U.S. Department of Homeland Security
Immigration and Customs Enforcement
Office of Professional Responsibility
Inspections and Detention Oversight
Washington, DC 20536-5501

Office of Detention Oversight
Compliance Inspection

Enforcement and Removal Operations
Phoenix Field Office
Central Arizona Detention Center
Florence, Arizona

March 13- 15, 2012

FOR INTERNAL USE ONLY.
This document may contain sensitive commercial, financial, law
enforcement, management, and employee information. It has been written for the express use of the
Department of Homeland Security to identify and correct management and operational deficiencies. In
reference to ICE Policy 17006.1, issued 09/22/05; any disclosure, dissemination, or reproduction of this
document, or any segments thereof, is prohibited without the approval of the Assistant Director, Office of
Professional Responsibility.

COMPLIANCE INSPECTION
CENTRAL ARIZONA DETENTION FACILITY
PHOENIX FIELD OFFICE
TABLE OF CONTENTS
EXECUTIVE SUMMARY ............................................................................................... 1
INSPECTION PROCESS
Report Organization ................................................................................................. 4
Inspection Team Members ....................................................................................... 4
OPERATIONAL ENVIRONMENT
Internal Relations ..................................................................................................... 5
Detainee Relations ................................................................................................... 5
ICE PERFORMANCE BASED NATIONAL DETENTION STANDARDS
Detention Standards Reviewed ................................................................................ 6
Detention Files ......................................................................................................... 7
Emergency Plans ...................................................................................................... 8
Environmental Health and Safety ............................................................................ 9
Food Service .......................................................................................................... 10
Grievance System .................................................................................................. 11
Key and Lock Control ............................................................................................ 12
Medical Care .......................................................................................................... 13
Sexual Assault & Abuse Prevention & Intervention ............................................. 14

EXECUTIVE SUMMARY
The Office of Professional Responsibility (OPR), Office ofDetention Oversight (ODO)
conducted a Compliance Inspection (CI) of the Central Arizona Detention Center (CADC) in
Florence, Arizona, from Marchl3-15, 2012. CADC opened in 1994 and is owned and operated
by Correctional Corporation of America (CCA), a private facility management company
headquartered in Nashville, TN. In 2002, the Office of Enforcement and Removal Operations
(ERO), Phoenix Field Office began using CADC to house female U.S. Immigration and Customs
Enforcement (ICE) detainees under an intergovernmental service agreement (IGSA) with CCA
that is administered by the United States Marshals Service. In July 2010, female detainees were
removed from CADC and placed in other detention facilities. Currently, CADC is an over 72
hour facility that houses only male detainees of security classification Level One (minimum
threat) and Level Two (medium threat). CADC is comprised of nine housing units located on
approximately 73 acres ofland. Eight of the housing units are used for U.S. Marshals and
Bureau of Indian Affairs inmates, and one unit is designated for ICE male detainees. CADC has
an average daily inmate/detainee population of 3,555 that includes 78 ICE male detainees. The
maximum number of beds available for ICE male detainees is 78. CADC is accredited by the
American Correctional Association (ACA), National Commission on Correctional Health Care
(NCCHC), and the Arizona State Commission on Jail Standards.
CADC employs a staff of more than (b)(7)e which includes correctional, security, health care, and
support personnel. The Warden is the highest ranking CADC official, and is responsible for
oversight of daily operations. CADC has(b)(7)esupervisory staff. Non-supervisory staff consists of
(b)(7)eCorrections Officers and(b)(7)ecivilian employees. ICE does not have personnel located onsite, but an Assistant Field Office Director (AFOD), a Supervisory Detention and Deportation
Officer (SDDO), and(b)(7)e Immigration Enforcement Agents (lEA) located across the street at the
Florence Service Processing Center (FPC) oversee daily operations at CADC.
Healthcare is provided by Corrections Corporation of America (CCA). Contracted medical staff
consists of a Health Services Administrator (HSA), an administrative support position,(b)(7)efulltime Physicians,(b)(7)eDentist, (b)(7)e mid-level providers,(b)(7)eRegistered Nurses (RN),(b)(7)eLicensed
Practical Nurses (LPN),(b)(7)e Medical Assistants, (b)(7)e Mental Health Specialists, a full-time
Radiology Technician, and a part-time Radiology Technician. At the time ofthe review, one
mid-level provider,(b)(7)eRN,(b)(7)esupervisory RN, and(b)(7)eLPN positions were vacant. An RN is
on-duty 24 hours a day, seven days a week. These positions are supplemented by contracts for a
psychiatrist and a nurse practitioner, as well as pharmacy and laboratory services. The facility
has a contract with Florence Community Hospital in Florence, Arizona for in-patient and outpatient services. ODO determined staffing is sufficient to meet detainee health needs. Food
service operations are managed under contract by Canteen Services, Inc.
In November 2009, ODO conducted a Quality Assurance Review (QAR) at CADC using the
National Detention Standards (NDS). ODO cited 22 deficiencies in 14 ofthe 22 NDS inspected.
In November 2010, ODO performed a Follow-up Inspection and identified two (4%) repeated
deficiencies in the Access to Legal Material and Key and Lock Control standards.

