeptember2015,

inmatesandstaffaresubjecttocontinuingseriousharm.Imbeddedunresolved

organizationalissueswithintheOrleansParishSheriff’sOfficeresultedinanincreased

numberoffindingsofnon-compliancewiththecriticalprovisionsoftheConsentJudgment

inthisComplianceReport.Infact,areaspreviouslyfoundinpartialcompliancehave

slippedbackwardstonon-compliance.Importantly,basedonthemorethantwoyearsof

reviewingthecomplianceinitiativesofOPSO,theMonitorsareunconvincedthatOPShas

thecapacitytoachieveandsustaincompliance.Forexample,inmateswithmentalillness

donothaveappropriatehousingintheOrleansJusticeCenter,evenwiththebed-spaceat

Hunt.OPSOhasnotevidencedtheabilitytomanageadirectsupervisionfacility,andthe

levelofreportedandunreportedinmateviolenceandusesofforceareastoundinghighand

areabsolutelyunacceptable.

AstheMonitorstestifiedbeforetheJudgeAfrickonFebruary2,2016,wearevery

concernedaboutthesafetyandsecurityoftheOJC–violence,fire,lifesafety,andstaffing.

TheMonitorswillcontinuetoprovideassistancetoOPSO,butarefrustratedbythelackof

OPSO’scapacitytoadoptandsustainthepolicies,procedures,trainingandsupervision

required.TheMonitorsobserveOPSO’sapparentlackofcommitmenttoengagebothin

theorganizationalchangesandaddresstheinternalculturemiasmanecessarytoachieve



157

andmaintaincompliance.Infact,moredisturbingtotheMonitors,isthattheleadershipof

theorganizationdoesnotevenseetheseissuesarerelevantasrelatedtocompliance.

Lastly,thetoxicpoliticalenvironmentintheParish–regardlessofthesourceor

identifyingwhoisto“blame”--hasnotservedtopromotethesafetyofstaffandinmates,

compliancewiththeConsentJudgment,ortoresolveanyofthecriticalissues.


ComplianceReport#5–March17,2016 158

AttachmentA-SummaryofComplianceFindings–AsofFebruary19,2016

Section SubstantialCompliance PartialCompliance Non-Compliance NotesIV.A.ProtectionfromHarmIV.A.1.UseofForcePoliciesandProcedures/MargoFrasierIV.A.1.a. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.1.b. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.1.c. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.2.UseofForceTraining/MargoFrasierIV.A.2.a. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.2.b. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.2.c. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.3.UseofForceReporting/MargoFrasierIV.A.3a. 8/7/15 2/19/16,1/23/15,7/18/14 SeealsoSA2/11/154.a.,4.b.,4.c.IV.A.3b. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.3c. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.3d. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.3e. 2/19/16,8/7/15,1/23/15 7/18/14 IV.A.3f. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.3g. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.3h. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.4.EarlyInterventionSystem(“EIS”)/MargoFrasierIV.A.4.a. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.4.b. 2/19/16,8/7/15 1/23/15,7/18/14 SeealsoSA2/11/155.b.IV.A.4.c. 2/19/16,8/7/15 1/23/15,7/18/14 SeealsoSA2/11/155.c.IV.A.4.d. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.4.e. 2/19/16 Firstreportdue8/15/15IV.A.5.SafetyandSupervision/MargoFrasierIV.A.5.a. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.5.b. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.5.c. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.5.d. 2/19/16,8/7/15,1/23/15 7/18/14 IV.A.5.e. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.5.f. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.5.g. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.5.h. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.5.i. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.5.j. 8/7/15,1/23/15 2/19/16,7/18/14 IV.A.5.k. 2/19/16,8/7/15,1/23/15 7/18/14 IV.A.5.l. 2/19/16 8/7/15,1/23/15,7/18/14 IV.A.6.SecurityStaffing/SusanMcCampbellIV.A.6.a.(1) 2/19/16 8/7/15,1/23/15,7/18/14 IV.A.6.a.(2) 8/7/15,1/23/15,7/18/14 2/19/16 Notdueuntilopeningofthenew

jail.IV.A.6.a.(3) 8/7/15,12/20/14 2/19/16,1/23/15



Section SubstantialCompliance PartialCompliance Non-Compliance NotesIV.A.6.a.(4) 2/19/16,8/7/15,1/23/15 7/18/14 SeealsoSA2/11/157.a.,c.IV.A.6.b. 8/7/15,1/23/15 2/19/16,7/18/14 IV.A.7IncidentsandReferrals/MargoFrasierIV.A.7.a. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.7.b. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.7.c. 2/19/16,8/7/15,1/23/15 7/18/14 IV.A.7.d. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.7.e. 2/19/16,8/7/15 1/23/15,7/18/14 SeealsoSA2/11/158.IV.A.7.f. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.7.g. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.7.h. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.7.i. 8/7/15 2/19/16,1/23/15,7/18/14 IV.A.7.j. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.8.Investigations/MargoFrasierIV.A.8.a. 2/19/16,8/7/15,1/23/15 7/18/14 SeealsoSA2/11/159.a.IV.A.8.b. 2/19/16,8/7/15,1/23/15 7/18/14 IV.A.8.c. 2/19/16,8/7/15,8/7/15,

1/23/157/18/14

IV.A.8.d. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.8.e. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.8.f. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.9.PretrialPlacementinAlternativeSettings/SusanMcCampbellIV.A.9.a. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.A.9.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.A.10.CustodialPlacementwithinOPP/PatriciaHardymanIV.A.10.a. 2/19/16,8/7/15,1/23/15 7/18/14 12/20/13 IV.A.10.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.A.10.c. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.A.10.d. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.A.10.e. 8/7/15 2/19/16,1/23/15 7/18/14,12/20/13 IV.A.10.f. 2/19/16,8/7/15,1/23/15,7/18/14,

12/20/13

IV.A.10.g. 2/19/16,8/7/15,1/23/15,7/18/14 IV.A.10.h. 2/19/16,8/7/15 1/23/15,7/18/14 IV.A.11.PrisonerGrievanceProcess/SusanMcCampbellIVA.11.a. 2/19/16,8/7/15,1/23/15,

7/18/14,12/20/13 SeealsoSA2/11/1510.

IV.A.12.SexualAbuse/SusanMcCampbellIV.A.12. 2/19/16,8/7/15,1/23/15,

7/18/14,12/20/13 SeealsoSA2/11/1511.

IV.A.13.AccesstoInformation/SusanMcCampbellIV.A.13. 2/19/16,8/7/15,1/23/15,

7/18/14,12/20/13 SeealsoSA2/11/1512.

