Department Operations Manual

61020.20.8 CSR Action This Section is to be completed only by a CSR or a staff member specifically authorized to act in that capacity. The DPU process also allows the reception center CCIII or designated CCII staff to approve placement of a PVRTC inmate. Last Name (Boxes 117-124) The CSR or authorized staff shall print the first eight letters of his or her last name in CAPITAL BLOCK letters in the space provided. Date of Action (Boxes 125-130) Enter the number of the month, the day, and the last two digits of the year in which the action is taken. A zero need not be placed in front of a single digit month or day, but must be printed if part of the two digits identifying the year when applicable. Level IV Design (Boxes 131-133) 180 Status . If a male inmate has a Level IV Placement Score, the CSR shall make a determination regarding the exclusion of this inmate from a Level IV 270-design institution. If the inmate meets the guidelines for exclusion from a Level IV 270-design prison, the CSR shall print the capital letter “Y” in the Box 131. Reason Code . If a “Y” has been entered in Box 131, the CSR shall enter the reason code in Boxes 132-133 that describes the reason for exclusion from a Level IV 270-design institution based on the established guidelines. Refer to DOM § 61010.11.6, Special Case Factors, to determine the appropriate Reason Code. The counselor’s evaluation regarding a male inmate’s exclusion from a Level IV 270-design institution shall be recorded in the Special Case Factors area of the score sheet. Minimum Custody (Boxes 134-137) Eligibility . The CSR shall print the letter “E,” “L,” or “P” in Box 134 consistent with the findings recorded on the Minimum Custody Screening Form. Print the letter “E” in Box 134 to document that the inmate is eligible for minimum custody. Print the letter “L” in Box 134 to document that the inmate is temporarily ineligible for minimum custody. Print the letter “P” in Box 134 to document that the inmate is permanently ineligible for minimum custody. Reason Code. Print the code in Boxes 135-137 to identify the reason the inmate is either temporarily or permanently ineligible for minimum custody, for example, VIO, ESC, HOL, etc. If the inmate is eligible for minimum custody, print an “E” in Box 134. Do not enter a “reason code.” If an inmate is permanently excluded from Camp due to Arson, but is otherwise eligible for minimum custody in an MSF, enter “P” in Box 134 and enter ARS for Arson in Boxes 135-137 to ensure that the inmate is not placed in a Camp. CCRC Eligibility (Boxes 138-140) The CSR shall enter the appropriate code for reentry eligibility in Boxes 138-140. • Enter the letters REN in Boxes 138-140 if the inmate is eligible and wants to participate in CCRC. • Enter the letters REX in Boxes 138-140 if the inmate is eligible for placement in CCRC, but does not want to participate in CCRC. If the inmate is ineligible for CCRC placement, leave Boxes 138-140 blank. DDP Code (Boxes 141-143) The Developmental Disability evaluation is recorded on a CDC Form 128-C2. The CSR shall enter the most recent DDP code in the Boxes 141-143. The code is the designation assigned by clinical staff. The C&PR has the authority to enter the DDP code only when there is a change from one DDP designation to another and the change does not require that the inmate be transferred to another institution. For example: The C&PR has the authority to enter the DDP designation change from DDO to NDD or from DD1 to DD2 when the institution is designated to accommodate both DD1 and DD2 inmates. DPP Code(s) (Boxes 144-155) The CSR shall make every effort to endorse a case identified as DPP on the CDC Form 1845 (Section C) to an appropriate institution. The first three boxes (Boxes 144-146) are to be used for the impacting DPP code that most affects the inmate’s placement. The CSR shall enter the appropriate DPP code in Boxes 144-146. If there are additional codes that impact placement, the CSR shall enter those codes in priority order in Boxes 147-155. The CSR shall enter the non-impacting DPP codes assigned to the inmate in Boxes 147-155. The C&PR or RC-CCIII has the authority to code the DPP designation of only inmates who have only non-impacting physical disabilities as identified in Section D of the CDC Form 1845. The C&PR or RC-CCIII shall enter a DPP code in Boxes 147-155. Administrative Determinants (Boxes 156-170) An inmate whose Placement Score falls within one of the following ranges shall be placed in an institution, which is designated at the security level indicated, unless a reason for administrative or irregular placement is specified: Placement Score Security Level 0-18 I 19-27 II 28-51 III 52+ IV Appropriate inmate placement is determined by both Placement Score and unusual or special case factors. Some case factors affect placement because of administrative policy requirements. Policy determined factors are “ administrative determinants ” and placements based on these, in a facility which does not correspond to the inmate ’ s Placement Score, are “ administrative placements. ” Space is provided to record up to five administrative determinants. Enter applicable administrative determinants. An administrative determinant identifies temporary or permanent case factors and alerts staff to safety and security considerations which may limit the inmate’s eligibility for placement. If there are not enough boxes to identify all applicable administrative determinants, give priority to those most related to custody and safety. Record those determinants that are supported by documentation using the administrative determinant codes provided. If an administrative determinant code has already been entered as a Minimum Custody Reason Code (Boxes 135-137), it is not necessary to repeat that code here. For example, enter the following for an inmate with an active “ felony hold ,” a diagnosis of EOP, a heart condition requiring medical treatment, and a possible restricted “ R ” custody. Unless the medical condition is driving placement, the PSY is the primary concern. The CSR enters HOL only if the hold is active, is for a felony or USINS hold, and supporting documentation for the hold is in the file. An “ R ” suffix cannot be affixed pending evaluation. The CSR or authorized staff would therefore enter: a) b) c) P S Y M E D H O L AGE . Inmate ’ s youthfulness, immaturity, or advanced age should be given strong consideration in placement or program decisions. ARS on. Current or prior conviction or a sustained juvenile adjudication, as defined in CCR § 3375.2(b)(25), or good cause finding ruling rendered in a BPH proceeding, a sustained allegation in DJJ/CYA or Youthful Offender Parole Board proceeding or a probation violation finding in a court of law for arson, which limits where the inmate may be housed. BEH avior. Inmate ’ s behavior record indicates he or she is capable of successful placement at an institution level lower than that indicated by the inmate ’ s Placement Score. Not to be used if the inmate is housed at a level higher than the inmate ’ s Placement Score. CAM p. Placement due to a shortage of camp qualified inmates. Enter CAM to identify an inmate who is eligible or potentially eligible for camp placement. DEA th sentence. Inmate was formerly on death row or currently is sentenced to death. DEP artmental review board. Special placement ordered by the Departmental Review Board. DIS ciplinary history. Inmate disciplinary record indicates a history of serious problems or threatens the security of the facility. ENE mies. One or more persons under jurisdiction of the CDC has been documented on a Critical Case Information form (CDC Form 812 or CDC Form 812C) as an enemy. This should also be used when victimization is very probable due to case factors, such as where the nature of the offense will very likely create an enemy situation at certain institutions. Includes current PHU cases and those who are natural victims because of their appearance