SOP_NUMBER: 209.08-att-1
TITLE: Tier II Program Assignment Recommendation and 1Initial Segregation Review
REFERENCE_CODE: IIB09-0003
WORD_COUNT: 496
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105952
URL: https://gps.press/sop-data/209.08-att-1/

ATTACHMENTS:
  1. Tier II Program Assignment Recommendation and 1Initial Segregation Review
     URL: https://gps.press/sop-data/209.08-att-1/
  2. Administrative Segregation: Tier II Program Assignment Memo
     URL: https://gps.press/sop-data/209.08-att-2/
  3. Administrative Segregation: Tier II Program Assignment Appeal Form
     URL: https://gps.press/sop-data/209.08-att-3/
  4. Administration Segregation: Tier II Program Handout
     URL: https://gps.press/sop-data/209.08-att-4/
  5. Administrative Segregation: Tier II Program 90-Day Review
     URL: https://gps.press/sop-data/209.08-att-5/
  7. Administrative Segregation: Tier II Program 90 Day Review Assignment Appeal Form
     URL: https://gps.press/sop-data/209.08-att-7/
  8. Administrative Segregation: Tier II Program - Cell Check Sheet
     URL: https://gps.press/sop-data/209.08-att-8/
  9. Administrative Segregation: Tier II Program Checklist
     URL: https://gps.press/sop-data/209.08-att-9/
  10. Administrative Segregation: Tier II Program Checklist - 30-Minute and 15-Minute Watch Form/Observation Record
     URL: https://gps.press/sop-data/209.08-att-10/
  11. Administrative Segregation: Tier II Program Performance Recording Sheet
     URL: https://gps.press/sop-data/209.08-att-11/

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FULL TEXT:
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**Attachment 1**
**SOP 209.08 (IIB09-03)**

**04/11/16**


**Administrative Segregation: Tier II Program Assignment Recommendation**


|Offender’s Name:|Col2|GDC ID #:|Col4|
|---|---|---|---|
|Date:||Classification<br>Committee<br>Chairperson’s Signature||









|Col1|The offender is noted as a threat to the safe and secure<br>operation of the Facility. This may include but is not<br>limited to offenders who have documented STG<br>activities/involvement, notoriety of crimes, high level of<br>supervision requirements, and offenders who have either<br>been threatened with bodily harm or threatened others<br>with bodily harm.|Col3|Two or more disciplinary infractions for possession of a<br>weapon within the past year.|
|---|---|---|---|
||Escape within the previous five (5) years involving<br>violence or serious threat of violence.||Three or more disciplinary charges within the previous<br>12 months that involve assaultive or excessive disruptive<br>behavior of either Great or High severity level as defined<br>in the Inmate Discipline SOP (IIB02-0001).|
||Escape (s) or escape attempts within the previous three<br>years (3) from a state prison, County CI, or private prison.||Offenders with assaultive histories.<br>|
||Leadership or Participation in a major disturbance or riot<br>during the previous five (5) years involving: (a) ten or<br>more offenders; and/or (b) the serious threat of loss of life<br>or actual major property damage.||Excessive destruction of state property.|
||Failure in the Tier I Program or refusal to participate.||Transfer from GDCP SMU to a Tier II-Phase 3 or Tier<br>II-Mental Health program.|
||Participation as a leader or involvement in a major<br>disruptive event, major disturbance, or directing the<br>assault or homicide of other offender(s) during the<br>previous five (5) years||Attempting to introduce or trafficking of cellular devices,<br>drugs, tobacco or other illegal contraband.|
||Possession of a firearm or of an explosive device within<br>the previous five years.|||


Describe Specific Reason if Additional Information Is needed:





**In accordance with the Tier II Program SOP, the offender is recommended for placement to the Administrative Segregation: Tier**
**II for the following reasons:**
**_______________________________________________________________________________________________________________**

**________________________________________** **________________________________________**
**Tier II Unit Manager                Date** **Security Member                    Date**

**________________________________________**
**Care & Treatment Member           Date**

****Referring Classification Committee Chair sends document to the Warden’s/Designee’s Office**
**Copies:** **Offender File**
**RETENTION SCHEDULE:  Upon completion of this form, it shall be placed in the offender’s case history file.**


**Attachment 1A**
**SOP IIB09-0003(209.08)**
**3/17/15**

**Tier II Initial Segregation Review**


**Date: ___________________**
**I. Offender: ___________________________ GDC ID#: __________________**

**In accordance with the Tier II SOP, you were placed in Tier II for the following reasons:**
**_______________________________________________________________________________**

**_______________________________________________________________________________**

**_______________________________________________________________________________**

**III.     Offender's Statement: _____________________________________________________________**

**_______________________________________________________________________________**

**_______________________________________________________________________________**

**IV.** **Classification Committee: ____________________________________________________**

**_______________________________________________________________________________**

**_______________________________________________________________________________**

**_______________________________________________________________________________**

**A. Above Offender has been informed of reasons why he was placed in Tier II Program.**
**B. Recommendation:** **|_| Assignment to Administrative Segregation: Tier II Program.**
**|_| Reassignment to General Population**
**|_| Transfer to another Facility**

**_______________________       ___________________________         _________________________**
**Security Member/Date            Care & Treatment Member/Date     Unit Manager – Designee/Date**

**V. Warden’s/Designee’s Remarks: Approval |_|  Disapproval |_| ___________________________________**
**Warden’s/Designee’s Signature / Date**

**Comments: ____________________________________________________________________**

**_______________________________________________________________________________**

**_______________________________________________________________________________**

**The offender has the right to appeal the above decision to the Facilities Director. Offender has three (3) business days to appeal**
**this decision on the attached form. (Assignment Appeal Form – Attachment 3)**

**Copies:** **Offender File**
**RETENTION SCHEDULE:  Upon completion of this form, it shall be placed in the offender’s case history file.**