IV.B.MentalHealthCareSeeSA2/11/1513.IV.B.1.ScreeningandAssessment/RaymondPatterson



Section SubstantialCompliance PartialCompliance Non-Compliance NotesIV.B.1.a. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.1.b. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.1.c. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.1.d. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.1.e. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.1.f. 2/19/16,8/7/15,1/23/15,7/18/14,

12/20/13

IV.B.1.g. 8/7/15 2/19/16,1/23/15,7/18/14,12/20/13

IV.B.1.h. 8/7/15 2/19/16,1/23/15,7/18/14,12/20/13

IV.B.1.i. 8/7/15 2/19/16,1/23/15,7/18/14,12/20/13

IV.B.1.j. 8/7/15 2/19/16,1/23/15,7/18/14,12/20/13

IV.B.1.k. 8/7/15 2/19/16,1/23/15,7/18/14,12/20/13

IV.B.1.l. 2/19/16,1/23/15,7/18/14,12/20/13

8/7/15Notapplicable

IV.B.2.Treatment/RaymondPattersonSeeSA2/11/1515.IV.B.2.a. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.2.b. 2/19/16,8/7/15,1/23/15,7/18/14,

12/20/13

IV.B.2.c. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.2.d. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.2.e. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.2.f. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.2.g. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.2.h. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.3.Counseling/RaymondPattersonIV.B.3.a. 2/19/16 8/7/15,1/23/15,7/18/14,12/20/13 IV.B.3.b. 2/19/16 8/7/15,1/23/15,7/18/14,12/20/13 IV.B.4.SuicidePreventionTrainingProgram/RaymondPattersonIV.B.4.a. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 SeealsoSA2/11/156.b.IV.B.4.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.4.c. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.4.d. 8/7/15 2/19/16,1/23/15,7/18/14,

12/20/13

IV.B.4.e. 8/7/15 1/23/15,7/18/14,12/20/13 NOTAUDITEDIV.B.4.f. 2/19/16 1/23/15,7/18/14,12/20/13 IV.B.4.g. 8/7/15 2/19/16 1/23/15,7/18/14;12/20/13 IV.B.5.SuicidePrecautions/RaymondPattersonIV.B.5.a. 2/19/16,8/7/15,1/23/15,7/18/14,



Section SubstantialCompliance PartialCompliance Non-Compliance Notes12/20/13

IV.B.5.b. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.5.c. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.5.d. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.5.e. 2/19/16,8/7/15,1/23/15,7/18/14 NAattimeofComplianceReport#1IV.B.5.f. 2/19/16,8/7/15,1/23/15,7/18/14 NAattimeofComplianceReport#1IV.B.5.g. 2/19/16,8/7/15,1/23/15,7/18/14,

12/20/13

IV.B.5.h. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.5.i. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.5.j. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.5.k. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.B.6.UseofRestraints/RaymondPattersonIV.B.6.a. 2/19/16,8/7/15,1/23/15,

12/31/137/18/14

IV.B.6.b. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.6.c. 2/19/16,8/7/15,1/23/15 7/18/14 IV.B.6.d. 2/19/16,8/7/15,1/23/15 7/18/14 NAattimeofComplianceReport#1IV.B.6.e. 2/19/16,8/7/15,1/23/15 7/18/14 IV.B.6.f. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.6.g. 2/19/16,8/7/15,1/23/15 7/18/14 NAattimeofComplianceReport#1IV.B.7.DetoxificationandTraining/RobertGreifingerIV.B.7.a. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 SeealsoSA2/11/156.b.IV.B.7.b. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.7.c. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.7.d. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.8.MedicalandMentalHealthStaffing/RobertGreifingerIV.B.8.a. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.8.b. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.B.9.RiskManagement/RobertGreifingerIV.B.9.a. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.9.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.9.c. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.9.d. 2/19/16,8/7/15,1/23/15,7/18/14,

12/20/13

IV.B.9.e. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.B.9.f. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.C.MedicalCareSeeSA2/11/1513.



Section SubstantialCompliance PartialCompliance Non-Compliance NotesIV.C.1.QualityManagementandMedicationAdministration/RobertGreifingerIV.C.1.a. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.C.1.b. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.C.1.c. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.C.1.d. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.C.2.HealthCareDelivered/RobertGreifingerIV.C.2.a. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 Recommendationtorevise

section,seealsoReport#2IV.C.2.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 Recommendationtorevise

section,seealsoReport#2IV.C.3.ReleaseandTransfer/RobertGreifingerIV.C.3.a. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.C.3.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.C.3.c. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.C.3.d. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.D.SanitationandEnvironmentalConditions/HarryGrenawitzkeIV.D.1.SanitationandEnvironmentalConditionsIV.D.1.a. 2/19/16,8/7/15,1/23/15,7/18/14,

12/20/13

IV.D.1.b. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.D.1.c. 8/7/15,1/23/15 2/19/16,7/18/14,12/20/13 IV.D.1.d. 2/19/16 8/7/15,1/23/15,7/18/14,12/20/13 IV.D.1.e. 2/19/16,8/7/15,1/23/15,

7/18/1412/20/13

IV.D.1.f. 2/19/16 8/7/15,1/23/15,7/18/14,12/20/13 SeealsoSA2/11/1516.IV.D.1.g. 2/19/16 8/7/15,1/23/15,7/18/14,12/20/13 IV.D.1.h. 8/7/15 2/19/16,1/23/15,7/18/14,

12/20/13

IV.D.2.EnvironmentalControlIV.D.2.a. 2/19/16,8/7/15,1/23/15 7/18/14,12/20/13 IV.D.2.b. 2/19/16,8/7/15,1/23/15,7/18/14,

12/20/13

IV.D.3.FoodServiceIV.D.3.a. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.D.3.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 IV.D.3.c. 8/7/15 2/19/16,1/23/15,7/18/14,

12/20/13

IV.D.4.SanitationandEnvironmentalConditionsReportingIV.D.4.a.1-7 2/19/16,8/7/15,1/23/15 7/18/14 IV.D.4.b. 2/19/16 8/7/15,1/23/15,7/18/14 IV.E.FireandLifeSafety/HarryGrenawitzkeIV.E.1.FireandLifeSafetyIV.E.1.a. 2/19/16,8/7/15,1/23/15,

7/18/1412/20/13

IV.E.1.b. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13



Section SubstantialCompliance PartialCompliance Non-Compliance NotesIV.E.1.c. 8/7/15,1/23/15,7/18/14;

12/31/132/19/16

IV.E.1.d. 2/19/16,8/7/15,1/23/15,7/18/14,12/20/13

IV.E.1.e. 2/19/16,8/7/15,1/23/15 7/18/14 IV.E.2.FireandLifeSafetyReportingIV.E.2.a.1-3 2/19/16,8/7/15,1/23/15 7/18/14 IV.E.2.b. 8/7/15 2/19/16,1/23/15,7/18/14 IV.F.LanguageAssistanceIV.F.1.TimelyandMeaningfulAccesstoServices/SusanMcCampbellIV.F.1.a. 2/19/16,8/7/15,1/23/15,

7/18/14

IV.F.2.LanguageAssistancePoliciesandProcedures/SusanMcCampbellIV.F.2.a. 8/7/15,1/23/15,7/18/14 2/19/16,NotApplicable,noDHS

inmatesinOJCIV.F.2.b. 8/7/15,1/23/15,7/18/14 2/19/16,NotApplicable,noDHS

inmatesinOJCIV.F.3.LanguageAssistanceTraining/SusanMcCampbellIV.F.3.a. 2/19/16,8/7/15,1/23/15,

7/18/14

IV.F.4.BilingualStaff/SusanMcCampbellIV.F.4. 2/19/16,8/7/15,1/23/15,

7/18/14

IV.G.YouthfulPrisoners/SusanMcCampbellIV.G. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13 SeealsoSA2/11/156.a.,17.a.,c.

SeealsoSA4/22/1417.c.VI.TheNewJailFacility/SusanMcCampbellSeealsoSA2/11/515.VI.A. 2/19/16,8/7/15 1/23/15,7/18/14 VI.B. 2/19/16,8/7/15,1/23/15 7/18/14 VI.C. 8/7/15,1/23/15 2/19/16,7/18/14 VI.D. Monitorsnotqualifiedtoevaluate.VII.ComplianceandQualityImprovement/SusanMcCampbellVII.A. 2/19/16,8/7/15 1/23/15,7/18/14 SeealsoSA2/11/151.b.

