EFTA00060708.pdf

ePaoaoa ADMINISTRATIVE DETENTION ORDER JAN 17 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC Incaution Date/Time: 07-1e-2019 15:50 TO: Special Housing Unit Officer FROM (Name/Tdo) SUBJECT : Placement of REYES. EFRAIN . Reg. No. 85993-054 in Administrative Detention (a) Is pending an investigation for a violation of Bureau regulations: ✓ (b) Is pending an SIS investigation. (c) is pendffig investigation or trial for a criminal act: (d) Is to be admitted to Administrative Detention (1) Since the inmate has requested admission for protection: I hereby requestplacementin Administrative Detention for my own protection. Inmate Signature/Register No.. Stall Witness Printed NameSignature: (2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admission: referral of the necessary information will be forwarded for an appropriate hearing by the SRO. (e) Is pending transfer or is in holdover status during transfer. (f) Is pending classificabom or (9) Is terminating confinement In Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. ilia this Correctional Supervisors decision based on al the circumstances that the above named inmate's continued presence In the general population poses a serious threat to life. property, self, staff, other Ornates, or to the security or orderly running of the institution because' PENDING SIS INVESTIGATION/ THREAT ASSESSMENT Therefore, the above named inmate Is to be placed in Administrative Detention until further notice. The Inmate received a copy of this Order on (date time) Ste:IV/Mess Signature/Printed Nam Date 7 l (17 Supervisor 24 hour review of placement gna ure rin e name Correctional supervisor will make an independent review and decision, which Is ' In the case of DHO action, reference to that order is sufficient. In other cases, the documented here. holdover status); Copy - Captain, Copy - Unit Manager. Copy - Operation Supervisor Record Copy - Inmate Concerned (not necessary it placement is a result ot • Administrative Detention Unit: Copy — Psychology; Copy - Central Fike Prescribed by P5270 (Replaces BP-A0308 of JAN 88.) PDF EFTA00060708  8P-v)303 ADMINISTRATIVE DETENTION ORDER JAN 17 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEW YORK MCC trfstIlution Diemme 07.18.201915:50 TO. FRO . MegrIle) SUBJECT : Placement of REYES. EFRAIN . Reg. No. 85993-054 in Admiristrative Delerdion (a) Is pending an Investigation for a violation of Bureau regulations; (b) Is pending an SIS investigation. (c) Is pending rrwesbgation or trial fore criminal act. (0) Is to be admitted to Administrative Detention (1) Since the inmate has requested admissionfor protection; hereby request placement In Administrative Detention for my aim protection Inmate Signature/Register No.: Staff Witness Priried NameSignature: (2) Since a serious threat east 10 inclividuars safety as perceived by staff. atthcugh person has not requested admission: referral of the necessary information WA be forwarded for an appropriate hearsg by the SRO. (e) Is pending transfer or is in hoklover status during transfer (I) Is pending dassrtication, or (9) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. US this Correctional Supervisors decision based on all the circumstances that the above named inmate's continued presence in the general population poses a serious threat to (lie. property. self. staff. other inmates, or to the security or °Weft running of the institution because' PENDING SIS INVESTIGATION/ THREAT ASSESSMENT