SOP_NUMBER: 208.06-att-4
TITLE: Sexual Allegation Response Checklist
DIVISION: Executive
TOPIC_AREA: Policy-Compliance Unit (101 & 208)
WORD_COUNT: 269
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/223735
URL: https://gps.press/sop-data/208.06-att-4/

SUMMARY:
This checklist is used by GDC staff to document all required actions and responses when a sexual allegation is reported in a correctional facility. It ensures compliance with SOP 208.06 by tracking critical steps including medical examinations, victim and aggressor separation, evidence collection, SART notification, PREA reporting, mental health evaluations, and investigative procedures. The form serves as an accountability tool to verify that all mandatory protocols have been followed and properly documented.

KEY_TOPICS: sexual allegation, sexual abuse, PREA, sexual assault response, SART, SANE exam, victim support, evidence collection, chain of custody, segregation, investigation checklist, prison sexual assault, correctional facility allegation, disciplinary action

ATTACHMENTS:
  1. Sexual Abuse_Sexual Harassment Prison Rape Elimination Act Education Acknowledgement Statement
     URL: https://gps.press/sop-data/208.06-att-1/
  2. PREA Sexual Victim_Sexual Aggressor Classification Screening Instrument
     URL: https://gps.press/sop-data/208.06-att-2/
  3. PREA Disposition Offender Notification Form
     URL: https://gps.press/sop-data/208.06-att-3/
  4. Sexual Allegation Response Checklist
     URL: https://gps.press/sop-data/208.06-att-4/
  5. Procedure for SANE Evaluation/Forensic Collection
     URL: https://gps.press/sop-data/208.06-att-5/
  6. PREA Investigative Summary
     URL: https://gps.press/sop-data/208.06-att-6/
  7. PREA Local Procedure Directive and Coordinated Response Plan
     URL: https://gps.press/sop-data/208.06-att-7/
  8. Retaliation Monitoring Checklist
     URL: https://gps.press/sop-data/208.06-att-8/
  9. Sexual Abuse Incident Review Checklist
     URL: https://gps.press/sop-data/208.06-att-9/
  10. PREA Initial Notification Form
     URL: https://gps.press/sop-data/208.06-att-10/
  11. PREA Staffing Plan Template
     URL: https://gps.press/sop-data/208.06-att-11/
  12. PREA Victim Advocate Request Form
     URL: https://gps.press/sop-data/208.06-att-12/
  13. Contractor/Volunteer Verification Form – Sexual Abuse/Sexual Harassment (PREA)
     URL: https://gps.press/sop-data/208.06-att-13/
  14. PREA Counseling Referral Form
     URL: https://gps.press/sop-data/208.06-att-14/
  15. Investigative File Summary Checklist
     URL: https://gps.press/sop-data/208.06-att-15/
  16. Investigative File Detail Checklist
     URL: https://gps.press/sop-data/208.06-att-16/
  17. Prison Rape Elimination Act (PREA) Offender Brochure (English)
     URL: https://gps.press/sop-data/208.06-att-17/
  18. PREA Offender Brochure (Spanish)
     URL: https://gps.press/sop-data/208.06-att-18/
  19. Staff Guide on the Prevention and Reporting of Sexual Misconduct with Offenders
     URL: https://gps.press/sop-data/208.06-att-19/

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FULL TEXT:
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SOP 208.06
Attatchment 4
Revised: 06-23-2022

Page 1 of 1

**GEORGIA DEPARTMENT OF CORRECTIONS**
**SEXUAL ALLEGATION RESPONSE CHECKLIST**


**Incident Date** **Incident Time** **Incident Report #**
**Victim Name*** **GDC ID#***
**Location of Incident:** **Date/Time Received:**
***If more than one victim, separate with a semi-colon**


|Activity/Actions|Yes|No|Date|Time|Comments|
|---|---|---|---|---|---|
|Medical examination of the alleged victim<br>conducted per 208.06 Attachment 5? (Explain<br>if no)||||||
|If within 72 Hrs. was SANE contacted? (or sent<br>to hospital for forensic exam if SANE cannot<br>arrive prior to 72 Hr. expiration. Explain if no.)||||||
|Separated alleged victim(s) from alleged<br>aggressor(s) in accordance with SOP 208.06?<br>(Explain if no)||||||
|Were either the alleged victim(s) or the alleged<br>aggressor(s) placed in segregation due to the<br>allegation? (Explain if yes.)||||||
|When was the local Sexual Abuse Response<br>Team (SART) notified? (Explain if no)||||||
|Recover, download, and document any video<br>monitoring recording. The disk will be<br>identified using the corresponding incident<br>report number and stored securely in the<br>investigative file. (explain if No)||||||
|Was evidence collected that needed to be<br>forwarded to OPS? (To whom in comment)||||||
|Date Chain of Custody form started?||||||
|Date the incident demographic information<br>form completed?||||||
|Date/Time sent PREA Initial notification?<br>(Explain if no)||||||
|Mental Health evaluation of the alleged victim<br>completed within 24 Hrs. of receipt of the<br>allegation in accordance with 508.22. (Explain<br>if no)||||||
|Have all related documents been<br>scanned/entered into SCRIBE?||||||
|Enter investigative summary with all necessary<br>supporting documentation. (Enter date<br>completed)||||||
|Disciplinary actions taken?||||||
|Case file reviewed by PREA Compliance<br>Manager?||||||



SART Investigator Name Scribe ID PREA Compliance Manager

Name



SCRIBE ID



Allegation is: Unfounded Substantiated Unsubstantiated Forwarded to OPS Not PREA


Retention Schedule: Upon completion this form is to be retained permanently in the investigation file.