SeealsoSA2/11/152.a.,2.b.,3.VI.B.(H.) 2/19/16,8/7/15,1/23/15,7/18/14 SeeSA4/22/151.,2.,3.VI.C.(I.) 8/7/15,7/18/14 2/19/16,1/23/15,12/20/13 VI.D.(J.) 2/19/16,8/7/15 1/23/15,7/18/14 SeealsoSA2/11/151.b.VIII.ReportingRequirementsandRightofAccess/SusanMcCampbellVIII.A. 2/19/16,8/7/15,7/18/14 1/23/15 VIII.B. 2/19/16 8/7/15,1/23/15,7/18/14,

12/20/13 SeealsoSA2/11/151.c.

VIII.C. 2/19/16,8/7/15 1/23/15,7/18/14,12/20/13



Section SubstantialCompliance PartialCompliance Non-Compliance NotesStipulatedAgreement/Order(2/11/15)1.a. 2/19/16,8/7/15 1.b. 2/19/16,8/7/15 SeealsoCJVII.D.,VIII.A.1.c. 2/19/16,8/7/15 SeealsoCJVIII.B.2.a. 2/19/16,8/7/15 SeealsoCJVII.A.2.b. 2/19/16,8/7/15 SeealsoCJVII.A.3. 2/19/16,8/7/15 SeealsoCJVII.A.4.a. 2/19/16,8/7/15 SeealsoCJIV.A.3.4.b. 2/19/16,8/7/15 SeealsoCJIV.A.3.4.c. 2/19/16,8/7/15 SeealsoCJIV.A.3.5.a. 2/19/16,8/7/15 SeealsoCJIV.A.4.b.5.b. 2/19/16,8/7/15 SeealsoCJIV..4.c.6.a. 2/19/16,8/7/15 SeealsoCJIV.G.6.b. 2/19/16,8/7/15 SeealsoCJIV.B.4.a.,7.a.7.a. 2/19/16,8/7/15 SeealsoCJIV.A.6.7.b. 2/19/16,8/7/15 SeealsoCJIV.A.6.7.c. 2/19/16,8/7/15 SeealsoCJIV.A.6.7.d. 2/19/16,8/7/15 8. 2/19/16,8/7/15 SeealsoCJIV.A.7.9.a. 2/19/16,8/7/15 SeealsoCJIV.A.8.a.9.b. 2/19/16,8/7/15 10. 2/19/16,8/7/15 SeealsoCJIV.A.11.11. 2/19/16,8/7/15 SeealsoCJIV.A.1212. 2/19/16,8/7/15 SeealsoCJIV.A.1313. 2/19/16,8/7/15 SeealsoCJIV.B.,C.14.a. 2/19/16,8/7/15 14.b. 2/19/16,8/7/15 SeealsoCJIV.B.2.15. 8/7/15 2/19/16,NotapplicableSeealso

CJVI.16. 2/19/16,8/7/15 SeealsoCJIV.D.f.17.a. 2/19/16,8/7/15 SeealsoCJIV.G.17.b. 2/19/16,8/7/15 17.c. 8/7/15 2/19/16, SeealsoCJIV.G.StipulatedAgreement/Order(4/22/25)1. 2/19/16,8/7/15 SeealsoCJIV.B.5.2. 2/19/16,8/7/15 SeealsoCJIV.B.5.3. 2/19/16 8/7/15 SeealsoCJIV.B.5.



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AttachmentB–SummaryofRecommendationsProtectionfromHarm1. ImplementtheuseofforcepoliciesthatwereagreeduponbyallpartiesinAugust2015.2. Trainstaffandsupervisorsontheuseofforcepolicies.3. Developnotonlythereportingsystems(datacollection)forusesofforce,butthemechanicsto

analyze,producesummaryreports,developplansofaction,andassesstheimpactofanyplansofaction.

4. ImplementtheuseofforcepoliciesthatwereagreeduponbyallpartiesinAugust2015.5. Whentheuseofforcepoliciesarefinalized,comprehensivelessonplansandtrainingmaterialswill

needtobedeveloped.Giventhecurrentqualityofthetrainingmaterial,itmaybethatthetaskofdevelopingcomprehensivelessonplansandtrainingmaterialwillneedtobeoutsourced(perhapsonthelistforV/RJusticeService).Trainingneedstoclearlydelineatewhenforcemaybeused,highlightstrategiestode-escalatetheneedtouseforce,andstressthatallusesofforcemustbereportedandproperlyinvestigated.Asthevastmajorityoffuturedeputy’stimeisspentworkingincorrections,thetrainingshouldusecorrectionsbasedscenariosandemphasizeworkingwithinmateswithmentalillness.Inaddition,supervisorsneedtobetrainedonthemechanismstoensurethatallusesofforceareproperlyreportedandinvestigatedinaccordancewiththepolicy.Alltraining,forbothdeputyandsupervisorlevels,mustemphasizethatfailuretofollowthepolicywillresultindiscipline.TheadequacyofthepoliciesandproceduresandtrainingiscrucialtofuturecompliancewithIV.A.2.c.thatrequiresOPSOtorandomlytestfivepercentofthejailstafftodeterminetheirknowledgeofuseofforcepoliciesandprocedures.

6. Thereviseuseofforceisinsufficientdetailtoallowforauditingofcompliance,andincludes:a. Eachtimeanincidentinvolvingauseofforceoccurs;auniquenumbermustbegenerated

andassignedtotheincident.Theassignmentofthenumberisinmostagenciesgeneratedbyacentralcontrolroomordispatchcenter,aidedbytheincidentreportingsystemthatprovidesthenextnumberinsequence.

b. Unlessthesituationdictatesanexceptionisidentifiedinthepolicy,theinitialincidentreportandsupplementsmustbecompletedbytheendofthedeputy’sshift.

c. Theshift/watchcommandermustensurethereportiswrittenandthenhas36(orfewer)hoursfromtheendoftheincidenttoreviewandspecifyhis/herfindingsforcompletenessandproceduralerrors.

d. Whenthewatchcommandercompleteshis/herreview,theWardenorAssistantWardenmustconductareviewandissueareport.Thisreportistobecompletedwithin36hours(orfewer),exclusiveofweekendsandholidays,ofreceivingthereportandreviewfromtheshift/watchcommander.

e. AtrackingsystemshouldbeputinplacetoautomaticallyalertthenextinthechainofcommandandtheISBifreviewsarenotbeingtimelyperformed.Training,correctiveaction,and/ordisciplineshouldtakeplaceastosupervisorswhoarenottimelyperformingtheirduties.

f. OPSOpolicy/proceduresshouldrequirethoseholdingtherankofMajorandabovereviewallreports.Basedonthatreview,additionaltrainingshouldbeprovidedtosupervisorswhoarenotrequiringcompleteandthoroughreports.

7. MonitorFrasierhasbeengivenrealtimeoffsite,read-onlyaccesstotheincidentreportingsystem(Vantos)sothatincidentreportscanbereviewedonacontemporaneousbasis.Whilethisissomewhathelpful,alargepercentageofreportsarenotbeingenteredtimelyoratall.However,theMonitorsdonothavereadyaccesstotheresultsofthereviewofincidentreportsandanyfollowupincludingthevideosreviewed.TheMonitorsalsodonothavereadyaccesstotheinvestigationsbyISB.Accessofthereviews,followups,andinvestigationswouldenabletheMonitorstoprovidefeedbackonatimelierbasisandassistincorrectingdeficiencies.Stepsarebeingtakentoprovidethisaccess.



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8. OPSOneedstotimelyproducethereportsrequiredbytheConsentJudgment.Theadequacyoftheperiodicreports(thataretobesubmittedunderIV.A.3.g.)andtheusefulnessoftheannualreview(thatistobeconductedunderIV.A.3.h.)arecrucialtofuturecompliancewithIV.A.3.g.thatrequiresOPSOtoassess,annually,alldatacollectedandmakeanynecessarychanges.

