EFTA00132208

90A-NY-3151227 Serial 64 •1 of 1. FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 08/28/2019 On August 16, 2019, at the Metropolitan Correctional Center (MCC) III , New York, NY, Special Agent (SA) , SA , TFO , OIG Investigator and MCC Lt. interviewed LEONARDO FERNANDEZ, MCC Inmate #86824-054. After being advised of the identities of the agents and the purpose of the interview, FERNANDEZ provided the following information: On Friday (August 09, 2019), FERNANDEZ was housed in Cell 218 on L-TIER of the Special Housing Unit within MCC. He received a visit from his girlfriend, TYRELYSHANTI CRIAG, that day. He was suspected of receiving contraband at the visit and was placed in the dry room for approximately 25 hours. FERNANDEZ was then moved to K tier Cell 111. FERNANDEZ last day being housed in L Tier was Friday (August 9, 2019) prior to his visit. FERNANDEZ remembers that JEFFREY EPSTEIN would be in legal from approximately 9am to 9pm and he was housed in cell 220 in L Tier. FERNANEZ had no information regarding the death of EPSTEIN. hwastiptionon 08/16/2019 at New York, New York, United States (In Person) File # 90A-NY-3151227 Date drafted 08/19/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132208 S11.ofulde,lo AL-91Aavrzoe/e 2//6/9 //'EGG, Jim 7.e. ,.../e.-__‘s• ,- %9 //4•y s 4 7:Z-- :it:4y ..:. Xs #46 "tern -i7,y "ear "at/ ofeC,0/ - 41erstat ,A rartra 07 (*--1- ar.7) 4}s‘,E\ - zit r, _ A; a1•S fr 2S- IC-no- Mme'ioteASI/ EFTA00132209 90A-NY-3151227 Serial 65 FD-I087 (Rev. 5-8-I0) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Collected Item Log Event Title: (U) CART Master Copy designated as Date: 08/29/2019 NYCO25654 CC: Approved By: SSA Drafted By: Case ID *: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Collected From: (U) CART Receipt Given?: No Holding Office: NEW YORK Details: NYCO25654- One (1) Western Digital 250 GB Hard Drive (Model: WD2500JD S/N: WMAEP1322402) containing generated reports and data extractions of 1B44 NYCO25647 in regards to CART Request #218509: Item Type Description 1B Digital (U) NYCO25654- One (1) Western Digital 250 GB Hard Drive (Model: WD2500JD S/N: WMAEP1322402) containing generated reports and data extractions of 1844_NYCO25647 in regards to CART Request #218509: Collected On: 08/28/2019 05:00 PM EDT Seizing Individual: Located By: Location Area: CART Specific Location: 26 Federal Plaza UNCLASSIFIED This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132210 90A-NY-3151227 Serial 65 UNCLASSIFIED Title: (U) CART Master Copy designated as NYCO25654 Re: 90A-NY-3151227, 08/29/2019 Device Type: Hard Drive Make: Western Digital Model: WD2500JD Serial Number: WMAEP1322402 Data Capacity: 250GB Designation: Master Copy Number of Devices Collected: 1 .• UNCLASSIFIED 2 EFTA00132211 90A-NY-3151227 Serial 66 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 08/29/2019 Title:(U) Office of Inspector General (OIG) Forms Provided by OIG Special Agent (SA) Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 28, 2019, OIG SA Carpenter provided SA with OIG Forms that were signed by Metropolitan Correctional Center Employees during Voluntary Interviews. .• UNCLASSIFIED EFTA00132212 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: OC€frey Ec cte:',r\ aett4h ti ;Atie9 -1.2‘4`.0v- efirc et 54e, c cy\o7ec I/Az " C-+ This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Office the Inspector General Employe ature (1-A7TIZs-s- 7 Date Va3/Ick Time svoy Place OIG Form III-226/2 (04/23/07) Non-Custodial/Employee EFTA00132213 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: itecreeti- eP5Wiil to•AO 41AV 47/xptG e o en% S Ccp1O-..CL This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. voice of me inspector uenerai employee's signature Special Agent 819/1 9 —WitnesV Date 10:09 Aril 61) N Time Place OIG Form 111-226/2 (04/23/07) Non-Custodial/Employee EFTA00132214 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: u04,-//y 4:69:11 O1. L-161 fe y t psi e,,.) This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Oftide of the Inspector General Emplb9ee's Signature Special Agent g-/2-/9 Wariess Date cce?"-p. 42. Time ace 016 Form 111-22612 (04/23/07) Non-Custodial/Employee EFTA00132215 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: / *Cc.r Rey * f5-re id tv ues 4. so, O / This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Grime of the Inspector General EMPloyee's Bfanature. Special Agent 8112111 witness N..._, Date 101,11 hen 50 iv ?Cs- Time Place OM Form 111-226/2 (04/23/07) Non-Custodial/Employee EFTA00132216 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: eft-eit, tv 054 Astir— A•vo in- sty tAtia- air SP F. tApco .e.af This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and t am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. (Juice or the Inspector General Employee's Sig Special Agent Witnesi- Date q: 08 en, loft/ Z Time Place OIG Form III-226/2 (04/23/07) Non-Custodial/Employee EFTA00132217 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUIRED TO PROVIDE INFORMATION You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to 7 fteCee'a- e95te I4V -FA/ %/PS i Stitt° si You have a duty to reply to the questions posed to you during this interview and agency disciplinary action, including dismissal, may be undertaken if you refuse to answer or fail to reply fully and truthfully. Neither your answers nor any information or evidence gained by reason of your answers can be used against you in any criminal proceeding. However, if you knowingly and willfully provide false statements or information in your answers, you may be criminally prosecuted for that action. The answers you furnish and any information or evidence resulting from them may be used in the course of agency disciplinary proceedings. ACKNOWLEDGMENT I have read and understand my rights and obligations as set forth above. Office of the Inspector General Em} Special Agent Slyip7 Witness Date gA-9 f Sok Time Place 016 Form 111-226/3 (04/23/07) Warnings and Assurances to Employee Required to Provide Information EFTA00132218 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You arc being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: .1ALVellt 9 tit CA/ or TeFF Q.:FY e e5telp ENO ANDY fe_ASFSeet i?Itscoboca ct- This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Office of the Inspector General Employee's Sign Special A ent B/al1 t7 Witness Date 3:43 Ann Time Place OIC Form III-226/2 (04/23/07)Non-Custodial/Employee EFTA00132219 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: Terc (t-ei e rev the5t e Cr A4 A/4.0 Aner COkftwres. 0115 con,O K c-4- This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of ant, kind fine kinen impel nominee nip 7 -"Th Office of the Inspector General Employee's Signature S ecial A ,ent Valhi \\ Date iczio err. 5ONY Time Place OIG Form 111-226/2 (04/23/07) Non-Custodial/Employee EFTA00132220 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertai9is to: refere -€ ta- 0+-el At rt. velt i s Ai I pet tun_sna.4 et 5 c 0 4.,O_ ct This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Office of the Inspector General Einpl6yee'Anatdre NM i I Wi ens 6Z Date roltnn Time Place OIG Form Ill-22612 (04/23/07) Non-Custodial/Employee EFTA00132221 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: C: r1/44.-44•Ac t s I• •.er.n. %Jr o sec-ct"i eget:" This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Office of the Inspector General Employee's Signature Witness Date d 941:: '1 . exl Time Place 016 Form 111-226/2 (04123107)Non-CustodiallEmployee EFTA00132222 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: -reirc .a5tti I favVes-hc firt v")" This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Mike of the Inspector General Special Agent 81IA,111 lkit‘CSS Date (cc>, ex-\ Time Place 016 Form 111-226/2 (04/23/07) Nos:Custodial/Employee EFTA00132223 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: cfre 7 •te 54-e. vs+od y lwvcsi.7 ek.4;.evN q550c:“<c) Cnoi cite- tircs col a u This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary procccding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Office of the E P Yee VaN,if et Witnes Date 517tVy Time Place OIG Form 111-226/2 (04/23/07)Non-Custodial/Employee EFTA00132224 90A-NY-3151227 Serial 67 FD-302 (Rev. 5-8-10) -1 of 1 - FEDERAL BUREAU OF INVESTIGATION Date of entry 08/29/2019 Pursuant to a Proffer Agreement, EFRAIN REYES was interviewed at the Southern District of New York (SONY), 500 Pearl Street, New York, New York. In attendance for the Proffer interview were Assistant United States Attorney(AUSA) , FBI Special Agent (SA) , FBI Task Force Officer Detective , Office of Inspector General SA • After being advised of the identity of the interviewing investigators and the nature of the interview, REYES provided information relating to the investigation. REYES was JEFFREY EPSTEIN's cellmate at the Metropolitan Correctional Center (MCC) in the Special Housing Unit (SHU), L Tier, Cell 220, until August 9, 2019. (See attached notes taken by AUSA hwastiptionon 08/16/2019 at New York, New York, United States (In Person) File # 90A-NY-3151227 Date drafted 08/28/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. 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Ay\ \ANAL WO OW Ca See- cithet • M AA (MI flr1M4 At (tt 3D HC, kOift") ° 4- 4- ONetcx, +(rt._ tt)c + cod k&Ary‘ • —0 oN,-. !elfst7y- ty14 Zy s.,144 AAI%-gnt were. \me\se") \ovc‘ s KolSV l' l \ O61\rt 1 11 V e ti 7Nr e`' 1O\A ( \ PC S C1 L •-• (7.% i t W- - 3 oteti Iveicrow act , csM1 9./3- vvtiva.-3 *2.70 -cfeAs± *50 - -0 —44 —to —to —44 -0 -0 -49 '40 -44 EFTA00132233 -4 LL6 trot r)s-244. i -i-IU - putt ot ',kir Ppinb -4. - COMerAA OGIA4kril Pkilitt -, *a Sem oi pet 14.Of>te,t --(r- vkaatvesfn eitive•ACc Avivikauck cot4 2P-I Met ,-timinAn --. _a. -avvistAvAitettvm. cfrbioi\A I- se iwve 6.A. -.-0(4 %-yv IA R4 ter/keicvntf - : - cotsraA vvj zt...t 5 NvteinA -'w -- Is1AACtar S.4: II S1v iwk- . -"a - nia,\Av-4,,,,4,- -1-4, 1-it. 'T — subs Crleten vt5 -4 - (1,14eirvte,L3 -s cmakrAma cory‘u- cAtuvtd avvvt_ braclovi - ayeA becAn vtUt-o (4, 4I clitymi let lomat+ 40 bnvivaitacil -bits co hipsel EFTA00132234 90A-NY-3151227 Serial 68 FD-1057 (Rcv. 5-8-I0) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Electronic Communication Title: (U) Return of Property belonging to MICHAEL Date: 08/29/2019 THOMAS From: NEW YORK NY-C19 Contact: , 212-384-8275 Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) Return of property to SHANNON FARRAR, Defense Counsel of MICHAEL THOMAS Enclosure(s): Enclosed are the following items: 1. (U) FD-1004 2. (U) FD-597 Details: On August 28, 2019, at approximately 12:32 p.m., Special Agent (SA) returned the below property to SHANNON FARRAR, Associate at the LAW OFFICES OF MONTELL FIGGINS, business address 17 Academy Street, Suite 305, Newark, New Jersey, telephone number . The property belonged to FARRAR's client, MICHAEL THOMAS: (1) APPLE iPhone XS, IMEI The signed FD-597 is included in the lA section of this report, as is UNCLASSIFIED EFTA00132235 90A-NY-3151227 Serial 68 UNCLASSIFIED Title: (U) Return of Property belonging to MICHAEL THOMAS Re: 90A-NY-3151227, 08/29/2019 a copy of the FD-1004 Chain of Custody. Due to the permanent return of item 1844 to the owner's lawyer, SA Wheeler requests the FBI New York's Evidence Control Unit change the status of evidence item 1844 to reflect its permanent return. .• UNCLASSIFIED 2 EFTA00132236 RD-1004 FEDERAL BUREAU OF INVESTIGATIO: imam I Rev. 7-7-2016 EVIDENCE CHAIN OF CUSTODY I E8516336 Evidence Type: • General El I )riip III }- ire:trill! , V, Call011 Ilan F K nigital is V al uables 0 Firearms Other Special Handling Instructions Initial Receipt Date and Time • I IAZMAT • talents M FGJ Signature of Seizing In. El Req. Charging M Freeze 0 Refrigerate Printed Name/Agency: 1' ft6)iq M Biohazard Reason: Initial Collection I I !ookey M Other Collected By: SA Agency: trai Relinquished Custody Date and Actepted Custody Date and Time Time Signature: Z .,tic Signature: ,16 Printed N; 144 Printed N. /1V1 6 Reason: Reason: Relinquis Datum's! Accepted ate and Time im kik) Signature: PI I Signature: Printed N Printed N r, „. tyy: L. Reason: ' Reason: Relinquis Date and Accepted ate and Time ime Signature: % z A C Signature Printed N: .345-i,04 Printed N Reason: Reason: Relinquis Date and Accepted . ate and Time Time Signature: y Signature: 1248,14) Printed NameJAgency: Printed N Reason: i 2:32.1vj Reason: Relinquished Custody Date and Accepted Custody Date and Time Time Signature: Signature: Printed Name/Agency: Printed Name/Agency: Reason: Reason: Relinquished Custody Date and Accepted Custody Date and Time Time Signature: Signature: Printed Name/Agency: Printed Name/Agency: Reason: Reason: MT Trace Form Completed: 0 Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABI): Printed Name: NCIC: ❑ Signature: Date: casc ID: ?We-NY • yes I 2,27? Barcodc: ,6 5/ 6 / 5 6 . This form is incomplete without reference to the FD-/087. EFTA00132237 PD-597 (Rev. 4-13-2015) Page I of UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION Receipt for Property Case ID: GOA I On (date) if 2-1126t41 (232 k vs item (s) listed below were: Collected/Seized Received From Returned To (Name) (Street Add (City) Description of Item (s): () Dripti Ric Put AS IMEt 14 111 Received By: Received From: Printed Nameff Printed Name/Titles EFTA00132238 90A-NY-3151227 Serial 69 FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 08/30/2019 The following interview was conducted by Assistant United States Attorney (AUSA) and Office of the Inspector General Special Agent (SA) also present for the interview was Federal Bureau of Investigation SA , date of birth , was interviewed at the United States Attorney's Office, , New York, New York. After being advised the nature of the interview and the identities of the interviewing AUSA and SA's, provided the following information; stated he had worked for the Bureau of Prisons (BOP) since approximately January 15, 2001. Prior to employment with the BOP worked for the Building and Maintenance Union, the Marine Corps Reserve and the New York Police Department Auxiliary. stated he joined the BOP as a Corrections Officer and was promoted to Lieutenant (GS9) in October, 2015. He spent one year at the Federal Correctional Institution (FCI) Fort Dix when he first joined the BOP and had spent the remainder of his tenure at the Metropolitan Correctional Center. Captain was his supervisor. stated a GS9 Lieutenant's responsibilities depend largely on which area of the prison he or she was assigned to, which rotated on a quarterly basis. Those duties include operations, activities, solitary housing, special investigations and administration as well as possible collateral duties such as emergency protection. stated he was assigned as the activities lieutenant at the time of the interview and worked the regular 2PM to 10PM shift. His regular days off were Mondays and Tuesdays. He would on occasion work overtime hours or switch shifts with other officers. As there were no activity lieutenants assigned during the overnight hours, he had no relief officer. imtmiptionon 08/21/2019 at New York, New York, United States (In Person) File# 90R —NY-3151227 Date drafted 08/30/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132239 90A-NY-3151227 Serial 69 FD-302a (Rev. 5-8-10) 90A —NY-3151227 Continuation ofFD-302 of ( U ) Interview 0: ,On 08/21/2019 ins, 2 of 4 stated the responsibilities of an activities lieutenant include making rounds and placing inmates in special housing. During rounds they ensure officers are properly carrying out their job responsibilities and give the inmates the opportunity to address them with any concerns. stated he often attempted to walk all of the tiers based on time. stated on weekdays the prison takes a count at 4PM. The activities and operations lieutenants take a verbal count by speaking with each unit and match that number with the count slips from internal, if correct they clear the institutional count. They cannot clear a count until they receive a good verbal count from every unit. He was not aware of any instance in which the count was cleared without speaking with every unit. stated he would attempt to watch the camera monitors as the corrections officers performed the count to ensure officers were properly counting, he could not monitor at all times due to the amount of activity in the control room. stated he was normally relieved before 10PM, prior to evening count. He had heard of an instance where the count was not properly completed, but it had been some time in the past. stated as a lieutenant he worked to enforce policy through verbal counseling and by example. Taking the count is one of the most important duties corrections officers perform as professionals. stated the special housing unit (SHU) is responsible for doing rounds every thirty minutes. As a lieutenant he would sign round forms if they were correct. He had never signed off on forms that were filled out in advance and would report any instance of that to his supervisors if he was aware of it. He trained officers to differ their round patterns so inmates would not be aware of their timing. stated he had heard stories of officers not completing their thirty minute rounds in the SHU, other than the JEFFREY EPSTEIN death he had not heard of any instances for approximately five to ten years. stated he recalled suicides taking place in MCC in 2003 and another several years later. EFTA00132240 90A-NY-3151227 Serial 69 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of ( U ) Interview of ,On 08/21/2019 ins, 3 of 4 stated he was on duty the night EPSTEIN was brought to MCC. He was received at the rear gate and observed him being processed in. At the time of his arrival EPSTEIN was deemed ok to go to general population, was unaware of his high profile. stated he knew EPSTEIN to be in visits often with his legal counsel, often until 7-8 PM. Other than the intake questions EPSTEIN answered on his arrival, had no other personal interaction with him. stated he was not involved officially in regard to Epstein's first alleged suicide attempt. His only other involvement with EPSTEIN was to bring him food while in the SHU. stated he was aware EPSTEIN had been moved back to the SHU and that he was required to have a roommate per a mass email he had received. stated he did not have any conversations with anyone regarding Epstein's need for a roommate. stated Lieutenant was the SHU lieutenant. He believed Lt. would have known EPSTEIN required a roommate as it is a regular responsibility. He believed Lt. would have enforced the roommate rule. stated he had worked the 2PM to 10PM shift on August 9, 2019. He was relieved around 9:50-9:55 PM that evening. He was not aware that EPSTEIN did not have a roommate. He did not know REYES, EPSTEIN's former roommate, had left MCC leaving EPSTEIN without a roommate. found out the following morning. He had been working as operations lieutenant that evening, had been working as activities lieutenant, she had made the rounds. stated if he had known EPSTEIN did not have a roommate he would have ensured he did, as he knew him to be on the hot list. stated the following morning, August 10, 2019, at approximately 6:30-6:45 AM he received a call from Lt. informing him that EPSTEIN had attempted suicide and he should go straight to the hospital instead of reporting to the jail for duty. stated at the hospital the escorting staff informed him the EPSTEIN had passed away. He saw his body and told his officers not to speak EFTA00132241 90A-NY-3151227 Serial 69 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of ( U ) Interview o ,On 08/21/2019 mg, 4 of 4 to anyone and direct any questions to the prison public relations officer. He said the same to the hospital security. stated Officers and were on scene at the hospital. stated he had not taken any photographs of EPSTEIN'S body and advised his officers to stay with the body until they could be relieved. stated back at the prison he resumed his activities as lieutenant and was guided to collect log books and escort FBI Agents as part of the death investigation. stated he was not aware of the destruction of any records. stated he knew Officer THOMAS for a few years and knew Officer NOEL as a newer officer but had no personal relationship with either. EFTA00132242 VIMMILKSMINOMMWS wet litilli lliGUQUIVI• 11‘14.444 411 /tic _sivt irk 11111111111 230r 14 ?moo /, /9;en.- ith" (FAA m400 4. 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Al J U U U Ul Udall UU U ,v, - ____Adah4.4_t_eAllu a r_J-- sic- peel- n 04111 eal ik te!tad s LA. c.-J .44. j AAA nil A.,1 a 1h 074 '2 am, Lab g i ft a 71-0 en-5112-e-1 cti ci.AV 1-- e ccu-- /• /41- War-f oG AtexAS • ' ;71, lb ( msh-teui 444 tAr ovi EFTA00132248 90A-NY-3151227 Serial 70 -1 of 2 - FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 09/03/2019 Date of Birth (DOB) , Place of Employment BUREAU OF PRISONS, Position Corrections Officer, was interviewed by the Southern District of New York (SDNY) Assistant United States Attorney (AUSA) and AUSA on 08/29/2019 in Room 645 at New York, New York 10007. Also present for the interview was Office of Inspector General (OIG) Special Agent (SA) and Federal Bureau of Investigation (FBI) SA After being advised of the identities of the interviewing personnel, and the nature of the interview, voluntarily provided the following information: advised that he finished his college degree in criminal justice in 2017. Prior to his current position with BOP, he served as security for TOP GOLF in New Jersey and BLOOMFIELD COLLEGE. joined BOP on 06/09/2019. He's worked in the following units: 11 North (N), 11 South (S), 9N, 9S, 7N, 7S, and 5S. advised that since he is relatively new to BOP, he's unable to bid on a unit. Generally he is on the morning watch from 12 a.m. - 8 a.m. or the day watch from 8 a.m. - 4 p.m. added that he has also worked a lot of overtime since working with BOP. There is no specific training for the Special Housing Unit, hereinafter referred to as the SHU. also never received training on suicide prevention. worked units 9N and 11S the most. He was usually "on the grill" for SHU 2 or SHU 4. He also worked 30 minute rounds in the SHU. Although he never officially handed in the sheet after rounds, he was being taught how to properly fill out the form from senior officers. explained that 30 minute rounds were done in the SHU during day watch. Day watch count was done at 4 p.m. was usually leaving, but he would help with the day watch count. On weekends this is done at 10 a.m. but never worked weekends in the SHU. invcsuptionon 08/29/2019 at New York, New York, United States (In Person) Nett 90A-NY-3151227 Date drafted 08/30/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132249 90A-NY-3151227 Serial 70 FD-302e (Rev. 5-8-10) 90A-NY-3151227 Continuation of FU-302 of (U) Interview of a 08/29/2019 ,page 2 of 2 Personnel on day watch always rotate. knows because they grew up on the same block in Brooklyn. He is light skin and shorter than On 08/09/2019, worked "dry cell" and observed one person. After this he worked from 8 a.m. - 4 p.m. in the SHU. This was also "shower day" so there was a lot of movement involving approximately 70-80 people. was assigned to give out toiletries. He didn't know EPSTEIN at the time but he knows him now because of everything surrounding the situation. Otherwise, doesn't follow the news. also knows "G" and "SHAQ". He's worked with these individuals in the past but can't remember specific instances. did not know REYES and doesn't remember REYES leaving and EPSTEIN needing a cell mate. EFTA00132250 EFTA00132251 t-vy ••ah-la.46/ • >, r, f 707 1° C7'nn vat" et.7 IPM ar 10 /I Alt net P b4'- 7 2 1 ti yeA 1m .0 ( a'', 2 f ."' or ryw m+ 3-4 rb -Ir.(' /VZ- SS ‘,--friw II ,pc-n /i 9 ch7y k. • ty ter fir -41 to r'" )85 \y."^c"'.-) c 1. 9- -Deal) 01 z EFTA00132252 7 -^^,-^°w r ci ,F ) , C, e ,n,...^.11,51 if "# 441 -` b45' 1. -zi L /3 '.7r -ftibt p7 5- -b.-.,/ 0,... calf -,-ubr ter0.4 fnr .f,,.... 4.,-,1 , 4 ..., ev r , nm ("e--7--."icy #''y co "i•• <Ass/ y tenr,fiarrn %A., r -'- e-1 cti .>: dr l e i 0 eel t F.... ci f .i nf loan dli p 4, r 171 tni iv") 1-7-4 -e r-'1,,,to .-0 --ir imis '4' 1'7"--,-, eve Am -)---up cr--4-, ‘..., t•t• a c- -r- at" I,- tien _ ^ tli •-••• its--.) t„e tn.,ati r , ki y 7 Lis f i r Cr2-7 d>4)Nat - 9 4,1,17 Crov t rya") ns•1s .., el (r"°-' , µa co t r VI / 0 b / I P °k ir ...'-f \ t' I I .. d C i .a. in 1 r frnl Ny-or I L t "nn. ill + oeL EFTA00132253 -tr ip?) -s(-7-07,4 Gy /3 i in r -71 „...7 4-7-7re-i 1.., go.r, rt. r}el eI frill ) int() ..,, ,ieI f „. }pi t ( 09 ,..7 e., _toe 4._ e en, 7-.etnd op - 0 .. f ''eml, 5 i, .......7 -nr---../ ....e t, ci,re-e. - I , as, c c fm•-• no/ r, .4 ere - rhic i 'yr -WY Aiib y' -f' ' 17 el-fk 'is c-Ai 'M 'gar r'''' -)7 — 1 "&rt mrr f°46 -- ei t;e 1 P _ 90A-NY-3151227 Serial 71 FD-302 (Rev. 5-8-10) -1 of 3 - FEDERAL BUREAU OF INVESTIGATION Date of entry 09/03/2019 Date of Birth (DOB) , Place of Employment BUREAU OF PRISONS, Position Lieutenant, was interviewed by the Southern District of New York (SDNY) Assistant United States Attorney (AUSA) and AUSA on 08/29/2019 in Room 645 at New York, New York 10007. Also present for the interview was Office of Inspector General (OIG) Special Agent (SA) and Federal Bureau of Investigation (FBI) SA . After being advised of the identities of the interviewing personnel, and the nature of the interview, voluntarily provided the following information: Prior to employment with the Bureau of Prisons (BOP), was a paralegal at SKADDEN Law Firm. He worked litigation, pro bono, mergers and acquisitions for approximately ten years. has also been an enlisted NAVY Reservist for the last twenty years. was employed as a Corrections Officer with BOP in June 1999 at the Metropolitan Detention Center, hereinafter referred to as MDC. transitioned to the BOP Metropolitan Corrections Center, hereinafter referred to as MCC, on 10/05/2013. He was later promoted to the rank of Lieutenant on 07/08/2018. was the Special Housing Unit's, hereinafter referred to as SHU, Lieutenant for approximately 90 days since Lieutenants rotate throughout MCC every 90 days. Accoring to , his duties and responsibilities were as follows: - Control max wing (10 South) and oversee the regular SHU - Supervise employees - Control moves - Oversee Segregation Reviews, hereinafter referred to as SROs invcsfiptionon 08/29/2019 m New York, New York, United States (In Person) Nett 90A-NY-3151227 Date drafted 08/30/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132254 90A-NY-3151227 Serial 71 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation of FD-302 of (U) Interview of 08/29/2019 ,page 2 of 3 - Ensure inmates are given "what they have coming" - "A lot" is generally the Monday - Friday 6 a.m. - 2 p.m. shift supervisor. advised that there is mandatory quarterly training in the SHU program for BOP emnployees. He also reviews 292 Forms which track an inmate's meals, recreation, medical attention, and showers. 292 Forms populate the BOP system, BOPware. Every SHU inmate has an associated 292 Form as long as they're in the SHU population. Once they rotate to another population the form is invalid and no longer exists. Medical personnel visit the SHU twice a day for rounds in the mornings and evenings. regularly audits 292 Forms from the previous day. advised that accountability of inmates is important. He never caught anyone intentionally not doing their job. also reviews "round forms" and searches for red flags. These could be missing spaces, missing signatures, etc. If caught, approaches the individual and requests an explanation. was the SHU Lieutenant when EPSTEIN was assigned. EPSTEIN wasn't originally in the SHU. advised EPSTEIN was in 10S lower, this population is for inma tes not on 10S but high profile. EPSTEIN was assigned to cell 201 in the SHU. During their first encounter, EPSTEIN asked "am I going to get out of here?". remembers EPSTEIN frequenting the attorney conference area for long periods of time. advised that at one point during the beginning, at a meeting with MCC executive management, they wanted to house EPSTEIN with a bunkie. doesn't recall exactly who requested this action however he remembers they were trying to identify an inmate. Ultimately, they decided to house EPSTEIN with TARTALIONE. wasn't asked for his input and followed executive management orders. There was an incident on 07/23/2019 between the two, but it didn't occur on shift. He heard about it the next day. Lieutenant completed the 583 packet, which included memos and photos resulting from the incident. recalls interacting with EPSTEIN on watch. EPSTEIN stated "I don't want to be here" and "I'm not going to hurt myself". also remembers EFTA00132255 9OA-NY-3151227 Serial 71 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation of FD-302 of (U) Interview c-,1 .On 08/29/2019 ,page 3 of 3 feeding EPSTEIN. The BOP psychologist said that EPSTEIN must be housed with a cell mate when he returned to the SHU. provided cell mate recommendations but they were still deciding on an individual when left the institution that night. called to ensure that he received a bunkie. BOP decision- makers chose EFRON REYES. e remembers EPSTEIN requesting to make a phone call to his daughter. doesn't do phone calls because he is unaware of every inmate's restricted contact list. informed his direct subordinate that EPSTEIN needed another bunkie. They were short staffed that day. replied with "M I got it". The next morning he had a bunkie. Inmates receive bunkies when they come off suicide watch. It's common practice in BOP. This is clearly communicated in suicide watch training, it's posted throughout the area, and it's also institutional knowledge. EPSTEIN had a bunkie on 08/08/2019. is unaware of anything other than that because he wasn't working. REYES was EPSTEIN's bunkie when left work. EPSTEIN was down in an attorney conference as well. communicated the message regarding a bunkie to . He didn't speak to anyone else about it because he expected to disseminate it to his subordinates. There were no other emails, or communications, regarding the matter. The message was spread by word of mouth. advised that Corrections Officer THOMAS and Corrections Officer Noel know that inmates on suicide watch are housed with a bunkie. If EPSTEIN were spotted alone in his cell, expects that it would be reported to the shift supervisor. If an inmate left "WAB", would still expect his corrections officers to notify him of the vacancy. noted that they were short-staffed. also advised that Corrections Officer THOMAS didn't receive the training. EFTA00132256 EFTA00132257 -A *-1 ( st-9 r owe 1\a -4,? ?c, A -note's- eni -1"-S-• raw o 4 `rot) Cv '`'‘ )11--14 j kr-2 d r-I 1 n.le-- 0 y.A7 r 4,0 cb inc., ^is - -t? 1,-) 6-441 rn i - N. --/, 17 G-rt• 4 4.17-zpit _L-7 ).-1-01 )7 vv k--- t i e lila, ) d vs/ a (- ez .--ri en Q ) AN i `- `143--, 4‘,5I ) r-4 ,4 0z _ Cr\n/ _fc•4-24,--ti .......s (Twin) t4 2) l—vy c•.1, yle 4- Mt -) •'q 6 .1 sdlir r Orel 4 r/h of i.....\ y,4 • (v'i'l` Yi f D I 'te r a".1) 1 - 1 -, ri 4 .2 ) r•-‘4 4-4 rng If ; del/ bzo ' zA9 -z-M EFTA00132258 ( e rt rrA4 7 'C- -e 0-1 ertaj •••••• L...Thy .r." 7a e .#07 •-z t,7. cf., viz, --z. rc,-z, -0 n4.....) rj tail.. Tn. 