or commitment offense. ESC ape potential. Unusual circumstances suggest the inmate is a much greater escape risk than indicated by his or her score. For example, the inmate verbalized intent to escape. FAM ily ties. Inmate has strong family ties to a particular area where other placement would cause an unusual hardship. GAN g involvement or affiliation. Documentation establishes that the inmate ’ s membership or association requires special attention or placement consideration. HOL d, warrant, or detainer likely to be exercised. Hold is active, verified to be in response of a felony or USINS hold, and substantiating documentation is in the C-File. INA ctive. Documentation establishes that the inmate ’ s inactive gang status requires special attention or placement consideration. LIF e sentence. Apply LIF to identify an inmate serving a life sentence or life sentences. MED ical. The inmate ’ s medical condition requires treatment or continuing medical attention not generally available at all facilities. OUT -to-court. Inmate needs to be housed in a particular facility in order to be close to a court jurisdiction where the inmate is required to testify in court or is being prosecuted. Includes situations where involvement in a court trial is anticipated because a disciplinary has been referred to the district attorney. Also, use this designation when a Board appearance is imminent. POP ulation pressures. Shall be used by CSR only. No beds presently exist at an institution with a security level indicated by the inmate’s Placement Score. PRE release. The short time remaining to serve limits or otherwise influences placement or program options. This factor shall also be used when a release date is so close that transfer or starting a long-term program is not warranted and when a short release date warrants special placement or program consideration. PSY chiatric. A psychological condition requires special treatment or may severely limit placement options. Includes Category B. Apply PSY to identify an inmate who requires placement in designated housing in accordance with a Developmentally Disabled Placement Code. PUB lic interest case. High notoriety of an inmate has caused public interest in the case and requires exceptional placement. SCH ool. Inmate is involved in an academic program, which is not available at an institution security level consistent with the inmate ’ s Placement Score. Apply SCH to identify an inmate currently participating in a Substance Abuse Program who is being retained out of level to complete the Substance Abuse Program. SEX . Inmate has a prior incidence of rape, oral copulation, sodomy, or a lewd and lascivious act, which requires restricted custody or placement. SOR . Sexual orientation. Inmate’s bisexual or homosexual orientation may require special placement. TIM e to serve. Inmate ’ s time to serve is long, requiring placement at a facility with a security level higher than that indicated by the inmate ’ s Placement Score. VIO lence. Inmate has a current or prior conviction for a violent felony or a sustained juvenile adjudication including, but not limited to, those listed under PC § 667.5(c), which, as determined by the CSR, requires placement in a facility with a higher security level than that indicated by the inmate ’ s Placement Score. • A sustained juvenile adjudication means a guilty determination or ruling rendered in a juvenile judicial proceeding. • In addition, the following adminstrative determinations regarding allegations of violent acts including, but not limited to, those offenses described in PC § 667.5(c), shall have the same force and effect as a current or prior conviction for a violent felony or a sustained juvenile adjudication: • BPH good cause finding, or • DJJ/CYA/Youthful Offender Parole Board sustained allegation, or • A probation violation finding in a court of law. VOC ational training. Inmate is involved in a vocational program, which is not available at a facility with a security level, which is consistent with the inmate's Placement Score. WOR k skills. Inmate has a work skill in a critical trade for which special placement consideration may be warranted. This should also be used to request or approve work crew placements. Mental Health Level of Care (Box 171) The CSR shall enter either a ”C” for CCCMS or an “E” for EOP in Box 171 to identify the inmate’s mental health LOC at the time of endorsement. Institution Approved (Boxes 172-178) Print initials of the institution or facility name in Boxes 172-175. Print the security level, subfacility designation, or program in Boxes 176-178. Enter only one letter or number in each box. Empty boxes should be to the right. For example, Sierra Conservation Center, Level I is recorded as: S C C I CSP, Solano, Level II is recorded as: S O L I I California Institution for Men, Minimum is recorded as: C I M I California Correctional Center, Level III is recorded as: C C C I I I Community Correctional Facility is recorded as: C C F Endorsement to the Restitution Center is recorded as: L A C C C Reason For Administrative Or Irregular Placement (Boxes 179-181) The CSR or authorized staff completes this item only if the security level approved is not commensurate with the inmate ’ s Placement Score. If the level does not correspond, the authorized staff shall enter the reason for the administrative or irregular placement using the appropriate administrative determinant code to justify placement. Some case factors affect placement because of administrative policy requirements. Policy-determined factors are “ administrative determinants ” and placements in a facility based on these, that do not correspond to the inmate ’ s Placement Score, are “administrative placements.” There are also special case factors that, while not governed by policy, influence placement by determining program priorities. For example, the inmate ’ s score level is reduced, but he or she is retained in a higher security level to complete academic or vocational training or to fill a skilled worker position or the population is such that no suitable bed at the inmate ’ s security level is immediately available. When placement occurs under such circumstances, it shall be recorded as an “ irregular ” placement and justified by the application of a corresponding administrative determinant. CSR Endorsement A CSR endorsement shall remain effective for 120 days from the date of endorsement. If an inmate is not transferred within 120 days from the date of CSR endorsement, the endorsed case awaiting transfer shall be again presented to a CSR prior to the 121st day for a 120-day extension of the endorsement if there is no change to case factors and the endorsement remains appropriate. Each request for a 120-day extension of an endorsement shall be documented on a CDC Form 128-G and requires confirmation that the CCI and the CCII Supervisor audited the central file; updated the CDC Forms 840, 812, 812-C (if applicable); verified that case factors impacting the appropriateness of the CSR endorsement have not changed; and confirmed that the initial CSR endorsement remains appropriate. The CCI's review and CCII Supervisor ’ s authorization for endorsement extension shall serve as a classification action. The CCI and CCII shall sign and date the CDC Form 128-G. The request for a 120-day extension of a CSR endorsement shall not require review by a UCC or ICC unless case factors change or other information is identified, which renders the CSR endorsement to be no longer appropriate. An endorsed case awaiting transfer may be extended no more than twice beyond the initial 120-day period. Upon discovery of information that a CSR endorsement is no longer appropriate, the institution shall not allow the transfer to occur. The case shall be referred for UCC or ICC, as appropriate, to determine appropriate placement. The UCC or ICC shall substantiate placement recommendation and refer the case for transfer consideration or retention in current placement. 61020.20.9