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The former ERO Detention Standards Compliance Unit contractor, MGT of America, Inc.,
conducted an annual review of the ICE Performance Based National Detention Standards
(PBNDS) at CADC during 2011. MGT rated the facility overall as "Meets Standards," and
found CADC to be in compliance with all detention standards reviewed.
During this CI, ODO reviewed 16 PBNDS. ODO verified CADC was in full compliance with
eight ofthe 16 PBNDS reviewed. ODO recorded 13 deficiencies in the following eight
standards: Detention Files (2 deficiencies), Emergency Plans (2), Environmental Health and
Safety (1), Food Service (2), Grievance System (2), Key Lock and Control (1), Medical Care (1),
and Sexual Abuse and Assault Prevention and Intervention (2).
This report details all deficiencies and refers to specific, relevant sections of the ICE PBNDS.
OPR will provide ERO a copy ofthe report to assist in developing corrective actions to resolve
the 13 identified deficiencies.
Overall, ODO found CADC to be well-managed and in compliance with the areas and standards
inspected. A majority of the 13 deficiencies identified were administrative in nature, such as
paperwork, logs, and postings, rather than shortcomings with respect to practices and procedures.
ODO verified CADC uses copies of detention files, while ERO stores the actual detention files at
the ICE office. ERO did not maintain copies ofl-77 baggage claims in the active detention files.
In addition, ERO maintains a detention file logbook, but the logbook did not include the
signature of the person removing the file or the signature of the person returning the file.
Review of CADC emergency plans confirmed they do not include procedures for rendering
emergency assistance to another ICE facility and do not include a statement prohibiting
unauthorized disclosure of information contained in the plans.
ODO observed caustic substances received and stored in the outside warehouse were not logged
when received by the inside warehouse. Specifically, there was no inventory form documenting
eight five-gallon containers of caustic substances, four of which were corrosive. This deficiency
was corrected on-site during this inspection.
ODO inspected the two dry food storage areas and verified items met the six-inch clearance from
the floor, but were stacked against and touching the walls. Storage of items away from floors
and walls helps prevent pest infestation and promotes proper air circulation. Detainee requests
for religious diets are forwarded to the Chaplain for verification and approval. The Chaplain
issues new lists of approved detainees twice a month rather than as soon as practicable, or within
ten business days as required by the standard.
CADC has a policy and procedure in place requiring staff to respond to emergency grievances,
including medical grievances, within 24 hours, but CADC does not have a policy directing that
all medical grievances be received by the health authority within 24 hours or the next business
day. This deficiency was corrected on-site.