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Present at the interview was Office of the Inspector General (OIG) Special Agent (SA) , Assistant U.S. Attorney (AUSA) , and FBI SA . After being advised of the identity of the interviewing Agents and the nature of the interview, DR. provided the following statement: DR. is the Chief Psychologist at the Metropolitan Correctional Center (MCC). Her background includes: a Bachelor's degree in Criminology, a Master's in Mental Health Counseling, a Master's in Clinical Counseling, and a Doctorate. DR. was the staff psychologist at East Jersey State Prison for two years, she completed a one year Post-Doctoral Fellowship, an internship working at an in / out patient mental health treatment center, and she did an externship at Federal Detention Center in Miami working with a battered women's program. DR. worked as a staff psychologist at the Metropolitan Detention Center (MDC) Brooklyn from 2003-2006, and as a Forensic Psychologist from 2006-2008. DR. has been the Chief Psychologist at MCC for the last 11 years. DR. oversees three forensic psychologists, one staff psychologist, a drug abuse coordinator, and a drug treatment specialist. Her duties include ensuring all patients are seen and the appropriate documentation is completed. She consults on individual cases as needed. She ensures the forensic reports are out on time. She reviews all the reports she signs off on. At this time, DR. is seeing more patients then she normally does due to staffing. Her typical hours are 7a.m.-3:30p.m., Monday - Friday. DR. provided information on the intake process as it relates to Psychological Services at MCC. All inmates complete the Psychological Services Intake Questionnaire (PSIQ) themselves. It asks for the inmates invcstigationon 08/29/2019 at New York, New York, United States (In Person) File# 90A-NY-3151227 Date drafted 09/03/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132264 90A-NY-3151227 Serial 72 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of (U) Interview of x on 08/29/2019 ins, 2 of 8 mental health history, as well as any symptoms they are feeling at that time. Based off the PSIQ, inmates are rated a 'Care Code' rating. Code 1 means there are no concerns about the inmate's mental health status. They have no needs, and will not be followed up with unless requested to by either the inmate themselves, or staff. Code 2 means there is some history of mental health issues, but the inmate has them under control. Psychological Services will follow up with these individuals monthly. Code 3 are more severe cases and they are seen every week by Psychological Services to ensure the inmate is stable. If the inmate isn't stable in general population, they will be moved to observation. If they continue to deteriorate, they will go to the hospital. Code 4 inmates are seen everyday by Psychological Services, and are under constant psychological observation. DR. pointed out that a Code 1 can be on Suicide Watch. Often times those cases involve manipulation techniques used by inmates to get what they want from staff. For example if an inmate is not getting along with a guard, or they want a new cellmate, they will claim to be suicidal to get out of their housing area. If an inmate does this two or three times, they will be bumped to a Code 2 so that a psychologist will meet with them monthly. Suicide Watch means an inmate is imminently suicidal. If an inmate is placed on suicide watch they are under constant watch by staff, they have a special mattress, blanket, and smock to wear,and their cell lights are on 24/7. Suicide Observation is a lower classification, and is not at all Bureau of Prison (BOP) facilities. Everything is the same with suicide observation inmates, except they are allowed to have their clothing, and some materials such as books. Suicide Watch can be detrimental if a person is left on it for too long, so Observation is used to see how an inmate is doing before releasing them back to general population. Any psychologist at the jail can take an inmate off of Suicide Watch, but they do consult with DR. on occasion. Many times the executive staff EFTA00132265 9OA-NY-3151227 Serial 72 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of (U) Interview of a 08/29/2019 ipage 3 of 8 at the jail meet, and inmates' psychological status and services are discussed. Meetings are held on Mondays, Thursdays, and Fridays. Generally present at those meetings are DR. the Warden, two Associate Wardens, Captain, Supervisory Attorney, Duty Officer, and the Executive Assistant. Department Head Meetings are held on Wednesdays. DR. II completed the PSIQ for JEFFREY EPSTEIN on July 8, 2019. EPSTEIN did not mark anything on his PSIQ, and had it not been EPSTEIN, he would have been sent to general population and rated a Care Code 1. DR. consulted with DR. ROBERT about EPSTEIN's risk factors aside from his psychological health including the high profile case and sex offense charges. When EPSTEIN returned from court that day, DR. ordered he be placed on watch status to allow psychology to complete a thorough suicide risk assessment. (See Reference #1, attached to this report in a 1A, for further details.) DR. completed the Suicide Risk Assessment the next day. EPSTEIN was angry he was placed on observation, but he continued to report no history of suicidally, no substance abuse, no major medical concerns,and no overt risk factors. EPSTEIN was polite but annoyed with DR. EPSTEIN was kept in observation pending a suitable housing placement given his risk factors of being an alleged sex offender, high profile crime, and having one living brother/relative. She quoted EPSTEIN as saying "being alive is fun." DR. believed it was a genuine statement. (See Reference #2, attached to this report in a 1A, for further details). DR. provided the interviewing Agents with a copy of the Suicide Risk Assessment which was placed into this case as Reference #3, attached to this report in a 1A. On July 10, 2019 DR. met with EPSTEIN in Observation. EPSTEIN was still in Observation due to housing concerns. He continued to be psychologically stable at that time. EPSTEIN was aware even if he got bail, he would be at MCC for several more weeks. EPSTEIN made several demands and voiced many complaints to DR. which she passed onto executive staff. EPSTEIN's cellmate for the Special Housing Unit (SHU) was decided by the Warden and Associate Warden. DR. was not included on that decision. Her thought was the decided upon cellmate, TARTAGLIONE, had a lot to lose EFTA00132266 9OA-NY-3151227 Serial 72 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of ( U ) Interview of on 08/29/2019 mg, 4 of 8 given his history and charges, which made him low risk to EPSTEIN. On July 11, 2019, EPSTEIN was taken off observation and housed in the SHU. DR. met with EPSTEIN in the attorney conference rooms that day because EPSTEIN was there all day. Both EPSTEIN and his attorney were mocking DR. for thinking EPSTEIN was suicidal. EPSTEIN continued to make demands such as wanting to wear a brown uniform to his attorney meetings. DR. continued to pass those concerns onto the SHU On July 16, 2019, after EPSTEIN's bail hearing, he called for DR. to come to attorney conference. EPSTEIN didn't report any psychological concerns, but chastised her because his needs weren't being met. DR. felt EPSTEIN thought of her as his personal assistant. EPSTEIN requested a Kosher diet, which she again passed on. On July 18, 2019, a SHU review was attempted on EPSTEIN, but he was not seen because he was in attorney conference. On July 23, 2019, DR. received a phone call regarding EPSTEIN because he was found in his cell with a loose noose around his neck and had been placed on Suicide Watch. She ordered a suicide risk assessment be completed on him. DR. completed the Suicide Risk Assessment later that morning. During the assessment EPSTEIN told DR. he did not remember what happened. He denied suicidality, had future plans, he wanted to learn, he wanted to fight his case, and he was "acting like a big kid." DR. learned that EPSTEIN had told staff that his cellmate, TARTAGLIONE, had tried to kill him. DR. kept EPSTEIN on Suicide Watch. DR. had three hypotheses, in no particular order, regarding what this incident meant: 1.) It was gaming by either EPSTEIN, TARTAGLIONE, or both, meaning there was something they wanted that they weren't getting, so this was how they were going to play the system to their advantage. 2.) It was a rehearsal by EPSTEIN, who really was suicidal. 3.) It was an assault committed by TARTAGLIONE. On July 24, 2019, DR. met with EPSTEIN. EPSTEIN reported he was EFTA00132267 90A-NY-3151227 Serial 72 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of (U) Interview of i on 08/29/2019 ins, 5 of 8 fearful to return to his cell with TARTAGLIONE because TARTAGLIONE had called him a pedophile. EPSTEIN reported TARTAGLIONE had been playing with a bedsheet before EPSTEIN fell asleep, and then next thing EPSTEIN remembered was waking up snoring. EPSTEIN denied being suicidal and reported being unhappy with his legal situation. He had been eating, drinking, and sleeping. DR. took EPSTEIN off Suicide Watch, and placed him on Psychological Observation. At that time, DR. was not any clearer on which of her hypotheses might have been true. EPSTEIN could have been using his charm to create doubt about what happened. Psychology had not been contacted by EPSTEIN's attorneys with any concerns regarding his mental health. On July 25, 2019, DR. met with EPSTEIN, who was in good spirits and greeted her by saying "welcome back." DR. confronted EPSTEIN on the attempted suicide incident in an attempt to get answers. EPSTEIN said he was baffled over it, and told DR. to give him some cues to help him remember. He continued with his requests and complaints, and did not want to go back to SHU. EPSTEIN told DR. "I have a life and want to go back living my life." DR. kept him on Observation because her questions had not been answered regarding the suicide attempt. After a conversation with DR. the National Suicide Prevention Coordinator from Central Office, DR. got involved in EPSTEIN's housing. DR. recommended housing EPSTEIN with a sex offender in SHU, which DR. passed on via email to executive staff. (See email in Reference 16, attached to this report in a 1A.) On July 26, 2019, DR. met with EPSTEIN. EPSTEIN said he needed to establish trust with DR. He continued with complaints and jokes, making reference to DR. being Jewish like him. It is against the Jewish religion to commit suicide. EPSTEIN said he did not like pain and didn't want to hurt himself. EPSTEIN had been interacting with the companions assigned to him regularly. On July 27, 2019, DR. met with EPSTEIN, who was anxious about going back to SHU due to the fact he did not know how he got the marks. EPSTEIN did not answer DR. questions about that night. She had begun working more therapeutically with him, and provided him with handouts to cope with EFTA00132268 90A-NY-3151227 Serial 72 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of (U) Interview of jm 08/29/2019 page 6 of 8 housing. LT. investigation into a possible assault regarding this incident still had not returned any answers. DR. kept EPSTEIN on Psychological Observation. On July 28, 2019, DR. met with EPSTEIN, who appeared the same. His logbooks showed no signs of suicidality, and he was participating in his legal meetings. There had been no contact from EPSTEIN's legal team regarding any mental health concerns. On July 29, 2019, DR. visited EPSTEIN. EPSTEIN expressed that he would like to stay in Psychological Observation because it is "safe." EPSTEIN had been requesting his CPAP machine so that he could get a good night's sleep. Due to the machine having a cord, this could not be accommodated in Psychological Observation. EPSTEIN was given a choice to stay in Psychological Observation one more night without it, or go to SHU with it. He chose to stay in Psychological Observation one more night. DR. consulted with executive staff prior to this decision. On July 30, 2019, DR. transitioned EPSTEIN back to the SHU. DR. sent an email updating the appropriate staff of EPSTEIN's transition off Psychological Observation and the need for him to be housed with a cellmate. (See Reference 47, attached to this report in a 1A.) DR. discussed the importance of SHU inmates having a cellmate for the following reasons: 1.) decreases isolation 2.) decreases privacy 3.) provides a distraction 4.) provides a rescue opportunity At risk settings for inmates include restrictive housing, single cells, and private spaces. SHU employees receive training on suicide prevention quarterly. All employees receive suicide prevention training once a year. DR. provided slides from MCC's suicide prevention training to the interviewing Agents, referred to as References #8 and t9, attached to this report in a 1A, which highlight the above information. She stated all EFTA00132269 90A-NY-3151227 Serial 72 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation of FU-302 of (U) Interview of .On 08/29/2019 ,page 7 of 8 lieutenants should be aware of the cellmate policy both due to the training regularly provided, and Psychological Services constantly reminding them of the procedure and needs of specific inmates. DR. noted after EPSTEIN's death, his old cellmate's label was still on his door. That is one of the things the psych department looks for in their daily rounds in the SHU - that there are two bodies in each cell. DR. was aware that DR. attended the closeout meeting that week, and discussed EPSTEIN's desire to have a single cell, but his need for a cellmate. DR. was unaware regular rounds by the correctional officers were not being completed. She is considered executive staff, so officers would not tell her they were not being completed, and inmates wouldn't tell her because of fear of retaliation by the guards. DR. noted LT. is very regimented, and regularly does what she asks. DR. was not aware that EPSTEIN signed a new will on August 8. Had she known, it would have been considered a red flag, and EPSTEIN would have been placed on Psychological Observation. The attorneys did not tell anyone from Psychological Services that it had occurred. On August 8, 2019, DR. attended the SHU meeting. She couldn't recall all who was there, but it included unit team members, executive staff, and attorneys for MCC. Nothing significant was discussed about EPSTEIN at the meeting. She conducted SHU rounds to see EPSTEIN. He had a cellmate at that time, and EPSTEIN had the lower bunk. He didn't have any visible problems, appeared in good spirits, and reported getting along with his cellmate. He had received his PAC number which allows him to make phone calls, and he asked for his books from Psychological Observation. DR. never suggested a cell room with a camera for EPSTEIN because she wanted him to have a cellmate. Rooms with cameras aren't always perfect due to the guard having to maintain a constant eye on the camera screen. She noted she has never gone to attorney conference for any other patients / inmates. She believes MCC Psychological Services did all they could for EPSTEIN, and ultimately the lack of a cellmate and understaffing contributed to his death. Three suicide risk assessments were completed on EPSTEIN, which is unusual. One of those was completed due to a judge's order. 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Data Source(s) The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SE TRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arrivi g at MCC-NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnaire. Mental Health History and Current Symptoms No history of mental health issues was noted. No history of prior mental health treatment was noted. No current mental health symptoms were noted. No suicidal ideation, attempts, or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant PsychosocIal History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months f or prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was lising in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarcer ion. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex tr fficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as w II as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported he was not currently interested in any treatment programs. MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He Was fully cooperative, maintained good eye-contact, and related in an interpersonally appropriate manner with interviewer. Speech and thought processes were organized, coherent, logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as reflected by adequate long and short-term memory, good attention, and appropriate concentration duri g interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances nd described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or pia and contracted for safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helples or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors or attempts. This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping Skills and facilitate adjustment to incarceration. Findings Care Level: CARE1-MH Generated 07/082019 0920 by Bureau of Prisons - NYM Page 1 of 2 EFTA00132279 Inmate Name: iiialFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Unit Team: A&O Date: 07/08/2019 09:24 Provider. syD/PhD Inmate EPSTEIN denied any history of mental ea symp oms or treatment. He denied any current men health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Car Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated th a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychol0gy services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by on 07/08/2019 09:30 Generated 07/08/2019 09:30 by Schlessinger. K. PsyO/PhD Bureau of Prisons • NYM Page 2 of 2 EFTA00132280 OEN Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Risk of Sexual Abusiveness Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/2011953 Sex: M Fadll NYM Unit Team A&O Date: 07/0812019 09:35 Provider: Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due t. previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following o 'ective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was se by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical nisei, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he underst ds the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were asse ed and ( ) History of prior sexual victimization in prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at (X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of s xual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment Inmate Epstein declined programming recommendatio s.The Inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at Increased risk for slexual victimization. Psychology also recommends a greater level of supervision regarding his work and educatio assignments. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable toodeclined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in dance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk t f being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriat ss for general population at this facility. This inmate should not be housed with any inmates judged to be at an I ased risk for sexual victimization. Programming recommendations include XXXXX. Inmate =inmateLastName is ag eeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by Bureau of Prisons NYM Page 1 of 2 EFTA00132281 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Unit Team A&O Date: 07/08/2019 09:35 Provider. Completed by n 07/08/2019 09:41 Generated 07/0812019 09:41 by Schlessinger, K. PsyD/PhD Bureau of Prisons - NYM Page 2 of 2 EFTA00132282 Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED** Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/08/201910:41 Provider: M=hD/Chief Comments This writer consulted with Dr. Robert Nagle, Central Office, regarding inmate Epstein. Inmate Epstein has 1. arious risk factors for suicidality including a high profile case with media attention, sex offense charges, pre-trial status and a court proceeding today which could potentially be giving him bad news regarding his legal situation. As such, when Inmate Epstein returns from court, R&D staff as well as Lieutenant's have been informed to immediately notify the psychology department. If he returns after duty hours, the aforementioned staff were Instructed to notify the on-call psyphologist and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment. Completed b l 1hD/Chief Psychologist on 07/08/2019 10:49 Generated 07/08/2019 10:49 Bureau of Reims NYM I Papal of 1 EFTA00132283 OS. Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: D/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on sychological observation when he returned from court yesterday evening 7/8119 for precautionary reasons. He is 1 a suicide watch at this time. Beason for Referral Inmate Epstein is being seen de risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court ng yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc" &D staff s well as the Lieutenant's Office, to immediately notify the psychology department when he returned fr Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho terview him this moming to conduct a suicide risk assessment. Develintmental History Inmate Epstein denied any history of being the victimlh4 Pjzpetrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diploma ed some graduate classes in the area of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail nse charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of mental health treatment, either on an inpat O tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d ' cute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever e ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical CsavernS Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Generated 07639/2019 10:36 OnD/Chfef Bureau of Prisons - NYI1 Page 1 of 3 EFTA00132284 - Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facill : NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP N was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with approp 'a e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts anized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or Map to behavior. He noted having normal sleeping and eating habits. M EPSTEIN explicitly denied recent and curre eation, planning, and intent. He was future-oriented and expre ed a commitment to life and safety, agree tact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTO SSED* This writer screened the inmate for a variety of un).1.sT y validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed t.,7: and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connecti s, ender status Of the DYNAMIC risk factors assessed, none were foun o nt. The following PROTECTIVE factors were assessed to be pres may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suici tention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He k factors for suicidality a this time including a high profile case with extensive media attention, sex offensenr arges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his leg Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not hav atlonship with. Despite These risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly denied any suicidal ideation, intention or plan, He was very future oriented and requeste n call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said ' I have my paper spoon here? He reported he is going to have a bail hearing on Monday and believes he is go sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei un " He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as mpete t." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family member have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes In this area of s udy. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, Inrrate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidalitty. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated ‘17/09/2019 10:36 b hDiChief Bureau of Prisons NYM Page 2 of 3 EFTA00132285 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01120/1953 Sex: M • NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist RECOMMENDATIONS his torrent sex offense Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of housing unitt Inmate Epstein charges and extensive media coverage on the television, he will need to be confined in a suitable will be seen daily while on psychological observation and will be seen for a psychologica l observation follow-up session once he Is released from observation. Inmate Epstein denied the need for psychologica l intervention, self-help materials, or follow-up. inmate who shows no significant level He has been classified as a CC1-MH inmate at this time. CAREI-MH is indicative of an of fundional impairment associated with a mental illness and demonstrates no need for regular mental health nterventlon. Suicide Watch: A suicide watch Is not warranted at this time Completed by PhD/Chief Psychologist on 07/09/2019 10:36 %Pin IS" It 0 4 0) 9; 4 0/Chief Bureau of Prisons - NYM Pogo 3 of 3 Generated 07109/201910:36 EFTA00132286 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76r 8-054 Date of Birth: 01/20/1953 Sex: M Race: Will E Encounter Date: 07/09/2019 08:41 Facility: Amendment made to this note beChlef Psychologist on 07/10/2019 09:20. Bureau or Prisons - NYM EFTA00132287 "SENSITIVE BUT NCLASSIFIED'• Bureau of Prisons Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M NYM Unit Team: A8O Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Medical Record, Clinical Interview Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/ 119 for precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychol Joel observation contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed spore at-risk factors for suicidality. Reason for Referral Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstei has various risk factors for suicidality at this time including a high profile case with media attention, sex offenseJtraffi ng charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regardin his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately not the psychology department when he returned from court. Inmate Epstein returned from court after duty hour and denied suicidality. The aforementioned staff notified the on-call psychologist and Inmate Epstein was placed on precautionary psychological observation status until psychology could interview him this morning to conduct a suicide ri assessment. Developmental History Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse. Educational HIstory/Cognitive Imoaftment Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the rea of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting ostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. I mate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute men al health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging any suicide attempts or self-Injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even d nk alcohol. Medical Concernit Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associates with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Matt"( Generated 07/10/2019 09:21I MI Bureau of Prisons - NYM Pagel of 3 EFTA00132288 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M " • M Unit Team: A&O Date: 07/09/2019 08:41 Provider /Chief Psychologist Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in dem or. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The Inmate spoke with ormal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, dr mstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal though disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. M EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and exp a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED. This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for elf-harm and suicide. The following STATIC risk factors were assessed to be present and Increase the inmate's risk for engaging In suicide related behaviors: Sex offender status, Lack of family connections, High Profile Crime Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of su e:Willingness to engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideation/intention/plans, dequate problem solving skills, Able to identify reasons to live As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality a this time including a high profile case with extensive media attention, sex offense/trafficking charges, pm-trial status, a d he hada court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also formed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstjuin adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to m t with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said I have my paper spoon here." He reported he is going to have a ball hearing on Monday and believes he Is going to be releas from Jail. Inmate Epstein reported he Is a Banker and has a "big business" in the community and that "being alive is " He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "compete t." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family membe have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of tudy. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, In ate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychop hology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidali He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suici e history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS. No Diagnosis, No Dx - Current Generated 07/10/201909:20 hO/C hie! Bureau of Prisons NYM Page 2 of 3 b= EFTA00132289 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M " : VW Unit Team: A&O Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS.. Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his rrent sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing uni . Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-u session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materi Is, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health ntervention. Suicide Watch: A suicide watch is not warranted at this time Completed t hief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09:20 D/C1Sof Bureau of Prisons - NYS! Page 3 of 3 a EFTA00132290 Bureau of Prisons -SENSITIVE BUT UNCLASSIFIED" Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: acility: NYM Unit Team: h&O Date: 07/091201910:13 Provider: Ili rPhD/Chief Relevant Historical Information Inmate, Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history, of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any trea men/ in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the Past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink ol. presenting Problem/Sym as Inmate Epstein was seen 'sk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on hi ology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein return om court er duty hours yesterday evening and staff notified the on-call psychdlogist. Inmate Epstein was placed on ionary psychological observation status until psychology could interview him this morning to conduct a form. risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health proble s not exhibit suicidality at this time. He ha?; never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not exhibieany acute psychopathology, is currently psychologic nd is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-M of an Inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires ention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of airment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis; No Diagnosis, No Dx - Current Completed by PhD/Chief Psychologist on 07/09/2019 10:32 s Generated OV09/2019 10:32 PIO/Chief Bureau of Prisons NYM Page 1 of 1 EFTA00132291 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg Si: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHir Encounter Date: 07/09/2019 10:13 Facility: NY Amendment made to this note bahD/Chlef Psychologist on 07/09/2019 10:40. Bureau of Prisons - NYM EFTA00132292 Bureau of Prisons "SENSMVE BUT L NCLASSIFIED" Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team: A&O Date: 07/09/2019 10:13 Provider: hD/Chief Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any sui e attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is i-known that he does not even drink alcohol. EresentingProblemlaymatom Inmate Epstein was seen by this writer for suicidelisk assessment today, 7/9/19 at 7:30 a.m. for precautlona reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Ps thology Questionnaire (PSIO) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors f r suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, nd he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Ep tein returned from court after duty hours yesterday evening and staff notified the on-call psychologist Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this momin to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he d es not exhibit any acute psychopathology, is currently psychologically stable and Is in no psychological distress. A such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no i entifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated wi a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis. No Dx - Current Completed by ThD/Chief Psychologist on 07/09/2019 10:40 Generated 07M/201010:40 b iD/Cnief Bureau of Prisons NYM Page 1 of 1 EFTA00132293 "SENSITIVE BUT UNCLASSIFIED" Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: realty: NYM Unit Team: A&O Date of Birth: Date: 07/10/2019 08:38 Provider phD/Chief Focus of Session writer. Inmate Epstein was seen today for a psychological observation contact in the hospital area by this SubjectIveJObjective Presentation been e ting his Inmate Epstein appeared well and it was noted in his log book and ealing/sleeping chart that he has this 'ter with meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented he is not fortable numerous concerns and requests. He stated he does not want to be housed in the SHU because the Ducolex he received fro medical there; he wants to be single-celled if he goes to the SHU; he wants Colace, not form to his yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange un he wants a phone call before he leaves the psy 11 ological legal visits because he is treated "like a punished inmate;" a shower and towel; he would like to be housed in the cadre (5S) unit; and wou d like his observation area; he wants property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-c Iled or ed with placed in a housing unit for safety and security concerns. His medical concerns (constipation) were disco Colace. Inmate Epstein was provided a shower this ming. health services as well as his desire to be placed on intervention(s). Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was recep ive to interventions and was able to elucidate his various needs. He did not present with any acute psychopatho gy and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Mon ay but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave e jail. progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or omplaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from th n again psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be tomorrow by psychology to evaluate his mental status and psychological stability. Completed b D/Chief Psychologist on 07/10/2019 09:09 Bureau of Prisons - NYM Page 1 of 1 Generated 07/10/2019 09.09 hOtChlef EFTA00132294 Bureau of Prisons ""SENSITIVE BUT NCLASSIFIED" Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01120/1953 Sex: cility: NYM Unit Team: A&O Date: 07/11/2019 14:28 Provider. PsyD Comments This writer attempted to see Mr. Epstein in the morning and then again in the afternoon for a Psych Obsery lion Follow Up, but he was in Attorney Conference. Completed b.=:'syD on 07/11/201915:51 Generated `17/11/2016 15:51 PsyD Bureau of Prisons - NYM Page 1of 1 EFTA00132295 "SENSITIVE BUTUNCLASSIFIED" Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Reg tr. 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: rity, NYM Unit Team A&O Date of Birth: Date: 07/11/2019 15:21 Provider: hD/Chief Eocus of Seeslort afternoon. Inmate Epstein was seen for his psychological observation follow-up in attorney conference this SubjectixeMbjesitheflesentalion concerns abboout his Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated ( his property yet in SHU, feeling cold in his cell, not receiving his Colac4, not having incarceration including not receiving a ut wearing enough water in attorney conference, and a desire to recreate in SHU." Inmate Epstein was also upset an orange Jumpsuit and being treated like "a bad guy" when he did not do anything wrong in the prison. C ody and security concerns were addressed with inmate Epstein including why he has to wear his orange jumpsuit ( ue to his in a brown uniform during his legal visits. He was Id his betrighoused in SHU). He requested that he be placed concerns would be addressed in the SHU meeting. cer I for Inmate Epstein stated he is not having any current problems with his cellmate and indicated he at bran breakfast and took a shower yesterday. He did not sleep well last night. Inmate Epstein continues to deny ny suicidal Ideation, intention or plan. He did not appear to be in any distress at this time. Intervention(s1 Inmate EPSTEIN was provided with brief supportive interventions, CBT-based interventions, and psychoe ucation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. Progress/Plan He was Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology taff. He will be s en next reminded of the self-help books and audiotapes available through the Psychology department. week after his bail hearing to assess his mental status and psychological stability. Completed PhD/Chief Psychologist on 07/12/2019 07:51 b Bureau of Prisons - NYM J Page 1 of 1 Generated 07/12/201907:51 b hDIChlef EFTA00132296 "SENSITIVE BUT UNCLASSIFIED** Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Inmate Name: Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team A&O Date: 07/16/2019 12:48 Provider: ahD/Chief Focus of Session Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notlfie this writer that he was asking to be seen. Subjective/Objective Presentation calls th t were Inmate Epstein reported he has not received a spoon or soap in SHU, nor did he receive the phone that his needs are met In the prison. Th s writer told "promised to him.' He told this writer we need to have mutual trust inmate Epstein that she would addraeiFfilrafittsff irSTOTTI rve ay- Ciirairrrie mber told this writer she wi nessed inmate Epstein receive two hone calls from the Lt. Nonetheless , this writer informed the SHU lieutenant o his d he saktlfaiould ensure that he had soap, a spoon, and his initial SHU phone call. Inmate E stein did en eating not have anycPsychological concerns today. He denied any mental health symptoms or suicidality. He has as best as he can and has requested a Kosher diet. Intervention(si Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strat gies. Inmate EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan s H. He was Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology no reminded of the self-help books and audiotapes available through the Psychology department. There appe rs to be need for follow up at this time. He will be seen In SHU for rounds and monthly SHU reviews. Completed beD/Chief Psychologist on 07/18/2019 13:05 I Page 1 of 1 Generated 07/18)201913:05 .13/Chief Bureau of Prisons- NYM EFTA00132297 fa\ Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED** Psychology Services SHU Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg IS: 763 8-054 Date of Birth: 01/20/1953 Sex: M Facility NYM Unit Team: A&O Date: 07/18/2019 07:21 Provider: hD/Chief Placed In SHU: 07/10/2019 Type: SHU Status: ADMIN.DETENTION Threat to Self: Low Basis of Review: Inmate was interviewed Adjustment Satisfactory, seg ation not detrimental Mental Status: No significant mental health issues. Threat to Others: Low Comments Monthly SHU Review Note Inmate Epstein was meeting with his legal team today and has a court hearing. He was not able to be seen f r a SHU review. to interview him for a SHU review will be done in the near future. Completed b hD/Chief Psychologist on 07/18/201912:06 Generated 0711812019 12:006 tin hD/Ghlef Bureau of Prisons • NYM Page 1 of 1 I EFTA00132298 ta‘ Bureau of Prisons " BUT UNCLASSIFIED"" NCLASSIFIED" Psychology Services General Administrative Note Inmate Nime: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 07/23/2053 Sex: NYM Unit Team: 5 Date: on23/2019:alsts Provider hD/Chief Comments This On-Call Psychologist was contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform Mr. Epst n was being placed on Suicide Watch because he was found with a string loosely hanging around his neck. Mr. E Lein will be seen today by the duty psychologist for a Suicide Risk Assessment. Completed hD/Chief Psychologist on 07/24/2019 07:59 b' Generated 0724/201907:59 hDIChief Bureau of Prisons - NYM I Page 1 of 1 bM , EFTA00132299 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M YM Unit Team: 5 Date: 07/23/2019 10:09 Provider. PsyD Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record, Psychology Data System, Sentry Reason for Referral The On Call Psychologist, Dr.Mhad been contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was found with a string around his neck. rr. Epstein was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7/23/19. This note is being entered at about 3:35 PM on 7/23/19. Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by C=amate Epstein denied any history of ental health treatment, either on an Inpatient or outpatient basis. Inmate Epstein denied any treatment in the pa or present with psychotropic medication. He also denied any acute mental health symptoms at this time." Self-Halm History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Inmate Epstein denied any past or pr ent suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavi r in the past* Substance Abuse History According to a Suicide Risk Assessment dated 7/09/19 by Dr-'Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol." Currant Problem Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck It is unclear at this time if Mr. Epstein had placed the string around his own neck. When Mr. Epstein was asked by this writer how he ended up on Suicide Watch, he denied remembering. e stated he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is he ring himself snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was fo nd in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had rule out of self Inflicted injuries. When this writer reviewed the Staff Suicide Watch Log, it noted that Mr. Epstein told the staff watching him at his cellmate tried to kill him, which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epstei . This writer was not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was notified about this notation and the Captain stated they were already aware of this statement. Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior. Cooperative Mood: 4ppropriate to Content Generated (`7/23/201915:38 MsyD Bureau of Moons - NYM Page 1of 3 EFTA00132300 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg tt: 76318-054 Date of Birth: 01/20/1953 Sex: M YM Unit Team: 5 Date: 07/23/201910:09 Provider: syD Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations .vere denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to Immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED' This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for elf-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in 4uicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging ih suicide related behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suidd :Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideationfintention/plans, Future orientation, View of death as negative,, VVIllingness to engage in treatment Risk Factors: He was found by staff in his cell In SHU with a string loosely tied around his neck, which Mr. Eps eln stated he did not remember anything about. It Is unclear at this time if Mr. Epstein had placed the string around his own n or If someone else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing h he obtained. He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently s denied bail. When asked if he has any friends or family that are emotionally supportive, he stated he does not know what th t means. When emotional supports were explained to him and then again asked if he as any family or friends that are emotion ly supportive, he was vague and said he has a lot of people. Protective Factors: He denied current suicidal or self harm thoughts or ever having these thoughts. He denied a history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having a y chronic medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing fo his safety. He denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to enjoy life, and to learn. He said his future plans include fighting his case and going back to his normal life. Whereas, he is denying suicidal and self harm thoughts and has a lot of protective factors, he is denying that h remembers how he ended up on Suicide Watch and has maths encircling his neck. It is unclear at this time if he had pi the string around hiS neck or if someone else did. He will remain on Suicide Watch for further observation and safekeeping. PIAGNOBIS• No Diagnosis, No Dx - Current CONCLUSIONS The Overi3II Acute Suicide Risk for this Inmate is: Moderate Overall Chronic Suicide Risk for this Inmate Is: Absent RFCOMMFNDATION$ 1. Mr. Epstein will remain on Suicide Watch for further observation and safekeeping. 2. While on Suicide Watch, he will be continuously observed by Inmate Companions. 3. While nn Suicide Watch, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Medical was informed that he reported his throat hurts. Suicide Watch: A suicide watch was Initiated by non-clinical staff and continues to be warranted Suicide *fetch was initiated on: 07/23/2019 01:40 Generated 971231201e 15:39 0 yo Bureau of Prisons - NYM Page 2 of 3 EFTA00132301 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M YM Unit Team: 5 Date: 07/23/2019 10:09 Provider. PsyD Completed b yD on 07/23/2019 15:38 Gemmed 0723201915:39 Bureau of PrLsom - NYM Page 3 of 3 t EFTA00132302 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Post Suicide Watch Report Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: Date: Watch Start Date: 07/24/2019 09:23 07/23/2019 01:40 Total Time on Watch: 31 hrs 5 minutes Provider: M. h.D. stop Date: 07/24/2019 08:45 Watch Conducted By: Both inmates and staff Transfered to Medical Center: No Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior:I Cooperative Mood: Appropriate to Content Thought If rocess: Goal Directed Thought Content: Normal Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeano . He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with no al rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, dram tantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought di er. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. E STEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expres a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal Ideation or p ychological distress. He also denied thoughts of harming others. Risk Factors Assessed• This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for sel harm. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in su ide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the Inmate's risk for engaging in uicide related behaviors: Current physical pain, Fear for own safety The talky/A(1g PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide: ble to identify reasons to five, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, Vi of death as negative, Willingness to engage in treatment Risk Facto,: Mr. EPSTEIN has a significant scar around his neck, which is now scabbing over. He reported sw fling in this area but denied experiencing any related pain. Mr. EPSTEIN continues to claim a lack of memory for the incident res Ring in this scar. The story h6 provided was vague, such that this writer challenged him a couple of times, but he insisted he was ng honest about his lapse to memory. The nature of the Incident remain unclear. Mr. EPSTEIN is incarcerated for a very high pr ile crime with media attention. He was recently denied bail. He also reported difficulty managing his time in the SHU. He repo ed being fearful for his safety if he is to return to the cell with his previous cell mate. Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide atte pts. He stated, "I have no Interest in killing myself? He explained, although his situation is "not perfect" due to his being incarcerat d, he noted he has "lots to do for ]his] legal case." He described having a "wonderful life," to include interactions with interestIn people and projects? He said "it would be crazy' to take his life. He furthered, "I would not do that to myself." He denied fe ings of hopelessness, although did report being "depressed" and "unhappy" about his current legal situation. He previou ly denied a history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appe r future-oriented as he endorsed an interest in being housed in general population. WeighIng of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidality. However, in light of his vag e self-report regarding the Incident is placement on Suicide Watch, combined with his fear for his own safe ty, reported Generated 070412019 12:09 h.D. Bureau of Prisons NYM Page 1 of 3 EFTA00132303 Om\ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: .5 Date: I 07/24/2'0190923 Provider =ea difficulty managing his time in the SHU, and the high profile enatur offense, Mr. EPSTEIN will be stepped down from Suicide Watch to Psychological Observation. chansmalaRlskfactorsAnassest Upon a review of the log book, it was indicated Mr. EPSTEIN has been speaking to the inmate companions bout having, previously taught mathematics and physics. He has been observed pacing the cell as well as sieepl g, eating, and drinking within normal limits. Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His requetrts were made known to the lieutenants and he was provided a shower prior to attending his legal visit. This writer also provided him a toothbrush, toothpaste, and hygiene products. Asked about the alleged Incident which transpired yesterday resulting in his placement on Suicide Watch, Mr. EPSTEIN said he is frustrated he has been placed in a "punishment cell for no reason? Specifically, Mr. EPSTEIN wa referring to his placement In the SHU. Asked to recall the events surrounding the alleged incident, Mr. EPSTEIN sal his cell mate was "playing with a bed sheet" and he claimed he does not recall the events thereafter. He said he r lied eating meat and drinking water and claimed the next event for which he has memory is his hearing himself snore a d waking up on iii stretcher. Mr. EFiSTEIN claimed he does not recall himself or his cell mate tying a string or rope around his neck. He aid he has "been trying to remember' and "wracking his mind." Asked if he experienced any interpersonal issues with is cell mate, Mr. EPSTEIN described his cell mate as "agitated" and claimed his cell mate called him a "pedophile" or the first time yesterday. His cell mate was also reportedly reading a newspaper article about Mr. EPSTEIN, which thered him and it was something he believed to be "strange" for their to be an article about him in his cell. Mr. EPSTEI recalled throwing away the newspaper photograph of himself by crumpling it and flushing it down the toilet. Asked if is cell mate ever threatened to harm him, he denied this to be the case. Asked why he told the Inmate companion yesterday his cell mate tried to kill him, while also claiming no memory of the incident, Mr. EPSTEIN again said he did i ot recall the incident and further stated, "I don't know if he put it there as a joke." Mr. EPSTEIN explained he had bedn experiencing difficulty sleeping in his SHU cell due to his inmate peers banging on the cell door and window, but has not been experiencing any other acute Issues other than this. Reason kor Removal from Watch I Mr. STEIN stated, "I have no interest In killing myself." He explained although his situation is "not pert due to his being/ncarcerated, he noted he has lots to do for (his] legal case." He described having a "wonderful life," include interactions with interesting people and projects." He said "it would be crazy" to take his life. He furthered, 'I would not do that to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychological Observation rather than in the SHU. He asked if he could remain on this status for a couple of days, he was advised his housing sit lion will be re-evaluated on a day-to-day basis. He expressed a desire to be housed in general population rather than i the SHU and asked if there were a "safer unit for him to be housed in comparison to the one where he was initially pi ced. Mr. EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be mai tained on Psychological Observation in the near future, but his long-term housing situation will be revisited, as it Is not deal for one to remain in Isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN a edged this inforMation and thanked this writer for her explanation and time. Diagnosis- No Diagnosis, No Dx - Current ConclusInnq The Overall Acute Suicide Risk for this Inmate Is: Low Overall Chronic Suicide Risk for this Inmate Is: Absent RecommendetInna. 1. Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation. 2. While on Psychological Observation, he will be continuously observed by Inmate Companions. 3. While on Psychological Observation, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Mr. EPSTEIN was pr a request was made for his legal paperwork to be provided to him on Psychological Generated 012472019 12:09 b BO. Bureau of Prisons - NYM Page 2 of 3 EFTA00132304 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631$-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team: 5 Date: 07/24/2019 09:23 Provider Observation. 8. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to a eviate his constipation. 7. Mr. EPSTEIN attended a legal visit today, after having been provided a shower. 8. Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. 9. The inmate was encoura ed to reach out for PRN services should he experience any psychological distress. Completed b h.D. on 07/24/201912:09 Generaled 0724/201912:09 Ph.O. Siam of Prisons - NYM Page 3 of 3 L EFTA00132305 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility. NYM Unit Team 5 Date: 07/25/2019 10:14 Provider: hD/Chief focus of Session Inmate Epstein was seen by this writer this morning while on psychological observation in the hospital area of the prison. Subjective/Objective Presentation Inmate Epstein was in good spirits today and engaged in reciprocal conversation with this writer this morniTg. He smiled and remarked, "welcome back' when this writer arrived. He continues to assert he does not rem ber how he received marks around his neck, remarking "I do not remember anything, maybe you can give me some es." He stated he Just remembers going for a drink of water and the next thing he knew he woke up to the sound 0000 h4 ff his own snoring. When this writer attempted to get a more detailed account from him, indicating that it would be rae to have such impairments in memory as he does not suffer from an acute cognitive disorder, he smiled and said understood my position. Inmate Epstein did reveal he is unhappy with his current confinement in Special Housing (SHU) as he considers it "a punishment cell." He said he finds the restrictions up there unfair as he has not done anything wrong. InrOte Epstein stated he feels it is dangerous in the SHU, he cannot sleep well up there due to noise from the other inmates, it smells, and it is difficult for him to work on his legal case up there. He stated he has not received the phone calls e was promised nor has he been able to receive recreation. It was explained to him that he spends the entire d In the attorney conference room and it is likely that he has missed the times when staff members have attempte to give him phone calls and recreation. Inmate Epstein also reported complaints about the attorney conference room, stating they do not take him to the bathroom frequently enough. Inmate Epstein adamantly denied any suiddality at this time, stating "I am too vested In my case to fight it I have a life and I want to go back to living my life." He denied any acute symptoms at this time. According to his log book, he has been eating, drinking, sleeping, and interacting with the inmate compan s. He has also been attending his daily legal visits. Interventional). Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additio I coping strategies. Inmate EPSTEIN was mostly receptive to these Interventions. He requested to be housed in general population rather than the SHU and stated he wanted to remain on psychological observation due to his concerns with being in the SHU. Progress/Plan In an abundance of caution, inmate Epstein will remain on psychological observation. He has yet to give 1311 account of how he sustained the marks around his neck, is not revealing much about his mental status, and there ar concerns about his adjustment at this time to being housed in the SHU. Inmate Epstein will be seen daily by psychology while on psyctiological observation. Completed i bME 3hD/Chief Psychologist on 07/25/2019 10:43 I Generated 07/26/201910:43 b= 0/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00132306 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team: 5 Date: 07/26/2019 09:09 Provider: hD/Chief Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested ing disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhap y with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak dder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated a d needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his m ication. This writer Immediately notified medical and his pills were being processed during the interview. Inmate Ep teln also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and r stdctions). With regard to the events which lead to his initial placement on suicide watch, inmate Epstein stated he ha no memory of the, event. He asked to speak with his old cellmate "Nick" to see if he can tell him what happened or see his memory could be triggered. He remarked, "I am still trying to figure out how I got this (pointing to the scab round his neck)," Inmate Epstein denies remembering harming himself and/or being harmed by his cellmate. He doe not exhibit symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this lime or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as l'a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While; on psychological observation, inmate Epstein has been eating his meals, sleeping and Interacting with the inmate companions. He is in legal visiting the majority of the day and In the evenings. His log book and eating/sho er chart reflect the same. He has been speaking to inmate companions about investment strategies and about pus n adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, lau hing, and joking. Interventionist Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wantec this writer to address them. progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing a rangements to be made on Monday. He continues to be vague and reports memory deficits regarding the events which ead to a piece of sheet being placed loosely around his neck and marks with scabs around his neck. Completer by ,IhD/Chief Psychologist on 07/26/2019 10:05 Geneteled ¢7128/2019 10:05 0/Chief Bureau of Prisons - NYM Perrier 1 EFTA00132307 Bureau of Prisons **SENSITIVE BUT;UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team:i 5 Date: 07/27/2019 07:14 Provider. syD Focus of Session He was seen by writer while he was on Psych Observation. Subjective/ObjectIve Presentation The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, an When 'interviewed, he staG aAs II cannot remember what happened in SHU that caused the marks on his neck. He statedithat for the 5 days b e had only slept about 30 minutes each night because of noise in SHU. He stated he is anxious about going back because he stated he is going back to a place where he had gotten marks on his neck and he does not know why He said he has an appetite and is eats . He said is waking up every 1 1/2 hours. He stated he feels dehydrated becauSe he is not drinking enough water be stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood ly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential MI or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. n t engage In any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated " " He added he does not like pain and even does riot like when he has to give blood. He agreed to immedia to aff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He do o be an immediate dangerlto self. He denied thoughts of hurting others and he agreed to tell staff and Inmate a k ions if he has these thoughts. intervention(2) Supportive and educative interventions were provided. He was given Turnin ndouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart th e a given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him ng progress/Plan He wig remain on Psych Observation in an abundance of caution and pending housing a r t be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Complete syD on 07/27/2019 08:16 Generated 07/27/2019 06:161. syD Bureau of Prisons - NYM Pogo 1of 1 EFTA00132308 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/27/2019 07:14 Facility: NYM Amendment made to this note by syD on 07128/2019 09:19. Bureau of Prisons - NYM EFTA00132309 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg # 76318-054 Date of Birth: 01/20/1953 Sex: cility: NYM Unit Team: 5 Date: 07/27/2019 07:14 Provider: PsyD Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, and slept. When interviewed, he stated he still cannot remember what happened in SHU that caused the marks on his peck. He stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHUT . He stated he is anxious about going back to SHU because he stated he is going back to a place where he had gotten marks on his neck and he does not know why it happened. He said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels de ydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom brea s while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and frien s are all emotionally supportive. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and herent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated "I'm a coward." He added he does not like pain and even does not like when he has to give blood. He agreed to immediately tell staff and Inmate Companions if he starts to have suici al or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied ughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. inte.nrention(st Supportive and educative interventions were provided. Turning Points handouts on stress management. sl p, and building a routine in SHU were placed on his cell door to be given to him when his food slot is opened. He tated he wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because f the noise in SHU that prevents him from sleeping. progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be e on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed bl PsyD on 07/28/2019 09:19 Generated 07/28/2019 09.19 syD Bureau of Prisons - NYM Page 1 of 1 EFTA00132310 Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: tikty: NYM Unit Team: 5 Date: 07/28/2019 08:33 Provider: PsyD Forms of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" noted that yesterday he ate breakfast. He is not in the Psych Observation cell for about 12 hours per day because of being in Attorney Conference with his Attorneys, so the "Eating/Shower Chart" may not reflect all of his meals. He stated he was served one meal in Attorney Conference yesterday. He stated he drinks a lot water at night. The Psych Observation log noted he talked about life in general population and he slept. Earlier he had complained that his right arm was numb and hanging. NursrlIM om Medical had se n him for this. When this writer was interviewing him, he said his right arm still feels somewhat numb he cann t make a fist with that hand. He also said he has numbness on his neck. This writer notified Nurse He stated last night when he flushed the toilet it kept flushing for 45 minutes. He stated he found it so aversive and upsetting that he said he sat in the corner and held his ears. He said because of this he was agitated for hours and was not able to sleep. The Lt. will be moving him to a different cell and he was informed of this. He stated the eling he got with me noise of the toilet was similar to when he was In SHU. He said he may have something on the Au sm spectrum. He said in the movie "Rain Man," the person with Autism had an aversion to noise. He stated h is also really good with numbers. Current Mental Status: He exhibited a mildly anxious mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropri ate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immedi ate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. klbloteattefel Supportive and educative interventions were again provided. He had not been given the Turning Point handouts yesterday that were on his cell door, so they were handed to him by staff today. Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed syD on 07/28/2019 09:24 bMI Generated 0728/2019 09:24 yD Bureau of Prisons - NYM Page 1 of 1 EFTA00132311 Bureau of Prisons '"SENSITIVE BUT, UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: ],ity: NYM Unit Team 5 Date: 07/29/2019 10:01 Provider: D/Chief Focus of Session • Inmate Epstein was seen while on psychological observation today in the hospital area. SubJectivelObjectIve Presentation Same;presentation today, but he said he thinks his memory for the incident (injury to his neck) may be imp Iced because of his sleep apnea. He Is supposed to get his CPAP machine today. He is aware he will be retu ing to SHU, but said he Is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have 0 e good night of sleep with his CPAP and will return to SHU with a cellmate tomorrow. He then asked if he could remain down here where it is "safe" for the entire week. I told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he would be returned to SHU tomorrow. It was explained that there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area because he felt safe or more comfortable for him. It was explained to him that he would be placed In a safe situation i the SW. According to his log book and eating/shower chart, he has been eating and drinking when not in his legal sits. He has also been writing and attending his legal visits. interveritinnit Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additio coping strategies. Inmate EPSTEIN was somewhat receptive to these interventions, but appears more concerned about getting his various needs in the prison (phone calls, recreation, housing placement concerns, etc.) Progress/Plan He will remain on psychological observation today and will transition to the SHU tomorrow. He will be seer by psychology daily to assess his mental status and psychological functioning. Completed b)nD/Chief Psychologist on 07/29/201910:26 Generated 07/2W20191020 Bureau or Prisons - NYM Page 1 or 1 EFTA00132312 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: city: NMI Urnt Team: 5 Date: 07/30/201912:01 Provider: syn Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation He stated he hasn't slept well at MCC-NY because he hasn't had his cpap machine. He stated it is here a he will be able to start using it tonight. He discussed how he does not think he will able to sleep in SHU and how helloes not like SHU because of the noise. He discussed Issues on not getting some medication with Medical today. The "Eating/Shower Chart" indicated yesterday he ate breakfast and dinner, drank liquids, and took a shover when offered and so far today it noted he ate breakfast and drank liquids. The Psych Observation Log noted he rlept, drank water, went to legal, and talked to an Inmate Companion about investments. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and herent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucin lions were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Pers nal hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if h starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an Immediate dang to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. Intervention/4 SuppOrtive and educative interventions were provided. When asked about the Turning Point handouts for coping in SHU, he stated he already knows these strategies before he read the handouts and had tried them when t1e was in SHU the laSt time. He stated with the noise in SHU, he said the strategies will not work. He was encouraged t¢ by them. progress/Plan The Chief Psychologist was consulted. Psych Observation will be discontinued. Mr. Epstein was educat about both routine and emergency procedures for contacting Psychology staff. He will be seen in follow up by Psych logy tomorrow to monitor his mental status and to provide further Intervention if needed and he was informed t at he will be seen by Psychology tomorrow. In the meantime, he was encouraged to self-refer to Psychology if need to which he agreed and seems capable of doing. If he remains in SHU, he will be seen by Psychology in SHU Round and in SHU Reviews. The SHU Lt. was informed that Mr. Epstein needs to be housed with an appropriate cellmate. Completed IMPsyD on 07/30/201913:54 Generated 07/30/201913:64 sy0 Bureau of Prisons - NYM Page 1 of 1 EFTA00132313 Bureau of Prisons -SENSITIVE BUT UNCLASSIFIED" Psychology Services Institution Disciplinary Process Report Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 1 76318-054 Date of Birth: 01/20/1953 Sex: cility: NYM Unit Team: 5 Date: 07/30/2019 12:01 Provider: PsyD Reasonjor Referral and Identifying Information Inmate Epstein was referred by Unit Manager Proto for an evaluation of competency to proceed with the dipciplinary process for actions resulting in an incident report. On 7/23/19, inmate Epstein was charged with code 228 (Tattooing or Self-Mutilation). These infractions were assigned incident report number 3282555. BarastaundInfammtion According to a Suicide Risk Assessment dated 7/09/19 by Dr "Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. In stein denied any treatment in the pas or present with psychotropic medication. He also denied any acute mental health symptoms at this time." According to a Suicide Risk Assessment dated 7/09/19 by Dr nmate Epstein denied any past or prsent suicidal ideation, intention or plan. He denied ever engaging I ride attempts or self-injurious behavior In the past." According to this writer's Suicide Risk Assessment dated 7/23/19, It is unclear at this time if he had placed the string around his neck or if someone else did." Clinical Interview and Mental Status Exam Inmate Epstein still does not remember how he obtained the marks around his neck. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and herent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual halludna ions were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. Ther was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Pe al hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate dang r to self. He denied thoughts of hurting others and he agreed to tell staff If he has these thoughts. Clinical Impression According to his last Diagnostic and Care Level Formulation Note dated 7/09/19 by Dr. Mftlo Diagnosi , No Dx - Current." aids The determination of whether an Inmate is competent to proceed with the disciplinary process is based on clinical assessment of the Inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to a ist in their own defense. Depending on the outcome of the assessment, one of three findings can be made: (1) the in ate is COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT ut could be restored to competence with treatment; or (3) the inmate Is NOT COMPETENT and is unlikely to become mpetent. Recommendations Regarding Sanctions In the case of inmate Epstein, after a review of available psychological and psychiatric records as well as In ormation pertaining to the offense conduct, It is determined that this Inmate Is: (X) COMPETENT to proceed with the disciplinary process. Notr PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that the inmate for an updated competency assessment in 30 days. ( ) NOIT COMPETENT and not likely to become competent. Generated 07/30/2019 12:33 YO Bureau of Prisons-NYM Page 1 of 2 EFTA00132314 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M cility: NYM Unit Team: 5 Date: 07/30/2019 12:01 Provider PsyD Completed b yD on 07/30/2019 12:33 Geriented /30/201912:39 asyn Bureau of Prisons - NYM Page 2 of 2 EFTA00132315 Bureau of Prisons ••SENSITIVE BUT NCLASSIFIED" Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: dlity: NYM Unit Team: 6 Date: 07/30/2019 12:01 Provider. PsyD Comments Psych Observation Discontinuation Note: Please see "Clinical Contact" dated today. Completed syD on 07/30/2019 12:33 b Generated 07/30/2019 1Z33 syD Bureau of Rlsons - NYM Page 1 of 1 EFTA00132316 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Siith: 01/20/1953 Sex: NYM Unit Team: 5 Date: 07/31/2019 10:35 Provider: syDfDAPC focus of Session Mr. EFISTEIN was seen today by this writer for a follow up appointment after he was removed from Psycho ogical Observation yesterday. SubjectIvelObJective Presentation Mr. EPSTEIN presented in a pleasant mood and reported he is generally doing well. He stated, 'I could be tter,' but acknowledged he is doing as well as can be expected given his circumstances. He reported he is going to rt today for a status hearing. He stated he generally slept well last night and is readjusting to being placed back in HU. He reported getting along well with his cell mate. He was informed of appropriate procedures for contacting Ps chology staff while he is in SHU, if needed. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in dem nor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. He spoke wit normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangen al, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sle ing and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal Ideation, planning, and intent. He was future- oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others. interventIon(si • Supportive interventions and cognitive behavioral therapeutic techniques were utilized. Mr. EPSTEIN was receptive to all Interventions. Progress/Plan Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. Th e appears to be no need for follow-up at this time and he expressed willingness to self refer to psychology staff if neede . He will continue to be seen during routine SHU rounds and SHU reviews while he Is housed in SHU. He was en raged to reach out for PRN services should he experience any psychological distress. Completer] b syD/DAPC on 07/31/2019 10:58 - Generated 0 f31/2019 10:56 DfDAPC Bureau of Prisons - NYM Pagel of 1 EFTA00132317 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ff: 76318-054 Date of Birth: 01/20/1953 Sex: M • YM Unit Team: 5 Date: 08/01/2019 13:29 Provider syD Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell EMINGB This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record, Psychology Data System, Sentry Beason fol_ReTerral. R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies." Mr. Epstein was seen for a Suicide Risk Assessment at about 1:00 PM on 8/01/19 in Attorney Conference. This note is being entered at about 4:20 PM on 8/01/19. Mental:Health History According to a Suicide Risk Assessment dated 7/09/19 by Dr. mate Epstein denied any history 9f mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time." Self-Harm History According to a Suicide Risk Assessment dated 7/09/19 by DM'Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious beh Vior in the past." According to this writer's Suicide Risk Assessment dated 7/23/19, "It is unclear at this time if he had placed the string around his neck or if someone else did." Current Problem R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies." This is likely due to the incident on 7/23/19, but as a precaution another Suicide Risk Assessment was c1 nducted. Mr. Epstein seemed surprised that there was a form noting suicidal tendencies. He denied stating he wa suicidal. He said he saw the DHO today and he said his incident report for the marks on his neck was expunged. He stated even though he has his cpap machine now, he said his cellmate talks at night and he stated this keeps him upl This writer offered to talk to the SHU Lt. to have him housed with a different cellmate, but he stated he wants to give it 3 to 4 days to see if he wants a different cellmate. He complained about the noise in SHU. DlIttentReataLataMS Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a mitdly restricted range of affect. His speech was logical and Generated 08/01/2019 16:21 b yD Bureau of Prisons - NYM Page 1 of 3 EFTA00132318 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft: 76318-054 Date of Birth: 01/20/1953 Sex: YM Unit Team: 5 Date: ' 08/01/2019 13:29 Provid PsyD coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and viaual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriat behavior. He denied Current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicid I or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thought of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for elf-harm and suicide. The folloWing STATIC risk factors were assessed to be present and increase the Inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging n suicide related behaviors: Current physical pain, Sleep problems The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicic e:Able to Identify reasons to live, Denial of suicidal Ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment Risk Factors: He was found by staff in his cell in SHU on 7/23/19 with a string loosely tied around his neck, wh h Mr. Epstein stated he did not remember anything about. It is still unclear at this time If Mr. Epstein had placed the string ark and his own neck or if someone else did. He has a high profile sex offense case. He stated his lower back hurts and he st ted Medical is aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate elks at night. Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have hese thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self rrn attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of chit ood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion. Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time. planNosis• No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS 1. Suicide Watch is not indicated at this time. 2. Supportive and educative Interventions were provided. 3. He was educated about both routine and emergency procedures for contacting Psychology staff. 4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed. 5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. 6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews. Suicide Watch: A suicide watch Is not warranted at this time M Generated 08/01/2019 16:21 yD Bureau of Prisons - NYM Page 2 of 3 EFTA00132319 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M M Unit Team: 5 Date: 08/01/201913:29 Provide syD Completed syD on 08/0112019 16:21 Genandsd 20191621S Bureauof Pitmans -NM Page 3 of 3 EFTA00132320 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 1$: 76318-054 Date of Birth: 01/20/1953 Sex: cility: NYM Unit Team: 5 Date: 08/08/2019 10:02 Provider: hD/Chier Focus Of Session. Inmate Epstein was seen today for a follow-up session in SHU. SubJective/ObjectIve Presentation Inmatit Epstein stated he is feeling okay and has been eating his meals. He reported his sleep as lair an would like to go the general population. He denied any mental health symptoms at this time and denied any feelings f depression and/or anxiety. Inmate Epstein denied any suicidal ideation, intention, or plan. He currently has a cellmate nd appears to Interact with him. Inmate Epstein continues to spend his days and evening with his attorney's in the atto ey conference room. He told this writer he received his PAC number to make phone calls. Inmate Epstein indccated he has only had a couple of phone calls over the speaker phone and wondered "if that counted" as his monthly' phone contact. He also reported he his missing some books he was reading in the suicide watch area prior to returning to the SHU. Other than complaints about the prison and concerns regarding his housing, he had no mental health concerns today. He did not appear to be in any distress and the SHU Staff have not reported any unusual behaviors on his Interventionist Inmate EPSTEIN was provided with brief supportive Interventions and psychoeducation regarding additlo coping strategies. Inmate EPSTEIN was receptive to these interventions. Efiligre8Sain Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department. There appears to be no need fpr follow up at this time. He will be seen in weekly rounds and monthly for SHU reviews. Completed IhD/Chief Psychologist on 08/08/2019 10:09 Generated 08108/2019 10:0g D/Chlef Bureau of Prisons - NYM Page 1 of 1 b=t1 EFTA00132321 PDS-BEMR SUICIDE RISK ASSESSMENT GUIDE — Version 3 Key Principles to Consider When Conducting Suicide Risk Assessment (adapted from Granello, 2011): - Risk or Protective Factor Absent 0 Risk or Protective *tor Not Assessed Mental Status Exam: In PDS you will be required to select a value for each of the areas below. You can make additional comments. O Level of Consciousness O Psychomotor Activity O General Appearance O Behavior O Mood O Thought Process O Thought Content In PDS you will be required to select a value for each of the risk/dynamic/protective factors below: + - 0 STATIC FACTORS + - 0 DYNAMIC FACTORS + - 0 PROTECTIVE FACTORS OOO Chronic Medical Condition 000 Agitation OOO Able to Identify Reasons to Live OOO Family Hx of Suicide 000 Current Intoxication 000 Adequate Problem Solving Skills 000 High Profile Crime 000 Current Physical Pain 000 Denial of Suicidal Ideation OOO Hx of Childhood Abuse 000 Current Suicidal Ideation OOO Future Orientation 000 Hx of Psychiatric Hospitalization 000 Current Suicidal Intent O00 Religious Beliefs Against Suicide 000 History of Mental Illness 000 Current Suicidal Plan OOO Social Support in the Institution 000 Past Suicide Attempt 000 Fear for Own Safety O00 Supportive Family Relationships OOO History of Violent Behavior 000 Feeling Hopeless/Helpless OOO View of Death as Negative 000 Lack of Family Connections 000 Feels Like a Burden 000 Willingness to Engage in Tx OOO Sex Offender Status 000 Non-Adherence to Medical Tx 000 Problem Solving Deficits 000 Recent Significant Loss 000 Sleeps Problems 000 Social Isolation OOO Uncontrolled Mental Health Issues Additional validated risk factors that may be relevant: Sentence >20 years; Self-harm in past month; Dual Diagnosis; Male Gender; History of Self-Injurious Behavior; Chronic/Uncontrolled Pain; No Spouse (Single, Divorced, Widowed) EFTA00132322 Suicide Risk Assessment in PDS-BEMR Classification of Suicide Related Behaviors Suicide Related Communication: Any verbal or non-verbal interpersonal communication of thoughts, wishes, or intent for suicide that does NOT produce self-injury. Actions do not produce self-injury, although they have that intent. Examples may include - placing a noose around one's neck in the presence of staff: - writing a letter that states. "the world would be better without me': - stating, "I'm going to kill myself." Suicide Related Behavior: A self-inflicted, potentially injurious behavior for which there is evidence that the person either (a) wished to use the appearance of a suicide attempt to attain some other end. or (b) intended. to some degree. to kill him/herself. Yes No Undetermined Suicide Attempt: A non-fatal self-directed potentially injurious behavior with any intent to die as a result of the behavior. A suicide attempt may or may not result in injury. Non-Suicidal Self Directed Violence: If there is no evidence, whether implicit or explicit, of suicidal intent it is not an attempt, it is This is your judgment and includes inmate self-report. Look at the big picture and account for other data that corroborate s or contradicts self-report. This is a distinction that the executive staff and/or the IDO need to have made for them. Yes or No Medical interventions are not an injury, but are undertaken to avoid or address an injury. Lethality Assessment Asphyxiation - Hanging Asphyxiation - Other Cutting Fire Ingestion - Prescription Medication Ingestion - Non-Prescription Medication Ingestion - Other Jumping Other Most of these are self-explanatory. Ingestion — Other is appropriate for swallowing razors and other foreign objects. EFTA00132323 Low Lethality: - Death is impossible or highly improbable. - The individual may receive medical attention. Out it is not required for survival. - Frequently. the act is done in a public setting. or is reported by the individual to ensure detection and assistance. - Examples placed noose loosely around neck and did not attach the other end to another object: swallowed 10 Tylenol pills in front of staff; scratches or superficial cuts on neck or wrist. Moderate Lethality: - Death is a possible. but not highly probably, outcome of the act, in the opinion of the average person. - Opportunity for detection and intervention was not certain. - Medical or crisis intervention may be required to reduce the risk of death (e.g.. pumping stomach. suturing cuts). - Examples: swallowed 30 Tylenol cut neck and lost significant blood: placed ligature around neck and applied pressure. High Lethality: • Death is the probable outcome, although immediate and vigorous medical attention may reduce the risk. - The individual took measures to avoid detection and intervention. or the method was so lethal that intervention was not likely to prevent death. - Examples: placed ligature around neck and lost consciousness: attempted to hang self. but stopped when cellmate awoke; took a potentially lethal overdose and did not alert staff. Examples of Protective Factors (Sanchez, 2001; United States Public Health Service, 1999) • Strong connections to family and community support • Skills in problem solving, coping and conflict resolution • Sense of belonging, sense of identity, and good self-esteem • Cultural, spiritual, and religious connections and beliefs • Identification of future goals • Constructive use of leisure time (enjoyable activities) • Support through ongoing medical and mental health care relationships • Effective clinical care for mental, physical and substance use disorders • Easy access to a variety of clinical interventions and support for help seeking • Restricted access to highly lethal means of suicide fact cannot be simply compared on a one to one b factors. jive cation Low Acute Risk Suicidal ideation is absent or is of limited frequency, intensity. duration and specificity. There are NO identifiable plans and NO associated intent. There is good self-control based on both self-report and objective assessment. There may be mild symptomatolo gy and morbid rumination may be present. Few risk factors are present and protective factors are identified, including available and accessible social support. Moderate Acute Risk Suicidal ideation is frequent with limited intensity and duration. Suicidal plans have some specificity, but NO associated intent. There is good self- control. limited to moderate symptomatology. some risk factors are present. and protective factors are identified, including available and accessible social support. Denial of ideation and intent may be present. if objective markers. such as suicide threats to others and agitation, contradict the self-report High Acute Risk Frequent. intense, and enduring suicidal ideation. specific plans. Many risk factors are identified. Objective markers of risk are present (e.g.. lethal method, rehearsal behaviors. saying "goodbye•): self-report of subjective intent may or may not be present. There is evidence of impaired self-control. severe symptomatology. multiple risk factors are present. and few. if any protective factors. Present - Chronic Rick is present when there is a history of two or more suicide attempts Absent - Chronic Risk is absent when there is a history of one or zero suicide attempts. Note: Self-ham behaviors are not counted as suicide attempts. EFTA00132324 Recommendations: If suicide risk is present, consider recommending the following interventions: - Suicide Watch • Brief Cognitive Behavioral Therapy for Suicide - Positive Reinforcement - Safety Plan - Psychiatric Referral - Reasons for Living Card - CBT/DBT Skills Training Groups - Coping Cards - Recommendation for Double Cell - Psychology Alert Code - Change Care Level (UPDATE Diagnostic and Care Level Formulation) - Property Restriction (If Returning to Restricted Housing) - Suicide Risk Management Plan - Consult with Unit Team - Assign a Mental Health Cadre - A suicide watch is not warranted at this time - A suicide watch is to be initiated immediately - A suicide watch was initiated by non-clinical staff and continues to be warranted - A suicide watch was initiated by non-clinical staff and is no longer warranted EFTA00132325 Date_4. Notes EFTA00132326 The Suicidal Mode Predispositions to Suicide /Trigger (Perceived Loss) Genetic & biological factors Relationship problems Family history of suicide Financial stress Abuse or other trauma history Onset of illness Impulsivity Legal problems Aggression Traumatic events Previous suicidal behaviors Recent loss of a significant other sychiatric history p \Zher major life changes , Thoughts .. Hopelessness , Perceived burdensomeness Isolation / loneliness Reasons for living Reasons for dying Impaired problem solving Behaviors Emotions I Substance abuse Shame or guilt t_ ._ ' Self-harm Anger i Preparing for death Anxiety or panic Practicing / rehearsing suicide Depression Suicide threats . Poor expression of emotion . Social withdrawal --0/ 1 Physiology Agitation Sleep disturbance Concentration problems Physical pain EFTA00132327 The Suicidal Mode Predispositions to Suicide Trigger (Perceived Loss) m im> K J K J C -.. Thoughts K J Behaviors Suicidality a' I Physiology 10 i EFTA00132328 PDS-BEMR POST SUICIDE WATCH REPORT GUIDE Watch End Date: Watch End Time: AM/PM Watch Conducted By: Transferred to a Medical Center: No/Yes Both Inmates & Staff Inmate Staff Mental Status Exam: in PDS you will be required to select a value for each of the areas below. Elaborate below. Level of Consciousness O Psychomotor Activity General Appearance O Behavior O Mood O Thought Process Thought Content Na rrativel for Risk Factors Assessed: EFTA00132329 - Risk or Protective Factor Absent 0 Risk or Protective ratniVinBia Mental Status Exam: in PDS you will be required to select a value for each of the areas below. You can make additional comments. 0 Level of Consciousness 0 Psychomotor Activity C General Appearance 0 Behavior 0 Mood 0 Thought Process 0 Thought Content In PDS you will be required to select a value for each of the risk/dynamic/protective actors below: + - 0 STATIC FACTORS + - 0 DYNAMIC FACTORS + - 0 PROTECTIVE FACTORS 000 Chronic Medical Condition 000 Agitation 000Able to Identify Reasons to Live 000 Family Hx of Suicide 000 Current Intoxication 000Adequate Problem Solving Skills 000 High Profile Crime 000 Current Physical Pain 000 Denial of Suicidal Ideation 000 Hx of Childhood Abuse 000 Current Suicidal Ideation 000 Future Orientation 000 Mx of Psychiatric Hospitalization 000 Current Suicidal Intent 000 Religious Beliefs Against Suicide 000 History of Mental Illness 000 Current Suicidal Plan 000 Social Support in the Institution 000 Past Suicide Attempt 000 Fear for Own Safety 000 Supportive Family Relationships 000 History of Violent Behavior 000 Feeling Hopeless/Helpless 000 View of Death as Negative 000 Lack of Family Connections 000 Feels Like a Burden 000 Willingness to Engage in Tx 000 Sex Offender Status 000 Non-Adherence to Medical Tx 000 Problem Solving Deficits 000 Recent Significant Loss 000 Sleeps Problems 000 Social Isolation 000 Uncontrolled Mental Health Issues Additional validated risk factors that may be relevant: Sentence >20 years; Self-harm in past month; Dual Diagnosis; Male Gender; History of Self-Injurious Behavior; Chronic/Uncontrolled Pain; No Spouse (Single, Divorced, Widowed) EFTA00132330 Low Acute Risk Suicidal ideation is absent or is of limited frequency, intensity, duration and specificity. There are NO identifiable plans and NO associated intent. There is good self-control based on both self-report and objective assessment. There may be mild symptomatology and morbid rumination may be present. Few risk factors are present and protective factors are identified, including available and accessible social support. Moderate Acute Risk Suicidal ideation is frequent with limited intensity and duration. Suicidal plans have some specificity, but NO associated intent. There is good self-control. limited to moderate symptomatology. some risk factors are present, and protective factors are identified, including available and accessible social support. Denial of ideation and intent may be present. if objective markers, such as suicide threats to others and agitation, contradict the self-report. High Acute Risk Frequent, intense, and enduring suicidal ideation, specific plant Many risk factors are identified. Objective markers of risk are present (e.g., lethal method, rehearsal behaviors, saying 'goodbye"): self-report of subjective intent may or may not be present. There is evidence of impaired self-control, severe symptomatology. multiple risk factors are present, and few, if any protective factors. Present Chronic Risk is present when there is a history of two or more suicide attempts Absent Chronic Risk is absent when there is a history of one or zero suicide attempts. Reason for referral: b Change in risk factors: Reason for removal from watch: Diagnosis: Recommendations: EFTA00132331 Date Progress Notes Thinks to Christopher Bush & Scott Forbes In the development of this guide Version 3 EFTA00132332 Page I of I Epstein From: To: Date: 7/25/2019 1:35 PM Subject: Epstein The National Suicide Prevention Coordinator from Central Office, Dr. Montacted me today about Epstein. He thought that housing him with another sex offend • would be a good idea. I told him I would speak with the executive staff about his suggestion. Also, D hought it wise that we keep him down here for a bit (as is the plan already). I am • ital in about a half an hour or so. If you need me for anything, feel free to call my cell phon hank you. Elissa Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York. New York 10007 lile:///C/Users/bop19019/AppData./1.ocal/TempAPgrpwise/5D3913001:NYM DOMIN Y M... 8/26/2019 EFTA00132333 Page 1 of 1 Suicide Watch/Psych Observation Update From: To: Suicide Watch/Psych Observation Update Date: 7/30/2019 12:30 PM Subject: Suicide Watch/Psych Observation Update Inmate Epstein #76318-054 is being taken off of Psych Observation and needs to be housed with an appropriate cellmate. Suicide Watch None Psych Observation None Thank you, file:///e:/lIsers/bop18967/AppData/Local/Temp/1/XPgrpwise/5D403854N YM1)OM I N Y... 8/13/2019 EFTA00132334 Page 1 of 3 Recipients: 71 Acknowledged: 27, Response Pending: 44 Read Read Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Read Response Pending Read Response Pending Read Response Pending Response Pending Read Read Response Pending Response Pending Response Pending Response Pending Read Response Pending Response Pending • Read Response Pending Response Pending Response Pending Read Response Pending Read Read Response Pending fileE///C:/Uscrs/bop18967/AppData/Local/Temp/2/XPgrpwise/5D403854NYMDOMINY... 