61020.20.9 Correcting a Previously Submitted Score Sheet Rules for making corrections to a score sheet with a form Revision Date prior to Rev. 07/02. Any score errors that are detected after the canary copy of the score sheet has been submitted to OISB require the following correction process. These rules apply only to a score sheet with a form revision date prior to Rev. 07/02: Correct the Central File • Annotate the original score sheet in the C-File. Line through the item or items to be changed and write the new information beside the appropriate box or boxes. Initial and date those notations. This provides central file documentation of the original and new values and changes on the score sheet. • Continue to carry forward the correct score on any subsequent score sheets in the central file to show the correct score. Ensure that the correct score is carried forward when a new score sheet is needed. Prepare a “Correction” score sheet: When the score sheet to be corrected in the central file has a form revision date prior to Rev. 07/02, reference to the classification score is equivalent to the Preliminary Score. Follow these steps to correct the database: • Begin with a blank score sheet. The blank score sheet must be the same type of score sheet as the one being corrected. For example, when a CDC Form 839 needs to be corrected, the “ Correction ” score sheet shall also be a CDC Form 839. • Complete the Identifying Information section of this blank score sheet by entering the inmate ’ s CDC Number and Inmate ’ s Last Name. • Enter the same date that appears on the original score sheet being corrected. For the CDC Form 839 it is the Date Received CDC. For the CDC Form 840 it is the Date of Current Review. (exception: Neither the CDC Number nor the Date of Current Review can be corrected. See DOM § 61020.20.10 and contact OISB to correct these fields.) • Enter an “ X ” in the Box Item 5b, Form Identification, at the top of the score sheet. • Enter the date that the score sheet is being corrected in the “Date Corrected” boxes directly to the right. • For changes to score values in boxes in the Background Factors section, Prior Incarceration Behavior section, Favorable Behavior section, and Unfavorable Behavior section, enter the Total Correction for that score sheet, either negative or positive, in the Correction area of the CDC Form 839 or CDC Form 840 score sheet. On the CDC Form 839, it is Item C1. On the CDC Form 840 it is Item E1. • Enter the correct Total Classification Score in the Preliminary Score boxes when preparing a correction document for a CDC Form 839. • Enter the correct Prior Classification Score in the Prior Preliminary Score box and enter the Current Classification Score in the New Preliminary Score box when preparing a correction document for a CDC Form 840. (Note: On score sheets revised prior to 07/02, the Prior Preliminary Score is identified as the Prior Classification Score and the New Preliminary Score is identified as the Current Classification Score). • Leave the Mandatory Minimum Score and Placement Score boxes blank. • The name of the Current Institution and Facility may be entered. • The Counselor ’ s Name may be entered. Submit the canary copy of the “ correction ” score sheet to: Department of Corrections and Rehabilitation Information Quality Support Section P.O. Box 942883

