SOP_NUMBER: 209.11-att-11 TITLE: Restrictive Housing Assignment - Juvenile Offender Administrative Segregation Performance Recording Sheet DIVISION: Facilities TOPIC_AREA: 209 Policy-Facilities Control/Discipline/Segregation EFFECTIVE_DATE: 2016-04-11 WORD_COUNT: 42 POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105978 URL: https://gps.press/sop-data/209.11-att-11/ SUMMARY: This is a recording form used to document daily performance information for juvenile offenders assigned to administrative segregation (restrictive housing). Staff members use this form to record observations and behavioral notes at specified intervals, which are then maintained in the offender's case history file for documentation and review purposes. KEY_TOPICS: restrictive housing, juvenile offender, administrative segregation, RHA-JOAS, performance recording, case history, segregation documentation, behavioral monitoring, juvenile discipline, custody records ATTACHMENTS: 1. RHA-JOAS Program Assignment Recommendation and 1, RHA-JOAS Program Initial Segregation Review URL: https://gps.press/sop-data/209.11-att-1/ 2. Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Assignment Memo URL: https://gps.press/sop-data/209.11-att-2/ 3. Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Assignment Appeal Form URL: https://gps.press/sop-data/209.11-att-3/ 4. Restrictive Housing Assignment - Juvenile Offender Administrative Segregation Program Handout URL: https://gps.press/sop-data/209.11-att-4/ 5. Restrictive Housing Assignment - Juvenile Offender Administrative Segregation 30 Day Review URL: https://gps.press/sop-data/209.11-att-5/ 6. Restrictive Housing Assignment - Juvenile Offender Administrative Segregation 30 Day Review Memo URL: https://gps.press/sop-data/209.11-att-6/ 7. RHA-JOAS Program 30 Day Review_Assignment Appeal Form URL: https://gps.press/sop-data/209.11-att-7/ 8. Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Cell Check Sheet URL: https://gps.press/sop-data/209.11-att-8/ 9. Restrictive Housing Assignment - Juvenile Offender Administrative Segregation: Checklist (RHA-JOAS Checklist) URL: https://gps.press/sop-data/209.11-att-9/ 10. RHA-JOAS Checklist - 30-Minute and 15-Minute Watch Form_Observation Record URL: https://gps.press/sop-data/209.11-att-10/ 11. Restrictive Housing Assignment - Juvenile Offender Administrative Segregation Performance Recording Sheet URL: https://gps.press/sop-data/209.11-att-11/ ======================================================================== FULL TEXT: ======================================================================== **Attachment 11** **SOP 209.11** **(04/11/16)** **RESTRICTIVE HOUSING ASSIGNMENT - JUVENILE OFFENDER** **ADMINISTRATIVE SEGREGATION** # **Performance Recording Sheet** **Offender Name: _________________________________ GDC #: ______________________** |Date|Information|Staff Signature| |---|---|---| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| |||| **RETENTION SCHEDULE: Upon completion of this form, it shall be placed in the juvenile offender’s case history file.**