9. TheISBproceduresonhowrecordsandinvestigationsaretobestoredandmadeaccessiblehavebeenfinalized.Progresshasbeenmadeonprovidingthoseassignedtoinvestigationswithlaptopsand/orothercomputerequipmentthatprovidesthesecuritynecessarytotheintegrityofinvestigations.

10. OPSOfinalizethecompletionandimplementationofthepolicy/procedurefortheEarlyInterventionSystem.Therevisedpolicyshouldincludeaccountabilitymandatesrequiringthecollectionandanalysisofdatasuchasusesofforce,grievances,andcomplaintshandledatthefacilitylevel,absences,etc.Assurepolicies/proceduresareinplacetodirecthowtheEISisimplemented,andactionstobetakenbyOPSOwhenthresholdsaretriggered.

11. ItisrecommendedthattheMonitorsFrasierandMcCampbellbegivenrealtimeoffsiteaccesstotheEarlyInterventionSystem,whichispartofVantossothatdatacanbereviewedonamorecontemporaneousbasis.ThiswouldenabletheMonitorstoprovidefeedbackonatimelierbasisandassistincorrectingdeficiencies.

12. Policiesregardinginmatesupervision,rounds,inspections,shakedownsandcommunicationneedtobefinalized.

a. Thepolicymustincludeaccountabilitymethodsforensuringthatdeputiesandsupervisorsconducttheirroundstimely.Anytimeanincidentoccurs,itmustberoutinepracticetoincludeexaminationofsourcedatatodeterminewhetherroundshavebeenconductedtimelyinthearea.Theresultsofthedeterminationshouldbedocumented.

b. Thepolicymustincludeasupervisory/managementevaluationtodetermineifanemployeeinvolvedinauseofforceshouldbetemporarilyassigneduntilatleastapreliminaryinvestigationhasbeenconducted–tosafeguardboththestaffandinmates.

13. OPSOmustmaketherecruiting,hiring,andtrainingofcustodialstaffforthejailfacilitiesthehighestpriority.SeeSection6.SecurityStaffing.

14. OPSOmustdevelopandimplementariskmanagementphilosophysothatincidentsareroutinelyreviewedbysubjectmatterexpertswithagoalofdeterminingactionsneededtobetakenbyOPSOtoavoidsuchincidentsinthefuture.

15. Complete,withtheassistanceoftheMonitors,anadequatestaffingplan.Thisincludesanexaminationoftherankstructure,span-of-control,anddeployment.

16. OPSOmustproduceanorganizationalchartthatmaximizesstaffingandaccountability.17. OPSOmustdevelopastrategytoworkwiththeCityofNewOrleanstogaintheappropriatestarting

salary,andcareerladderincentivesthatwillallowhiringandretentionofemployees.18. OPSOmustimplementtheelementsofacrediblehumanresourcesfunctionthatsupportcareer

employeesasoutlinedinthisreport.19. ThereareotheroptionstoevaluatethestaffinginOPSO,forexample,theMcDanielsWorkRelease

Centerandcourthouse/courtroomsecurity.ThesefunctionalareasareoutsidethescopeoftheConsentJudgment,butgiventhecriticalissueofjailstaffing,theMonitorsareobligatedtoraisethematter.

20. Develop,implement,andtrainontherevisedpolicyregardingincidentreporting.a. Inparticular,thepolicyandthetrainingonthepolicyneedstostressthatallreportable

incidentsaretobereportedandproperlyinvestigatedandthatfailuretoreportwillresultindisciplineand/orremedialtraining.

b. Inaddition,supervisorsneedtobetrainedonthemechanismstoensurethatallreportableincidentsareproperlyreportedandinvestigatedinaccordancewiththepolicy.

c. Thepolicieswillneedtosetoutindetailthetimelinesandhoweachstepofthereviewprocessanddatacollectionistotakeplaceandwhoisresponsibleforenforcementofeachdeadline.SeeSectionVII.andVIII.



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21. OPSOmadesignificantimprovementinISBandinformalizingtheorganizationalstructure,roles,mandates,responsibilities,placementinthechain-of-command,andjobdescriptionsofboththecriminal,FIT,intelligence,andadministrativedivisionsofISB.BothsectionsofIADshouldbeorganizationallyplacedbackundertheISBCommanderandtheIntelligenceUnitshouldbereturnedtoISB.

22. OPSOshouldevaluatetheneedsforresourcesinconductingpre-employmentbackgroundchecksandprovidethoseresourceswithoutdepletingIAD.

23. ISBhasfinalizedandimplementedwrittenpolicies,procedures,andprotocolsforconductingallinvestigations.Thevendorresponsiblefordevelopingjail-basedpoliciesandproceduresshouldreviewthosepoliciesanddeterminewhichonesshouldbeincludedinthegeneralpoliciesforOPSOasawhole.

24. OPSOshouldcontinuetoworkwithMonitorstoperiodicallyreviewandcritiqueinvestigations.25. OPSOshouldprovideadditionaltrainingtoinvestigators;particularlyregardingcorrections

operations,orhire/promoteindividualswithcorrectionsexperiencetobeinvestigators.TrainingforinvestigatorsneedstocontinuetomeetthemandatesinthePREAstandards.ThetwoagentsassignedtosexualassaultinvestigationsshouldbegiventheopportunitytoattendadditionalPREAtraining.

26. OPSOneedstoproducetheperiodicreportsrequiredbytheConsentJudgmentinauseableform.Currently,withtheexceptionoftheFITreport,thereportsimplyprovidestheinformationonachartanddoesnodataaccumulationoranalysis.

27. DevelopandcirculateamongOPSOexecutiveandsupervisorystaffstandardizedautomatedreports.28. Sgt.Hollidayshouldreceiveformalobjectiveclassificationsystemtrainingassoonaspossible29. Implementanauditprocesstoverifytheactualhousinglocationoftheinmatetoensurematches

housingassignmentsgeneratedbyclassification.30. Eliminatethebacklogofcasesdueforacustodyreview.Completecustodyreviewswithin72hours

ofthetimethecaseappearsontheclassificationmonitorlog.31. RevisethemonthlystatisticalreportstoaccuratelytrackthecustodydistributionofOPSOoffenders

byhousingunitraceandgenderduringthelastquarter.32. Generatetimelyandmonthlycustodialreports.33. Updatecustodylevel,gender,mission,andPREAdesignationswiththeJMStoreflectthecurrent

HUAP.TheHUAPwithinJMSmustbecurrentandcomplete.Theclassificationmanagermustdeveloptheskillsanddaily,asneededprocess,forupdatingtheHUAPasanybed/cellistakenofflinedueformaintenanceorchangeinthemissionofthebed/unit.

34. EnsureinmatesarehousedinaccordancewithhousingassignmentsgeneratedbyclassificationviaOPSOleadershipdirectivesandongoingauditsofhousingassignments.

35. Eliminatethebacklogofcasesdueforacustodyreview.36. DevelopQCprocessestoensuretheintegrityofboththeclassificationanddisciplinaryprocesses.37. Provideon-goingtrainingandmonitoringtoensuretheclassificationstaffcompletethecustodyand

PREAassessmentscorrectly.Asystematicrandomauditprocessshouldbeimplementedtomonitorstaffcompetency.

38. ProvideremedialtrainingonhowtoreadandinterpretNCICcriminalhistoryreportstotheclassificationspecialists.

39. Createqueriesforsimpleclassification-relatedmanagementreportswithintheJMS.Thesereportsshouldbereviewedatleastmonthlytomonitortrends.However,classificationmanagershouldreviewthereportsonPREAseparationsandhousingbycustodyleveldailytoensurethatanydiscrepanciesarecorrectedimmediately.Note:thereportsshouldincludecolumnsfornotingthedateandtype(s)ofcorrectiveactionsrequiredaddressinganydiscrepanciesorproblematictrends.

