SOP 209.11-att-8: Restrictive Housing Assignment – Juvenile Offender Administrative Segregation Cell Check Sheet
Summary
Key Topics
- cell inspection
- restrictive housing
- administrative segregation
- juvenile offender
- cell condition
- damage assessment
- disciplinary report
- cell fixtures
- maintenance inspection
- property damage
- juvenile facilities
Full Text
Attachment 8
Restrictive Housing Assignment – Juvenile Offender Administrative Segregation SOP 209.11
CELL CHECK SHEET (04/11/16)
Juvenile Offender’s Name & GDC #:_______________________________________________
Housing Unit: ________________________________ Cell #: ________________________
Date Beginning: __________________________ Date Ending: ________________________
The following items will be inspected in each cell:
|ITEMS|ACCEPTABLE|UNACCEPTABLE|DISCREPANCIES NOTED|
|---|---|---|---|
|LIGHTS||||
|DOORS||||
|LOCKS||||
|WALLS||||
|WINDOWS||||
|HANDICAP RAILS||||
|BEDS||||
|LOCKER BOXES||||
|TOILETS||||
|SINKS||||
|SHOWERS||||
|FIRE SPRINKLERS||||
|HEATER VENT
COVER||||
|LIGHT SWITCH||||
|FASTENING
HARDWARE||||
I understand that I will receive a DR and be charged for any DISCREPANCIES or any DAMAGE to State
Property that is noted above and for those that are not noted, if found GUILTY.
______________________________________
Juvenile Offender’s Signature
_____________________________________ ______________________________
Officer’s Signature Officer’s Signature (Witness)
**Form needs to be maintained with the juvenile offender’s door chart.
RETENTION SCHEDULE: When the offender is permanently moved from the cell listed above, this form shall be placed in the
juvenile offender’s case history file.