942883 Sacramento, CA 94283-0001 The green copy of the “ Correction ” score sheet is to be given to the inmate. The original white copy of the “ Correction ” score sheet may be discarded. Rules for making Corrections to a CDC Form 839, CDC Form 840, or CDC Form 841 with a form revision date of Rev. 07/02 or later. Any errors that are detected after the canary copy of the score sheet has been submitted to OISB require the following correction process. These rules apply only to a score sheet with a form revision date of Rev. 07/02 or later: Correct the Central File • Annotate the original score sheet in the C-File. Line through the item or items to be changed and write the new information beside the box or boxes. Initial and date those notations. This provides central file documentation of the original and new values and changes on the score sheet. • Continue to carry forward the correct Prior Preliminary Score and New Preliminary Score on any subsequent score sheets in the C-File to reflect the corrections made. Ensure that the correct score is carried forward if a new score sheet is completed. Prepare a “Correction” score sheet : When the score sheet to be corrected in the central file has a form revision date of Rev. 07/02 or later, follow these steps to correct the database: • Begin with a blank score sheet. The blank score sheet must be the same type of score sheet as the one being corrected. For example, when a CDC Form 839 needs to be corrected, the “ Correction ” score sheet shall also be a CDC Form 839. • Complete the Identifying Information section of this blank score sheet by entering the inmate ’ s CDC Number and Inmate ’ s Last Name. • Enter the same date as the date that appears on the original score sheet that is being corrected. Exception: Neither the CDC Number nor the date field in the Identifying Information section of the score sheet can be corrected. See DOM § 61020.20.10 and contact OISB. • Enter an “ X ” in the box Item 5.b, Form Identification, at the top of the score sheet. • Enter the date that the score sheet is being corrected in the “Date Corrected” boxes directly to the right. Correction rules only for a score sheet with a revision date of Rev. 07/02 or later: • Enter only the values that need to be corrected in the box or boxes to be corrected. Leave the Correction area of the score sheet blank. Do not enter a value in this area. • Record new values in boxes where information is new. • Place an asterisk in a box where a letter is to be removed. • Place a zero in a box where a numeric value is to be removed. • Place zeros in all six date-field boxes for a date that needs to be removed. Exception, the date field in the Identifying Information section of the score sheets cannot be corrected. (see DOM § 61020.20.10.) • To replace an incorrect date, other than the date of the original score sheet, enter the correct date in all of the date field boxes. • Where there are several boxes for one field, an asterisk in the first box removes all. • Always record the Preliminary Score when preparing a CDC Form 839 correction and record the Prior Preliminary Score and the New Preliminary Score when preparing a CDC Form 840 or 841 correction, even if there was no change in the score resulting from the correction. • Leave the Mandatory Minimum Score boxes blank. • Any changes to the Mandatory Minimum Score Factor Code and/or Mandatory Minimum Score shall be recorded on a “ New ” document as part of a regularly scheduled classification hearing. A “ correction ” document shall not be prepared. • Leave the Placement Score boxes blank unless it is an item that is being corrected. • The name of the Current Institution and Facility may be entered. • The Counselor ’ s name may be entered. • A Change in Term Points is not recorded as a “ Correction. ” Any Change in Term Points is recorded on a “ New ” CDC Form 840 or “ New ” CDC Form 841 as appropriate. Submit the canary copy of the “ correction ” score sheet to: Department of Corrections and Rehabilitation Information Quality Support Section P.O. Box 942883