40. Createqueriesforsimpleclassificationandincident-relatedmanagementreportswithintheJMSreportmodule.Thesereportsshouldbereviewedatleastmonthlytomonitortrends.However,classificationstaffshouldreviewthereportsongeneralpopulation,protectivecustody,medical,mentalhealth,disciplinary,andadministrativesegregationhousingbycustodyandPREAdesignationdailytoensurethatanydiscrepanciesarecorrectedimmediately.



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41. ImplementtheInmateClassificationPolicyandProcedures(501.14),PREAPolicy,andinmatedisciplinecodetoreflectrevisedpolicies.

42. PromptlydevelopacompleteandviablepolicyfortheuseofadministrativesegregationiftheAdministrativeSegregationunitistocontinue.

43. Revisetheinmatehandbooktoaddressquestionsandconcernsnotedbythemonitors.44. Completethedirective,developlessonplans,andtrainstaff,contractorsandinmates.45. ProvidefinaldraftsofreportingformatsandcontentstotheMonitors.Refinetherecordkeepingand

dataanalysisensuringthatthemostprevalentgrievancestopicsaredocumented,includingtrends.46. ContinuetoevaluateelectronicoptionstogiveOPSOthesupportneededtoseparateinmaterequests

frominmategrievances,andpromptlyforwardmedicalrequestsecurely.47. ConsiderusingtheEarlyWarningSystemtotrackstaffwhosenameappearingrievanceswhomay

needsupplementaltraining.48. Continueperiodicmeetingsbetweensecurityandmedicaltodiscusstrends,data.Assurethatthe

numbersregardinggrievancesmaintainedbyOPSOareconsistentwiththosemaintainedbyCCS.49. AssurethegrievanceprocessprovidesnecessaryassistancetoLEPinmatesorthosewhoneedhelp

duetomentalillnessordisabilities,orwhenaninmaterequestsassistance.50. CompleteboththerelevantOPSOpolicyonPREA,CCS,andtheISBstandardoperatingprocedurefor

handlinginmateallegationsofsexualassault,harassment,andvoyeurism.Continueemployee,volunteer,andcontractortrainingandre-training.

51. ContinuetodocumentinmatereportingbyViaLink.52. AssureanyandallnewcontractsforservicesatOPSOrequirevendorcompliancewithapplicable

PREAstandards.53. CompleteOPSOpoliciesandprocedures,edittheInmateHandbook,produce.Assurethatthereis

consistencyofhousingunitoperationthroughrequirementofstaff/inmatemeetings,andestablishmentofmeasureablewaystoassurehousingunitsareeffectivelymanaged(e.g.cleaningstandards,grievances,noise,conditionofindividualcells,laundry,etc.).

54. Assurethatthematerialsareatagradeappropriatelevel.Assureproceduresfororientationofinmateswhoareilliterate,LEP,lowfunctioningand/orhavementalillness.

MentalHealthCare55. ThemovementofinmatesfromOPSOfacilitiesdidproceedinSeptember2015andwascompleted

withthetransferofTDCinmateswhowerereceivingmalestep-downmentalhealthservicesandfemaleacute/sub-acuteandstepdownmentalhealthservicesinTDCduringFebruary2016.WhilethepurposeofthismovementwastotransferinmatesoutofOPSOfacilities,ithasnotgonesmoothlywithregardtomentalhealthservicesinthatthecollaborationbetweenmentalhealthandcustodyfortheprovisionofadequatesuicidepreventionandmanagement,structuredtherapeuticactivitiesandunstructuredout-of-celltimetopromoteappropriatebehaviorbyinmateswithotherinmatesandstaff,andcounselingservicesisinadequateandunacceptable.-Theimmediateneedforresolutionofhowandwheretheseservices,bothmentalhealthandmedical,areprovidedtoinmatescurrentlyandinthefuturecannotbeoverstated.

56. CCSmustproceedwithalldeliberatespeedandeffortsatfillingtheirstaffingallocationsparticularlywithregardtoleadershippositionsinbothmentalhealth(DirectorofBehavioralHealth)andmedical(MedicalDirector),aswellasvacantstaffpositions.WhiletherehavebeensubstantialandreallygoodadditionstothelocalmanagementteamforCCSonwhichwehavecommentedinourbriefingsandinthisreport,theneedforprogrammaticdirectiononsiteforcomprehensiveandconstitutionallyadequatementalhealthandmedicalhealthprogramsinadditiontootherservicesrequiredbytheConsentJudgmentisessential.

57. Therehasbeensomeprogressinthedevelopmentofpoliciesandprocedures,howeverthereremainsomefinalizationsofpoliciesandproceduresthatmustbedoneespeciallywithregardtothesuicidepreventionandmanagement,treatmentplanning,referraltimeframesforcompletionofreferrals,mentalhealthstaffparticipationinthedisciplinaryprocess,andneedsassessmentsand



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documentationofthenumberofinmateswhorequirementalhealthandcounselingservices.OPSOhasnotachievedcompliancewiththeConsentJudgment,andtodosorequirescollaborationandcoordinationbetweenmentalhealth,medical,andcustody/operationsstafftoprovidecomprehensiveassessmentandtreatmentservicesandsufficientandadequatemanagementplansforinmatesinneedofcoordinatedservices.

58. ThepracticeofplacinginmateswhoareonsuicidewatchorconstantobservationstatusasdeterminedbyCCSbutremainhousedatOJCforextendedperiodsoftimewhileundergoingfurtherevaluationtodeterminewhethertheyareappropriatefortransfertotheHuntacute/sub-acuteservicesiscontinuingatunacceptablelevels.Thisincludesinmatesonconstantobservationorsuicidewatch,housedincellsthatarenotsuicideresistantfor23hours/day,andminimaltonopsychotherapeuticinterventionsotherthanmedicationsandobservation.TheservicesprovidedatOJCarenotadequateforacute/sub-acuteorstepdown/residentialservices.Tolabeltheseunitsorservicesas“mentalhealth”issimplythat,“alabel”,butcertainlynotaccurateoradequateinthattheservicesrequiredtomeetthenecessarymentalhealthneedsofinmatesarenotbeingprovided.

59. CCStoadequatelyandaccuratelyreflectthenumberofindividualsforwhomtheyareprovidingmentalhealthservices.Basedonthedocumentsprovidedpriortothesitevisitanddiscussionswithstaff,itisveryclearthatthenumberofinmatesreceivingorinneedofmentalhealthservicesaswellascounselingservicesbymentalhealthstaffhasbeenunderestimated.Further,CCSthroughourdiscussionsisclearlyadvisedandhasagreedthattheywillrevisetheirtreatmentplanningprocessandinsteadofhavingtwotreatmentplans,onedevelopedbythementalhealthprofessional(MHP)andaseparatetreatmentplandevelopedbythepsychiatristorpsychiatricnursepractitioner,treatmentplanswillbedevelopedinacomprehensivemultidisciplinaryteamformatbasedonthelevelofneedoftheindividualinmates.Further,thementalhealthtreatmentteamsatHuntandOJCcurrentlymeetonlyonceperweek,whichisinadequatetoaddresstheneedsoftheOJCpopulationwithmentalhealthneeds.Comprehensive,multidisciplinarytreatmentteammeetingsataminimumoftwiceperweekateachfacilitywillprovideformoreappropriateandcoordinatedtreatmentwithinthementalhealthstaffbutalsobyextensiontomedicalandcustody/operationsstaffforcoordinatedservices.

60. OPSOandCCStofinalizethepoliciesasrequiredbytheConsentJudgmentincludingthesuicideriskassessmenttool,participationofmentalhealthstaffinthedisciplinaryprocess,counselingservicestospecificoridentifiedgroups,andperformancemeasurestoreflectperformance.