Therefore, the above named inmate Is to be placed In Administrative Detention untl further notice. The Inmate received a copy of Pas Oiler on (date /lime) StaftWitness Signature/Printed Name Date Supervisor 24 hour review of placement: Signature/Printed name In the case of DHO action. reference to that order Is sufficient. In other cases. the Correctional supervisor we make an independent review and decision. which is documented here Record Copy • inmate Cons, v.d (not necessary if placement is a result of holdover states): Copy Captain. Copy Unit Manager• Copy - • Operation Supervisor Mreffirstrative Detention Wit Copy — Psychotogy: Copy - Central File PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88 ) EFTA00060709  fis NYMHJ 535.03 • INMATE PROFILE • 07-16-2019 PAGE 001 OF 001 15:47:57 85993-054 REG REGNO: 85993-054 FUNCTION: PRT DOB/AGE. NAME.: REYES, EFRAIN RSP. .: NYM-NEW YORK MCC :IIIP•11111 R/S/ETH. MILEAGE. ]1 MILES YES PHONE: AX: PROJ REL METHOD: UNKNOWN FBI NO.. PROJ REL DATE..: UNKNOWN INS NO.. PAR ELIG DATE..: SSN PAR HEAR DATE..: PSYCH: NO DETAINER YES OFFN/CHG RMKS: TITLE: 21 USC: 846 OFFN/CHG RMKS: TITLE: 21 USC: 841 FACL CATEGORY CURRENT ASSIGNMENT EFF DATE TIME NYM ADM-REL A-PRE PRE-SENT ADMIT, ADULT 08-01-2018 1718 NYM CALLOUTS COURT SDNY COURT USM SOUTHERN DISTRICT 07-16-2019 0731 NYM CARE LEVEL =EMI 09-12-2018 1343 NYM COR COUNSL UNT 7S VACANT 11-24-2018 1414 NYM CMC SEPARATION SEPARATION 11-23-2018 0955 NYM CASEWORKER UNT 7 A. BLACK EXT. 6494 11-24-2018 1415 NYM CUSTODY IN IN CUSTODY 08-01-2018 1718 NYM DRUG PGMS NR WAIT NRES DRUG TMT WAITING 08-02-2018 1102 NYM EDUC INFO GED UNK GED STATUS UNKNOWN 08-01-2018 1718 NYM FIN RESP UNASSG FINANC RESP-UNASSIGNED 08-01-2018 1718 NYM LEVEL UNASSG UNASSIGNED 08-01-2018 1718 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNKNOWN 08-01-2018 1718 NYM SECOND RSP 54N USM NYS 54N NEW YORK, NY 08-01-2018 1718 NYM UNIT 7 UNT MGR. R. PROTO EXT 6393 08-04-2018 1050 NYM WAITNG LST CIM COMP CIM PACKET COMPLETE 03-07-2019 1110 NYM WRK DETAIL UNASSG UNASSIGNED WORK DETAIL 08-01-2018 1718 G0000 TRANSACTION SUCCESSFULLY COMPLETED EFTA00060710 • PP41 Page 1 of 1 es \ NYMHJ 535.01 07-16-2019 PAGE 001 OF 001 * INMATE LOAD DATA 15:48:27 REG NO: 185993-054 NAME: REYES, EFRAIN RSP OF: NYM-NEW YORK MCC DOB(AGE): IIIIIIIIIIIIp RACE WHITE FBI NO..: SEX MALE INS NO..: ETHNIC..: SSN HEIGHT..: 5 06 DNA WEIGHT..: 180 HAIR BLACK EYES BROWN CITIZENSHIP CMC YES BIRTH PLACE MILEAGE.: 11 MILES LEGAL RESIDENCE: G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED hdps://bopicp.doj.gov:9049/SENTRY/11PP030.do 7/16/2019 EFTA00060711 PD15 Page 1 of 1 NYI4G5 INMATE DISCIPLINE DATA 07-16-2019 PAGE 001 OF 001 * CHRONOLOGICAL DISCIPLINARY RECORD 23:36:10 REGISTER NO: (85993-054 NAME..: REYES, EFRAIN FUNCTION...: IS FORMAT: ICHRONO LIMIT TO c:::MOS PRIOR TO p7-16-2019 RSP OF: NYM-NEW YORK MCC G5401 DISCIPLINE DATA DOES NOT EXIST FOR THIS INMATE https://bop.tcp.doj.gov:9049/SENTRY/J1PPD50.do 7/16/2019 EFTA00060712 PD15 Pagelofl ( .4‘ rs\ NYMG5 INMATE DISCIPLINE DATA 07-16-2019 PAGE 001 OF 001 * PENDING REPORTS 23:36:32 REGISTER NO: 185993-054 NAME..: REYES, EFRAIN FUNCTION...: IS FORMAT: PENDING LIMIT TO LIT:MOS PRIOR TO p7-16-2019 RSP OF: NYM-NEW YORK MCC G5401 DISCIPLINE DATA DOES NOT EXIST FOR THIS INMATE https://bop.tcp.doj.gov:9049/SENTRY/J1PPD50.do 7/16/2019 EFTA00060713 EFTA00060714 BP-A295.062 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE APRIL 1944 FEDERAL BUREAU OF PRISONS Inmate