SOP_NUMBER: 208.01-att-1
TITLE: Re-Assignment Review Form - Separate Housing re HIV Antibody
REFERENCE_CODE: IIA06-0001
DIVISION: Facilities
TOPIC_AREA: 208 Policy-Facilities Care/Medical Management
EFFECTIVE_DATE: 2015-04-22
WORD_COUNT: 110
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105688
URL: https://gps.press/sop-data/208.01-att-1/

SUMMARY:
This form is used to document the review and decision-making process regarding whether an inmate with HIV should remain in separate housing or be reassigned to general population. The form captures recommendations from the Classification Committee, Warden/Superintendent, and Central Office Classification, along with documented reasons for housing decisions.

KEY_TOPICS: HIV housing, separate housing, inmate classification, housing assignment, re-assignment review, medical segregation, general population, classification committee, inmate housing decisions

ATTACHMENTS:
  1. Re-Assignment Review Form - Separate Housing re HIV Antibody
     URL: https://gps.press/sop-data/208.01-att-1/

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FULL TEXT:
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**SOP IIA06-0001**
**(208.01)**
**ATTACHMENT 1**
**04/22/15**

RE-ASSIGNMENT REVIEW FORM - SEPARATE HOUSING

FACILITY/CENTER: _________________________________________________ DATE OF REVIEW: ______________________

INMATE NAME: ______________________________________________ NUMBER: ________________________________

CLASSIFICATION COMMITTEE RECOMMENDATION: (Check appropriate block):

RECOMMEND GENERAL POPULATION: _________________  CONTINUE SEPARATE HOUSING: _________________

DOCUMENT SPECIFIC REASONS FOR CONTINUED SEPARATE HOUSING:
_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Signed: _________________________________________________
Chairman, Classification Committee
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FINDINGS TO THE WARDEN/SUPERINTENDENT: YES: _______________ NO: ________________

WARDENS'/SUPERINTENDENT'S RECOMMENDATION: (Check appropriate block)

RETURN TO GENERAL POPULATION: ________________ CONTINUE SEPARATE HOUSING: ______________________

WARDEN'S /SUPERINTENDENT'’S COMMENTS: _____________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

Signed: ________________________________________________________
Warden or Superintendent

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FOR CENTRAL OFFICE CLASSIFICATION: Date of Review: ____________________________________________________

RETURN TO GENERAL POPULATION: ____________________  REMAIN IN SEPARATE HOUSING_________________
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DISTRIBUTION: 1 copy Central Office Classification
1 copy Inmate Administrative File
1 copy Inmate

**RETENTION SCHEDULE:**

Once completed, this form will be placed in the Inmate Case History file.