61. CCSshouldcontinuetheprocessofidentificationofthementalheathcaseloadandtheirlevelsofcareneeds,andaggressivelyimprovedthestaffingnecessarytoprovideservicesincludingonsiteleadershipstaffaswellasstaffpositionstoprovidedirectservices.

62. ExecutethecontractbytheCitywithCCS.63. CCStoaggressivelyrecruitandfillthevacantpositionsatHuntandOJC.64. IncreasethefrequencyoftreatmentteammeetingsandreviewsoftreatmentplansatHuntandOJC.65. DocumentationofreferralsandriskprofilesbyCCSandsecurity.66. Completionofpoliciesandproceduresincludingperformancemeasures.67. ContinuedmonthlymeetingsoftheMentalHealthReviewCommittee,andappropriate

documentationofidentifiedperformancemeasures,problemsandissueswithregardtomentalhealthservicesandfollow-uponcorrectiveactions.

68. Developpolicyandprocedureformentalhealthevaluationsforinmatesonthementalhealthcaseloadinvolvedindisciplinaryproceedings.

69. Clarifytheinformationtobeprovidedtohearingofficersregardinginmatesonthementalhealthcaseload.

70. Developqualityimprovementdata,collection,andperformancemeasurestodemonstratethatevaluationsareindeedconductedandtheoutcomeofthoseevaluationsareprovidedtoinmatedisciplinaryhearingofficers.

71. Fullystaffpsychiatricandnursingproviderpositionss.72. Performanceindicatorsformedicationmanagementpracticeswithappropriatedatacollectionand

analysisincludinginmateshousedinOJC,othercorrectionalfacilities,andFelicianaForensicFacility.



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73. Reviewpoliciesandproceduresformentalhealthservicesforthesepopulations.74. IdentifythelevelofneedforinmatesintheOPSOwithregardtothespecificservices.75. Developperformanceindicators.76. ContinuetoprovidetrainingandsupervisionofCNAswithregardtodirectobservationatOJC.77. Providetrainingtomentalhealthstaffandcorrectionalstaffwithregardtodirectobservationof

inmateswhohavebeenreferredorpresentedwithconcernsforsuicideorself-harm,anddocumentaswellasanalyzethedirectobservation/supervisionofthoseinmatesbycustodystaffuntiltheyareseenandevaluatedbymentalhealthstaff.

78. Providesuicidepreventionandobservationinsuicideresistantcells,andtherearenoneatOJCdespitemaleandfemaleinmatesbeingplacedonsuicidewatchanddirectobservationinOJCinunsafeandnon-suicideresistantcellsonmultipleunits.

79. CCStotrainandsuperviseCNAsondirectobservationsandinteractionswithprisoners.80. CCStodevelopandpresentCNAtoprisonerratiosof1:1or1:2fordirectobservationratherthanthe

currentpracticeof1:3ormoreinmates,andoneCNAornurseforsuicidewatchesformultipleinmateswithoutevidenceofinteractionswiththoseinmatesregardingtheirmentalstatus.

81. CCStodemonstratereviewsofallseriousself-harmattemptsandassesstheperiodicreportstodetermineifinmatesareappropriatelyidentified,protectedandtreated.

82. Assurethatwhentherapeuticphysicalrestraintsmaybeindicatedforpreventionofself-harm,theyareindeedutilizedfortheshortestpossibletimeperiod,andproperlysupervised,monitored,reported,andassessed.

83. MaintainuseofrestraintlogsforbothphysicalandchemicalrestraintsatOJCandHunt.84. ContinuerevisionandimplementofpoliciesatHunttoincludementalhealthstaffandpossibly

specificallytrainednursingstaffinde-escalationtechniquespriortotheuseofplannedusesofforceincludingandspecificallyOCspray.

MedicalCare

85. OPSOresumepre-servicetrainingandprovideannualtrainingforcustodystaffonwithdrawaland

detoxification.OPSOprovidesufficientoversighttoassurecompliance.86. OPSOreviseitsintakepolicytoreflectadequatescreeningforriskofwithdrawal.87. OPSO,inconjunctionwithCCS,developandimplementtrainingforcustodystaffonrecognitionof

urgentmedicalconditions.88. OPSO/CCSrecruitandretainamedicaldirector,directorofbehavioralhealth,andthebudgeted

nursepractitioners.89. CCScontinuetrainingandsupervisionofnursingstaff.90. CCScontinuetoimprovetrackingsystemsforfollow-upappointments,medicationorders,and

laboratorytestinganddevelopsystemsfordocumentingallcareinasingle,unitmedicalrecord,whetheritbepaperorelectronic.

91. CCSdevelopaqualitymanagementplan,continuetomeasureclinicalperformance,integrateallqualityimprovementactivitiesunderonecommittee,trackandtrendresults,andevaluatetheprogramannually.On-sitehealthcareleadershipshouldbecomeincreasinglyinvolvedinthequalitymanagementprogram.

92. ContinuemonthlymeetingsoftheMentalHealthReviewCommitteewiththedesignatedmembershipandprovisionofminutesofthosemeetingstoassuretheyaddresstheappropriatementalhealthissuesasspecifiedintheConsentJudgment.

93. OPSOassuremedicalcarefacilitiesthatareclean,safe,andsecure.94. OPSOhasarrangedforprofessionallanguageinterpretationservicessoastoprovideconfidentiality

ofmedicalinformation.Theuseofthisserviceneedstobetrackedasaproofofcompliance.95. CCScontinuetomeasureandtrackclinicalperformanceaspartofitsqualitymanagementprogram.96. CCSrevisititspoliciesandclinicalguidelinesforpregnantinmates,consistentwithnationally-

acceptedrecommendationsforobstetricalcareforhighriskpatients.



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97. OPSOrevisitthedesignofthemedicalandmentalhealthintakeareasintheIPCinconcertwithhealthcareproviders,toprovideeasyflowandappropriateprivacy.

98. OPSOdevelopandmaintainanelectronicmedicalrecordsystemthathaselementsdescribedintheexecutivesummaryportionofthisreport.

99. CCScontinuetomonitortheeffectivenessofthemedicationadministrationprogram,includingtimelagtofirstdose,managementofserialnon-adherence,andmisseddoses.

100. OPSOcommunicateimpendingdischargestoCCSsothataprescriptionformedicationcanbepreparedanddeliveredtotheinmate.

101. CCScontinueitscurrentperiodicauditsofclinicalperformanceandgrievancedataandcontinueitsdataanalysisthathasbeenusedrecentlytodevelopremediesforopportunitiesforimprovement.

102. OPSOandCCSanalyzetrauma-relatedhospitalreferralsforthepurposesofprevention(e.g.,reducingon-siteinjuries)anddiversiontoon-siteprimarycare.

103. OPSOdevelopandmaintainamethodforclinicaloversighttoeventuallyreplacethecurrentroleofthecourt-appointedmonitorandsub-monitors.

104. OPSOdevelopandimplementamechanismtonotifyqualifiedhealthcarestaffofimpendingreleasessoastoprovidebridgesuppliesofmedicationandprescriptions,asmedicallyappropriate.

SanitationandEnvironmentalConditions105. Completeandimplementwrittenpoliciesandproceduresgoverningtheprovisionsofthisparagraph.

Thesepoliciesinclude,butarenotlimitedto:a. Detailedhousekeepingprocedures,schedule,training,andacomprehensiveinspection

processthatincludesestablishingstaffandinmateexpectationsthatmanagementiscommittedtoenforceconsistentlyandcontinuallyforhousingunits,toilets,showers,andcommonareas.

b. Includeinthepolicyawrittenprocessandproceduretoassureinmatecellsarethoroughlycleanedanddisinfectedbetweeninmates.

c. Developandimplementaprocessforconsistentandcontinualmanagementreviewandoversightofsanitation.