Name: Register Number. institubon: REYES, EFRAIN 1,599.1-0S4 7 NEW YORK MCC Date Entered Special Housing: Reason for Placement: 07-16-2019 PENDING SIS INVESTIGATION/ THREAT ASSESSMENT I. Subject (2 or 3 Days) Date Reviewed 3 Day Review 07.19.2019 Acton Taken on ine AbOve Date: Continue In Special Housing Unit Printed Name/Signature: =MEI IL RECORD REVIEW. each in-person 30 day review.) (To be done weekly in the inmate's absence, beginning after the in.person 7 day review. and continuing every week between REMARKS SIGNATURE DATE ACTION TAKEN Review By (SRO): Reviewing Authority: III. Subject (7 or 30 Days) Date inmate appeared for a Special Housing Review; Or Date inmate waived right to appear: Has been seen daily by Medical Stall. ❑ Yes: ❑ No Has teen seen daily W response. officer designated by Warden: ❑ Y0E ❑ No Has received presented weekly exercise: ❑ Yea: ❑ No Housing Review Form): Yes: ❑ No Proper documentation and Justification in the Centel File (Incident Report. OW Report, copies of Special if no. why not? special housmg status? C.1.1 Yes: ❑ No Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a Is there an additional assessment for every one month interval thereafter? ❑ Yes: LI NO if no. why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: ❑ Released from Special Housing. ❑ Continue m Special Housing Did inmate in Administrative Detention receive a written copy or staffs decision and me basis for the finding at oath 30 day review? ❑ Yes; ❑ No II no. why not (Should be given provided institutional security not compromised)? the inmate must receive a copy of this form): Remarks' (Any change in the reason for placement is to be noted in this section. If the reason for placement changes, Date of Next Review. 07.23.2019 lion Review Official Or the Reviewing Authority and Date Signed. This form replaces BP-295(52) dated January 1988 Page I of 1 7/19/2019 EFTA00060715 ElP.A295,052 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE APRIL 1994 FEDERAL BUREAU OF PRISONS Inmate Name: Register Number. Unit inst,tion REYES, EFRAIN 85993-064 7 NEW YORK MCC Date Entered SODOM Housing: Reason for Placement: 07-18-2019 PENDING SIS INVESTIGATION/ THREAT ASSESSMENT L Subject (2 or 3 Days) Date Reviewed 3 Day Review 07-19-2019 Acton Taken on the Above Date Continue in Special Housing Unit P r. N rn nature: II. RECORD REVIEW. review.) (To be done wieldy In the Inmates absence. beginning after the iniperson 7 day review. and continuing every week between each In-person 30 day DATE ACTION TAKEN REMARKS SIGNATURE 07-23-2019 Continue In Special Housing Unit jos Reviewing Authority: a Subject (7 or 30 Days) 7 Day Review Date inmate appeared for a Special Housing Review: Or Date inmate waived right to appear: 07-23-2019 Has been seen daily by Medical Suit O Yes; O No Has been seen daily by responsible officer designated by Warden 0 Yet O No Has receNed pretested weekly exercise: El yes, ❑ No Proper documentation and exaltation In the Central FSe (Incident Report. OHO Report. copies of Special Housing Review Form) Yes; O No no. why not? Is there a written psychlatrk or psychobgical assessment on the inmate who lea spent 30 days in e special housing status? Yes: O No Is there an addtonal assessment for every one month interval thereafter? 0 Yes; ONO if no. why not? Authority: Action liken on the above data by the Segregation ReNew Official or the Reviewing O Released torn Special Housing; El Continue In Special Housing basis for the finding at each 30 day review? 