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ODO verified there had been only one grievance reported within the three months prior to the CI
at CADC. The detainee filed a grievance to appeal charges brought against him. CADC staff
had reprimanded the detainee twice for covering the window in his cell. At the time ofthe
, second warning, the detainee threw books while CADC staff was present. The detainee was
written up for attempted assault on CADC staff. The detainee was subsequently charged with a
lesser infraction, but the grievance and its resolution were not placed in the detainee's detention
file as required by the PBNDS.
CADC has written policy governing control of keys and locks, which is delegated to a CADC
Security Officer, who is a trained locksmith. Keys are issued from the control center using a
photo chit system. While inspecting the lock shop, ODO found there was not an inventory
listing the locks and locking devices stored in the shop. This deficiency was corrected on-site.
ODO verified detainees held for more than a year receive an annual Tuberculosis (TB)
screening; however, facility policy on health appraisals does not require detainees in custody for
more than a year to receive an annual physical examination (PE). Facility policy also does not
require the examinations to occur more frequently for certain individuals depending on their
medical history or health conditions as required by the standard.
CADC has policy and procedures in place related to Sexual Abuse and Assault Prevention and
Intervention. There were no incidents or allegations in the 12 months prior to the Cl. CADC
staff undergoes annual training; however, the training did not address prohibitions on retaliation
against detainees and staff that report sexual abuse, guidelines regarding the investigation
process, or instructions on procedures to ensure that evidence of a sexual assault is not destroyed.
CADC presents an orientation video and provides facility handbooks to detainees in addition to
the ICE National Detainee Handbook, but the orientation video and the facility handbook did not
include definitions or examples of detainee-on-detainee sexual abuse, staff-on-detainee sexual
abuse, or coercive sexual activity. The orientation video and facility handbook also did not
contain information about how to report sexual abuse or assault, the investigation process,
prohibition against retaliation, self-protection, treatment, or counseling. CADC corrected these
issues on-site. A copy of the revised handbook was provided to ODO for verification.

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INSPECTION PROCESS
ODO inspections evaluate the welfare, safety, and living conditions of detainees. ODO primarily
focuses on areas of noncompliance with the ICE NDS or the ICE PBNDS as applicable. The
PBNDS apply to CADC. In addition, ODO may focus its inspection based on detention
management information provided by the ERO Headquarters (HQ) and ERO field offices, and on
issues ofhigh priority or interest to ICE executive management.
ODO reviewed the processes employed at CADC to determine compliance with current policies
and detention standards. Prior to the inspection, ODO collected and analyzed relevant
allegations and detainee information from multiple ICE databases, including the Joint Integrity
Case Management System (JICMS), the ENFORCE Alien Booking Module (EABM), and the
ENFORCE Alien Removal Module (EARM). ODO also gathered facility facts and inspectionrelated information from ERO HQ staffto prepare for the site visit at CADC.

REPORT ORGANIZATION
This report documents inspection results, serves as an official record, and is intended to provide
ICE and detention facility management with a comprehensive evaluation of compliance with
policies and detention standards. It summarizes those PBNDS that ODO found deficient in at
least one aspect of the standard. ODO reports convey information to best enable prompt
corrective actions and to assist in the on-going process of incorporating best practices in
nationwide detention facility operations.
OPR classifies program issues into one of two categories: deficiencies and areas of concern.
OPR defines a deficiency as a violation of written policy that can be specifically linked to the
PBNDS, ICE policy, or operational procedure. OPR defines an area of concern as something
that may lead to or risk a violation of the PBNDS, ICE policy, or operational procedure. When
possible, the report includes contextual and quantitative information relevant to the cited
standard. Deficiencies are highlighted in bold throughout the report and are encoded
sequentially according to a detention standard designator.
Comments and questions regarding the report findings should be forwarded to the Deputy
Division Director, OPR Office of Detention Oversight.

INSPECTION TEAM MEMBERS

(b)(6), (b)7)c

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Special Agent (Team Leader)
Special Agent
Special Agent
Contract Inspector
Contract Inspector
Contract Inspector

4

ODO, Phoenix
ODO, Phoenix
ODO, Phoenix
Creative Corrections
Creative Corrections
Creative Corrections

Central Arizona Detention Center
ERO Phoenix

OPERATIONAL ENVIRONMENT
INTERNAL RELATIONS
ODO interviewed the CADC Warden, CADC Chief of Security, an ICE AFOD, an ICE SDDO,
and an ICE lEA. During the interviews, all personnel stated the working relationship between
CADC and ERO is excellent and morale is high.
The Warden and the AFOD stated sufficient personnel are assigned to handle the current ICE
detainee population at CADC, and ERO officers consistently visit the housing units and
communicate with ICE detainees to address issues or concerns multiple times each week.
The AFOD stated the length of stay for ICE detainees at CADC could be shortened by adding
additional U.S. Citizenship and Immigration Services (USCIS) Asylum Officers to assist with
the case work at CADC.

DETAINEE RELATIONS
ODO interviewed six randomly selected ICE detainees to assess the overall living and
detention conditions at CADC. Three of six detainees (50%) complained about recreation,
stating they do not always get recreation and if they do, it is at 7:00a.m. ODO determined
recreation is scheduled early in the morning because detainees share four recreation yards with
approximately 3,600 U.S. Marshals Service inmates. ERO personnel assigned to CADC are
aware of this, and are working with CADC staff to accommodate detainees. ODO received no
complaints concerning food service, the grievance process, issuance and replenishment of
hygiene supplies, law libraries and legal material, sending and receiving mail, medical care,
religious services, or visitation.