942883 Sacramento, CA 94283-0001 The green copy of the “ Correction ” score sheet is to be given to the inmate. The original white copy of the “ Correction ” score sheet may be discarded. 61020.20.10

61020.20.10 Deleting a Previously Submitted Score Sheet With a Revision Date of Rev. 07/02 or Later If a score sheet with a revision date of Rev. 07/02 or later has been submitted to the database that has an erroneous CDC Number and/or Date in the Identifying Information section, it is necessary to prepare a “Delete” score sheet to remove the erroneous information. Correct the Central File: Annotate the original score sheet in the C-File. Line through the CDC Number and/or Date and write the new information beside the appropriate box or boxes. Initial and date those notations. This provides central file documentation of the original and new values and changes on the score sheet. Prepare a “ De letion” score sheet: Begin with a blank score sheet. The blank score sheet must be the same type of score sheet as the one being deleted. For example, if the CDC Form 839 is to be deleted, then use a CDC Form 839. Complete the Identifying Information section of this blank score sheet by entering the inmate ’ s CDC Number and Date as shown on the original score sheet being deleted. Enter an “X” in the box Item 5c, Form Identification, at the top of the score sheet. This will delete the entire score sheet from the database. It is not necessary to recopy any additional information as recorded on the original score sheet. Submit the canary copy of the “Delete” score sheet to the address noted above. Provide the green copy of the “Delete” score sheet to the inmate. The ori ginal white copy of the “Delete” score sheet may be discarded. Complete a “New” Score Sheet to Replace the Deleted Score Sheet Complete a “New” score sheet filling in all of the correct information. This may also include endorsement information should the score sheet that was deleted contain that type of information. Important: Any situation not described within the DOM §§ 61020.20.9 and/or 61020.20.10, contact the Classification Quality Assurance Unit in the Offender Information Services Branch in Sacramento for instructions. 61020.20.11