106. Includeinthepolicyinmaterulesthatlisttheallowableitemsandquantitiesinmatesarepermittedtomaintainintheircellsandwheretheyareexpectedtobestored.Includetherulesandlistintheinmatehandbook.

107. Developandimplementachemicalcontrolpolicyandproceduresthatincludeatleastdailyinventoryprocess,signin/outrequirementstoassuresafetyofinmatesandstaff.

108. Selectasufficientnumberofsanitationofficersforeachshifttosupervisehousekeeping.109. Implementthemattressinspection,cleaninganddisinfectionpolicy.110. Establishandimplementdocumentedongoinghousekeeping,biohazardousspillresponse,worker

safety,andchemicalcontroltrainingforsanitationofficersthatincludesameasurementofcompetencysuchaspreandposttesting.

111. Providedocumentedhousekeepingtrainingforhousingunitdeputies,supervisors,andinspectorsthatincludesevidenceofunderstandingoftheirresponsibilitiessuchasapreandposttesting.

112. Completeandimplementwrittenpoliciesandproceduresgoverningtheprovisionsofthisparagraph.Thesepoliciesandproceduresmayinclude,butarenotlimitedto:a. Trainemployeestofiletimelyworkordersmeetingthe24-and-48hourrequirementofthis

provision.b. Reviewanddevelopasimplesystemforofficerstoreportmaintenanceissuesandcompletethe

maintenancereportingpolicy.c. Maintainatrackingsystemforpendingworkordersbytypetodocumentneedsforeffective

resourceallocationforspecifictrades.d. Establishanmaintenance/repairsupplyinventorytoassureadequateandavailablesuppliesof

regularlyneededpartsforrepairssuchbelts,fans,andmotorsforHVACequipment;plumbingpartssuchasshowerheads,valves,andfaucets;andcommonelectricalpartsincludingelectrical



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panels,lights,transformers,andballaststoquicklyandefficientlyresolveroutinemaintenanceissues.

113. Developandimplementawrittenpolicyandprocedurecontainingtherequirementsofthisparagraph,whichincludes,butisnotlimitedto:

a. Implementasystemtomeasureandassureadequateventilationthroughoutthehousingtiersincludingtheshowers.

b. CompleteandprovidedocumentationfortheairbalancereportforOJC.c. Assurethepreventativemaintenancepolicyincludesaprovisionformaintenancestaffto

reviewcompliancewiththeprovisionatleasttwiceeachyear.Implementthepolicy.d. OPOSmustbeabletodemonstratethatscheduledmaintenancewascompletedasscheduled.

114. AssurethattheOPSObudgetincludesthecostsofimplementingthepreventivemaintenanceplan.115. Provideaninventoryofreplacementbulbs,transformers,ballasts,andfixturestoassuretimely

repairs.116. AssureelectriciansareavailableinOJCtoassurethattheprovisioncontinuesismet.117. Implementthepreventativemaintenancepolicythatincludesthepestcontrolprogram,sanitation

policies,andproceduresandincludetherelevantinformationintheinmatehandbook.118. Providetrainingtoinmates,housingofficersandsupervisorsonrulesandexpectations.119. Evaluatethepestcontrolcontractandreportsregularlyto:

a. Assurethatthepestcontrolcontractorismeetingthetermsofthecontractandtheirworkmeetstherequirementsofthisparagraph;

b. AssurecontractorcontinuestoprovidequarterlytrendreportsandthatOPSOreviewsthemforchangesoractionitemsneedingtobecompleted;

c. EstablishaprocessforofficersandinmatestoreportanypestactivitywithinOJCandtheKitchen/Warehouse.

d. Reviewthepestcontrolreportstoassurethatallrecommendationsareimplementedtopreventpestinfestationsandcomplaints.

120. ImplementPolicy1101.07addressingspillresponseincluding,butnotlimitedto:a. Designatepostspershiftwhowillresponsibleformanagingbloodbornepathogenand

biohazardousspillcleanup.b. ProvidetheMonitorwithadraftofthelessonplanforthetrainingprogram.c. CompletedocumentedtrainingofthedeputiesonOSHA’sbloodbornePathogensStandard,29

CFR1910.1030andonthepolicy’sspillresponseprocedures121. ImplementInterimPolicy1101.07,“Bio-HazardousSillsCleaningProceduresincluding:

a. DistributingthespillkitstothedesignatedlocationswithinOJCb. Identifythedeputieswhowillbeassignedresponsibilityforspillresponseandprovidethe

requiredtraining.122. Implementwrittenpoliciesandproceduresgoverningtheprovisionsofthisparagraphthatinclude,

butisnotlimitedto:a. Managementofcontactwithbloodborneandairbornehazardsandinfectionsb. Identification,treatment,andcontrolofMethicillin-ResistantStaphylococcusaureus

(“MRSA”)atallfacilities;c. Trainingforallaffectedemployeesontheimplementationoftheplan.d. AssurethattheCCSInfectionControlpolicyalsoaddressthesespecificrequirements.

123. DevelopandimplementPolicy601.02“PreventativeMaintenance”andPolicy601.03“ReportingMaintenanceProblems”addressingtherequirementsofthisparagraphincludingnecessarytrainingandestablishaprocesstoassurerepairs/replacementiscompletedwithin30daysunlessthereisadelayduetoneedforapartnotmaintainedinstock.

124. Developapolicyandprocedurethatincorporatetherequirementsoftheprovisionincludingarequirementfordocumentedinitialfoodsafetytrainingfordeputiesandinmateworkersassignedtofoodserviceinthekitchenorthere-thermkitchensofOJCandtheannualtrainingasrequired.

125. Developandimplementafoodservicepolicyandwrittenproceduresaddressingthisparagraphincludingbutnotlimitedto:



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a. Establishingrequirementsforcleaningandsanitizationandascheduleandplanforeachareaandspecificequipment,andincludewhatistobecleaned,howitistobecleaned(followingtheequipmentmanufacturer’sinstructionsfromtheoperationsmanual),whoisresponsibleforthecleaning,(ifaninmate,whosuperviseshim/herneedstobeidentified),andthefrequencyofthecleaning.Thecompletionofthecleaningmustbedocumentedonthesanitationlogshowingtheinitialsofthepersonwhocompletedthecleaning.ThelogsshouldbereviewedbyandOPSOFoodServiceKitchenSupervisororDirectorforverificationofcompletionandmaintainedintheOPSOFoodServiceDirector’soffice.

b. Asabestpractice,itrecommendedthatOPSOcontinuetheweeklydocumentedoversightinspectionsbyaqualifiedinspectorwhoisindependentofthefoodservicecontractortoidentifyanycontractnon-complianceandincludedocumentationofcorrectiveactiontakenforallpreviouslyidentifiedviolations.Awrittencorrectiveactionprocessmustberequiredforareasofnon-compliancethatincludesretrainingofemployeesorinmates,requiredmaintenancerepairs,safefoodhandling,personalhygiene,etc.

c. AssureallinspectionsarereviewedwiththefoodservicecontractoranddesignatedmanagementstaffwithinOPSO.

d. Designateinthepolicytheposition/postresponsibleforoversightforthesefunctions.126. OPSOneedstodevelopandimplementafoodservicepolicyaddressingthisparagraphincluding,but

notlimitedto:a. Identifyingallrefrigerators,freezers,hotandcoldfoodholdingequipment,andware

washingequipmentlocatedinKitchen/Warehouseandthere-thermkitchensinOJC.b. Schedulingthefrequencythattemperaturesaremeasuredandrecordedinaccordancewith

theLouisianafoodsafetyregulations.c. Establishingawrittencorrectiveactionplanthatidentifieswhatactionsstaffwilltakewhen

monitoringidentifiesunacceptabletemperaturesforequipmentholdingpotentiallyhazardousfood.