0 yes; O No Did inmate In AdmINstrathe Detention receive a written copy Of staffs decision and me if no. why not (Should be given provided Institutional security not ocmpromlsed)? reason for placement changes. me Irxnate must receive a copy of MIS form): Remarks- (Any change In the reason for placement is to be noted In this section. If the Date of Next Review 07-30-2019 ow Official or the Reviewing Authonly and Date Signed. This form replaces 8P.295(52) dated January 1988 7/23/2019 Page 1 of 1 EFTA00060716 BP 4295 052 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE APRIL 1994 FEDERAL BUREAU OF PRISONS Inmate Name: Register Number: Un.: inatitubon: REYES, EFRAIN 86993-054 7 NEW YORK MCC Date Entered Spacial Hwang Reason for Placement PENDING SIS INVESTIGATION/ THREAT ASSESSMENT/COURTS SAY INMATE 07.16-2019 FELT THREATEN ON UNIT. I. Subject (2 or 3 Days) Dale Reviewed 3 Day Review 07-19-2019 Acton Taken on the Above Dale. Continue In Special Housing Unit Primed Name/Signature: II. RECORD REVIEW each in-person 30 day review.) (To be done weekly in the inmate's absence. beginning after the in-person 7 day review. and continuing every week between ACTION TAKEN REMARKS SIGNATURE DATE 07.23.2019 Continue In Special Housing Unit 07-30.2019 Continue in Special Housing Unit 08-06-2019 Continue in Special Housing Unit Review By (SRO) Reviewing Ai.dherilYi III. Subject (7 or 30 Days) 7 Day Review Date inmate appeared for a Special Housing Review: Or Date inmate waived night to appear: 07-23-2019 Has been seen daily by Medical Staff. CI Yes, O No Has been seen daily by responstee officer designated by Warden: Li Yes, El No Has received presaibed weekly exercise: CI Yes; O No copies of Special Housing Renew Form) 0 Yes. O No Proper documentation and justification n the Central Fib (Incident Report. DHO Report. If no, why not? Is there a written psychiatric or psychorogIcal assessment on the Inmate who hasspent 30 days in a special housing status? Et Yes; O No Is there an adthbonal assessment for every one month interval thereafter? Elus: O No d no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: O Released from Special Housing; Q Continue In Speoal Housing for the folding at each 30 day review? Ell Yes. O No Old emote in Administrative Detention receive a written copy of staffs decision and me basis if no, why not (Should be given provided Institutional security not compromised)? placement changes, tne inmate mull receive a copy or Ws tarn): Remarks- (My dime* in the tenon for placement is to be noted in this section If the reason for Dare of Next Review: 08-13-2019 Prnted Wane and Sip Official or the Reviewing Authonty and Data Signed: Record Copy -Cental Ties than realms BP-295(62) dated January 1988 8/6/2019 Page 1 of 1 EFTA00060717 lat «Lb. Last Kan. REYES REYES Pira% N.I. EFRAIN EPRAIN kladle Kan terna nidal* lis gutllx malvas 5'06" 180 5'06" 180 Mear Ws flor bar BLACK BROWN BLACK BROWN mew nanity Reo» nwsktty 85993-054 NYM 85993-054 NYM Lb al Na• ..n•[ Nan• REYES REYES Y1nt liarse Pis az llama EFRAIN EFRAIN mida. Mano Salita Nidile Su. gatita 11•Ight bielght Ihalskt Nelibt 5'06" 180 5'06" 180 Har [ya li ar [ye BLACK BROWN BLACK BROWN R.7.0 racntw :Anuo e.lcomy 85993-054 NYM 85993-054 NYM ass een.....Sana-aosaamillsollbs.~ .. Lat REYES EFRAIN Nidal* Itimai asarla Iletgbt Weight 5'06" 180 l iare ry BLACK BROWN Retina raeI Ilcy 85993-054 NYM EFTA00060718  ar ailatsmata4ormaisma:Micsanoib...sr..- I EFTA00060719