61020.20.11 CDC Form 816, Reception Center Readmission Summary The CDC Form 816, Reception Center Readmission Summary, shall be prepared for each parole violator who has been returned to custody with or without a new term, unless the new term is a Life term. This requires an ISRS. The Reception Center Readmission Summary shall also be completed for cases designated as DPU cases per DOM § 61020.20. The following guidelines have been established for completing the CDC Form 816: Identifying Information Enter the inmate’s CDC Number, Inmate’ s Name, last name and first name, and the Reception Center or Institution where the case is being prepared. Parole Violator With New Term or Parole Violator Return to Custody E nter an “X” in the box designating the inmate ’ s return status. If the inmate has been designated as both an RTC and WNT, place an “X” in the box designating the status that determines the controlling release date. WNT – New Commitment Offense. • Enter the new commitment offense(s), description(s), and the number of counts. RTC – Parole Violation Charge(s) and Commitment Offense(s). • Enter the parole violation(s) for which Good Cause was found. List the most serious offense first. • Enter the original controlling commitment offense. Enemy Information/Confidential Information/Gang Information CDC Form 812 • Enter an “X” in “Clear” if there is no enemy information or gang activity. • Enter an “X” in “Noted” if there is gang activity, but no enemy information noted. • Enter an “X” in “Updated” if there is enemy information and enemy location(s) have been updated. Confidential Information • Enter an “ X ” in “Clear” if there is no confidential information in the central file. • Enter an “X” in “Noted” if there is confidential information in the central file, but no enemy information. • Enter an “ X ” in “ Updated ” if there is enemy information in the confidential file and the enemy location(s) have been updated. Gang Activity • Document the name of the street gang/disruptive group/prison gang. Holds/Detainers Enter an “ X ” in “ Clear ” if there are no active holds, warrants, detainers, or timeservers in the central file. Felony • Enter Felony Hold, Warrant, or Detainer information here. Enter crime, agency information, bail amount, etc. • If there is an active timeserver, enter the date that the timeserver expires. • If there is a potential hold, warrant, or detainer, enter that information in the space provided. Provide a description of the charge for which the inmate may be wanted and from which jurisdiction. Include the source document from which the potential hold was identified. Foreign Born • Enter “ No ” or “ Yes ” to document whether or not the inmate is foreign born. USINS • Enter “ P ” or “ A ” to document if the inmate has a Potential or Actual USINS hold. It is not necessary to document the A# on the CDC Form 816. Medical/Psychiatric Medical • Enter medical clearance (e.g., Full Duty/Camp). Abbreviations are appropriate. Dental • Enter the dental code as recorded on the CDC Form 128-C-1. Tuberculosis Alert Code (TBAC) • Enter the inmate ’ s current TB code. Developmental Disability Program (DDP) • Enter th e code that reflects the inmate’ s current DDP status per the most recent CDC Form 128-C-2. Disability Placement Program (DPP) • Enter No or the current DPP code(s), whether impacting or non-impacting, per the CDC Form 1845(s). Psychiatric • Enter “ Clear ” or MHSDS Level of Care (e.g., CCCMS). Mentally Disordered Offender (MDO) • Enter an “ X ” in “Clear” if there is no violence or threat of violence in the instant offense pursuant to PC § 2962. • Enter an “ X ” in “ Offense Only ” if the inmate has a qualifying violent offense. • Enter an “ X ” in “ Referral ” if the case is to be referred to the MDO Coordinator. Escape History Enter an “ X ” in “ Clear ” if there is no escape/walkaway history. If escape/walkaway history exists: • Enter the type of escape. Elements to be addressed include, but are not limited to: • With Force, Without Force, Walkaway. • From a Secure Facility or from a Non-secure Facility. • From Armed Escort or Fleeing an Officer. • Enter whether it was an actual escape or attempted escape. • Indicate whether or not the inmate was convicted. • Enter the county where the escape/walkaway occurred. • Enter the charge and disposition if available. • Include the date of the escape/walkaway when available. • Enter the source of the information. Arson History Enter an “ X ” in “Clear” if there is no arson history. If arson history exists: • Enter the type of arson and if injury occurred. • Enter whether it was an actual arson or attempted arson. • Indicate whether or not the inmate was convicted. • Enter the county where the arson occurred. • Enter the charge and disposition if available. • Include the date of the arson when available. • Enter the source of the information. Sex Related Offenses Enter an “ X ” in “ Clear ” if there is no history of sex related offenses. If a sex-related offense history exists: • Enter the type of offense. • Enter whether or not the offense was attempted. • Indicate whether or not the inmate was convicted. • Enter the county where the offense occurred. • Enter the charge and disposition, if available. • Include the date of the offense when available. • Enter the source of the information. “ R ” Suffix • Enter an “ X ” in “ R Suffix ” if an “ R ” suffix is warranted or has been imposed. • Leave the “ R Suffix ” box blank if a review is needed. If review by UCC is recommended, explain in the “ Hx ” area of the form. Sexually Violent Predator (SVP) Screened • If the inmate is required to register per PC 290: • Enter an “ X ” in “ Yes ” if the screening has been completed. • Enter an “ X ” in “ No ” if the screening has not been completed. Institutional Case Factors Paroled From • Enter the prison or facility from which the inmate last paroled. Last Custody Level • Enter the inmate’ s last designated custody level. Prior Administrative Determinant • Enter administrative determinant(s) applied during the prior incarceration. Special Work Skills • Record documented special work skills. “ S ” Suffix (single cell required) • Enter the word “None” if an “ S ” suffix is not required. • Enter an “ X ” in “ Affixed ” if an “ S ” suffix has been affixed and enter the reason. Serious Rules Violation Report • Enter the word “ None ” or record any serious disciplinary in the inm ate’ s current commitment. Identify any “ Big 6 offenses ” by date during any prior incarceration. • The Big 6 Offenses include the following: • Battery or Attempted Battery on a Non Prisoner. • Battery or Attempted Battery on An Inmate. • Distribution of Drugs. • Possession of a Deadly Weapon. • Inciting a Disturbance. • Battery Causing Serious Injury. Other Case Factors • List any other case factors that may be important to note. For example, registration/notification requirements, computer crimes, DNA required, etc. Also list institution placement recommendations for DPP inmates. Special Programs Screening For MSF and Camp, enter an “ X ” to indicate “ E, ” “ L, ” or “ P. ” Where an “ X ” is entered to indicate “ L ” or “ P, ” identify the reason for ineligibility on the line provided. Use abbreviations and/or administrative determinant codes. For the other Special Programs listed, enter an “ X ” to indicate “ E ” for eligible or “ I ” for ineligible. Where ineligibility is noted, enter the reason. Address CPMP eligibility for female inmates. Placement Recommendation Primary • Enter the institution name and security level for the primary placement recommendation. Alternate • Enter an alternate recommendation by institution name and security level. Inmate Concurs • Check the box if the inmate concurs with the recommendations. Inmate Request if Different • Record the inmate ’ s requested placement if different from the primary and/or alternate recommendations. CCI Printed Name/Signature and Date • The Correctional Counselor shall print his or her first name or initial and last name and shall sign and date the form on the line provided. CCII Printed Name/Signature and Date • The Correctional Counselor II shall print his or her first name or initial and last name and shall sign and date the form on the line provided. Concur With Recommendation/Disagree • The Correctional Counselor II shall enter an “ X ” to indicate “ Concur ” or “ Disagree ” with the recommendations. If the CCII has indicated “ Disagree, ” he or she shall enter the recommended institutions, security level, and reason for the recommendations. 61020.21