8/14/2019 EFTA00132335 Page 2 of 3 Read Response Pending Response Pending Response Pending Read Read Response Pending Read Read Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Response Pending Read Read Response Pending Read Transferred Read Response Pending Read Read Response Pending Read Response Pending Read Read Read Attachments: User: 0, system: 2 Send Options: file ///C:/Users/bop18967/AppData/Local/Temp/2/XPgrpwise/5D403854NYMDOMINY... 8/14/2019 EFTA00132336 Page 3 of 3 file //C:/Users/bop18967/AppData/Localicemp/2/XPg,rpwise/5D403854N YMD°MIN Y... 8/14/2019 EFTA00132337 03) EFTA00132338 EFTA00132339 It is recommended that all SHU inmates be double-celled unless there is a compelling reason not to do so. EFTA00132340 0 Suicide Prevention Annual Training 2019 EFTA00132341 At-Risk Settings • Restrictive Housing • Single Cells • Private Spaces 90A-NY-3151227 Serial 73 -1 of 3- FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 09/04/2019 The following interview was conducted by Assistant United States Attorney (AUSA) and AUSA , also present for the interview was Office of Inspector General (OIG) Special Agent (SA) and Federal Bureau of Investigation (FBI) SA , date of birth (DOB) , place of employment, BUREAU OF PRISONS, Senior Officer Specialist, was interviewed on 08/29/2019 in Room 645 at , New York, New York 10007. After being advised of the identities of the interviewing personnel, and the nature of the interview, voluntarily provided the following information: discussed how she has worked various duty assignments within the Metropolitan Correctional Center (MCC). has worked internal, Control 1, and the Special Housing Housing Unit (SHU). The day of the incident in question, was working "Control 1". stated that whenever overtime is available, she usually works it. explained that "internal" is responsible for accountability, responding to emergencies, and anything the Lieutenant needs assistance with. informed us that head counts are annotated by "count slips". I have attached provided count slips to the IA section. stated that she started her morning shift by printing off the roster, and that she made her initial rounds on the unit. stated that rounds are made every 30 minutes. Head counts are conducted at 12:00, 3:00, and 5:00 for morning shift. stated that she counts every single time for the required 30 minute rounds. continued with how counting rounds are to be infrequent, for example, a 30 minute round, should be exactly a incremented 30 minutes apart. explained that this is implemented so that inmates cannot anticipate the exact time the Correctional Officer (CO) appears on the range to make their rounds. invcsuptionon 08/29/2019 at New York, New York, United States (In Person) Nett 90A-NY-3151227 Date drafted 09/04/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132342 9OA-NY-3151227 Serial 73 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of ( U ) Interview o: pn 08/29/2019 ipage 2 of 3 A CO must call "Control" for the opening of every door. The opening of the door is called "popping the door" within MCC institutional jargon. A "watch-call" is every 30 minutes, with the presence of a Lieutenant, and all door openings are coordinated through "Control". Whenever a "watch-call" is complete, the CO calls "Control" to provide the counted number. "Control" then verifies that the number is correct and documented. "Control's" duties include, monitoring the activity on the ranges, answering calls from COs, replying on the radio, and opening doors. stated that "no one is really moving anywhere within the institution". A count sheet is called a "El", and it is printed off from the internal MCC system called "Sentry". Control validates all responded numbers from the head counts, and marks an "x" on the El sheet to confirm the count. This happens for every check of every unit. El's are supplemented with count slips that properly filled out and stapled to the El time-sheet. Once all head count numbers are verified to be correct, everything is documented, recorded, and then considered to be a good count. began her shift on August 10, 2019 at 12, midnight, to 8 A.M.. stated that the Lieutenant took care of the 12 o'clock count that day. recalled that CO THOMAS and CO NOWELL worked in the SHU on the day of the incident. stated that NOWELL was fairly new. stated that she does not pay specific attention to just one individual screen during her shift since so much is going on. stated that extension "6468" is the number that is called for reporting the count. If a Lieutenant is on the unit for the count, that is when it is considered a "watch-call". On the 3:00 A.M. and 5:00 A.M. watch-calls, ran the counts. recalled that the SHU called in the count of the day and that the count was accurate. does not recall who called the count in from the SHU, but recalled that the number was "72". stated that there are folders that are filed that are compiled with count verifications time sheets for every day of the calendar year. recalled that she "popped" the door for Officer NOWELL, which was EFTA00132343 90A-NY-3151227 Serial 73 FD-302e (Rev. 5-8-10) 90A-NY-3151227 Continuation of FU-302 of (U) Interview of 08/29/2019 ,page 3 of 3 door "46". stated that Officer NOWELL had to use the bathroom that was located on 10 South. stated that Officers use the stairs outside of door "46" to get to the bathroom, since there is not an elevator that goes from 9 South to 10 South within the SHU. stated that she is not aware if there is a record for the doors that have been opened by "Control". When asked, recalled the time "6:33" A.M., for being the time that the body alarm was hit by Lieutenant for a medical emergency. stated that she immediately called "911" since she has a direct line to Emergency Medical Services (EMS). stated that she did not know what happened at the time she called for EMS. recalled operating elevators up and down once EMS arrived on scene. stated that there were a-lot of people in and out, to include a stretcher, brought in by EMS. recalled Officer THOMAS being buzzed out of the SHU and that he went outside once EMS responded inside the SHU. stated that she has reached out to THOMAS to make sure that he was okay, but that was extent of any communication between the two. recalled that she was able to see two Officers at the desk inside the SHU throughout her shift, but that she was not able to see the rest of the range in the SHU because the video was not operational. EFTA00132344 ,MElm virwso (c4) Qt;& - uve.wkit. Arevtc:e3 134A) — -Wog frforti._ -Lou — met (4-na,s4rt4) sd oh poi- evil Corr -H.1 Peceg.4%7 3 MOviitS Piraoteye Pito) Plice 20/41(frferirvas0 4---i.cide".-4-1 was 00:abt-1/4vt( 3 (3)€,4";.,j dews iwka GJA-srat) 07.(a) veccilAn, dt-et . M eseoef CArecivit-t is ova-, (46(e, vi-44 talks it i wriethi( rerrat.r(64 "Ar COOrd- neat' $ en rol Ck, avl on-ilitt trz, -flee LT lomeatsk r I (dwi-W7 Is 4 SO 4004"C e' Covw\-- t-ps J" 41 DIPS tai 4h (I 44e coodl / ilivelfaiti Aid 2/ snitmes J. Tv{44 ( (Glick S cal tkat -1-* A / 0 Sovi4 9 Sevg, O cv• Act 1- at cow..-4- *Le- w Joa44-120.4, \-10 tkon r' of-C fq"-ler 44 evict notds J I ,ssevki 90 ru.ottik.7. Coas 12,to0 7:cri ri S:vc) Cou,,k enti st jIt -{-to:et Co( 44,t. so ran -34 EFTA00132345 cv_ 0 .4-(A.1 03.4 s aft -f• 1.2 (e r so- se lAtf-A.ies -ft-e ex“..4 74.i. A ed O pmts oh 44-t. . Oliiii 14, co.4wk -6tr opet.fol 4 dm( of q if.e.4.‘ co(/' - e,te.--t 3c) rAt.;.,, e--1 PrV -ge ce is el coidtk i Cqf lAfr.."'Ke +Le cAu.-4 i.,4tile co (-e nv- a - e qmv,Nal ca 141, 4.11.e/ /"cliff alvd-Ar. " A0oVe ecKr /Lr (/ /44, -714 .4.ids;,474,1;1 [.t7 CO..f Siseet- fe:: ( og .;61: ,(t'etafes l‘e cov,.. ft et te.wize, Ate,gs welt o. "4-.1 v., 4 a I/ aCcoei.-7e (*At( 51-- it S cfp.t.074-x , aa liF7Y " 50 ;7't G4co‘....44( a (Java . 61.41)* 12-7 Avey to 41- . Z / lack .1.-ke ( t) ttAtk. ex. Al 44. et....t _st(1,01 44)44- 44 cn c*. tie(A(s Cd7L. g 4 Ahwe7/ p 1 4. -Ai l att./ EFTA00132346 GYlog 41%.4.-Rs 041 A., lepta.tvi 44, cent-4 . disk& oita efrent 30 mac • yak • } in! tOtt&tdemed a 4444, e 'coo ettc. d SAO dock- rv• AM. 4 6 i- 04 Al le / 7-414, 6SS144 • 614gaoat Cantle SAS Si , [0 , ta) OCAEtZ %at os:u. Ce.rA : 1tavola kolut • pv4 *4 1-k and thtk‘ 04.A_adttcr who( 4k 4.1_ 0 'pteeclati— ab•el LA- ii- Ctna!Si ito sctiV clic ca l Aga 4 Argot ic Was "7 2,& -54" are _.6; Ay/ swil * ebeyat au -1/42 cook+ wthhiviam 4 uut/co4,4- ske-4-r4e /4 vect 4- Soo lira& coum- .57-tv Cc4a, (4 74, e;e1 Naked (aged 6( 714° (W e 4), yo 0° legi) 444:Z 414/Pokt. . swi g • r)p( ataf t v gi• (9 s-nfe1. e. arose ) (Arc i ce* sivarkj EFTA00132347 Al( debts-141( ate aficOqi Alk5/ (fed 2.046zic cc "foe" -tut oktr• ft a re2 hor; t1 /44R/ t(( cecors. wfra( et c -FL eAgo.--,./ door/ Araint( ocha, earn) 4-tre_ t`,4ep-4 kk 414*a L liici4o404 ler ex4....rem F CVIE 6E' Ca Lo? en) 74..er-i•--- *tan irt,:k.—.t JO', 6jfie avveri 7' *dick &Qv*. DoeS kg* Kw. w t c renirdIlte es If die" TeliCA INGA„,e 1-aa-Lr pare/ $7 're,rut(: Gt. 2 A. G<. idr 44, dan" re4vig-t•t) 1.4A chtz.„ merAcci/eperpty. C L•60( Cdej 97/ (entMel 4s .1*--c:fr/s A /WV fit 4-64/ it+ neleci f -0(47(7 ey‘ Csissov. LM ruE fCcto9 taL.4- wc.s lip, add rifs vs-;...eksek wypan pew/ adeta, / .eCityr t dela(- Mr-mi fp( et4- / (4(1,4 sire4(2, rek Ogs on. fix . 4.-/-• Ian citmei ienustanser. EFTA00132348 c44- sat, tAilmw pQl were (mot rkcecitst+- Mum"• elgS keito 4 t kW- SOC. ivr‘ j See Gh I4 7 %i cf A.ere irmtier War (fro ii-sZly 4) , C (.4/1,1A-ev 7/ 7 17.2.1ze-i sq-f, }ere Cot <14444, 0. S-4-1A1 CdUid PA- SC4.- GAM/ 0, , 044•0r-, Cu} At, l&t4, _ .4(/ 7 /7 4.,4 C i V 4 EFTA00132349 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: S. Jean, Operations Lieutenant FROM: S. Andrea, Correctional Systems Officer SUBJECT: Epstein, Jeffrey Edward # 76318-054 Body Alarm/ Medical Emergency in Special Housing Unit (SHU) On August 10, 2019 at 6:33am while on duty as the morning watch control center officer, Special Housing Unit (SHU) Officer; radioed for medical assistance in SITU and activated the body alarm. I notified staff that a body alarm and medical emergency was called in SHU. Staff responded, than I received a call from staff in SHU telling me to call 911 for an ambulance. I notified the New York Police Department via the institutional NYPD telephone. I then informed NYPD that we need and ambulance and medical assistance for one of our inmates. Staff then continued to respond getting a stretcher and a defibrillator, escorting the inmate down to medical. The New York City Fire Department and Emergency Medical Services (EMS) arrived at 6:43am to the institution and were escorted to the 2"d floor medical area. EMS departed the institution with inmate Epstein and BOP escort via ambulance and chase car to local hospital at 7:10am. CSO / S. Andrea EFTA00132350 EFTA00132351 . i• NYMPC $30.03 • BUREAU OF PRISONS COUNT SHEET • 08-10-2019 RAGS 001 NEM YORK MCC • 00:15:17 • QTRG EQ "" OCTG EQ **" OOTCOUNT SECTION A F F F F N K R S TRV OC T O N N S O S A A N I DO T J Y Y S D N N S TU COUNT Y 8 S P I D I NVIRIPT COUNT AREA CENSUS V T T COUNT COUNT AREA B-A 26 2 26 E-A C-A 10 ___ 20 C-A 8-N 83 2 2 ,k u... 81 N-N 8-8 79 1 1 , „ .AE. _ 76 E-S G-N 78 -48V- 78 G-N G-S 88 88 0-8 H-A 4 4 H-A ..k- I-N 66 86 I-N -ak K-N 89 -eC' 89 K-N K-S 137 1 1 iC 136 K-S R-A 1 1 R-A 2-A 72 72 Z-A Z-B 5 X S 2•B TOTAL 758 4 754 COUNT VERIFY Y OFFICTAL PREPARING WE -- OFFICIAL TARING COUNT CLEARED TINE: good fep €.),; I ar) Correctio 'Center ..... _ — — . EFTA00132352 — . —Metropolitan OfficiaMount Slip iMetr0ptilltaCt Correctional Center . - NS York, New York Unit: _ilea Int.‘ “ ?:, Official Count Countt Ti-- .".•.-....cime; 0 .- Unit: Date a'. —,?-- Print Name: Count: i Time: Signature: 1. Print Name: Print Name: 1. Signature: Signature: 2. Print Name: 2. Signature:— — Metropolitan.Corroctio al Center Official Count Slip Metropolitan Correctional Center Unit: • Zit Da New York, New York '""- Count: Official Conn lip Print Name: Unit: Signature: 1. Print Name: Print Name: I. Signature: Signature: "'N. 2. Print Nime: 2. Signature: Metropolitan Correctional Center Official Count Slip Unit: bate: Count: Print Name: Signature: Print Name: C:nnntron• EFTA00132353 * 08-10-201 NYMEC 530.03 * BUREAU OF PRISONS COUNT SHEET • 01:20:48 * NEW YORK MCC PAGE 001 QTRG SQ **** OCTG EQ **** OUTCOUNT SECTION F H M R S TR V OC A F P F S O S & A N I UO T N N N Y S D N W S TU T J Y COON P I D I N VERIFY COUNT Y E S V T T COUNT COUNT ARE AREA CENSUS 26 B-71 B-A 26 C-1 C-A 10 81 E-7 83 2 E-N 79 E- E-S 79 78 G- G-N 78 88 G- G-S 88 4 H- H-A 4 86 I I-N 86 89 K N K-N 89 4- . 2 135 K S 137 . . 2 K-S . 1 R A R-A 1 ' 72 2 A Z-A 72 .)(' 5 Z B Z-B 5 4 4 754 TOTAL 758 ":‘ COUNT / \ • VERIFY OFFICIAL PREPARING COUNT: OFFICIAL TAKING COUNT: COUNT CLEARED TIME: 3\v„ EFTA00132354 inetrupuistaig ...orrectional Cente r - Official Count Slip IC Unit: ZA Date: E \ Count: Time: (ACV\ Print Name: t\ A CAM f\S: Signature: Print Name: Signature: Metropolitan Correctio nal Center Official Count Slip Unit: Date: K >. 10 -26(9 Count: Time: 3 (Lin., Print Name: Signature: Print Name: 1\4/41 tA Signature: EFTA00132355 BUREAU OP PRISONS COUNT SHEET * 06-10-2019 NYMFC 530.03 * NEW YORK MCC * 01:20:48 PAGE 001 • QTRG EQ **re OCTG EQ *•** OUTCOUNT SECTION A F F F F H M R S TR V OC T N N N S O S & A N I U0 T J Y Y S D N W S TU S S P / D I NVERIFY CO COUNT Y V T T COUNT COUNT AREA CENSUS 26 B-A B-A 26 10 C-A C-A 10 2 . 81 E-N E-N 83 79 E-S E-S 79 78 G-N G-N 78 88 G-S G-S 88 4 H-A H-A 86 I-N I-N 86 89 K-N K-N 89 135 K-S K-S 137 1 R- R-A 1 72 2- 2-A 72 5 5 2- Z-B 4 4 754 TOTAL 758 N,( COUNT VERIFY \" OFFICIAL PREPARING COUNT: OFFICIAL TAKING COUNT: COUNT CLEARED TIME: • EFTA00132356 Metropolitan Correctional Center Official Count Slip Unit: LA Date: G (O. 20A Count: 4.2_ Time: 5.:CO Qin Print Name: Signature: Print Name: Signature: Metropolitan Correctional Center Official Count Slip Unit: C3 Pr Date: ' I0 IC] Count: 2 6 Time: 5 0 n-beM Print Name: s c < Signature: Print Name: Signature: EFTA00132357 • ••••••• Metropolitan Correctional Center New York, New York Official Count Slip Unit: Date: Fe Count: a 3 Time: 0 1. Print Name: 1. Signature: &. Print Name: Signature: Metropolitan Correctional Center 6 Official Count Slip Unit: 2— r Date: g- D rip n Count: Time: S' O 0Psri Print Name: Signature: Print Name: Signature: EFTA00132358 6317 IN code Validation I Queue Time Dialed Number 6317 Account Code Authorization code Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE . . RECORD NUMBER: 100 TIME STAMP. 9 -AUG-2019 22:37 Start Date 8/ 9/19 I Answer Date 8/ 9/19 I End Date 8/9/19 .start Time. 22:36:21 I Answer Time 22:36:42 End Time 22:37:14 Caller Station 6381 selected station 6317 Caller Circuit. 04-01-01 selected circuit 04-01-13 Caller cos 4 selected cos 1 Caller Routing class 4 Selected Routing Class 1 caller Switch ID 001 Selected Route Pattern Caller ANI Selected Facility Record Audit 3136 call Type LINE TO LINE Conference Audit Call Status CONVERSATION BEFORE HOLD Access Cede Queue Status NULL QUEUE Code Validation 'Queue Time "Dialed Number 6317 Account Code Authorization code Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 101 TIME STAMP: 10-AUG-2019 0 :21 Start Date. 8/10/19 I Answer Date 8/10/19 I End Date 8/10/19 start Time 0:21:11 Answer Time 0:21:15 End Time 0:21:15 Caller Station 6313 Selected Station 6317 Caller circuit 04-08-03 selected circuit 04-01-13 Caller COS 11 selected COS 1 Caller Routing Class 1 Selected Routing Class 1 .Caller •Switch ID 001 selected Route Pattern • Caller ANI selected Facility Record Audit 3263 ll Type LINE TO LINE Conference Audit ca Call Status ANSWER Access Code Queue Status NULL QUEUE Code validation Queue Time Dialed Number 6317 Account Code Authorization Code se tTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 102 TIME STAMP: 10-AUG-2019 0 :21 Start Date 8/10/19 fI Answer Date 8/10/19 End Date 8/10/19 Start Time 0:21:11 Answer Time 0:21:15 End Time, 0:21:36 Caller Station 6313 I Selected station 6317 taller Circuit. 04-08-03 Selected Circuit 04‘01-13 .Caller cos 11 selected COS 1 Page 37 EFTA00132359 6317 IN Caller Routing Class 1 Selected Routing class 1 Caller switch ID 001 selected Route Pattern caller ANI selected Facility Record Audit 3263 Call Type LINE TO LINE conference Audit Call Status IN CONVERSATION Access Code Queue Status NULL QUEUE Code validation Queue Time Dialed Number 6317 Account Code Authorization Code se'cTRL/z to CANCEL; CTRL/S to PAUSE and cTRL/Q to CONTINUE RECORD NUMBER: 103 TIME STAMP: 10-AUG-2019 0 :26 • start Date 8/10/19 I Answer Date 8/10/19 I End Date 8/10/19 start Time 0:26:01 Answer Time 0:26:07 End Time 0:26:07 caller Station 6381 selected station 6317 Caller Circuit ' 04-01-01 Selected Circuit 04-01-13 Caller cos 4 selected cos • 1 Caller Routing Class 4 selected Routing class 1 caller switch ID 001 Selected Route Pattern Caller ANI selected.Facility Record Audit 3274 Call Type LINE TO LINE conference Audit Call Status ANSWER Access Code Queue status NULL QUEUE Code validation .Queue Time Dieled'Number 6317 Account code Authorization code se CTRL/Z to, CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 104 TIME STAMP: 10-AUG-2019 0 :26 Start Date 8/10/19 f Answer Date 8/10/19 f End Date 8/10/19 .Start Time 0:26:01 I Answer Time 0:26:07 I End Time 0:26:16 taller station 6381 selected Station 6317 caller circuit ' 44-01-01 0 Selected Circuit 04-01-13 caller COS. selected cos 1 Caller Routing class 4 selected Routing class 1 Caller Switch ID 001 selected Route Pattern Caller ANI selected Facility Record Audit 3274 call Type LINE TO LINE Conference Audit Call Status IN CONVERSATION Access code. Queue status NULL QUEUE ' :.CodeVelidation Queue Time Dialed Number . 6317 Account code . Authorization Code Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 105 TIME STAMP: 11-AUG-2019 0 :47 I Page 38 EFTA00132360 6317 08.09.19 8/ 9/19 I Answer Date End Date 8/ 9/19 Start Date End Time 22:37:15 Start Tithe 22:37:15 I Answer Time caller station 6317 selected Trunk Group Caller Circuit 04-01-13 selected Circuit Caller cos 1 selected cos Cajler Routing class 1 selected Routing class Caller Switch ID 001 selected Route Pattern Caller ANI Selected Facility Record Audit • 3136 Call Type ONE LINE Conference Audit Call Status CM HOLD Access Code Queue status NULL QUEUE code validation Queue Time Dialed Number Account Code Authorization code use CTRL/Z to CANCEL; CTRL/5 to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 158 TIME STAMP: 9 -AUG-2019 22:37 -start Date 8/ 9/19 Answer Date End Date 8/ 9/19 Start Time' 22:37:15 Answer Time End Time 22:37:16 caller Station 6317 Selected Trunk Group Caller Circuit 04-01-13 Selected Circuit Caller cos 1 selected Cos Caller Routing class 1. selected Routing class Caller Switch ID 001 selected Route Pattern 'Caller- ANT selected Facility Record Audit 3137 call Type ONE LINE conference Audit call Status DIALING Access code Queue Status NULL QUEUE code validation Queue Time Dialed Number Account code Authorization code use cTRL/Z .to CANCEL; CTRL/S to PAUSE and. CTRL/Q to CONTINUE RECORD NUMBER: 159 TIME STAMP: 10-AUG-2019 0 :8 Start Date 840/19 Answer Date I End Date 8/10/19 start Time 0:08:12 I Answer Time End Time 0:08:14 caller station 6317 selected Trunk Group caller Circuit 04-01-13 selected circuit caller Cos. 1 selected cos caller ROuting class 1 Selected Routing class, caller. switch /D 001 selected Route Pattern caller ANT Selected Facility Record. Audit 3226 all Type ONE LINE conference Audit call status . BARGE REQUEST Access Code Queue Status NULL QUEUE Code Validation Queue Time Dialed Number 003. Actount code Page 58 EFTA00132361 6317 08.09.19 I Authorization Code Use CTRL/2 to CANCEL; CTRL/s to PAUSE and CTRL/p to CONTINUE RECORD NUMBER: '160 TIME STAMP: 10-AUG-2019 0 :8 8/10/19 I End Date 8/10/19 Start Date 8/10/19 Answer Date • 0:08:14 0:08:14 Answer Time 0:08:14 End Time Start Time 6317 selected Trunk Group 4*.#*_Itt caller Station Selected circuit caller Circuit 04-01-13 Caller. COS. 1 selected cos caller Routing Class 1 selected Routing Class Caller Switch ID 001 selected Route Pattern selected Facility .Caller ANI • • Call Type LINE TO CONFERENCE Record Audit 5450 1 Call Status ANSWER Conference Audit Queue Status NULL QUEUE Access code Queue Time code validation Dialed Number Account Code Authorization code CTRL/Q to CONTINUE Use CTRL/2 to CANCEL; CIRL/S to PAUSE and RECORD NUMBER: 161 TIME STAMP: 10-AUG-2019 0 :8 Answer Date 8/10/19 I End Date 8/10/19 -start Date 8/10/19 End Time 0:08:21 start. Time 0:08:14 Answer Time 0:08:14 caller Station 63 Selected Trunk Group fit -4t -4t caller Circuit 17 -13 04-01 Selected circuit caller cos 1 selected COS caller Routing Class 1 selected Routing class Caller SWitch. ID 001 Selected Route Pattern caller ANI Selected Facility 5450 call Type LINE TO CONFERENCE Record Audit Call IN CONVERSATION Conference Audit 1 Queue Status NULL QUEUE Access Code Queue Time code Validation Dialed Number Account Code Authorization Code Q to CONTINUE. se °wiz to CANCEL; cm/s to PAUSE and CTRL/ RECORD NUMBER: 162 TIME STAMP: 10-AUG-2019 0 :8 Answer Date ' . I End Date 8/10/19 Start. Date 8/10/19 0:08:31 0:08:29 Answer Time End Time Start Time Caller Station 6317 Selected Trunk Group Caller Circuit 04-01-13 Selected Circuit .Caller cos. 1 Selected COS Caller Routing Class 1 Selected Routing Class caller Switch ID 001 Selected Route Pattern Caller ANI Selected Facility 3227 call Type ONE LINE Record Audit Page 59 EFTA00132362 6317 08.09.19 I Call Status BARGE REQUEST Conference Audit Queue Status NULL QUEUE Access Code I Queue Time Code Validation Dialed Number 003 Account Code Authorization code to CONTINUE Use CTRL/I to CANCEL; CTRL/S to PAUSE and cTRL/Q RECORD NUMBER: 163 TIME STAMP: 10-AUG-2019 0 :8 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 0:08:31 0:08:31 I Answer Time 0:08:31 I End Time Start Time 6317 Selected Trunk Group *It -irk_trt. caller Station Selected Circuit Caller Circuit 04-01-13 1 Selected cos Caller cos Selected Routing Class Caller Routing Class 1 001 selected Route Pattern Caller Switch ID Selected Facility Caller ANI Call Type LINE TO CONFERENCE Record Audit 5450 1 Call Status ANSWER Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code Validation Dialed Number Account code Authorization Code tO PAUSE and CTRL/Q to CONTINUE USe CTRL/Z tO CANCEL; CTRL/S RECORD NUMBER: 164 TIME STAMP: 10-AUG-2019 0 :8 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 0:08:40 0:08:31 Answer Time 0:08:31 Start Time 6317 Selected Trunk Group Caller Station Selected Circuit Caller circuit 04-01-13 1 Selected COS Caller COS selected Routing Class Caller Routing class 1 001 Selected Route Pattern caller Switch ID Selected Facility Caller ANI' 5450 Call Type LINE TO CONFERENCE Record Audit Call Status IN CONVERSATION conference Audit 1 Queue Status NULL QUEUE Access Code Queue Time Code validation Dialed Number Account Code Authorization Code CON TINUE Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 165 TIME STAMP: 10-AUG-2019 0 :8 I End Date 8/10/19 Start Date 8/10/19 I Answer Date I End Time 0:08:51 Start Time 0:08:46 Answer Time 6317 I Selected Trunk Group Ciller Station Page 60 EFTA00132363 6317 08.09.19 Caller Circuit 04-01-13 I Selected Circuit 1 I selected cos Caller COS I selected Routing Class Caller Routing Class 1 001 selected Route Pattern Caller Switch ID Selected Facility Caller ANI Call Type ONE LINE Record Audit 3228 BARG E REQUEST Call Status Conference Audit I Queue Status NULL QUEUE Access Code I Queue Time Code Validation Dialed Number 003 Account code I Authorization Code to CONTINUE Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q RECORD NUMBER: 166 TIME STAMP: 10-AUG-2019 0 03 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 0:08:51 I 0:08:51 I Answer Time 0:08:51 start Time 6317 selected Trunk Group Irk -**-A* caller Station Selected circuit Caller Circuit 04-01-13 1 Selected cos Caller cos Selected Routing Class Caller Routing Class 1 001 Selected Route Pattern Caller switch ID Selected Facility Caller ANI Call Type LINE TO CONFERENCE Record Audit 5450 1 Call Status ANSWER Conference Audit Queue Status NULL QUEUE Access code Queue Time Code validation Dialed Number Account code Authorization Code CONTINUE se CTRL/z to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 167 TIME STAMP: 10-AUG-2019 0 :9 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 0:09:01 0:08:51 I Answer Time 0:08:51 I End Time Start Time 6317 Selected Trunk Group ~caller Station selected Circuit Caller circuit 04-01-13 1 selected cos Caller cos I Selected Routing Class Caller Routing class 1 001 I Selected Route Pattern Caller Switch ID IIIISelected Facility Caller ANI I Call Type LINE TO CONFERENCE Record Audit 5450 1 I call Status IN CONVERSATION Conference Audit I Queue Status NULL QUEUE Access Code Queue Time code Validation Dialed Number Account Code Authorization Code TIN UE Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to CON Page 61 EFTA00132364 6317 08.09.19 RECORD.NLIMBER: 168 TIME STAMP: 10-AUG-2019 0 :9 8/10/19 I End Date 8/10/19 start Date 8/10/19 Answer Date End Time 0:09:45 Start Time 0:09:40 I Answer Time 0:09:45 6317 selected station 6468 Caller station 04-09-04 caller Circuit 14-01-13 selected circuit 0 11 Caller.COS Selected cos caller -Routing class 1 selected Routing class 1 caller switch /D 001 selected Route Pattern caller ANI selec ted Facility 3230 call Type LINE TO LINE Record Audit ANSWER conference Audit call status Queue Status NULL QUEUE Access code Queue Time code r-. validation' Dialed Number 6468 Account Code Authorization code Q to CONTINUE Use CTRL/Z to CANCEL; CTRL/5 to PAUSE and CTRL/ REc0RD:NuMBER: 169 TIME STAMP: 10-AUG-2019 0 :10 8/10/19 I End Date 8/10/19 start.Date • 8/10/19 Answer Date 0:09:45 End Time 0:10:26 start.Time 0:09:40 Answer Time . 6317 selected station 6468 caller station 04-09-04 caller-Circuit 04-01-13 selected circuit 1 selected cos 11 caller Cos caller Routing class 1 Selected Routing Class 1 caller switch ID 001 selected Route Pattern caller•ANT selected Facility 3230 Call Type LINE TO LINE Record Audit Call Status IN CONVERSATION conference Audit Queue Status NULL QUEUE Access code Queue Time code Validation Dialed Number 6468 Account 'code Authorization code CONTINUE se cTRL/z to CANCEL; CTRL/5 to PAUSE and CTRL/0 to RECORD NUMBER: 170 TIME STAMP: 10-AUG-2019 0 :10 8/10/19 Answer Date End Date 8/10/19 Start.Dite. End Time 0:10:29 start Time 0:10:26 Answer Time • caller Station 6317 selected Trunk Group caller circuit 04-01-13 selected circuit caller Cos 1 Selected cos Caller Routing Class 1 Selected Routing class caller switch ID 001 Selected Route Pattern Caller ANI selected Facility 3231 call Type ONE LINE Record Audit Call Status DIALING Conference Audit Access Code Queue Status NULL QUEUE Code Validation Queue Time DialeciNuarber Page 62 EFTA00132365 6317 08.09.19 I Account Code e I Authorization cod CONTINUE Use CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 171 TIME STAMP: 10-AUG-2019 0 :21 I End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 0:21:39 Start Time 0:21:36 I Answer Time 6317 Selected Trunk Group Caller Station selected circuit Caller circuit 04-01-13 1 Selected Cos caller COS selected Routing Class caller Routing Class 1 001 selected Route Pattern Caller Switch ID Selected Facility Caller ANI 3264 Call Type ONE LINE Record Audit call Status DIALING Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code Validation Dialed Number Account code Authorization Code TINUE Use CTRL/2 to CANCEL; cTRL/S to PAUSE and CTRL/Q to CON RECORD NUMBER: 172 TIME STAMP: 10-AUG-2019 0 :33 End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 0:33:09 Start Time 0:33:07 I Answer Time 6317 Selected Trunk Group Caller Station Selected circuit Caller Circuit 04-01-13 1 Selected COS caller COS selected Routing class Caller Routing Class 1 001 selected Route Pattern Caller Switch ID selected Facility Caller ANI call Type ONE LINE Record Audit 3342 call Status DIALING Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code validation Dialed Number Account Code Authorization Code CONTINUE Use CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q to TIME STAMP: 10-AUG-2019 3 :11 RECORD NUMBER: 173 End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 3:11:49 Start Time 3:11:46. 