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ICE PERFORMANCE BASED
NATIONAL DETENTION STANDARDS
ODO reviewed a total of 16 PBNDS and found CADC fully compliant with the following eight
standards:
Admission and Release
Classification System
Law Libraries and Legal Material
Special Management Units
Staff-Detainee Communication
Suicide Prevention and Intervention
Telephone Access
Use of Force and Restraints
As these standards were compliant at the time of the review, synopses for these areas were not
prepared for this report.
ODO found deficiencies in the following eight standards:
Detention Files
Emergency Plans
Environmental Health and Safety
Food Service
Grievance System
Key and Lock Control
Medical Care
Sexual Abuse and Assault Prevention and Intervention
Findings for each ofthese standards are presented in the remainder of this report.

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DETENTION FILES (DF)
ODO reviewed the Detention Files Standard at CADC to determine if files are created containing
all significant information pertaining to detainees housed at the facility for over 24 hours, in
accordance with the PBNDS. ODO reviewed five active and five inactive detention files to
ascertain whether all required documentation was included.
Although CADC keeps copies of detention files, ICE ERO, located at FPC, maintains the actual
detention files. All five inactive detention files (copies) contained the minimum documents
required. All five active detention files reviewed did not contain I -77 baggage claims
(Deficiency DF-1).
While reviewing the Grievance System standard at CADC, ODO reviewed the detention file of a
detainee who had filed a grievance. This was the only grievance filed at CADC within the three
months prior to the CI. The detention file did not contain a copy of the grievance or its
resolution (Deficiency DF-2).
ICE ERO keeps a check-in/check-out log for detention files, but the log does not include the
signature of the person removing the file, including title and department; and the signature ofthe
person returning the file (Deficiency DF-3).

STANDARD/POLICY REQUIREMENTS FOR DEFICIENT FINDINGS
DEFICIENCY DF-1
In accordance with the ICE PBNDS, Detention Files, section (V)(B)(l ), the FOD must ensure
the detainee Detention File shall contain either originals or copies of forms and other documents
generated during the admissions process. If necessary, the Detention File may include copies of
material contained in the detainee's A-File. The file shall, at a minimum, contain: 1-77, Baggage
Check(s).
DEFICIENCY DF-2
In accordance with the ICE PBNDS, Detention Files, section (V)(B)(2), the FOD must ensure
the detainee Detention File shall contain either originals or copies of forms and other documents
generated during the admissions process. The detainee's Detention File shall also contain
documents generated during the detainee's time in the facility.
DEFICIENCY DF-3
In accordance with the ICE PBNDS, Detention Files, section (V)(F)(3), the FOD must ensure a
representative ofthe department requesting the file is responsible for obtaining the file, logging it
out, and ensuring its return. At a minimum, a logbook entry recording the file's removal from
the cabinet shall include:
•
•
•

Signature of person removing the file, including title and department;
Date and time returned; and
Signature of person returning the file.

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EMERGENCY PLANS (EP)
ODO reviewed the Emergency Plans PBNDS at CADC to determine if a contingency plan has
been developed to quickly and effectively respond to any emergency situations and minimize
their severity. ODO interviewed staff, reviewed emergency plans, and inspected command post
equipment.
The facility has designated staff members responsible for developing and implementing
emergency contingency plans. Individual, contingency-specific plans have been compiled and
are reviewed annually by the CADC administration. All staff receives training in emergency
preparedness. Memoranda of Understanding are current with outside agencies in the event
assistance is needed. Monthly unannounced drills take place on each shift and facility-wide
drills are conducted on a quarterly basis, to include activating the Command Center. A full-scale
exercise involving outside agencies is held on an annual basis.
ODO reviewed facility emergency plans and confirmed they did not include procedures for
rendering emergency assistance to another ICE facility (Deficiency EP-1). The plans also lack a
statement prohibiting unauthorized disclosure of information in the plans (Deficiency EP-2).