61020.21 Revisions The Director, Division of Adult Institutions, or designee shall ensure that the content of this Article is current and accurate. 61020.22

61020.22 References PC §§ 5054, 5058, and 5068. CCR (15) §§ 3375 and 3378. A RTICLE 3 — C UMULATIVE C ASE S UMMARY Revised October 31, 1990 61030.1

61030.1 Policy Inmates received by the Department shall be evaluated by staff upon reception and the cumulation of information and case material shall be formulated into the Cumulative Case Summary. 61030.2

61030.2 Purpose The cumulative case summary is a formal summation of information needed to make decisions about each inmate throughout their institution and parole period under the Department ’ s jurisdiction. General The cumulative case summary is the result of the study required by PC 5068 prepared at the reception center. It provides a format to summarize changes in legal or case factors, program needs, behavior or attitude, and provides other necessary information throughout an inmate ’ s incarceration. Information shall be limited to that which is necessary for case management decisions. Cumulative Case Summary (Documents) The cumulative case summary shall consist of the following documents: • Legal Status Sheet (LSS), CDC Form 188. • POR. • CI&I SSCH Report. • Psychiatric/psychological evaluation. • Institutional Staff Recommendation Summary (ISRS). • Reception Center Readmission Summary, CDC Form 816, (Readmission Summary). • Social Factors Sheet. 61030.3

61030.3 Distribution When completed, the original cumulative case summary shall be retained in the inmate ’ s C-File. The inmate shall be provided a copy of the cumulative case summary, excluding the CI&I SSCH report and CDC Form 112, prior to initial classification. 61030.4

61030.4 Style and Content The cumulative case summary shall be a concise objective report using simple language with any necessary professional/technical terms explained. The cumulative case summary is a permanent record that is reviewed by other agencies and the courts, and as such it shall be prepared in a professional manner regarding content, grammar, spelling, punctuation and typing. With the exception of the CDC Form 816, Reception Center Readmission Summary case summaries shall be typed with all headings included. The preprinted CDC Form 816 shall be prepared in a legible handwritten manner. 61030.5

