SOP 209.11-att-1: RHA-JOAS Program Assignment Recommendation and 1, RHA-JOAS Program Initial Segregation Review

Attachment 1
SOP 209.11
(04/11/16)

Restrictive Housing Assignment- Juvenile Offender Administrative Segregation
Assignment Recommendation

|Juvenile offender’s
Name:|Col2|GDC ID #:|Col4|
|---|---|---|---|
|Date:||Classification
Committee
Chairperson’s Signature||

|Col1|The juvenile offender is noted as a threat to the safe and
secure operation of the Facility. This may include, but is
not limited to, offenders who have documented STG
activities/involvement, notoriety of crimes, high level of
supervision requirements, and offenders who have either
been threatened with bodily harm or threatened others
with bodily harm;|Col3|Two or more disciplinary infractions for possession of a
weapon within the past year;|
|---|---|---|---|
||Escape(s) or escape attempt(s) within the previous three
years (3);||Three or more disciplinary charges within the previous
12 months that involve assaultive or excessive disruptive
behavior of either Great or High severity level as defined
in the Offender Discipline SOP (209.01) IIB02-0001;|
||Leadership in a major disturbance or riot during the
previous five (5) years;||Offenders with assaultive histories;
|
||Failure in an Administrative Segregation Unit;||Excessive destruction of state property;|
||Participation
in
major
disruptive
events,
major
disturbances, or directed the assault or homicide of other
offender(s) during the previous five (5) years;||Possession of or attempting to introduce or trafficking of
cellular devices, drugs, tobacco or any illegal
contraband;|
||Possession of a firearm or of an explosive device within
the previous five years;||Direct assignment in Restrictive Housing Assignment –
Juvenile
Offender
Administrative
Segregation
by
recommendation of the Warden through the Regional
Director to the Director of Field Operations or Designee.|

Describe Specific Reason if Additional Information Is needed:

In accordance with GDC SOP, the juvenile offender is recommended for placement to the Restrictive Housing Assignment -
Juvenile Offender Administrative Segregation for the following reasons:
_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________ ________________________________________
Restrictive Housing Assignment – Juvenile Offender Date Security Member Date
Administrative Segregation Unit Manager

________________________________________
Care & Treatment Member Date
**Referring Classification Committee Chair sends document to the Warden’s Office or Designee’s Office

RETENTION SCHEDULE: Upon completion of this form, it will be placed in the juvenile offender’s case history file.

Attachment 1a
SOP 209.11
(4/11/16)

Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Initial Review

I. Juvenile offender: ___________________________ GDC ID#: __________________ Date: ________

In accordance with the RHA-JOAS SOP, you were placed in RHA-JOAS for the following reasons:
_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

III. Juvenile offender's Statement: ___________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

IV. Classification Committee: __________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

A. The above juvenile offender has been informed of reasons why he was placed in Restrictive Housing Assignment –
Juvenile Offender Administrative Segregation
B. Recommendation: |_| Assignment to Administrative Segregation: RHA-JOAS 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 Signature or Designee’s Signature/Date

Comments: ____________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

The juvenile offender has the right to appeal the above decision to the Director of Field Operations. The juvenile offender
has three (3) business days to appeal this decision on the attached form. (Assignment Appeal Form – Attachment 3)

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