STANDARD/POLICY REQUIREMENTS FOR DEFICIENT FINDINGS
DEFICIENCY EP-1
In accordance with the ICE PBNDS, Emergency Plans, section (V)(C)(l)(a), the FOD must
ensure each plan shall include procedures for rendering assistance to another ICE/DRO facility,
for example, supplies, transportation, and temporary housing for detainees, personnel, and/or
TDYstaf£
DEFICIENCY EP-2
In accordance with the ICE PBNDS, Emergency Plans, section (V)(C)(3), the FOD must ensure
every plan that is being developed or is final must include a statement prohibiting unauthorized
disclosure. Staff may not discuss any aspect of a plan within the hearing of a detainee, visitor, or
anyone else not permitted access to the plan.

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ENVIRONMENTAL HEALTH AND SAFETY (EH&S)
ODO reviewed the Environmental Health and Safety PBNDS at CADC to determine ifthe
facility maintains high standards of cleanliness and sanitation, safe work practices and control of
hazardous materials and substances. ODO toured the facility, interviewed staff, and reviewed
policies and documentation of inspections, hazardous chemical management, generator testing,
and fire drills.
Inspection confirmed hazardous substances are strictly controlled. Material Safety Data Sheets,
a master index of chemicals, and documentation of review were available and complete.
Monthly fire drills are conducted on each shift and documentation is on file. CADC has a
comprehensive fire prevention, control and evacuation plan meeting all requirements of the
standard. Pest control invoices and documentation of water and generator testing and
maintenance are current. Barbering services are conducted in a designated area, and hair care
sanitation regulations are posted. Sanitation is maintained at a high level throughout the facility.
ODO observed caustic substances received and accounted for in the outside warehouse are not
logged when received by the inside warehouse. Specifically, there was no inventory form
documenting two five-gallon containers ofRinse Free Strip; two five-gallon containers of One
on One; two five-gallon containers of Laundry Break detergent, and two five-gallon containers
of chlorine bleach. All are caustic substances. The detergent and bleach are corrosive
(Deficiency EH&S-1). This deficiency was corrected during the review.

STANDARD/POLICY REQUIREMENTS FOR DEFICIENT FINDINGS
DEFICIENCY EH&S-1
In accordance with the ICE PBNDS, Environmental Health and Safety, section (VI)(C), the FOD
must ensure every area shall maintain a current inventory of the hazardous substances
(flammable, toxic, or caustic) used and stored there. Inventory records shall be maintained
separately for each substance. Entries for each shall be logged on a separate card (or equivalent)
filed alphabetically by substance. The entries shall contain relevant data, including purchase
dates and quantities, use dates and quantities, and quantities on hand.

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FOOD SERVICE (FS)
ODO reviewed the Food Service PBNDS at CADC to determine if detainees are provided with a
nutritious and balanced diet, in a sanitary manner. ODO interviewed staff, inspected storage
areas, observed meal preparation and service, and reviewed policy and relevant documentation.
The CADC food service operation is provided under contract by Canteen Services, Inc. Meals
are prepared in the main kitchen and transported to one. of several satellite serving lines. ODO
verified food service personnel received medical clearance to work in food service. Menus have
been certified as nutritionally complete by a registered dietician. ODO inspection of the food
service area verified compliance with food temperatures, temperatures of coolers and freezers,
and control ofutensils. No knives are being used in the food service operation.
Sanitation levels in food preparation, dishwashing, the serving line area, and the kitchen are
good. ODO observed the feeding of the noon meal on the second day of the inspection. A
random tray was chosen from the serving line and sampled. The food items were consistent with
the menu for that meal and met temperature requirements.
Detainee requests for religious diets are forwarded to the Chaplain for verification and approval.
The Chaplain issues new lists of approved detainees twice a month rather than as soon as
practicable, or within ten business days as required by the standard (Deficiency FS-1).
ODO inspected the dry storage areas and verified items met the six inch clearance from the floor,
but were stacked against and touching the walls (Deficiency FS-2). Storage of items away from
floors and walls helps prevent pest infestation and promotes proper air circulation.

STANDARD/POLICY REQUIREMENTS FOR DEFICIENT FINDINGS
DEFICIENCY FS-1
In accordance with ICE PBNDS, Food Service, section (V)(G)(l), the FOD must ensure the
Chaplain and the FSA shall collectively verify the requirement and issue specific written
instructions for the implementation ofthe diet as soon as practicable but within 10 business days
of verification.
DEFICIENCY FS-2
In accordance with the ICE PBNDS, Food Service, section (V)(K)(3)(d), the FOD must store all
products at least six inches from the floor and sufficiently far from walls to facilitate pest-control
measures.