61030.5 Completeness and Accuracy The cumulative case summary shall be complete, accurate and brief, and contain all information that is important to the management of the individual. Sound, objective judgment is required, and all reasonable efforts shall be made to obtain and verify all information. When other documentation is used or quoted, the source/reference material shall be identified such as, “ work skill as diesel mechanic, page 9 of the POR. ” Significant information that cannot be verified shall be noted as such. Information Gathering The inmate ’ s consent shall be sought when gathering information from outside sources, although the Department may gather such information without consent. CYA and CDC Discharged Terms Files When reception center staff determine that an inmate has a CYA history within the last five years or a CDC discharged term, a request shall be made, as soon as possible, to send the discharged file(s). The counselor shall incorporate the information into the new C-file. Copies of documents may be incorporated as necessary but the actual documents shall not be removed from the discharged C-file(s). Following endorsement by a CSR, the discharged file(s) shall be returned to the archives unit or otherwise disposed of by the records personnel. Other State or Federal Records The casework follow-up section shall request the receiving institution to obtain records for any other state or federal prison terms served. Format The cumulative case summary shall be prepared and assembled in the proper format and order as described in this section. 61030.5.1

61030.5.1 Chronological History (CDC Form 112) The CDC Form 112, Chronological History, contains dates and other information on the inmate ’ s arrival, transfer, release, BPT hearings, holds, and forfeiture and restoration of time credits. 61030.5.2

61030.5.2 Legal Status (CDC Form 188) CDC Form 188, Legal Status Sheet, contains the inmate ’ s legal status and other sentencing information and shall be prepared at the reception center. Those inmates sentenced to life, life without the possibility of parole, or to one year-and-one-day will have CDC Form 188 prepared by the LPU in Headquarters. 61030.5.3

61030.5.3 POR The POR is the main source document for information on inmates committed to the Department. All relevant information shall be neatly underlined in dark ink. The POR is obtained from the court and is part of the commitment package. 61030.5.4

61030.5.4 CI&I Report The inmate ’ s CI&I SSCH report shall be requested from State DOJ by the reception center. If not received before the inmate ’ s transfer, it shall be forwarded to the receiving institution for proper inclusion in the inmate's C-file. 61030.5.5

61030.5.5 Psychiatric/Psychological Evaluations The Penal Code only requires psychiatric/psychological evaluations on cases convicted for child abuse or neglect (PC 3002). Other psychiatric/psychological evaluations shall be prepared when indicated by sound clinical judgment. PC 1203.03 Diagnostic Evaluations Reception center staff may prepare a psychiatric/psychological evaluation on cases received for diagnostic study under PC 1203.03. These evaluations shall be placed with the cumulative case summary in the C-file. Staff Referral Psychiatric/psychological evaluations shall be prepared for those inmates who, based on staff observation or information from other agencies, appear to have serious psychiatric/psychological problems likely to have a significant affect on institutional adjustment. Evaluations shall be recorded on a CDC Form 128-C, Medical/Psychological Chrono, and placed in the General Chrono section of the C-file. BPT Psychiatric/Psychological Evaluations Staff shall prepare psychiatric/psychological evaluations requested by the BPT. These evaluations shall be placed in the BPT section of the C-file. Willful Cruelty to a Child (PC 3002) Psychiatric/Psychological Evaluations Inmates convicted of PC 273a (Willful Cruelty Toward Child/Endangering Life, Limb or Health) and PC 273d (Inflicting Corporal Punishment Upon Child Resulting in Traumatic Injury) shall receive a psychiatric/psychological evaluation to determine the extent of counseling which may be mandated as a condition of parole as required by PC 3002. Referral to psychiatric/psychological staff shall be in sufficient time to allow the completed evaluation to be mailed with the CDC Form 6ll, Release Program Study. The evaluation shall be completed by reception center staff if the inmate is retained for work crew or pre-release. Notice shall be made in the Psychiatric/Psychological and Casework Follow- up sections of the ISRS or Medical/Psychological section of the Readmission Summary when an evaluation is required under PC 3002. 61030.6

61030.6 Institutional Staff Recommendation Summary (ISRS) Format An ISRS shall be prepared about each newly committed inmate. In addition, an ISRS shall be prepared for parole violators returning with a new term of life imprisonment. 61030.6.1

61030.6.1 Exceptions to ISRS Format The ISRS for a pre-sentence diagnostic study case (PC 1203.03) shall be prepared in the same format except for the following: • A criminal history section shall be included between the casework follow-up and the evaluation sections. • The “ EVALUATION ” section shall include a recommendation to the court on PC 1203.03 cases. If the inmate is subsequently committed to the Department, the “ TRANSFER ” part of the ISRS shall be included along with a supplementary evaluation reflecting any significant changes since the diagnostic evaluation. 61030.6.2