d. RequiringevidenceofdocumentedtrainingoftheOPSOsupervisorassignedtofoodserviceattheKitchen/Warehouseand/orOJCtoreviewtemperatureslogsdaily,andassurethatanypotentiallyhazardousfoodisremoved,andifnecessary,destroyedandthatworkordersaresubmittedwheninspectionsindicateequipmentthatisnotoperatingasdesigned.

e. Requiringdocumentedtrainingdeputiesassignedtomeasureandrecordtemperaturesforrefrigerated/frozencoldpotentiallyhazardousfood,hotfoodholdingunits,andwarewashingequipment.

f. RequiringuseoftemperaturelogsforallequipmentwherefoodisheldincludingKitchen/Warehouseandre-thermkitchensandwherekitchenwareandutensilsarecleaned,thatincludesarecordretentionschedule.

g. Designatingtheposition/postresponsibleforoversightforthesefunctions.127. Developandimplementwrittenpolicyandproceduresaddressingthisparagraphincluding,butnot

limitedtoassuringthatthetrackingmechanismsareinplacetorecordtherequiredinformation.Suchdocumentationmayincludehealthdepartmentreports,pestcontrolreports,preventivemaintenanceworkordersystemreports,inmategrievancelogs,andmaintenancelogs.

a. Designatetheposition/postresponsibleforoversightforthesefunctions.b. Trackgrievancesforenvironmentalandmaintenanceissuesincludingregarding

maintenanceissues.128. Developandimplementwrittenpolicyandproceduresaddressingthisparagraphincluding,butnot

limitedtousingthedatafromIV.D.4.a.(1)-(7)todocumenttrendsanddevelopmanagementresponseandrecommendationstoaddresstheissuesobservedintheSanitationandEnvironmentalConditionsReportandtheprovisionsoftheConsentJudgment.

a. Designatetheposition/postresponsibleforaddressingthisprovision.



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FireandLifeSafetyReporting128. ReviewandrevisePolicy701.2toincludeabuilding-specificlistofallfireandlifesafetyequipment

thatisrequiredtobeinspectedand/ortestedbothannuallyandquarterly.Therevisionsinclude,butarenotlimitedto:

a. Thepostsand/orpositionshavingresponsibilitytoassurethetestingand/orinspectediscompleted.

b. AssureOJCschedulestheannualinspectionfor2016asrequiredbystatelaw.c. Designatetheposition/postresponsibleforoversightforthetesting/inspections.

129. Assurethatpreventivemaintenancecontractsareinplacepriortotheexpirationofwarrantiesonequipment.

130. Eitherrevise701.1orcreateanewOPSOpolicyandprocedurethatestablishesthespecificparameterstobeincludedinthemonthlyinspectionsinaccordancewiththeprovision.

a. Designatetheposition/postresponsibleforoversightforthesefunctions.b. Establishanddefinetheterm“qualifiedfiresafetyofficer”.

131. ReviewandrevisePolicy701.4WrittenEvacuationPlantoaddresstheminimumrequirementsspecifiedintheprovision.AsbestpracticeOPSOshouldconsiderconductingdrillsmorefrequentlythanspecifiedintheprovisionandonallshiftstoassurecompetencyandthatallstaffisfamiliarwithevacuationproceduresandthatinmatescanberelocatedquicklyandsafelywhileprotectingsecurity.

a. Designatetheposition/postresponsibleforoversightforthesefunctions.b. ProvidetheMonitorcopiesofallfiredrillreportsandassessmentsaftereachdrill.

132. Reviseexistingwrittenpoliciesandprocedurestoaddressthisparagraphincludingbutnotlimitedto:

a. AssuringthatthefiresafetyandevacuationtrainingforalljailstaffmeetstherequirementsoftheNewOrleansFireDepartment,theStateFireCode,andthatstaffareabletodemonstratecompetency.

b. ProvidetheMonitorwithacopyofthePowerPointpresentationforthe24-hourtrainingforreview.

c. ProvidetheMonitorwithacopyofthe8-hourtrainingsyllabusandcurriculumandanytrainingmaterials.

d. ProvidetheMonitorwithcopiesofthepreandposttestinstrumentsforthe24-hourandthe8-hourclass,ifdifferent.

e. Assuringthatthepersonconductingthefiresafetytrainingisqualifiedtoconductthattraining.

f. Designatetheposition/postresponsibleforoversightforthesefunctions.126. Developandimplementawrittenpolicyandprocedurethataddressesthisparagraph.

a. Designatetheposition/postresponsibleforoversightforthesefunctions.b. Continuethequarterlyinspectionprocesstotestemergencykeysandthelocksof

alldoorsforwhichtheyareexpectedtoopen.127. Developandimplementwrittenpolicyandproceduresaddressingtherequirementsofthis

provision.a. Designatetheposition/postresponsibleforoversightforthesefunctions.b. Includefiredrillassessmentsandannualstafftrainingprogressinfuturereports.

128. Developwrittenpolicyandprocedurestoaddresstherequirementsofthisprovisionandimplementit.

a. Designatetheposition/postresponsibleforoversightforthesefunctions.b. Basedonfiredrillassessments,inspectionsandtrainingfeedback,demonstratechanges

madetofiresafetyproceduresandtraining.



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LanguageAssistance129. Completerelevantpolicies/procedures130. Whenthepolicyhasbeenfinalized,allcorrectionsandmentalandhealthstaffshouldbeginto

receivethetrainingrequiredundertheConsentJudgment.Itmaybepossibleforsomeofthistrainingtobecomputerbased.IfOPSOwishestoproposelessthanan8hourblockofinstruction,thisneedstobedonealongwiththespecificsofanysuchproposal.

131. TheplaintiffsanddefendantsshouldconferregardingtherequirementsofIV.F.3.a.andadvisetheMonitors.

YouthfulPrisoners132. Developandimplementwrittenpoliciesandprocedurestocomplywiththisparagraph.[Seealsothe

measuresofcompliance.]Includeobjectivedatameasuresoftheinitiative’scompliancewiththisrequirement.

133. TheSheriffandtheCityneedtodevelopstrategiestobringcompliancewiththisrequirements(sightandsoundseparationforfemalejuvenilesandappropriateseparateformalejuveniles)andtotheextentpossiblegiventhephysicalplantlimitations,notuselockingdownjuvenilesasameansofpopulationcontrol.

ComplianceandQualityImprovement

134. OPSOcontinuetoMonitorstheperformanceofthevendor,aswellasprovideinternalassetsto

reviewthepolicydraftsbeforeforwardingtotheMonitorsforreview.135. Completethelessonplans,trainthetrainers,schedule,conduct,andevaluatethetraining.136. OPSOshouldconsiderhiringstaffwhoarequalifiedtoassistinthecollection,analysisand

managementtodata(e.g.aplanningandresearchperson).137. Completetherelevantwrittendirective.138. Nameafull-timequalifiedpersonasComplianceCoordinator.139. Prepareawrittenpoliciesandproceduresthatsupporttheserequirements,includingperiodicityof

reporting,andaccountability.140. Ensurethattherearewrittenpoliciesandproceduresthatsupportthesefunctions,including

periodicityofreporting,andaccountability.


Independent Monitors’ Report No. 5 March 17, 2016 …...Compliance Report # 5 – March 17, 2016 3...

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Transcript of Independent Monitors’ Report No. 5 March 17, 2016 …...Compliance Report # 5 – March 17, 2016 3...