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GRIEVANCE SYSTEM (GS)
ODO reviewed the Grievance System standard at CADC to determine if a process to submit
formal or emergency grievances exists, and if responses are provided in a timely manner without
fear of reprisal. In addition, ODO reviewed the grievance logbook to determine if detainees have
an opportunity to appeal responses and if accurate records are maintained in accordance with the
ICE PBNDS. ODO interviewed staff and reviewed local policies and procedures, the detainee
handbook, detention files, and grievance logs.
CADC has a policy and procedure in place requiring staff to respond to emergency grievances,
including medical grievances, within 24 hours. CADC does not have a policy requiring that all
medical grievances be received by the health authority within 24 hours or the next business day
(Deficiency GS-1). This deficiency was corrected on-site.
Both ICE ERO and CADC maintain grievance logs. ODO verified that there had been only one
grievance reported within the three months prior to the CI at CADC. In that case, the detainee
filed a grievance to appeal charges brought against him. CADC staff had reprimanded the
detainee twice for covering the window in his cell. At the time of the second warning, the
detainee threw books while CADC staff was present. The detainee was written up for attempted
assault on CADC staff. The detainee was subsequently charged with a lesser infraction, but the
grievance and its resolution were not placed in the detention file as required by the PBNDS.
(Deficiency GS-2).

STANDARD/POLICY REQUIREMENTS FOR DEFICIENT FINDINGS
DEFICIENCY GS-1
In accordance with the ICE PBNDS, Grievance System, section (V)(A), the FOD must ensure
each facility shall have written policy and procedures for a detainee grievance system that
ensures a procedure in which all medical grievances are received by the administrative health
authority within 24 hours or the next business day.
DEFICIENCY GS-2
In accordance with the ICE PBNDS, Grievance System, section (V)(E), the FOD must ensure a
copy of the grievance disposition shall be placed in the detainee's detention file and provided to
the detainee.

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KEY AND LOCK CONTROL (K&LC)
ODO reviewed the Key and Lock Control PBNDS at CADC to determine if facility safety and
security is maintained by requiring keys and locks to be controlled and maintained. ODO
interviewed the Security Officer and other staff, inspected emergency keys, reviewed policy and
documentation, and observed use, accountability, and maintenance ofkeys and locks throughout
the facility and in the locksmith shop.
CADC has a comprehensive written policy governing the control of keys and locks.
Responsibility for the key control program is assigned to a designated full-time Security Officer
at CADC, who is a trained locksmith. All staff is trained and accountable for key control. Keys
are issued from the control center using a photo chit system. During the inspection, ODO noted
there was not an inventory listing the locks and locking devices stored in the lock shop
(Deficiency K&LC-1). This deficiency was corrected on-site during the inspection.

STANDARD/POLICY REQUIREMENT FOR DEFICIENT FINDINGS
DEFICIENCY K&LC-1
In accordance with the ICE PBNDS, Key and Lock Control, section (V)(C)(l), the FOD must
ensure the Security Officer shall maintain inventories of all keys, locks and locking devices in
the Lock Shop.

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MEDICAL CARE (MC)
ODO reviewed the Medical Care PBNDS at CADC to detennine if detainees have access to
healthcare and emergency services to meet health needs in a timely manner. ODO toured the
clinic, reviewed policies and procedures, interviewed staff, reviewed 25 medical records, and
verified medical staff credentials.
ODO verified that intake screening, TB testing, medication, treatment for special and chronic
care needs, and follow-up care are provided to the detainees. Review of25 health records
confinned that a consent fonn is signed, and detainees are screened for TB by way of a
tuberculin skin test upon arrival. The facility has four negative pressure rooms to accommodate
detainees with airborne illnesses. Detainees access care by submitting written medical requests
available in English and Spanish. Requests are placed in secure "Medical Request" boxes
located within the housing units. Nursing staff collect and triage the sick call slips to detennine
priority for care. Sick call is conducted five days per week on the day and evening shifts. If
necessary, sick call is also conducted on the weekends. ODO verified cardio-pulmonary
resuscitation training is current for all medical staff and(b)(7)e ustodial staff.
A physical examination (PE) is conducted by a physician or a physician's assistant (PA). ODO
verified through medical record review that aPE was completed within the 14-day time frame
for all25 detainees reviewed, and Immigration Health Services Corp Perfonnance Improvement
criteria were met. Detainees with mental health needs are evaluated and treated by the
psychiatrist on an as needed basis, or at least every three months. Detainees with chronic care
needs are seen for follow-up every three months. At the time of the CI, five of78 detainees
housed at CADC had chronic care needs. ODO verified medications for chronic conditions have
been ordered and documented on medication administration records. Though annual TB
screening is perfonned, CADC policy on health appraisals does not require that detainees in
custody for more than a year receive an annual PE on a recurring basis. CADC policy also does
not require that examinations occur more frequently for certain individuals depending on their
medical history or health conditions (Deficiency MC-1).
ODO verified medical transfer summaries were included in all five records reviewed related to
detainees discharged or transferred from CADC.

STANDARD/POLICY REQUIREMENT FOR DEFICIENT FINDINGS
DEFICIENCY MC-1
In accordance with ICE PBNDS, Medical Care, section (V)(L), the FOD must ensure a detainee
that is in ICE custody for over a year shall receive health examinations on an annual basis. Such
examinations may occur more frequently for certain individuals, depending on their medical
history or health conditions.

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SEXUAL ABUSE AND ASSAULT PREVENTION AND INTERVENTION
(SAAPI)
ODO reviewed the Sexual Abuse and Assault Prevention and Intervention Standard at the CADC
to determine if the facility personnel affirmatively act to prevent sexual abuse and assaults on
detainees, provide prompt and effective intervention and treatment for victims of sexual abuse
and assault, and control, discipline, and prosecute the perpetrators of sexual abuse and assault, in
accordance with the PBNDS. ODO interviewed staff and reviewed local policies and procedures
as well as reviewed the facility detainee handbook.
CADC has a policy and procedure in place related to Sexual Abuse and Assault Prevention and
Intervention. There were no incidents or allegations in the 12 months prior to the Cl. As
required by the PBNDS, CADC staff undergoes annual refresher training; however, training did
not address prohibitions on retaliation against detainees and staffwho report sexual abuse,
guidelines on the investigation process, or instructions on how to ensure that evidence of sexual
assault is not destroyed (Deficiency SAAPI-1).
CADC presents an orientation video and provides facility handbooks to detainees in addition to
the ICE National Detainee Handbook, but the orientation video and the facility handbook did not
include definitions or examples of detainee-on-detainee sexual abuse, staff-on-detainee sexual
abuse, or coercive sexual activity, nor did they contain information about how to report sexual
abuse or assault, the investigation process, prohibition against retaliation, self-protection,
treatment, or counseling (Deficiency SAAPI-2). CADC corrected these issues on-site. A copy
of the revised handbook was provided to ODO for verification.

STANDARD/POLICY REQUIREMENTS FOR DEFICIENT FINDINGS
DEFICIENCY SAAPI-1
In accordance with the ICE PBNDS, Sexual Abuse and Assault Prevention and Intervention,
section (V)(F), the FOD must ensure training on the facility's Sexual Abuse and Assault
Prevention and Intervention Program shall be included in training for employees, volunteers, and
contract personnel and shall also be included in annual refresher training thereafter.
Training shall include:
•

Agency prohibitions on retaliation against detainees and staff who report sexual abuse;

•

The investigation process and how to ensure that evidence is not destroyed.

DEFICIENCY SAAPI-2
In accordance with the ICE PBNDS, Sexual Abuse and Assault Prevention and Intervention,
section (V)(G), the FOD must ensure the orientation program required by the Detention Standard
on Admission and Release, and the detainee handbook required by the Detention Standard on
Detainee Handbook, notify and inform detainees about the facility's Sexual Abuse and Assault
Prevention and Intervention Program and that they include (at a minimum):

Office of Detention Oversight
March 2012
OPR 201200441

14

Central Arizona Detention Center
ERO Phoenix

•
•
•
•
•
•

Prevention and intervention;
Definitions and examples of detainee-on-detainee sexual abuse; staff-on-detainee sexual
abuse, and coercive sexual activity;
Explanation of the ways of reporting sexual abuse or assault, and the investigation
process;
Self-protection;
Prohibition against retaliation;
Treatment and counseling.

Office of Detention Oversight
March 2012
OPR 201200441

15

Central Arizona Detention Center
ERO Phoenix