1 Answer Time 6317 Selected Trunk Group Caller Station selected Circuit Caller Circuit 04-01-13 1 Selected COS Caller cos selected Routing Class Caller Routing Class 1 001 Selected Route Pattern Caller'Switch ID Selected Facility Caller ANI Page 63 EFTA00132366 6317 08.09.19 Call Type ONE LINE Record Audit 3565 DIALING call status Conference Audit Queue Status NULL QUEUE Access code Queue Time Code validation Dialed Number Account Code Authorization code UE to PAUSE and CTRL/Q to CONTIN use CTRL/Z to CANCEL; CTRL/S :20 RECORD NUMBER: 174 TIME STAMP: I0-AUG-2019 3 8/10/19 I End Date 8/10/19 Start Date 8/10/19 Answer Date 3:20:01 3:19:56 Answer Time 3:20:01 End Time start Time selected Station 6313 caller Station 6317 04-08-03 1 0 4-0 1-1 3 selected circuit Caller Circuit selected COS Caller cos Selected Routing class 1 caller Routing Class 1 001 Selected Route Pattern Caller switch to selected Facility Caller ANI 3589 call Type LINE TO LINE Record Audit' call status ANSWER Conference Audit Queue status NULL QUEUE Access Code Queue Time code validation Dialed Number 6468 .Account Code Authorization Code a CONTINUE se CTRL/Z to CANCEL; CTRL/5 to PAUSE and CTRL/Q.to RECORD NUMBER: 175 TINE STAMP: 10-AUG-2019 3 :20 8/10/19 I End Date 8/10/19 Start Date 8/10/19 Answer Date 3:20:01 End Time 3:20:15 Start Time 3:19:56 Answer Time selected station 6313 taller Station 6317 04-08-03 Caller Circuit 04-01-13 selected Circuit 11 1 Selected cos Caller COS selected Routing class 1 Caller Routing Class 001 Selected Route Pattern Caller Switch ID Selected Facility Caller ANI 358 9 call Type LINE TO LINE Record Audit call Status IN CONVERSATION Cohference Audit Queue Status NULL QUEUE Access Code Queue Time Code validation Dialed Number 6468 Account Code Authorization Code TINUE se CTRL/Z to. CANCEL;CTRL/S to PAUSE and CTRL/Q to CON RECORD NUMBER: 176 TIME STAMP: 10-AUG-2019 5 :27 I End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 5:27:45 .Start Time 5:27c42 Answer Time Page 64 EFTA00132367 6317 08.09.19 6317 Selected Trunk Group caller station 04-01-13 selected circuit caller circuit 1 selected cos caller cOS 1 'selected Routing class caller Routing class selected Route Pattern caller switch ID 001 Selected Facility caller ANI 3694 call Type ONE LINE Record Audit Call Status DIALING conference Audit Queue Status NULL QUEUE AcCess Code Queue Time code validation Oialed Number Account Code Authorization Code CON TINUE use CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 177 TIME STAMP: 10-AUG-2019 5 :32 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 5:32:30 I End Time 5:32:30 Start Time 5:32:17 Answ er Time selected Station 6450 caller Station 6317 04-09-05 04-01-13 selected circuit 11 caller circuit 1 Selected CoS caller cos selected Routing class 1 caller Routing class 1 001 Selected Route Pattern caller switch ID Selected Facility caller ANI Call Type LINE TO LINE Record Audit 3704 ANSWER Call Status Conference Audit Queue Status NULL QUEUE Access code Queue Time code validation Dialed Number 6450 Account code Authorization code TINUE se CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q to CON RECORD NUMBER: 178 TIME STAMP: 10-AUG-2019 5 :33 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 5:32:30 End Time 5:33:15 Start Time 5:32:17 Answer Time selected station 6450 Caller station 6317 04-09-05 04-01-13 selected circuit Caller circuit selected COS 11 Caller cos 1 1 1 selected Routing Class Caller Routing Class selected Route Pattern Caller switch ID 001 selected Facility Caller ANI call Type LINE TO LINE Record Audit 3704 IN CONVERSATION call Status Conference Audit Queue status NULL QUEUE Access Code Queue Time code validation Dialed Number 6450 Account Code • Authorization Code CONTINUE Use CTRL/2 to CANCEL; CTRL/5 to PAUSE and CTRL/Q to Page 65 EFTA00132368 6317 08.09.19 5 :53 RECORD NUMBER: 179 TIME STAMP: 10-AUG-2019 I End Date 8/10/19 start Date 8/10/19 I Answer Date I End Time 5:53:09 5:53:06 Answer Time 'Start Time 6317 Selected Trunk Group Caller station selected circuit caller Circuit 04-01-13 1 .selected cos caller COS selected Routing class caller Routing Class 1 001 selected Route Pattern caller switch ID Selected Facility caller ANI Call Type ONE LINE Record Audit 3718 DIALING Call Status conference Audit Queue Status NULL QUEUE Access code Queue Time Code Validation Dialed Number Account code Authorization code CONTINUE se cTRL/z to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 180 TIME STAMP: 10-AUG-2019 6 :36 r 8/10/19 End Date 8/10/19 star; Date 8/10/19 I Answer Date 6:36:01 End Time 6:36:01 start Time 6:35:58 Answer Time selected Station 6313 Caller Station 6317 04-08-03 04-01-13 selected Circuit caller Circuit Selected cos 11 caller cos 1 1 1 selected Routing class caller Routing Class selected Route Pattern caller switch zo 001 selected Facility caller ANI call Type LINE TO LINE Record Audit 3745 Call Status ANSWER Conference Audit eus Queue stat NULL QUEUE .Access Code Queue Tim Code Validation Dialed. Number 6313 Account Code Authorization Code CONTINUE se CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 181 • TINE STAMP: 10-AUG-2019 6 :36 8/10/19 End Date 8/10/19 start pate 8/10/19 I Answer Date End Time 6:36:0S 6:35:58 Answer Time 6:36:01 Start Time selected station 6313 taller. Station 6317 04-08-03 04-01-13 Selected Circuit caller Circuit 'Selected cos 11 caller cos Selected Rodting Class 1 Caller Routing Class 1 001 selected Route Pattern Caller switch ID Selected Facility Caller ANI . Call Type LINE TO LINE Record Audit 3745 Call Status IN CONVERSATION Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code Validation Page 66 EFTA00132369 6317 08.09.19 6313 • Dialed Number • Account Code Authorization Code to CONTINUE CTRL/S to PAUSE and CTRL/Q Use CTRL/Z to CANCEL; 6 :36 TIME STAMP: 10-AUG-2019 RECORD NUMBER: 182 8/10/19 End Date 8/10/19 Answer Date* End Time 6:36:20 start Date 6:36:18 Answer Time Start Time 6317 selected Trunk Group caller Station 04-01-13 Selected cos circuit Caller Circuit 1 selected caller cos 1 selected Routing class caller Routing Class 001 ' selected Route Pattern caller switch ID sel ected Facility caller ANI Call Type ONE LINE 3748 DIALING Record Audit Call Status conference Audit Queue Status NULL QUEUE Access Code Queue Time Code Validation Dialed Number. Account Code Authorization Code to CONTINUE CTRL/S to PAUSE and CTRL/Q se CTRL/Z to CANCEL; 6 :37 TIME STAMP: 10-AUG-2019 RECORD NUMBER: 183 e 8/10/19 e 8/10/19 End Dat 6:37:17 start Date 8/10/19 Answer Dat 6:37:17 End Time Start Time 6:36:52 Answer Time Selected Trunk Group 6 6317 01-14-23 Caller Station 04- 01- 13 selected circuit 90 caller-Circuit 1 selected cos ' 1 Caller cos 1 selected Routing Class 23 Caller Routing Class 001 selected Route Pattern 8 caller Switch ID sel ected Facility caller ANI call Type LINE TO TRUNK 3750 ANSWER Record Audit Call Status Conference Audit 9 Queue Status NULL QUEUE Access Code . Queue Time code validation Dialed Number 16464230779 Account code Authorization Code L/Q to CONTINUE LTRL/S to PAUSE and CTR Use CTRL/2 to CANCEL; • 6 :38 TIME STAMP: 10-AUG-2019 RECORD NUMBER: 184 8/10/19 8/10/19 I End Date 6:38:19 start Date 8/10/19 Answer Date 6:37:17 End Time start Time 6:36:52 Answer Time 6 6317 Selected Trunk Group 01-14-23 Caller Station 04-01-13 selected cir cuit Caller Circuit • ected COS 90 1 Sel 1. Caller COS 1 Selected Routing class 23 Caller. Routing Class 001 selected Route Pattern Caller switch ID Page 67 EFTA00132370 6317 08.09.19 8 selected Facility Caller ANI 3750 call Type. LINE TO TRUNK Record Audit call Status IN CONVERSATION conference Audit I Queue status NULL QUEUE Access Code 9 I Queue Time Code validation Dialed Number 16464230779 Account Code Authorization Code to CONTINUE Use CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q :49 RECORD NUMBER: 185 TIME STAMP: 10-AUG-2019 6 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 6:49:14 End Time 6:49:14 Start Time 6:48:46 I Answer Time selected Trunk Group 6 Caller Station 6317 01-14-22 04-01-13 selected circuit caller circuit selected COS 90 Caller cos 1 1 1 selected Routing Class 23 Caller Routing Class Selected Route Pattern caller Switch ID 001 8 selected Facility Caller ANI Call Type LINE TO TRUNK Record Audit 3780 ANSWER Call Status Conference Audit Queue Status NULL QUEUE Access code 9 Queue Time code validation Dialed Number 12019560693 Account Code Authorization code CONTINUE Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 186 TIME STAMP: 10-AUG-2019 6 :49 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 6:49:42 6:48:46 I Answer Time 6:49:14 I End Time Start Time Selected Trunk Group 6 Caller Station 6317 01-14-22 04-01-13 Selected Circuit Caller Circuit Selected COS 90 Caller cos 1 1 1 Selected Routing class Caller Routing class selected Route Pattern 23 caller Switch ID 001 ' 8 Selected Facility caller ANI call Type LINE TO TRUNK Record Audit 3780 IN CONVERSATION Call Status Conference Audit Queue status NULL QUEUE Access Code 9 Queue Time Code validation Dialed Number 12019560693 Account Code Authorization Code CONTINUE Use cTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/01 to RECORD NUMBER: 187 TIME STAMP: 10-AUG-2019 6 :53 End Date 8/10/19 8/10/19 Answer Date 6:53:45 Start Date I End Time I Start Time 6:53:22 I Answer Time Page 68 EFTA00132371 6317 08.09.19 6449 6317 Selected station 04-08-05 caller station cuit 0 14-01-13 selected cir 11 Caller circuit Selected COS 1 caller COS 1 Selected Routing Class caller Routing Class 001 Selected Route Pattern Caller Switch.ID Selected Facility caller ANI Call Type LINE TO LINE . 3812 RINGING Record Audit Call Status UE conference Audit Queue Status NULL QUE Access Code Queue Time Code validation Dialed Number 6450 Account Code AothorizatiOn Code L/Q to CONTINUE CTRL/5 to PAUSE and CTR use CTRL/z to CANCEL; 6 :56 TIME STAMP: 10-AUG-2019 RECORD NUMBER: IBB e 8/10/19 8/10/19 Answer Date 8/10/19 End Date 6:5 1 End Tim 6:56:51 start Date 6:5 start Time 6:56":43 Answer Time 6314 . 6317 • selected station 04-09-03 caller station cir cuit 04-01-13 selected 11 . caller circuit 1 selected coS caller COS selected Routing cla ss 1 1 caller Routing Class 001 selected Route Pattern caller switch IO . Selected Facility TO LINE caller ANI 2 call Type LINE 382 ANSWER Record Audit Call Status UE Conference Audit Queue status NULL QUE Access Code Queue Time code validation Number 6313 AccOunt code Authorization code to CONTINUE L/5 to PAUSE and CTRL/Q se cTRt/Z to CANCEL; CTR 6 :57 TIME STAMP: 10-AUG-2019 RECORD NUMBER: 189 8/10/19. 8/10/19 End Date 6:57:48 Start Date 8/10/19 Answer Date 6:5 6:5 1 End Time Start Time 6:56:43 Answer Time 6314 6317 selected Station 04-09-03 Caller Station 0 14-01-13 Selected circuit Caller Circuit 11 selected cos ss 1 Caller cos 1 Selected Routing cla Caller Routing class 001 Selected Route Pattern caller switch ID selected Facility E TO LINE caller ANI Call Type LIN 382 2 IN CONVERSATION Record Audit Call Status UE Conference Audit Queue Status NULL QUE Access Code Queue Time code validation Dialed NUmber 6313 Account Code Authorization Code L/Q to.CONTINUE CTRL/5 to PAUSE ande CTR Use CTRL/Z:to CANCEL; Pag 69 EFTA00132372 6317 08.09.19 TIME STAMP: 10-AUG-2019 6 :58 RECORD NUMBER: 190 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 6:58:55 6:58:55 I End Time start Time 6:58:52 I Answer Time 6314 6317 selected station caller Station Selected circuit 04-09-03 04-01-13 11 Caller Circuit Selected COS 1 1 Caller COs Selected Routing Class 1 Caller Routing class Selected Route Pattern caller switch ID 001 Selected Facility caller ANI call Type LINE TO LINE Record Audit 3831 Call Status ANSWER conference Audit Queue status NULL QUEUE Access code Queue Time code validation Dialed Number 6313 Account code Authorization code to CONTINUE Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q TIME STAMP: 10-AUG-2019 6 :59 RECORD NUMBER: 191 8/10/19 I End Date 8/10/19 8/10/19 Answer Date 6:59:31 Start Date 6:58:55 End Time Start Time 6:58:52 I Answer Time Selected Station 6314 caller Station 6317 04-09-03 04-01-13 Selected Circuit Caller Circuit Selected cos 11 Caller cos 1 1 1 selected Routing Class Caller Routing class selected Route Pattern Caller Switch ID 001 selected Facility Caller ANI Call Type LINE TO LINE Record Audit 3831 call status IN CONVERSATION Conference Audit Queue Status NULL QUEUE Access Code Queue Time code validation Dialed Number 6313 Account Code Authorization code to CONTINUE se CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/0 TIME STAMP: 10-AUG-2019 7 :0 RECORD NUMBER: 192 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 7:00:15 7:00:15 Start Time 6:59:31 I Answer Time I selected Station 7314 caller Station 6317 04-09-03 04-01-13 I selected circuit 11 Caller Circuit selected cos caller cos 1 1 1 selected Routing Class caller Routing Class selected Route Pattern Caller switch ID 001 Selected Facility caller ANI Call Type LINE TO LINE Record Audit 3837 Call Status ANSWER conference Audit Queue Status NULL QUEUE Access Code Queue Time Code validation Page 70 EFTA00132373 6317 08.09.19 • Dialed Number 6313 Account code Authorization Code to PAUSE and CTRL/Q to CONTINUE use CTRL/2 to CANCEL; CTRL/S RECORD NUMBER: 193 TIME STAMP: 10-AUG-2019 7 :1 8/10/19 End Date 8/10/19 Start Date' 8/10/19 I Answer Date 7:00:15 End Time 7:01:18 Start Time 6:59:31 Answer Time Selected station 7314 caller station 6317 04-09-03 caller circuit 04-01-13 Selected Circuit 11 1 Selected cos Caller cos 1 Selected Routing class 1 Caller Routing Class 001 selected Route pattern Caller switch ID selected Facility caller ANI 383 7 call Type LINE TO LINE Record Audit Call Status IN CONVERSATION conference Audit Queue Status NULL QUEUE Access code Queue Time Code Validation Dialed Number 6313 Account Code Authorization code to PAUSE and CTRL/Q to CONTINUE .Use CTRL/Z to CANCEL; CTRL/S RECORD NUMBER: 194 TIME STAMP: 10-AUG-2019 7 :1 I End date 8/10/19 start Date , • 8/10/19 Answer Date End Time 7:01:20 start'Time 7:01:18 I Answer Time 6317 selected Trunk Group Caller Station 04-01-13 selected Circuit Caller Circuit selected cos Caller cos 1 1 Selected Routing class taller Routing class 001 selected Route Pattern caller'switch ID selected Facility caller ANI 3854 call Type ONE LINE Record Audit Call tS atus DIALING Conference Audit Queue status NULL QUEUE Access Code Queue Time Code validation . Dialed Number Account Code Authorization code to PAUSE and CTRL/Q to CONTINUE se CTRL/LSO CANCEL; CTRL/s RECORD NUMBER: 195 TIME STAMP: 10-AUG-2019 7 :3 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date 7:03:09 End Time 7:03:09 Start Time 7:03:00 Answer Time 6317 selected station 6314 Caller station selected circuit 141-09-03 0 caller Circuit 04-01-13 1 Selected cos Caller cos Selected Routing Class 1 .-Caller Routing Class 1 Page 71 EFTA00132374 6317 08.09.19 001 Selected Route Pattern I Caller Switch ID Selected Facility I Caller ANI 3860 Call Type LINE TO LINE I Record. Audit Call Status ANSWER Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code validation Dialed Number 6313 Account Code Authorization Code CONTINUE Use CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q to RECORD NUMBER: 196 TIME STAMP: 10-AUG-2019 7 :3 8/10/19 I End Date 8/10/19 Start Date 8/10/19 I Answer Date End Time 7:03:22 7:03:00 I Answer Time 7:03:09 Start Time Selected station 6314 Caller station 6317 04-09-03 04-01-13 selected Circuit Caller circuit Selected cos 11 Caller cos 1 1 1 selected Routing Class Caller Routing class selected Route Pattern Caller Switch'ID 001 Selected Facility Caller ANI Call Type LINE TO LINE Record Audit 3860 IN CONVERSATION Call status Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code Validation Dialed Number 6313 Account Code Authorization code CON TINUE Use.CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to TIME STAMP: 10-AUG-2019 7 :3 RECORD NUMBER: 197 I End Date 8/10/19 Start Date 8/10/19 Answer Date 7:03:25 I End Time Start Time 7:03:22 I Answer Time 6317 Selected Trunk Group Caller station selected Circuit Caller circuit 04-01-13 1 Selected COS Caller cos Selected Routing Class Caller Routing class 1 001 Selected Route Pattern caller switch ID selected Facility Caller ANI 3864 call Type ONE LINE Record Audit Call Status DIALING Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code Validation Dialed Number Account Code Authorization.Code CONTINUE Use CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q to TIME STAMP: 10-AUG-2019 7 :5 RECORD NUMBER: 198 8/10/19 I End Date 8/10/19 I I Start Date 8/10/19 I Answer Date Page 72 EFTA00132375 6317 08.09.19 7:05:27 7:05:27 I End Time start Time . 7:05:22 I Answer Time Selected station 6313 caller Station 6317 04-08-03 04- 01-13 Selected Circuit caller Circuit Selected COS . 11 Caller Cos 1 1 1 selected Routing Class Caller Routing Class 001 selected Route Pattern caller switch ID selected Facility Caller ANI 3869 call Type LINE TO LINE Record Audit call status ANSWER Conference Audit Queue Status NULL QUEUE Access Code Queue Time Code validation Dialed Number 6313 Account code Authorization Code to PAUSE and elnL/Q to CONTINUE use CTRL/2 to CANCEL; CTRL/5 RECORD NUMBER: 199 TIME STAMP: 10-AUG-2019 7 :6 . 8/10/19 End Date 8/10/19 .Start Date 8/10/19. 1 Answer Date 7:05:27 End Time 7:06:40 Start Time 7:05:22 Answer Time selected Station 6313 Caller Station 6317 04-08-03 04-01-13 sele cted Circuit Caller Circuit selected cos 11 Caller.COS 1 1 1 Selected Routing class Caller Routing class sele cted Route Pattern. Caller Switch ID 001 selected Facility Caller ANT Call Tye To LINE Record Audit 3869 IN CONVERSATION LINE call status Conference Audit Queue.Status NULL QUEUE Access Code Queue Time Code Validation Dialed Number 6313 Account Code Authorization Code CTRL/S to PAUSE and MLA to CONTINUE use.CTRL/2 to CANCEL; RECORD NUMBER: 200 TIME STAMP: 10-AUG-2019 7 :6 I End Date 8/10/19 Start Date 4/10/19 AnSwer Date End Time 7:06:47 Start Time 7:06:43 I Answer Time 6317 Selected Trunk Group Caller Station Caller 'Circuit 04-01-13 Selected Circuit 1 Selected COS Caller cos Selected Routing Class Caller Routing Class 1 001 selected Route Pattern Caller Switch ID selected Facility Caller ANI 387 7 Call Type ONE LINE Record Audit Call Status BUSY' Conference Audit Queue status NULL QUEUE Access code Queue Time Code Validation Dialed Number 6225 Account Code Authorization Code Page 73 EFTA00132376 6385 08.09.19 RECORD NUMBER: 31 TIME STAMP: 9 -AUG-2019 20:37 Start Date 8/ 9/19 I Answer Date 8/ 9/19 I End Date 8/ 9/19 Start Time 20:36:13 I Answer Time 20:36:19 I End Time 20:37:19 Caller station 6385 selected Station 6366 Caller Circuit 02-04-16 Selected Circuit 03-09-08 Caller cos 4 Selected cos 4 Caller Routing Class 4 Selected Routing Class 4 Caller Switch ID 001 Selected Route Pattern Caller ANI Selected Facility Record Audit 2939 call Type LINE TO LINE Conference Audit Call Status IN CONVERSATION Access Code Queue status NULL QUEUE Code validation Queue Time Dialed Number 6366 Account Code Authorization Code Use CTRL/2 to CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 32 TIME STAMP: 9 -AUG-2019 21:8 start Date 8/ 9/19 I Answer Date End Date 8/ 9/19 Start Time 21:08:32 I Answer Time End Time 21:08:33 Caller Station 6385 Selected Trunk Group Caller circuit 02-04-16 Selected Circuit Caller COS 4 Selected COS Caller Routing Class 4 Selected Routing Class Caller Switch ID 001 Selected Route Pattern Caller ANI Selected Facility Record Audit 2986 call Type ONE LINE Conference Audit Call Status PICK UP REQUEST Access code #7 Queue Status NULL QUEUE code validation Queue Time Dialed Number Account Code Authorization Code Use CTRL/2 to CANCEL; cTRL/s to PAUSE and cTRL/Q to CONTINUE RECORD NUMBER: 33 TIME STAMP: 10-AUG-2019 5 :9 Start Date 8/10/19 I Answer Date 8/10/19 I End Date 8/10/19 Start Time 5:09:16 Answer Time 5:09:42 End Time 5:09:42 Caller Station 6385 Selected Station 6313 Caller Circuit 02-04-16 Selected Circuit 04-08-03 Caller cos 4 Selected COS 11 Caller Routing Class 4 selected Routing Class 1 Caller Switch ID 001 Selected Route Pattern Caller ANI Selected Facility Record Audit 3660 Call Type LINE TO LINE conference Audit Call Status ANSWER Access code Queue Status NULL QUEUE Code validation Queue Time Page 12 EFTA00132377 6385 08.09.19 Dialed Number 6468 Account Code I Authorization code use crmiz to CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 34 TIME STAMP: 10-AUG-2019 5 :9 *start Date 8/10/19 I Answer Date 8/10/19 End Date 8/10/19 start Time 5:09:16 Answer Time 5:09:42 End Time 5:09:52 Caller station 638S Selected station 6313 caller Circuit 02-04-16 Selected circuit 04-08-03 Caller cos 4 selected cos 11 caller Routing Class 4 selected Routing class 1 Caller switch ID 001 selected Route Pattern Caller ANI selected Facility Record Audit 3660 call Type LINE TO LINE Conference Audit Call Status IN CONVERSATION Access:code Queue Status NULL QUEUE code validation Queue Time Dialed Number 6468 Account code Authorization Code se CTRL/Z to CANCEL; CTRL/S to PAUSE and.cTRL/Q to CONTINUE RECORD NUMBER: •35 TIME STAMP: 10-AUG-2019 9 :23 Start Date 8/10/19 I Answer Date 8/10/19 I End Date 8/10/19 start TiMe 9:23:41 Answer Time 9:23:45 End Time 9:23:45 caller Station 6385 Selected station 6404 Caller Circuit 02-04-16 Selected Circuit 03-14-02 Caller COS 4 Selected COS 11 caller Routing class 4 Selected Routing class 1 caller switch ID 001 Selected Route Pattern caller ANI selected Facility Record Audit 4688 call Type LINE TO LINE conference Audit Call Status ANSWER Access code Queue Status NULL QUEUE code.validation Queue Time Dialed Number 6404 AccOunt.Code Authorization Code Use CTRL/Z to CANCEL; CTRL/S to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 36 TIME STAMP: 10-AUG-2019 9 :24 Start Date 8/10/19 Answer Date 8/10/19 I End Date 8/10/19 start Time 9:23:41 I Answer Time 9:23:45 End Time 9:24:11 caller. station 6385 selected station 6404 Caller circuit 02-04-16 selected circuit 03-14-02 Caller cos • 4 selected cos 11 caller Routing Class 4 selected Routing Class 1 Page 13 EFTA00132378 333 IN Start Date 8/10/19 Answer Date I End Date 8/10/19 start Time 0:08:46 Answer Time I End Time 0:08:51 caller Station 6317 Selected Trunk Group caller Circuit 04-01-13 selected circuit Caller Cos 1 selected COS caller Routing. class 1 selected Routing Class Caller switch ID 001 selected Route Pattern caller ANI selected Facility Record Audit 3228 Call Type ONE LINE conference Audit Call Status BARGE REQUEST Access Code Queue Status NULL QUEUE code Validation Queue Time Dialed Number 003 Account Code Authorization Code Use CTRL/Z: to CANCEL; CTRL/s to PAUSE and CTRL/Q to CONTINUE RECORD NUMBER: 125 TIME STAMP: 10-AUG-2019 0 :9 Start Date 8/10/19 I Answer Dato End Date 8/10/19 I Start Time 0:09:39 Answer Ti me End Time 0:09:41 caller station 6381 Selected Trunk Group caller circuit 04-01-01 selected circuit Caller COS 4 selected cos Icaller Routing class 4 Selected Routing class Caller switch ID 001 selected Route Pattern caller ANI selected Facility Record Audit 3229 Call Type ONE LINE conference Audit Call Status BARGE REQUEST Access Code Queue Status NULL QUEUE code validation Queue Time Dialed Number 003 Account code Authorization code use CTRL/Z to CANCEL; cTRL/S to PAUSE and CTRL/Q tO CONTINUE RECORD NUMBER: 126 TIME STAMP: 10-AUG-2019 21:31 Start Date 8/10/19 I Answer Date I End Date 8/10/19 Start Time 21:31:52 I Answer Time I End Time 21:31:55 Caller station 6229 selected Trunk Group caller Circuit 03-13-13 selected circuit caller CoS 4 selected COS caller Routing class 4 selected Routing class caller switch ID 001 Selected Route Pattern Caller ANI selected Facility Record Audit 8291 call Type ONE LINE conference Audit Call Status BARGE REQUEST Access Code Queue status NULL QUEUE code validation Queue Time Dialed Number 003 Account Code Page 46 Date Start Time End Time Call From Station Call To Station2 8/10/2019 0:08:12 0:08:14 6317 SHU 333 8/10/2019 0:08:46 0:08:51 6317 SHU 333 8/10/2019 0:09:40 0:09:45 6317 SHU 6468 Control 8/10/2019 0:09:40 0:09:45 6317 SHU 6468 Control 8/10/2019 0:21:11 0:21:15 6313 Control 6317 SHU 8/10/2019 0:26:01 0:26:07 6318 6317 SHU 8/10/2019 3:19:56 3:20:01 6317 SEW 6468 Control 8/10/2019 5:09:16 5:09:42 6385 SEW 6468 Control 8/10/2019 5:32:17 5:32:30 6317 SHU 6450 8/10/2019 6:35:58 6:36:01 6317 SHU 6313 Control 8/10/2019 6:36:52 6:37:17 6317 SHU 6464230779 8/10/2019 6:48:46 6:49:14 6317 SHU 2019560693 8/10/2019 6:53:22 6:53:45 6317 SHU 6450 8/10/2019 6:56:43 6:56:51 6317 SHU 6313 Control 8/10/2019 6:58:52 6:59:31 6317 SHU 6313 Control 8/10/2019 6:59:31 7:00:15 6317 SHU 6313 Control 8/10/2019 7:03:00 7:03:09 6317 SHU 6313 Control EFTA00132379 90A-NY-3151227 Serial 74 -1 of 2 - FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 09/05/2019 On September 3, 2019, JOHNNY CONTRERAS, inmate at the Metropolitan Correctional Center (MCC), was interviewed at the Southern District of New York, , New York, NY. In attendance at the interview were FBI Special Agent (SA) Office of the Inspector General (OIG) SA , Assistant United States Attorney (AUSA) , and CONTRERAS's attorneys, Andy Patel, Jill Shellow, and Donald Yanella. CONTRERAS was advised of his rights and also that it is a separate crime to lie to a federal agent. CONTRERAS acknowledged what he was advised of and was willing to proceed with the interview. After being advised of the identity of the interviewing investigators and the nature of the interview, CONTRERAS provided the following information: CONTRERAS has been at MCC in the Special Housing Unit (SHU) L Tier since August 2, 2019. His cell is the first cell on the left and he is able to see all the cells on the right side in L Tier. CONTRERAS can also see G and H Tier along with the middle portion of the multi-purpose room in the SHU from his cell. CONTRERAS usually goes to sleep around 11pm or 12am. If he gets to sleep during the day, he will then go to bed around 3am. CONTRERAS stated that he is always up for breakfast which is around 6:10am. CONTRERAS will sometimes wake up when the count is conducted because he can hear the keys. On the morning that JEFFREY EPSTEIN was found unresponsive in his cell, CONTRERAS said that he saw a Guard, who he described as a black male, on the shorter side heightwise, and had close cut hair, knock on EPSTEIN's cell door. The Guard looked into the cell and then entered the cell. When the Guard opened the door, CONTRERAS could only see EPSTEIN's legs from the knee down but could tell that he was laying down on his back because his feet were pointed upward. CONTRERAS could only see this portion of EPSTEIN because EPSTEIN always slept on the floor to the right side of the cell. The Guard bent down to shake EPSTEIN and was saying "Epstein. Epstein.". invcsuptumon 09/03/2019 at New York, New York, United States (In Person) Filc# 90A-NY-3151227 Date drafted 09/04/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132380 90A-NY-3151227 Serial 74 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of ( U ) Interview of JOHNNY CONTRERAS On 09/03/2019 page 2 of 2 The Guard then tried to pick up EPSTEIN from behind, with his arms wrapped around EPSTEIN. Both the Guard and EPSTEIN fell back to the floor, with EPSTEIN falling to the side of the Guard. CONTRERAS stated that once the two fell, he could then see EPSTEIN. The Guard then started giving EPSTEIN chest compressions and mouth-to-mouth. At this point the Guard said "Fuck!" and asked the female Guard, who was standing near the L Tier gate, if she had pressed the button. The female Guard said "Yeah, a long time ago." A Lieutenant then came in and also a male nurse who tried to revive EPSTEIN. However, EPSTEIN was not responsive because, according to CONTRERAS, EPSTEIN was already dead. CONTRERAS said that EPSTEIN looked dead when he fell with the Guard after the Guard tried to pick him up. CONTRERAS said that personnel were having trouble getting EPSTEIN onto the stretcher because EPSTEIN was basically dead weight. When they did get him on the stretcher, EPSTEIN still had on headphones. CONTRERAS stated that EPSTEIN did not have any marks around his neck and he didn't see a rope around EPSTEIN's neck. At this point, CONTRERAS woke up his cellmate who then took a look at what was happening. CONTRERAS's cellmate made a comment that EPSTEIN didn't hang himself because he didn't have the typical injuries. CONTRERAS, at some point, saw a male come out of EPSTEIN's cell with a sheet that had a loop and knot. After this, MCC personnel, to include Lieutenant started to cover up the windows to the cells on L Tier. They also brought dividers to block views from his cell and the camera. The day before EPSTEIN died, EPSTEIN and his cellmate left at the same time that morning. EPSTEIN was with his lawyers all day, as usual. However, when he was brought back to the SHU that night, the guards took him up to J Tier before they brought him back to his cell. That night, a count was done a little before 12am, but none were conducted after 12am. CONTRERAS didn't hear anyone say that counts weren't going to be done that night. CONTRERAS did not see anyone or hear anyone go into EPSTEIN's cell the night before EPSTEIN died. EFTA00132381 Tohd" 0C tqkite ke:)0\ .t om r a ti,* ci L r 1# ce1\ on ke-Ck 5c1--- cok.b of\ 4"‘. R isAa—lt —65 t\ \- Vier ok" CT9 arcaa xo ktra"eet ce 6# tteo, Q coo,. cs-)Lficr., 6craiccejz.b 5c,mak.rAct Lock,65.:„ ,Le car co,* 1/24_ I,.0r kral bS C.ca••*_,_ v-itc_64• on. ckoor- yeD •oeock dAsaekic /14) ccans Lictokc 6icack--s 4o c\ux,k- cz Grirci.c) cn Cle,LThr 7r;cted- c.c.( o cell CeukairV '7e-a C2-? (ACNk;X\ Fall Onen , GcLosuNd Icv:Nea1/4 ticAL LIR Lairm3 anct-AA-NAi k-rocem \Dakc•A us_ts 2)-te-r ayku OVD\V \U - go-c \D-vtA\ Cc) Sce.cAz_ CcaifD okaitk\ svc\ - iN‘trrt :th cc,j,„ ootst_ ocosisc Cfc," ---n :::=.14rvess \oLicton ° rt‘ EFTA00132382 cam.- -.1-\ Gam.., de 9s f-tic) cixts (Asa, is cAo z-,k-rJr-kizr• V‘OLat L.J.N2,4 \\\o-kk Pv oc. 4-roJeri r- 5z.c\-4 bQ--occ -Ccwer\-- ico C.CIL 04 v. Clz>0.2 C .J, a.) J\.aac_. ? \traC ‘C\\‘' c 2 caterectivulN2,, 6.4" cav,s= c- -3- 5\-(2-ek- troop no\- M OW•ces- ()Rec. coop. o,, 5e. ep. Cpl 60 .cti_Q.. \\I-.0‘ c\cut, c;)\ back. Cce* k-,nee-5 slivxLe Itro..13z(CQ t'a UL? 31.LA , epoir—;n" er " Gp64e.2n scs wkcs on *c\sa_. 0 ,,cum .r'csc)e- WC.q4C\5 3--"Qt- 514 //0Tte L-3-5soka (Jr .". bz‘i' 9 cjA A ltbrcomert/e;c'" k..JWEv-rk-c, Cel"*.ic r4-i/AA •sin& .a co,vz A t iae hem 1 ck•A bj-i`°"-Cfer 9.60r Va:6- etcuzAcz,c\e oLatr\.Q, twz Csouuk team Cc.. ukp -'1)Jr e2We, coth, -"PP EFTA00132383 CUP 1 6.242_ dr- kaa r Qlure, Q a„p , ; Cs,At!) c v ,54--;a45 cal kkA0- ty29ep-m epthc-4,71 ciita EFTA00132384 90A-NY-3151227 Serial 75 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: EMAIL - Email Date: 09/05/2019 Title:(U) Evidence return concurrence Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) Evidence return concurrence .• UNCLASSIFIED EFTA00132385 To: (NY) (FBI) Subject: Evidence return concurrence --- UNCLASSIFIED SentinelCaseld: 90A-NY-3151227 SentToSentinel: 9/4/2019 4:48:01 PM Classification: UNCLASSIFIED Sent for Approval for RECORD//Sentinel Case 90A-NY-3151227 Hi = Assistant United States Attorney (AUSA) of the Southern District of New York concurred with the return of evidence item 1844 in file number 90A-NY-3151227. I returned that item, belonging to MICHAEL THOMAS, to his lawyer, SHANNON FARRAR, on August 28, 2019, as outlined in Serial 68 of the same file number. Sincerely, U Classification: UNCLASSIFIED EFTA00132386 90A-NY-3151227 Serial 76 -1 of 2 - FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 09/05/2019 date of birth (DOB) , was interviewed at , New York, NY, 10007 (US Attorney's Office, Southern District of New York). Present at the interview was Office of the Inspector General (GIG) Special Agent (SA) , Assistant U.S. Attorney (AUSA) , and FBI SA . After being advised of the identity of the interviewing Agents and the nature of the interview, provided the following statement: has a PhD Psychology interned at in Metropolitan Detention Center in 2004. started working at Metropolitan Detention Center in 2005. transferred to Metropolitan Correctional Center in 2009. conducts Forensic Psychological Evaluations of inmates for the Bureau of Prisons. conducted an intake interview of EPSTEIN on July 8. 2019. During the interview, EPSTEIN denied any mental health history, suicide history, and substance abuse history. EPSTEIN stated, although he was in the "shoe", he was doing fine. (A copy of July, 8, 2019, intake screening of EPSTEIN will be maintained in a lA ssociated with this serial). On August 9, 2019 at approximately 1:00pm, , acting for was present during a meeting regarding EPSTIEN. During the meeting, EPSTEIN's attorney was opposed EPSTEIN having a cell mate. During the meeting, and explained to EPSTEIN's attorney, that because EPSTEIN was in the "shoe", and he was a sex offender, invcsugaflonon 08/30/2019 at NewYork, New York, United States (In Person) File# 90A-NY-3151227 Date drafted 09/05/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132387 90A-NY-3151227 Serial 76 FD-302e (Rev. 5-8-10) 90A-NY-3151227 ComthwdionofFD-302of (U) Interview of 08/30/2019 ,page 2 of 2 EPSTEIN needed a cell mate. EPSTIEN's cell mate being released was never brought up that August 9, 2019 meeting. EFTA00132388 b.6 - Waite° • Zoos" lArre.--• ZOO Se - okt ../ ........" - plite. Zco f - /Viet - 09 - co,,,.....e.c - leo - /fir - g rutineveff.- --, Zoi 2- - ,oti - Psvcancal - ata, taipb - ji. eget al.... r - 11‘.A L....ATI .04.... I; .. (FP"' art -- - 4G. 6OP a.--c./ cT __fart C.. ••• 1 ~ITSKat O/C .57 C. ••••• Ora I ot. C 41/401/4.".• et* (--/ cia (.....7- ti t, 1..ts—, N oes . ,e- .r-reo a c) 49 ..rt. e--"ra A c_710.-- 8 f - ft - itk-c. err -re— AIT e-,1 '' c. ,r a - ft e"r•• e' EFTA00132389 ii'Sre ••• t-1 bertA ...rree.4.7 at. .. '7 Cc r -e 4r..•-r Of CUD ..e - Pe..-6:41-4--ei A7 ite1/44....4:1 # %es...a- MY -n-1 i i.-a4 . ".° CC " AA erF ‘E'' —re- A 7- Asar-eit.•71.--.4- II EFTA00132390 Pas\ /elk Bureau of Prisons **SENSITIVE BU UNCLASSIFIED** Psychology Services Intake Screening Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Unit Team: A&O Date: 07/08/2019 09:24 Provider: PsyD/PhD Limits of Confidentiality Limits of confidentiality were reviewed with inmate EPSTEIN. He expressed an understandin g of the limits of confidentiality and consented to be interviewed accordingly. Data Source(s) The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SE,' TRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arriving at MCC-NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnair e. Mental Health History and Current Symptoms No history of mental health issues was noted. No history of prior mental health treatment was noted. No current mental health symptoms were noted. No suicidal ideation, attempts, or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant Psychosocial History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously Incarcerat three months f or prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was li 'ng in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarce on. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex tr fficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as w II as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported e was not currently interested in any treatment programs. MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He hilly cooperative, maintained good eye-contact, and related in an interpersonally appropriate manner with interviewer. peach and thought processes were organized, coherent, logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as reflected by adequate long and short-term memory, good attention, and appropriate concentration during interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbancesnd described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or pla and contracted for safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helple or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors or attempts. This Inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping kills and facilitate adjustment to incarceration. Findings Care Level: CARE1-MH Generated 07/08/2019 09:30 PsyD/POD Bureau of Prisons - NYM Page 1 of 2 EFTA00132391 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Sit NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider: PsyD/PhD Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current ment health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Car Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated th a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psycho) y staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psycho! services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed baMPsyD/PhD on 07/08/2019 09:30 Generated 07108/2019 09:30 by PsyD/PhO Bureau of Prisons - NYM Page 2 of 2 EFTA00132392 la\ Bureau of Prisons "SENSITIVE BUT' UNCLASSIFIED" Psychology Services Risk of Sexual Abusiveness inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Hty: NYM Unit Team A&O Date: 07/08/2019 09:35 Provider. PsyD/PhD Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due t • previous perpetration of sexual abuse In the community or in an institutional setting, as evidenced by the following o "ective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seer by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical ntact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were asse sed and include: ( ) History of prior sexual victimization In prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Wtnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at (X ) Low Risk of Abusiveness at this facility (Note: Even though this Inmate Is judged to be at low risk of s xual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations Included sex offender treatment. Inmate Epstein declined programming recommendatio s.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Ps chology staffs recommendation that he not be housed in a cell with any inmates identified as at increased risk for xual victimization. Psychology also recommends a greater level of supervision regarding his work and educati assignments. Programming recommendations include )OOOO(. Inmate =inmateLastName is agreeable to declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in a ordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk f being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriaten ss for general population at this facility. This inmate should not be housed with any inmates judged to be at an I creased risk for sexual victimization. Programming recommendations include XXXXX. Inmate =inmateLastName is ag eable to/ declined programming recommendations. Generaled 07/08/2019 09:41M=EPsyD/P017 Bureau of Prisons - NYM I Page 1 of 2 EFTA00132393 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Illy: NYM Unit Team A&O Date: 07/08/2019 09:35 Provider. PsyD/PhD Completed by PsyD/PhD on 07/08/2019 09:41 Generated 07/08/2019 09:41 MM. Bureau of Prisons -NYM Page 2 of 2 EFTA00132394 Bureau of Prisons **SENSITIVE BUT,UNCLASSIFIED” Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: a Facility: NYM Unit Team: A&0 Date: 07/08/2019 10:41 Provider: PhD/Chief Comment This writer consulted with Central Office, regarding Inmate Epstein. Inmate Epstein has arious risk factors for suicidality Including a high profile case with media attention, sex offense charges, pre-trial status and a court proceeding today which could potentially be giving him bad news regarding his legal situation. As such, wh inmate Epstein returns from court, R&D staff as well as Lieutenant's have been informed to immediately notify the •sychology department. If he returns after duty hours, the aforementioned staff were instructed to notify the on-call psy •logist and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk asses ent. Completed by-PhD/Chief Psychologist on 07/08/2019 10:49 Generated 07/08/2019 10:49 tiMPhD/Ghlef Bureau of Prisons - NYM Page 1 of 1 EFTA00132395 90A-NY-3151227 Serial 77 -1 of 2 - FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 09/06/20)9 , Corrections Officer at Bureau of Prison's (BOP) METROPOLITAN CORRECTIONAL CENTER (MCC), , New York, New York, date of birth (DOB) was interviewed by FBI Special Agent (SA) FBI Task Force Officer (TFO) and Office of the Inspector General (OIG) SA at the United States Attorneys Office (USAO), Southern District of New York (SONY), New York, New York. TFO advised that there is an on-going criminal investigation and he has an obligation to answer questions truthfully and that it would be a federal crime to lie to a federal agent during the meeting. SA provided with an OIG "Warnings and Assurances to Employee Requested to Provide Information on a Voluntary Bases" form, which =signed and was witnessed by SAs and . SA retained the original and a copy is attached in the IA section of this report. After being advised of the identity of the interviewing investigators and the nature of the interview, provided the following information: has worked for BOP for four years. was working an overtime shift in the Special Housing Unit (SHU), 10 South, on a 12am-8am shift at the time that JEFFREY EPSTEIN was found unresponsive in his cell. couldn't recall the exact date but did recall that it was the previous Saturday. had worked a 12pm-8pm shift the previous day, had a four hour break, and then started the overtime shift of 12a-8a. Unit 10 South is a completely locked down unit where the Corrections Officer is alone in the unit. recalled he did the 12am count with and that Officer NOEL helped him do the Sam and 5am counts. further stated that for the Sam and 5am counts, the control center had called about the counts and he advised control that he wanted someone to assist him in doing the counts Investigation on 08/16/2019 at New York, New York, United States (In Person) Flic4 90A-NY-3151227, 90C-NY-3154599 Date drafted 08/19/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132396 9OA-NY-3151227 Serial 77 FD-302a (Rev. 5-8-10) 90A-NY-3151227 (U) Interview of Corrections Officer Continuation of FD-302 0 ,o, 08/16/2019 ins, 2 of 2 because he was by himself. said that there should always be a double staff count and that he always wanted a partner to do the count and wouldn't do a count without a partner. advised that while doing the counts, an officer should see breathing flesh. When and NOEL did the 3am and 5am counts, they counted five inmates. Officer THOMAS relieved at some point during the shift to give him a break. Lieutenant came by at some point to check on =, however, didn't remember the exact time. was in 10 South when the call came over, referring to when EPSTEIN was found unresponsive in his cell. then worked another shift in the SHU, 8am-4pm. stated that he once fed EPSTEIN because EPSTEIN had not received his meal and that EPSTEIN was grateful. said that EPSTEIN didn't appear to be dangerous and that EPSTEIN never offered him money for anything. stated that he was shocked that this had happened, referring to EPSTEIN's death. said that EPSTEIN was supposed to be watched more closely and that the rounds should have been conducted regardless of whether EPSTEIN had previously been on suicide watch or not. was then shown a picture of When looked at the picture, said that he wanted a lawyer. Investigators discontinued questioning at that time. On his own accord, then stated something to the effect of "I want to be clear, I never brought stuff into the jail or allowed stuff in. I never did that." was advised that his cell phone, which had been surrendered at the security checkpoint at the entrance of the USAO, was seized by the FBI. The cell phone, a Motorola G6/XT1921-5, IMEI 99000544589395, was seized pursuant to a search warrant issued by SDNY. was then told that he could get his phone back that day if he gave investigators his passcode. told investigators that he was not going to give them his passcode. was given an FD-597, receipt for property, which was signed by and TFO EFTA00132397 lutie:12 ) vii --. ) ri k \aitttc. 12r .litact ' CAcia_M? df\Oc .4-- Ce"\-- --A -\ (UCka.2 OLD-Di) -s .t, CCSA Oft %I\ (');-1 n i:X1 ", Lt.,Ciaj (110 49er. i‘ •i‘ j e‘\ OWs.cer Asbe( C ,,,,Y '1/4° CV IIR 14 0 1 C 3c \. /50.. 04: ce(' -\ \,natccts-N toS:looQn i\sLe ko c\tx?.. a i)i i.eOt..k._ 0 6-) ->) LAND ., ccaik.' cctikk.e. o,..)e p *4" % . v4carN -Pea (,\'‘,,,L, ntv € keic ei\ coat> 9ina i l Dido '4- nipt)‘ci- 6 cichicie,- .1,s aozpr ecceiya k; i ist ire. e4c. • tqfcckaito-r- 1V "effivc311-31 Cou43 3ciii ciao iCiat, a ille6Q,N 11124 An rot _Lk\ oat\ A- 60 'Lk uft.dlit \ad -1-O i\&qmoire \o/c_ Ait w•xA-ea-‘. EFTA00132398 cSec -(-1/4 -) 'fir -c--1,k0A\ cru.A1-ea iAlltarCa PcM6A kale-) 5-1,1,-Vill-?- 4 nitnikcd eoctc.-e_. Acri k--c-) be cr., 4.;4" Appwas ' 1 tivite.rr TO a dal 1 N?QZ-e- 37-th.e1 /41r- t-i-u Ittr I No ro Ant el2 MioN2n i-uP-r ‘P4'. C•ditA icc7CANCe I OgCia y-, .,, -n4,413 ciao 4. 4 1).-A EFTA00132399 EFTA00132400 United States Attorneys Office Southern District of New York I St. Andrews Plaza New York, NY 10007 DCIU/Criminal Division (212) 637-1073 RECEIPT FOR ELECTRONIC PROPERTY USAO #: AUSA: AGENT/INV: AGENCY: PHONE: ITEM DESCRIPTION SERIAL EXHIBIT I hereby acknowledge receipt of the above described item(s), which were given into my custody by the above named individual. RECEIVED BY (Signature) NA AG DATE I hereby acknowledge the return of the above described items. AGENT (Signature) DATE EFTA00132401 UI 001/1NNNNNN PUBLISHING OP/Ott '7; lTh0 2077404414 FD-597 (Rev. 413-2015) Page of UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION Receipt for Property Case ID: Ott. clo-w4-.515-11-1.1 Ili 14.101 LfitcpA On (date) el • Ere: i(t se)e.elisted below were: Collected/Seized ived From wo, Returned To - Released To (Name) t1 1 kOtt1 (Street Address) (City) t%)Zt..) ttf-AZ 141 1 0-03O Description ofItem (s): 1 Q1€.4) ?HMI tikern grict ItAtt cii OO0 ;44 act Vic- slite114-tri Q 712AbacCrsetz Received By: Received From: (Signature) Printed Name/Title: Printed Name/Title: EFTA00132402 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: •Tt yres). r esifreS4 A-o %re rip Lop -P- (his cu"1 Of 65)e. •RAP(.0v2,24 This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you famish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. ice o t e Inspector General Employee's ignatiiim Special Agent 81roh Date 03 Per\ 9dNr Time Place OIG Form III-226/2 (04/23/07)Non-CutiodiallEmployee EFTA00132403 90A-NY-3151227 Serial 78 FD-302 (Rev. 5-8-10) -1 of 3 - FEDERAL BUREAU OF INVESTIGATION Date of entry 09/06/2019 FREDERICO RANCIER-MEDRANO (MEDRANO) was interviewed at the United States Attorneys Office (USAO), Southern District of New York (SONY), New York, New York. Present for the interview were Special Agent , Task Force Officer Detective , Assistant United States Attorney , and MEDRANO's attorney, Ernest Hammer. After being advised of the identity of the interviewing investigators and the nature of the interview, MEDRANO provided the following information: MEDRANO was in the Special Housing Unit (SHU) at the METROPOLITAN CORRECTIONAL CENTER (MCC), , New York, New York, from July 16, 2019 to July 26, 2019. MEDRANO's cellmate was HACINTA (phonetic) GARCIA for this entire time period. MEDRANO recalled that there was a correctional officer (Officer) who was referred to as III that worked the morning shift at MCC, and would remember faces of other Officers, not necessarily names. MEDRANO stated that Monday, Wednesday, and Friday were shower days for inmates in the SHU. These days were the only days that the Officers would pay attention to inmates. Any other time, inmates would have to yell to get something from the Officers. The Officers would do counts of the inmates when they wanted to, not regular counts like MEDRANO knew from previous experiences of being in jail. According to MEDRANO, there were 96 inmates in the SHU and 48 cells. Before the incident happened, MEDRANO didn't remember the overnight checks of inmates actually being conducted by Officers in the SHU. MEDRANO referred to the "incident" as when a "guy" (guy), who's name MEDRANO could not recall but knew him from being in the news, tried to hang himself. After the incident, MEDRANO recalled the checks being done at 12am, 3am, and 5am. He remembered the checks because he would be awaken by the Officers doing the checks. Invcsuganonon 08/15/2019 m New York, New York, United States (In Person) Nett 90A-NY-3151227 Date drafted 08/22/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132404 90A-NY-3151227 Serial 78 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of (U) Interview of FREDER I CO RANC I ER -ME DRANO on 08/15/2019 pas, 2 of 3 MEDRANO stated that other inmates would yell things at the guy and that Officers would said things about him, making fun of him. For example, the Officers would say that he could buy his freedom. MEDRANO recalled that the guy would always be with his lawyers and this would hold up other inmates from seeing their attorneys. MEDRANO also recalled that the guy's cellmate used to be a police officer. The incident happened around 1:20am-1:30am. There had been no inmate check at midnight. MEDRANO was reading a book when he heard a commotion. The guy's cellmate was screaming and banging on the cell door to get the SHU Officers' attention. MEDRANO could only see the guy's cell door and could not see in the cell. It took Officer (phonetic) about five minutes to get to the guy's cell but then Officer turned back around to go get the key to the cell. Officer came back with a Lieutenant and two other Officers. MEDRANO described the Lieutenant as middle-aged, white complexion and one of the Officers as black, 6'3", and 260-270 lbs. The Officers opened the cell door and paid attention to the guy's bunkie first. They handcuffed the bunkie and put him inside the shower area. Then MEDRANO heard a big thump like something had hit the floor. He could see the guy's hands stretched out and then saw the Officers pull the guy out of the cell facedown. The guy, only wearing underwear, looked dead due to his skin having a blue tone. The Officers did not administer CPR, they were just looking at the guy. There was no doctor around. The Officers put something that resembled a stretcher on the floor and dropped the guy, who was already cuffed, hard onto the stretcher facedown. At that point, all the inmates started screaming and hitting doors. The Officers then flipped the guy over, dropping him again hard on the stretcher that was on the floor. The Officers and Lieutenant then took the guy away. A while later, around 2:10am-2:15am, the Officers and Lieutenant returned and took the cellmate out of the cell again. They then started to clean the cell. MEDRANO stated that the Lieutenant had a video camera with her, but had it turned in toward her leg to where the view of the camera would not be that of the cell. MEDRANO stated that he saw two orange socks and an orange towel that were tied together taken out of the cell. Once the cell had been cleaned out, the Lieutenant turned the video camera to where the view of the cell would be recorded. MEDRANO said that according to the guy's cellmate, the cellmate EFTA00132405 90A-NY-3151227 Serial 78 FD-302a (Rev. 5-8-10) 90A-NY-3151227 ComthmfionofFD-M2of (U) Interview of FREDERICO RANCIER-MEDRANO .on 08/15/2019 .page 3 of 3 was sleeping when the guy tried to kill himself by hanging himself from the ladder of the bed. The cellmate said that he thought the guy had died. MEDRANO didn't see the guy come back to the SHU before MEDRANO left on July 26. He heard that the guy was put on suicide watch after the incident. MEDRANO stated that after the incident, things changed in the SHU. Officers started bringing books to inmates and inmates didn't have to wait to make a phone call. The Officers started doing more checks with flashlights. MEDRANO specifically remembered the Officers doing the 12am and 5am inmate checks. He would usually be asleep during the 3am check. MEDRANO was shown a picture of Officer NOEL. MEDRANO said that she looked a little familiar but was not there the night of the incident. MEDRANO was then shown a picture of Officer THOMAS. MEDRANO stated that THOMAS worked in the SHU but was not there the night of the incident. EFTA00132406 I White Pages 19 001Net 001Portal • Enterprise Apps a) For Employees • Foam 1PTV j Leant 001 • WebTA • cent CAM M remedy • Travel Current PIV Card Issuance ID: 1 CHUID Expires: 10/912023 12:00:00 MA CHUID Status: Activated FASC-N: UPN: VFederal Prison System PIV Auth Certificate Expires: 11/20/2021 2 54 58 PM Digital Signature Certificate Expires: 11/20/2021 2 54 58 PM Certs Expire: 11/20/2021 254.58 PM First issued: 11/20/2018 2 27 35 PM Card Certs: 15 PIVAuth Cert UPN: Sponsorship Status: Sponsored Last Update: 10/912018 7-.37 41 Al Person ID: Sponsor Organizational Identifier: Bureau of Prisoners/Federal Prison System Current Sponsor: Credential Option: PIV credential to be issued Shipping Address Code: 10517 Shipping Address Name: DOJ - UPN: Original Sponsorship Date: 9/19/2018 2 31.43 PM Adjudication Status: Adjudicated 1 Last Update: 10/92018 7:37.19AM NAC Status: APPROVED EFTA00132407 m001S A C‘• I iin:Seatch/Csiderid.i - -iderids7497liSiaccountAppida' • it C Search eternal %Mite P.P.. DOMdael)Ce Pedal Dam's.Apps For Employees Fonts Inv @)Lunt 001 • WebTA cell j GAM clj remedy v Travel ig Search Reports IamDOJ Current PIV Card Issuance ID: 3 Serial: CHUID Expires: 7/10,2024 12.00:00 AM CHUID Status: Activated FASC-N: UPN ioners/Federal Prison System PIV Auth Certificate Expires: 7/17/2022 233'47 PM Digital Signature Certificate Expires: 7/17/2022 2:3347 PM Certs Expire: 7i17/2022 2:33 47 PM First Issued: 3111/2015 12.56.29 PM Card Certs: 15 ncan PIVAuth Cert UPN: Sponsorship sepop.gov Status: Sponsored Last Update: 7/10'2019 1108 35 AM Person ID: Sponsor Organizational Identifier: Bureau of Prisoners/Federal Prison System Current Sponsor: Credential Option: PIV credential to be issued Shipping Address Code: 10517 Shipping Address Name: GOJ • UPN: Original Sponsorship Date: 951'2014 12 00 00 AM EFTA00132408 EFTA00132409 r o_vcatro un\'\)- •-) 1\33ciu''a isAP? 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U tuu 93:0))4), JOCT flrovtl\V-3\,Ncilm\) - 303- / i 'rev‘\).3.‘trAYDSe ZT-4-ow \VD,Vcsb u -ao\csiVW (1) ibmI\ -VQQ\ )cikiwca • ex) -creGn c-- hrt-v‘ "trgINWO hrO\IJOFC0 %Tr/UV\ ,JNO yAc61,1) rincCr) 3 ,c)( rV\ -C r) n -noCr) cknoc-T \-r-roN up,\\ vna irs-ncol cip ;I:Tv v41 TIM PliccQ) `67L-cr\l"; EFTA00132411 \D-rs 3-6-vm Nose\ cro--63k-ern2c3 widO c'17 \V-3 Feiveap "93 l a\ ;S sod-0°k recnoy Givo9 e ThAtotp 103 _iart)9e \A -311\)?Ol• D Ver‘) .1r0 -p" $ 42 MAA)L.) -teP:# 3nA l Mig\-\\ a3 4-1 ThoCrilD VnACQ-\ joacrksorn \IN .3oar \-1-1\)0 WaT jar° ra -DID3- 0k\ rai 7 &\/ cAV) Feciaap •Yae sioae --540-yo.u,Tct tic &To puFO9-c)31) 4Nr Jo0)0_ ° ?, o -61, b _a_ev s ; rob Ja\-O 0\1 tAn‘f e Th?":\ C "IcZni S OD \OC3 poo:p fec)Pc)\- Par\co) GcncDP- a79J/ n a p Oc) Piril-61° GINThf Oac> /141c°1,)- 4:1 owns-v* -0 Toto\ nerkM,C. _ • %—rThrl EFTA00132412 v -1}'WN -in() This FAD)— et reo ck) • "cc,-b-Amia wo,:e ,va,O1)v) ocC.1/-0901Jae r D t tra F tA %Yr."? cva rno " •A rr r iS r n Fr:CI) h cn Coi. \ Zr) gy51) alOW \NIs -1)OrAlicki) c))Lati -PPP W'D skrt" cm. a 6 90A-NY-3151227 Serial 79 FD-302 (Rev. 5-8-10) -1 of 3 - FEDERAL BUREAU OF INVESTIGATION Date of entry 09/06/2019 , Senior Officer Specialist, at Bureau of Prison's (BOP) METROPOLITAN CORRECTIONAL CENTER (MCC), , New York, New York, date of birth (DOB) was interviewed at the United States Attorneys Office (USAO), Southern District of New York (SDNY), New York, New York. Present for the interview were FBI Special Agent (SA) , FBI Task Force Officer (TFO) , Office of the Inspector General (OIG) SA Assistant United States Attorney (AUSA) , AUSA , and attorney, Natali Todd. AUSA advised that the interview was in lieu of an appearance before the Federal Grand Jury and is voluntary. AUSA also went over a standard proffer agreement. After being advised of the identity of the interviewing investigators and the nature of the interview, provided the following information: started working for the BOP in February 2011 at Allenwood. transferred to MCC in October 2013. is a Senior Officer Specialist (SOS) but also serves as a Lieutenant. This usually happens when is working overtime and is in the capacity of an acting activities Lieutenant. stated that in order to do a round, an officer has to physically go inside the area that is occupied by inmates. As an activities Lieutenant, makes a round through the Special Housing Unit (SHU) and asks the officers in the SHU if things are good. She is usually called numerous times to the SHU for certain issues like when an inmate complains that he hasn't received something, i.e. property. then takes note of the issue and advises the Captain. As an activities Lieutenant, sees a sampling of tiers at MCC during her shift. uses her PIV Card at a computer terminal to log rounds. Each unit at MCC has a different log. hntstiptionon 08/20/2019 at New York, New York, United States (In Person) File # 90A-NY-3151227 Date drafted 08/23/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132413 90A-NY-3151227 Serial 79 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of ( U ) Interview c): ,On 08/20/2019 ,page 2 of 3 works as an SOS during her normal shift, which is usually the day watch, 8am-4pm. If works overtime, she acts as activities Lieutenant from 4pm-10pm. has worked as a Corrections Officer in the SHU, usually on overtime and on evening watch. During her shifts in the SHU, has responsibilities pertaining to the inmates such as phone calls, showers, and the library. The 30 minute rounds are recorded in TruScope and on paper logs. stated that she has not worked with anyone who didn't do the rounds. participates in the 10am count on the weekends but during the week, a count is not done during her regular shift, Bam-4pm. During the week, leaves before the 10pm count is conducted. During a count, all inmates have to be seen. The inmates are counted by one officer, then another officer. If there are only two officers working during a count, one officer will count the inmates, then the officers switch and the other officer will count the inmates. The officers are to only count inmates that are physically in their unit. In the Control Center, an employee gets information from the person that he or she relieves. While in the control center, one has various responsibilities such as a fire security check, equipment and key checks, and watching the cameras. The person that is designated as Control #2 is responsible for preparing the paperwork for the count. On August 9, 2019, worked in the capacity of Lieutenant from 4pm- l0pm. During this time, stopped by the SHU. She recalled that regular activities and operations were occurring at the time of her visit. fed inmates in G Tier and in 10 South, the high security unit. recalled seeing JEFFREY EPSTEIN earlier on August 9 around 9am at the attorney conference area. EPSTEIN was there with 3 or 4 attorneys who were in and out of the facility. recalled there being 2 females and 1 male. At one point, EPSTEIN had to get an officer's attention to use the restroom. was not in the SHU when EPSTEIN came back from attorney conference. Usually EPSTEIN would be cuffed to go back to the SHU from attorney conference around 7:20pm-Bpm. doesn't remember anyone talking about a phone call that EPSTEIN made on August 9, 2019. She also is not aware of how either of EPSTEIN's cellmates were selected. only heard things in passing regarding EPSTEIN's alleged suicide attempt in July. EFTA00132414 90A-NY-3151227 Serial 79 FD-302e (Rev. 5-8-10) 90A-NY-3151227 Continuation of FU-302 of (U) Interview of a 08/20/2019 ,page 3 of 3 does not know the particular procedures or guidelines regarding an inmate who comes off suicide watch. She stated that usually that inmate is put with a cellmate, but she does not know if this is policy or just general practice. According to , as an SOS, she wouldn't know if EPSTEIN was supposed a cellmate. A decision such as an inmate needing a cellmate would be made at SHU meetings and/or department head meetings. doesn't know if EPSTEIN had a cellmate the day she was acting Lieutenant. advised that the count paperwork stays in Control for 30 days. After 30 days, the paperwork is shredded. EFTA00132415 1), OR Qrese xo.y.on- uiA,A-ct.NA `..n lea c;4- GS cVeorbte 0.5fet2.2nt 341 - sta N..kc,""Vdo Cek GO. - kc6J1- at, *otk.k - 4 -• Can,. C,\--,ok 07- 50.2.3am,,, cio ocko,icles o -C itzu.na. are.a , ic4 ac•e' — -X Cm '99- coa.s2J 31-1U 02CA(._3,N skwc L tv.,90,6,\-r_dca4erf,i) mke. 3c-o . 0-0 I. ,), K()14e INIADI2 EFTA00132416 EFTA00132417 …吧衅 鬻， 1,D ／鹭筝轵漓聪／ 初I一霉癸蠹熬 9甘鬯曦熟鬻霹袖 品骚鬻杂瓤 7 'Y'7 辛U＂刃 W岣 vJ・aq 7V 桫劁Gb‘》峥c护刃箩”一苎呈山叼－ ＜禹71]1郸 γtJl竽斟 枷O >1吻于伊惮酗轳鲧从 →D 待二＾ (＜颦炒07a和呜钦△－ ：潇乳 *，奉r EFTA00132418 屯孺薪鹗铜郁 1 ?h-/ vcc')茸QX?U -4时＆ #vw1柙J 俨计lUl C' 去（刘 4t,V 榆77 . bvdnv u 乡J 户畔 畔I唧由at 凯护0- 绍2t广7?'z7 四vcQU纠1 研9 C:I好中at- 一‘曦午初j ＝霉bj (?f (<> 饷嘞燕 开……4帕吁町 c>）斗畔 ？哉 幺 抑汽 J rr 汤一％蟹「”悬 甲对‘J鳃一D> U口硫曲 ＜动午哚宽曲俐刁遘 ？认J斗 ＜斟斗剑浏鬻详9 \<)t - （八 b78 jO EFTA00132419 sirertio ,r2L+0.-ro rrenerra,AF -"RP° )27\1\!•Ac\- V-/-9 ° Vcz\M-vcr j ‘"- lucXnt)a rrtrg d \v'eflc‘" --rer -r°31 9 be P-71V;r-t \5\1;--PID ptri wowngo ( nsu ,Ltacijo -r1/4D Y)-rc 0 0 2)1ra -5 413_3 Cc H-S ra Wr\V‘C-7 11,80/7 _petqi2 rOrtiw CUO1c7ap silerviteniv -0-75 ov• rarn i ("X7 --r•Tr2902, ru:noc. tigc --”:"%u-ac 90A-NY-3151227 Serial 80 -1 of 2 - FD-302 (Rev. 5-8-10) FEDERAL BUREAU OF INVESTIGATION Date of entry 09/06/2019 Senior Officer Specialist, at Bureau of Prison's (BOP) METROPOLITAN CORRECTIONAL CENTER (MCC), , New York, New York, date of birth (DOB) telephone number was interviewed at the United States Attorneys Office (USAO), Southern District of New York (SDNY), , New York, New York. Present for the interview were FBI Special Agent (SA) FBI Task Force Officer (TFO) Office of the Inspector General (OIG) SA and Assistant United States Attorney (AUSA) AUSA advised that the interview was in lieu of an appearance before the Federal Grand Jury and is voluntary. SA provided with an OIG "Warnings and Assurances to Employee Requested to Provide Information on a Voluntary Bases" form, which signed and was witnessed by SAs and SA retained the original and a copy is attached in the IA section of this report. After being advised of the identity of the interviewing investigators and the nature of the interview, provided the following information: worked for Corrections Corporation of America (CCA) from approximately 2000 until 2002 when he started working for BOP at MCC. On August 10, 2019, was assigned Internal #2 on the morning watch, which is 12am-8am. This post helps with the count, getting paperwork and rosters ready for the count and sometimes helps conduct the count of some of the units. Units 9 South and 10 do not require help for the count because there are officers stationed in those units that do the counts. During the morning watch shift on August 10, prepped the count by getting the paperwork together. Officer , as the Control Officer, took officers' phone calls, receiving the verbal count for the 12am, 3am, and Sam counts. When an officer calls into control with a count for a particular unit, control advises if the number was a good count or a bad count. Control has many different functions, so when an Officer calls in the count, Control invcsuptionon 08/23/2019 at New York, New York, United States (In Person) Nest 90A-NY-3151227 Date drafted 08/26/2019 by This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to your agency; it and its contents arc not to be distributed outside your agency. EFTA00132420 90A-NY-3151227 Serial 80 FD-302a (Rev. 5-8-10) 90A-NY-3151227 Continuation ofFD-302 of ( U ) Interview 0: ,On 08/23/2019 i n s, 2 of 2 takes the Officer's word that the count was conducted. didn't think that Control received the verbal count from the Special Housing Unit (SHU) for that shift, however, he could not say for sure because he wasn't the one taking the calls for the counts. was assisting in doing the counts in other units. signed off on the counts because during that shift he was the senior ranking officer. On the morning of August 10, 2019, a body alarm went off at approximately 6:33am. responded to the SHU where the body alarm had sounded along with another officer. The 9 South Officers, Medical, and Lieutenant were already at the location, with Medical performing CPR. went to get a stretcher and assisted in taking JEFFREY EPSTEIN to the Medical Unit. When Emergency Medical Services (EMS) arrived, they started performing CPR, took EPSTEIN out to an ambulance and transported him to the hospital. followed the ambulance to the hospital in another secure vehicle. stayed at the hospital until he was relieved from duty. doesn't recall any specific state that EPSTEIN was in when he responded to the scene. did recall that EPSTEIN was still "loose" because EPSTEIN had to be put in restraints before he could be transported. However, there was no movement by EPSTEIN on his own. acknowledged that he wrote a memo about the incident. This was due to the fact that when one responds to a body alarm, it has to be documented. did not recall any interactions with EPSTEIN prior to EPSTEIN's death. EFTA00132421 aNcrenen caCac t *Ott e!..nd GIG Caren c4 ,0\ etr15 ci cin "tanc-3c i acid' °c.c-C-) Con- Cori? oP arms rtic_c.)- 6404.41cb0 ct accra. Cgi “ICC ogitLe- wet* iemor Wi ent;;QG'4)itcer CiWicer 6ce&cJAt\ --`4, adv2k.i-t CAra CC) O —C C oCtD\ Wk \ Qec`U\0 l_c\ec-Natir vca -a) taa v 3alcle) u i) Cc2,th ksie caviLtdr cn,ck eaeir erA"A co-s Aeco 1(Vet.°2-uil (-cio o k0 00 \\sir. ca-a-± 61s- i-joniudntat) ina\xf CrAssi-- t ryna ctrC- cLod-6 _ mit Ax-)t-cr -co. ONCEOC. piCAC-5 Lae P tbara fro mac - spea20 Co-sc\\-- C rtk-s C0-)61/4- Gosn eccAct31 Occzcen u.SA coms2_ c. Cacm-\--nol 60cyladt-iAus mu --Th tocuid wALO2. -1/4-ekken G o, 7 _v,hat-\ac n 3 4& uer404 coust Occ>.\s- c-c`te..4_5eol -ceockm 61-1-W Coci\vrA 4\0, mcuCcr, Ku-Nc-V-kpc)S -; ritot5 k_sic.c)(--N ,tc_Qc-t Cal econ -k- , sake cozs•ri Sid Callf cs)aca o-CC 011 Catcmcer 43 b/c_, tor Ia4 ok.: trva.‘ o eke 4-4"ae Lhr" EFTA00132422 • GesVe-tn no inii-cisoe-fions eon +0 kcmilc OC ,,g/co 1bcam Caafiri Wen(-- oP 633ccry-) (15ka -11 92:Dp1a ko refeaonci0 -boo as;aNtios:21 --t> ctok- -4-0 6k1. cvLeaGcstai akeaatkA 03-0 cNrcoren Doi CPR (0,)(4- ea -- ti -cNick.k.(2n t- 4-r-cnk. r?:7 0(tQa\r Uni GOYD er- oeicS C90-\ kite-eri- 4-0 ti am nce. /14- jr0 KLEE* 06\C-L kt> C\Crzzr.e`d. Ot2(r) ;ems ter0202d co a • e or 6-P Epcia4cn (Lse •Lc nez1-4tettlf own 0 kocactc( EFTA00132423 UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended. This investigation pertains to: 3 cCfre-/ Ct./O116y %%lie 5 :ov. Qt." ct 530C. aLt,r) a-41017e e-. vet:5 c Owl? t, This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions. Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both. WAIVER I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me. Office of the lrtIpector General p e signature Snecial-A-7)pnt ness Date ) sonly Time Place OIG Form III-226/2 (04 23 07) Non-Custodial Employee EFTA00132424 90A-NY-3151227 Serial 81 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Jeffrey Epstein Investigative Reports Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, Bureau of Prisons (BOP) SIS Lt. provided MCC Investigative Reports regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132425 U.S. Deparl; ent of Justice Federal Su au of Prisons Inmate Investigative Report Institution: New York MCC Case Number: NYM-19-0061 Investigation Type: Investigative / Threat Assessment Inmates Involved: Register Number Name Role 76318054 EPSTEIN, JEFFREY Not Known 78514054 TARTAGLIONE, NICHOLAS Not Known Staff Involved: Name Title "No information was found for the given criteria." Others Involved: Name Title "No information was found for the given criteria." Investigator: Date: 8/1/2019 5:06:24 AM CST Captain: Date: 82!101910:06:35 AM CST Associate Warden: Date: 82201910:32:28 AM CST Warden: N'DIAYE, LAMINE Date: 8/2/2019 11:34:41 AM CST Page 1 of 5 FOIA Exempt SBU - Sensitive But Unclassified EFTA00132426 Summary: Unit, staff On July 23, 2019 at approximately 1:27 a.m., while making routine rounds inside the Special Housing 76318-054, lying in the fetal position on the floor with a homemade observed inmate Epstein, Jeffrey Reg. No. fashioned noose around his neck. Inmate Epstein was breathing heavily, however appeared to be responsive. on his own Inmate Epstein was directed by staff to stand and submit to restraints. Inmate Epstein would not stand in both hand and leg and would not comply with staff directives. Staff entered the cell and placed inmate Epstein escorted from the scene without restraints. Inmate Epstein was searched, metal detected, placed on a gurney and and determined to have sustained a circular further incident. Inmate Epstein was photographed, medically examined on the front of neck, and small 2cm erthema on left knee. line of erythema at the base of the neck and friction marks Inmate Epstein was placed on suicide watch with all necessary notifications made. There were no staff injuries reported. Inmate Data: Name: 76318054 - EPSTEIN, JEFFREY Role: Not Known Age: 66 Race: WHITE Security Level: UNASSG Custody Level: IN Facility Arrival Date: 7/7/2019 Projected Release Date: Charges: Description Sentencing District No Charges Found STGs: CIMs: HISTORY OF COMMITTING No CIMs Found Name: 78514054 - TARTAGLIONE, NICHOLAS Role: Not Known Age: 51 Race: WHITE Security Level: UNASSG Custody Level: IN Facility Arrival Date: 1/23/2018 Projected Release Date: Charges: Description Sentencing District No Charges Found STGs: CIMs: EX LAW ENFORCEMENT SEPARATION POSTED PICTURE CARD FILE Victim Statements: **No information was found for the given criteria.** Assailant Statements: **No information was found for the given criteria.** SBU - Sensitive But Unclassified Page 2 of 5 FOIA Exempt EFTA00132427 Other Statements: Date: 7/31/2019 9:00 AM Location: Receiving And Discharge Interviewer: Title: LIEUTENANT Interviewee: 76318054 - EPSTEIN, JEFFREY the Receiving On July 31, 2019, at approximately 9:10 A.M., inmate Epstein, Jeffrey; Reg. No. 76318-054, was interviewed he did not have any sleep in approximate ly twenty d and he was and Discharge Area. During the interview Epstein stated night he was found on the floor. Epstein stated he got up off his bed at approximate ly 1:30 M., to get a drink extremely tired the the ng was coming of water, and all he can recall is being on the floor and hearing someone snoring that's when he realized his cell mate Tartaglione, Nicholas; Reg. No. 78514-054, was on the floo r sleepi g at the time. from him. Epstein alleged that by Tartaglione, and he donqt want to make up Epstein stated he has never had any Issues with Tartaglione, he is not threatened stated he can recall an incident that occurred two days prior when Tartaglione something that isn't there. Additionally. Epstein Taitagliork and Tartaglione went out to court and when Tartaglione returned he was upset. Epstein stated he attempted to talk to called him a pedophile. Epstein also stated he knew Tartaglione was upset and he let him cool off. Epstein stated he does not Tartaglione and he feels safe being housed with Tartaglione. Epstein stated he does not feel suicidal, he have any issues with now that he has his C-Pap machine. Epstein stated if he has a new cell mate whom he gets along with, and he is able to sleep remembered anymore details he would reach out to staff or Psychology. Date: 7/31/2019 10:00 AM Location: SHU All Other Interviewer: Title: LIEUTENANT Interviewee: 78514054 - TARTAGLIONE, NICHOLAS On July 31, 2019, at approximately 10:00 A.M., inmate Tartaglione, Nicholas; Reg. No. 78514-054, was inte ed in the he was asleep on the floo r inside of his cell, his tread was covered Special Housing Una. During the interview Tartaglione stated he had his headphones in his ear when he felt something hit his foot. Tartaglione stated when he uncovered his with a sheet, and in the corner with his eyes open. Tartaglione stated head he observed Epstein, Jeffrey: Reg. No. 76318-054, sitting on the floor stated he began to call Epstein's name and when Epstein did not answer he began to bang on the door for the officer. Tartaglione stated he he thought Epstein was having a heart attack because his eyes was open and he appeared to be snoring. Tartaglione he does does not have any issues being housed with Epstein although he keeps his conversation to a minimal. Tartaglione stated Epstein's motive and what he Is trying to do. Tartaglione stated previously during one of their conversation s not understand is legal in most states and I don't understand what's the Epstein made him uncomfortable when Epstein stated' fourteen (14) Tartaglione stated Epstein normally paces the cell and complains about his attorney's not doing their problem here. Additionally, housed with Epstein however he does not Job and he needs to fire them. Tartaglione stated he does not have any issues being want to be involved with any plots Epstein have in mind in order to try to get released. Factual Findings: "No item information was found for the given criteria." Page 3 of 5 I FOIA Exempt SBU - Sensitive But Unclassified EFTA00132428 Type Subtype File Name Original Enteral By Inmate Discipline Administrative Detention Order ADO.pdf TF18813 Detention Order dated July 10, 2019, placing Epstein, Jeffrey; Reg. No. 76318-054, in Administrative Detention pending classification. Inmate Discipline Incident Report INMATE EPSTEIN TF18813 IR.pdf On July 23, 2019, staff wrote Epstein an incident report for code 228- Self Mutilation. Medical Inmate Assessments MEDICAL TF18813 ASSESSMENT.pdf by , 2019, a medical assessment was conducted on Inmate Epstein, Jeffrey; Reg. No. 7631 -054, at base of his i MLP. During the assessment Epstein was identified with a circular line of erythema neck. Additiona ly, one section neck reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the with a small erythema on the left of this erythema In the front has marks of friction, and Epstein was observed and Epstein knee about 2cm in diameter(mild). During the assessment Epstein denied any respiratory problems denied any pain or discomfort. Statements & Written Operation's Lieutenant OPS LT MEMO.pdf TF18813 Memorandums On July 23, 2019, at approximately 1:27 A.M., the Operations Lieutenant submitted a memorandum which the Special indicated the Control Center Officer requested assistance in the Special Housing Unit Upon enterin laying in a fetal Housing Unit staff made notification that Epstein, Jeffrey; Reg. No. 76318-054, was observed to the Heal Services position on the floor. Epstein was removed from the Special Housing Unit and escorted Area. Medical Inmate Assessments TARTAGLIONE TF14688 MEDICAL.pdf 8514-054. by On July 31, 2019, a medical assessment was conducted on inmate Tartaglione, Nicholas; Reg. No. Kang, Yoon, PA-C. During the assessment Tartaglione was not identified with any injuries by Heal Services Staff. Photographs Contraband PHOTOGRAPH OF TF14688 HOMEMAD E ROPE.pdf PHOTOGRAPH OF HOMEMADE ROPE ECN#NYM-19-0147 Evidence Control Chain Of Custody CHAIN OF TF14688 CUSTODY.pdf CHAIN OF CUSTODY FORM Conclusion: Housin g Unit, staff On July 23, 2019 at approximately 1:27 a.m., while making routine rounds inside the Special observed inmate Epstein, Jeffrey Reg. No. 76318-054, lying in the fetal position on the floor with a memade fashioned noose around his neck. Inmate Epstein was breathing heavily, however Epstein appeared to be responsive. Inmate Epstein was directed by staff to stand and submit to restraints. Inmate Epstein uld not stand on his own and would not comply with staff directives. Staff entered the cell and placed inmate Epst in in both hand was searched, metal detected, placed on a gumey and escorted om the scene and leg restraints. Inmate Epstein without further incident. Inmate Epstein was photograph ed, medically examined and determined to ave sustained a and small 2c erythema on circular line of erythema at the base of the neck and friction marks on the front of neck, made. On Jun 31, 2019, at left knee. Inmate Epstein was placed on suicide watch with all necessary notifications approximately 9:10 A.M., inmate Epstein, Jeffrey; Reg. No. 76318-054, was interviewed In the Rece ving and twenty Discharge Area by SIS Staff. During the interview Epstein stated he did not have any sleep in appro Imately he was found on the floor. Epstein stated he got up off hi bed at days and he was extremely tired the night someone approximately 1:30 A.M., to get a drink of water, and all he can recall is being on the floor and heart g he realized the snoring was coming from him. Epstein alleged that his cell mate artaglione, snoring that's when any issues Nicholas; Reg. No. 78514-054, was on the floor sleeping at the time. Epstein stated he have never ad want to make up something tha isn't there. with Tartaglione, he is not threatened by Tartaglione, and he do not occurred two days prior when Tartaglione ent out to court Additionally, Epstein stated he can recall an incident that and when Tartaglione returned he was upset. Epstein stated he attempted to talk to Tartaglione and Tartaglione Page 4 of 5 FOIA Exempt SBU - Sensitive But Unclassified EFTA00132429 stein stated he called him a pedophile. Epbtein also stated he knew Tartaglione was upset and he let him cool off. he feels safe being housed with Tartaglione . Epstein stated he does does not have any issues with Tartaglione and mate, and he is able to sleep now that he has his C-Pap machln . Epstein stated not feel suicidal, he has a new cell if he remembered anymore details he would reach out to staff or Psychology . as also On July 31, 2019, at approximately 10:00 A.M., inmate Tartaglione, Nicholas; Reg. No. 78514-054, he was asleep on the interviewed by SIS Staff in the Special Housing Unit. During the interview Tartaglione stated floor inside of his cell, his head was covered with a sheet, and he had his headphone s in his ear w n he left No. something hit his foot Tartaglione stated when he uncovered his head he observed Epstein, Jeffrey Reg. open. Tartaglione stated he began to call pstein's name 76318-054, sitting on the floor in the corner with his eyes on the door for the officer. Tartaglione stated he thought Epstein and when Epstein did not answer he began to bang was having a heart attack because his eyes was open and he appeared to be snoring. Tartaglione stated he does not have any issues being housed with Epstein although he keeps his conversation to a minimal. Tartaglione stated ns he does not understand Epstein's motive and what he is trying to do but previously during one of their conversatio Epstein made him uncomfortable when Epstein stated " fourteen (14) is legal in most states and I don't understand his what's the problem here°. Additionally, Tartaglione stated Epstein normally paces the cell arid complains about attorney's not doing their job and he needs to fire them. Tartaglione stated he does not have any issims being to housed with Epstein however he does not want to be involved with any plots Epstein may have in mind in order t being conducted a medical assessmen t was onducted on try to get released. As a result of a threat assessmen inmate Tartaglione and Tartaglione was not identified with any Injuries. Based on the information rerleived throughout the course of the investigation there is insufficient evidence to support Epstein was assaulted by Tartaglione. Additionally, based on the fact that during the interview with SIS staff Epstein indicated that he does not feel threatened by Tartaglione, and he has a new cell mate whom he get along with it cannot be determined that Epstein safety is in jeopardy at MCC New York. Recommendation: Based on the information received and the fact that Epstein, Jeffrey; Reg. No. 76318-054 indicated that he does not feel threatened by Tartaglione, Nicholas; Reg. No. 78514-054, there are no CIMS Assignment of Separations warranted at this time. CIMS Separation Warranted: No SBU - Sensitive But Unclassified Page 6 of 6 FOIA Exempt EFTA00132430 METROPOLITAN CORRECTIONAL CENTER NEW YORK JEFFREY, EPSTEIN REG. NO. 76318-054 583 REPORT OF INCIDENT NYM-19-0076 EFTA00132431 Form 583 Report of Incident Incident NYM-19- Submitted By: Date/Time Of Incident 7/23/2019 127 AM C076 Section 1: General Information Staff Aware Date: 7/23/2019 1:27 AM FBI Notified: No USMS Notified: No Indicate Where Incident Occurred: Main Facility Location Level 1: SHU Level 2: Housing Unit, Special (SHU) Level 3: 9 SOUTH SHU Type•Ot Incident Institution Locked Down: No ❑ Assault On Inmate Modified Operations: No ❑ Assault On Staff Cause Of Incident Known? No ❑ Assault, Attempted On Inmate ❑ Assault, Attempted On Staff Cause Of Incident ❑ Alcohol ❑ Disruptive Behavior ❑ Commissary ❑ Escape From Non-secure Facility ❑ Debts ❑ Escape From Secure Facility ❑ Disrespect Issue ❑ Escape, Attempted From Non-secure Facility • Drugs ❑ Escape, Attempted From Secure Facility ❑ Ethnic Conflict ❑ Fight ❑ Food Issue ❑ Inmate Death ❑ Geographical Conflict ❑ Institution Disturbance ❑ Interfering with Staff duties ❑ Introduction Of Contraband ❑ Property Issue ❑ Lethal Weapons Discharge ❑ Racial Conflict ❑ Recreation Equipment ❑ Self Mutilation ❑ Religious Issue ❑ Setting A Fire ❑ Security Threat Group Conflict ❑ Sexual Act, Non-consensual On Inmate ❑ Sexual Pressure ❑ Sexual Assault On Staff ❑ Sporting Events ❑ Sexual Contact, Abusive On Inmate ❑ Telephone ❑ Sexual Harassment. Repetitive ❑ Theft ❑ Staff Homicide ❑ Visiting ❑ Strike, Food ❑ Work Issue ❑ Strike. Work El Suicide Attempt Method: Hanging/Asphyxiation ❑ Use Of Force ❑ Use Of Force/Applications Of Restraints ❑ Use of Restraints, PregnanVPostpartum Section 2: Inmates Involved UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document or any segment/attachment thereof. may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a 'need to know.' It contains Information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 1 of 3 EFTA00132432 Form 583 Report of Incident Incident #: NYM-19- Submitted By: Date/Time Of Incident: 7/23/2019 1: AM 0076 Reg #: 7631805.4 Name: EPSTEIN, JEFFREY Role: Victim Medical Attention Required: No Injury Category: Minor Injury Weapon (per Inmate): No Use of Force (per inmate): No Chemical Used (per inmate): No CIMS: No STG: Yes Restraints (per Inmate): Escort Only Death (per Inmate): No Reg #: 78514054 Name: TARTAGLIONE, NICHOLAS Role: Not Known Medical Attention Required: No Injury Category: No Injury Weapon (per Inmate): No Use of Force (per Inmate): No Chemical Used (per inmate): No CIMS: Yes STG: Yes Restraints (por inmate): No Death (per Inmate): No Section 3: Others Involved Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Modica! Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Thomas. Michael Person Type: Staff Medical Attention Required: No Death: No UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/limited Off1cial Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution. to active Law Enforcement DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof., may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity. the general public or those without a *need to know." It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 2 of 3 EFTA00132433 Form 583 Report of Incident Incident it: NYM-19- Submitted By: Date/Time Of Incident: 7/23/2019 1:27 AM l$VIV Irijury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Section 4: Lethal Weapon Discharge No data found. Section 5: Use of Force N0 data found. Section 6: Description of Incident DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the the ical a gent and/or restraints, masons for use of hard restraints Instead of soft restraints, etc.) Please be clear a out c 3use(s) of the incident in your description. n July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the trot Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAD I nerved inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt and xers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and ntinue losing. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made t get e inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was dir ed to itrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes id observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. pon the arrival of medical staff, inmate Epstein was examined and treated by, or a circular line of ythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left Section 7: Attachments F. le Data Fi .enterecitai 7:W a 4641. N o data found. Approved By: NOT COMPLETED UNCLASSIF1EDAJMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/LimIted Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document or any segment/attachment thereof., may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a 'need to know.' It contains information that may be exempt from public release under the provisions o the Privacy Act (5 U.S.C. 552). 3 of 3 EFTA00132434 UNITE. TATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center New York Now York 10007 July 23, 2019 MEMORANDUM FOR ALL CONCERNED FROM: Operations Lieutenant SUBJECT: Possible Suicide Attempt On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAD. I observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. While awaiting the arrival of an inmate companion, inmate Epstein sat on the edge of the bed and began moving forward as if he was attempting to fall over head first. When I looked away, he straightened up. As I turned to look at him again, he attempted the same act. I laid him down on the bed and directed him to cease his action or he would be placed in restraints for his safety. At that moment, he stated, "Okay, I won't do it again," and gave the thumbs up. Because of his unpredictable behavior, the decision was made to have a staff member observe inmate Epstein. I left HA-Unit in order to make staff notifications. Moments later, I spoke with Officer Clarke who stated that inmate Epstein was alert and had indicated that his cellmate, Tartaglione, Nicholas #78514-054 had attempted to kill him and had been harassing him. He stated that the inmate had indicated that he'd informed his attorney of this matter. I photographed and spoke with inmate Tartaglione, Nicholas #78514-054 who stated that he was asleep with his headphones on when he felt something hit his legs and said, "Jeff, what you're doing?" He didn't answer, so he got up, turned on the light and saw him with a string around his neck. He stated that he then called the guards and ASensitive Limited Official Use Only= EFTA00132435 'a, 1 EFTA00132436 they ran down. Upon f“..rier questioning, inmate Tartaglione -tated that he sleeps on the bottom bunk, but gave it to inmate Epstein because he's old. He stated that he sleeps on the floor on a mattress. He stated that when he got up, he couldn't remember if he sat up or stood up to check on Epstein. He stated that Epstein was sitting on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud. Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "Nick" was on the floor reading the Daily News. He stated that he had given it to him. He stated that Tartaglione mentioned that he'd been in court all day in Westchester and was carrying on. At that point, inmate Tartaglione paused as if he was making the story up as he went along, and stated that Tartaglione stated, "These fucking niggers. This place is inhumane, I wish I could report it. (Officer), that nigger hobbit mother fucker." He then turned to a page in the Daily News that had his picture on it and stated that Epstein was worth seventy seven million dollars. Epstein stated that he took his picture, balled it up and threw it in the garbage. I asked inmate Epstein what happened prior to staffs arrival. He stated that at approx. 1:00 AM, he'd gotten up to get a drink of water, as he gets up every thirty minutes. He remember walking back to his bunk and waking up with staff there in his cell. I asked if he'd waken up and seen staff, why didn't he respond when we were calling out to him? He stated that he only remembered hearing himself making a noise like snoring. When asked about the allegations against his cellmate, he stated that he was told, if he hurt him, staff wouldn't care. Duty medical, Dr. was notified and briefed. It was determined no further medical attention was needed. A medical assessment was not conducted at the time of this incident, due to the fact, there was no medical staff available after 10:00 PM. Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP Y. Joaquin for a circular line of erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee. ASensitive Limited Official Use Onlya- EFTA00132437 fra• fins EFTA00132438 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: 07 TO: Ops LT. FROM: S/O/S SUBJECT: Suicide Attempt Inmate Epstein#76318-054 On the above date at approx. I:27am While working in the Special Housing Unit Myself d S/O heard noise coming from the M tier Cell 124. Upon arrival inmate Epstein's cell mate (Um Tartaglione #78514-054) was at the door stating I/M Epstein #76318-054 had attempted to hang himself. I kept a visual while Officer grabbed door keys and called for assistance. After securing I/M Tartaglione and removing him from the cell, I entered then placed UM Epstein on his side and removed an orange homemade rope from his neck. I/M was breathing at this time, But unresponsive. As I began chest compressions addition staff and Ops Lt arrived, I/M was then removed from the Special Housing Unit without further incident. EFTA00132439 EFTA00132440 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: July 23, 2 TO: Operations Lieytertgnt, LT PROM: Senior Officer SUBJECT: Inmate Epstein reg# 76318-054 On July 23,2019 at approximately 1:27 AM while assigned to the Special Housing Unit, myselfand Senior Officer Specialist heard some noises coining from M Tier. Upon checking cell Z05-124 I observed inmate Epstein reg# 76318-054 laying down near his bunk with what appeared to be a piece of handmade orange cloth around his neck. I immediately called Control Center for staff assistance. OfficetIMI kept a visual ofinmate Epstein while I proceeded to retrieve the door keys and the cutter from the main cabinet located in the MPA. OfficerMpplied restraints to his cell mate inmate Tartaglione reef 78514-054. I secured inmate Tartaglione inside the bathroom while Officer .rovided assistance to inmate Epstein. When additional staffarrived inmate Epstein was removed from his cell without further incident. EFTA00132441 n Pas EFTA00132442 ' 1\ UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York July 23, 2019 TO: LT FROM: S/O/S SUBJECT: lucid uth On July 23, 2019 at approximately 1:27, I, S.O. responded to a body alarm on the Special Housing Unit. While the 9-South officer was con ucted rounds inmate Epstein, Jeffrey #76318-054 was found in his cell with a noose around his neck and appeared to be unresponsive. I assisted with taking inmate Epstein #76318-054 from his cell and putting him on a stretcher. The inmate was taken to the second floor and placed on suicide watch, where he was monitored by staff. Moments afterwards, inmate Epstein became responsive. While observing inmate Epstein he sat up on the bed and began telling me that he think his Bunkie, Tartaglione, Nicholas #78514-054 tried to kill him. Inmate Epstein also stated that his Bunkie also tried to extort money from him and stated that if he didn't pay hint that he would beat him up. He stated that this has been going on for a week. I asked inmate Epstein if he told staff about this and he told me no, that he'd only told his lawyer. He went on to say that his Bunkie told him that if he beat him up, because of his charges, the officers would not report it and because of this he was not comfortable telling the officers about the prolong threats and alleged attempts to extort him. I immediately reported this to the lieutenant. EFTA00132443 EFTA00132444 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: July 23 TO: Ope ations Lieutenant FROM: SUBJECT: Epstein, Jeffrey # 76318-054 At approximately 1:27AM, I responded to a radio transmission asking for staff assistance on 9 South (Special Housing Unit). Once I was granted access to said unit I made my wa to the location (M Tier) in which the disturbance stemmed from. I was told by Officer that Epstein, Jeffrey I/M# 76318-054 has attempted to hang himself. Upon arrival to cell number 124 in which lie was housed, I noticed J. Epstein I/M# 76318-054 on the floor and Officer placing restraints on him. Officer D. Clarke, Lt. and I entered said cell attempting to assist in said process. Now that I am inside of the cell I notice that J. Epstein I/M# 76318-054 was snoring on the floor of his cell, lie appeared to be asleep. We made several verbal commands for him to wake up and attempted to get him to his feet but they were all unsuccessful. After said attempts Lt. asked for a stretcher to be retrieve to safely remove him out of his cell. Once the stretcher arrived, Office Officer and I lifted J. Epstein UM# 76318-054 off the floor and placed him on the stretcher. Once we secured him safely on the stretcher, Officer lend I lifted J. Epstein I/M# 76318-054 who is now on the stretcher safely out of 9 South (Special Housing Unit) and into the awaiting elevator. EFTA00132445 rs es EFTA00132446 UNITEL /TATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center New Ynrk New York 10007 July 23, 2019 MEMORANDUM FOR ALL CONCERNED FROM: , Material Handler Supervis SUBJECT: Possible Suicide Attempt On July 23, 2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on the Special Housing Unit. Upon my arrival to 9-South, I/M Epstein, Jeffrey #76318-054 was lying on the floor of his cell handcuffed. I assisted with carrying inmate Epstein to HA-Unit on a stretcher, where he was dressed in a suicide smock and placed on Suicide Watch observation with staff. ASensitive Limited Official Use Only= EFTA00132447 n PM ES EFTA00132448 MCC NEW YORK Tuesday July 23, 2019 NEW YORK, NY Pago 1 Daily Assignment Roster 6 07:00 - 15:00 9 12:00 - 20:00 Post Split Shift 2 00:00 - 08:00 3 06:00 - 14:00 8 08:00 - 16:00 10 14:00 - 22:00 12 16:00 - 00:00 CAPTAIN 6 CAPTAIN SEC 6 OPS LT 2 12 ACT LT 3 "10 OT AOMIN LT $ SHU LT 3 "10 <unassigned> VS LT 8 <unassigned> SIS LT #2 6 <unassigned> SIA 8 <unassigned> SIS TECH #1 8 <unassigned> SIS TECH #2 3-= PHONE MONITOR SEC OFFICER #1 3 <unassigned> SEC OFFICER #2 8 TOOL ROOM "6 <unassIned> SEARCH OFFICER 2 SALLY OFF 3 SALLY OFF 8 LOBBY 3 10 CONTROL NI 2 8 12 <unassigned> CONTROL #2 ••3 Viers. J 10 INTERNAL "2 Thomas, M OT (NC) 00:00 01:30 INTERNAL #2 PE "12 ATTY CONF "8 $ 12 UNIT 2 UNIT 3 2 WS OT 8 1. 12 k$ O 5 NORTH "21.1 k$ 12 OT 5 SOUTH 8 <unassigned> 12 OT 7 NORTH 7 SOUTH 4 12 OT 2 9 NORTH $ $ 12 OT SHU 12 OT AIM SHU #2 "8 12 <unassigned> OT OT SHU #3 3 10 MD (N ) SHU #4 5 $ "12 <unassigned> OT 10 SOUTH #1 2 12 10 SOUTH #2 3 <unassigned> ••10 OT 7/23/2019 7:02:27 AM EFTA00132449 ems ,foo EFTA00132450 . . Tuesday July 23. 2019 Page 2 • REC OFFICER #1 REC OFFICER 02 11 NORTH «2 "8 12 0 11 SOUTH "2 "8 <unassigned> 12 OT 11 SOUTH 02 12 REAR GATE DSP 01 SANITATION OFF VISIT 01 VISIT It2 "Min OT VISIT #3 9 .... Special Assignments EPO OFFICE 8 ESCORT OFF #1 8 ESCORT OFF #2 8 LOBBY #2 9 <unassigned> PHONE RM 8 TOWN DRIVER 10 SUICIDE WATCH *1'2 Thomas, PA 8 <unassigned> 12 <unassigned> OT (NC) 01:30 08:00 " ...Back Page Categories-. DAY OFF Noel T SICK LEAVE ANNUAL LEAVE L •. - LWOP(M) AWOL SUSPENSION 4111IIIE 7/23/2019 7:02:34 AM EFTA00132451 Tuesday July 23, 2019 Pago 3 COP IF TRAINING ****Change Records"" Relieved Officers Relieving Officers Ret Post Sett Shft Officer Now Status Relieving Officer Previous Status Shft Changed By TOOL ROOM 8 [Sick / Annual <Unassigned> KS 7114 13:31 [Sick / Annual] [Removed! Ka 7/14 13:52 CONTROL 02 3 Annual Leave <Unassigned> Ka 7/18 07:54 (sp)PHONE RM 2 8 3 CONTROL 112 <Unassigned> Ka 7/18 07:54 SHU NI 8 LWOP(M) <Unassigned> Ka 7/1809:22 INTERNAL Annual Leave <Unassigned> KS 7/18 09:29 8 INTERNAL 8 <Unassigned> 8 7 SOUTH 7/1812:07 UNIT 3 2 <Unassigned> Annual Leave Y RW 7/1715:58 Shift ICT Start End UNIT 3 Annual Leave ATTY CONF 8 <Unassigned> Annual Leave Y RW 7/1808.00 Shift Staff OT/CT Start End ATTY CONE OT Annual Leave 7 SOUTH 8 <Unassigned> 2 9 NORTH V RW7/18 10.11 Shift Staff OT/CT Start End 7 SOUTH OT 9 NORTH SHU LT Sic* Leave <Unassigned> KS 7/18 10:19 LWOP 8 PHONE RM 2(sp) KS 7/18 11:35 5 SOUTH 2 <Unassigned> 8 10 SOUTH 01 Y R107/18 12.10 Shift 0V/CT Start End 5 SOUTH 10 SOUTH #1 FtW 7/19 10-19 (Sick /Annual) RV/ 7/19 10:19 10 SOUTH #2 10 <Unassigned> Annual Leave Y RW 7/19 12:15 Shift Staff OT/CT Start End 10 SOUTH #2 OT Annual Leave ACT LT 10 <Unassigned> 8 OPS LT Y JD 7/21 14:10 Staff 07/CT Start End ACT LT OT OPS LT S SHU e2 2 <Unassigned> 12 SHU 04 Y RW 7/220S11 Shift S 07/CT Sort End SHU /72 S OT SHU 114 VISIT #2 9 <Unassigned> 3 REC OFFICER fkl YFtW 7/22 08103 Shift 01/CT Start End VISIT #2 0- REC OFFICER #1 7/23/2019 7:02:35 AM EFTA00132452 Tuesday July 23, 2019 Page 4 Relieved Officer's Relieving Officer's Ret Post Spit Stitt Officer New Status Relieving Officer Previous Status Sh Changed By VIS17112 9 [Skit / Annual] <Unassigned> RW 7/22 08 27 (Sick/ Annual] (Removed! RW 7/22 0827 7 NORTH 2 <Unassigned> 12 7 NORTH Y RW 722 08-34 Shift 07/C7 Start End . ..—..... 7 NORTH 11 NORTH 2 <Unassigned> $ Day Off Y 7/22 08:45 Shift OT/CT Stan End 11 NORTH OT Day Off IS (sp)PHONE MA 2 8 Sick Leave 7/22 0905 SHU #1 2 <Unassigned> 12 SHU 01 V 7/22 0920 Shift /CT Start End SHU #1 OT SHU #1 [Inserted RCS] (Sick/Annual) 7/22 0939 SHU #3 3 <Unassigned> [Sick /Annual) RW 7/22 09739 SHU #4 8 <Unassigned> 2 SANITATION OFF Y RW 7/22 10o4 Shift Staff OT/CT Start End SHU #4 OT SANITATION OFF $ SHU 411 8 <Unassigned> 8 SHU #2 72210:19 SHU 12 8 <Unassigned> Day Off V 72210:19 Shift Staff /CT Start End SHU #2 T Day Off 7 NORTH 2 [Sick / Annual] <Unassigned> 7/22 10:43 (Sick / Annual) [Removed] Riff 7/22 10.43 9 NORTH 8 <Unassigned> S 2 UNIT 2 Y RW 7/22 11:04 Shift Staff OT/CT Start End 9 NORTH 5 OT UNIT 2 $ 11 NORTH 8 <Unassigned> 2 11 SOUTH MI 7/22 14:34 5 NORTH 8 <Unassigned> 2 5 NORTH MR 7/22 14:37 INTERNAL #2 2 <Unassigned> Annual Leave V RW 7/22 14.45 Shift taff OIT/CT Start End INTERNAL #2 Annual Leave 7 NORTH 2 <Unassigned> Day Off Y 7/22 14:58 Shift 7/CT Start End 7 NORTH Day Off VISIT #2 9 <Unassigned> Dutionezic: D $ 3 REC OFFICER #1 V FPI 72215:28 Shift Staff OT/CT Start End VISIT a2 OPT REC OFFICER #1 5 NORTH 2 <Unassigned> 12 UNIT 3 Y M17/22 18:12 Shift 0 /CT Start End 5 NORTH 0 UNIT 3 7/23/2019 7:02:35 AM EFTA00132453 Tuesday July 23, 2019 Page 5 Relieved Office?* Relieving Officers Ret Post Spit Stift Officer New Status Relieving Officer Previous Status Shft Changed By 11 SOUTH 2 <Unassigned> 12 UNIT 2 Y S1 7/22 1921 Shift Staff OT/CT Start End 11 SOUTH OT UNIT 2 INTERNAL 12 <Unassigned:- 12 SHU 04 7/22 1922 SHU *2 2 [Sick / Annual) <Unassigned> 047/22 21:14 [Sick / Annual] [Removed) 7/22 21:14 SHU 02 2 <Unassigned> 12 INTERNAL 02 Y t 7122 21:14 Shift pOT/CT Start End SHU P2 OT INTERNAL #2 I 5 SOUTH 2 [Sick /Annual] <Unassigned> 7/22 22_0$ [Sick I Annual) [Removed] CIA 7/22 22:08 5 SOUTH 2 <Unassigned> 12 INTERNAL Y CIA 7/22 22:12 Shift T/CT Start End 5 SOUTH Ili S T INTERNAL [inserted NCS] Thomas, M [Stk/Annual] 7/23 04:30 (sp)Sulcide Watch 2 <Unassigned> Thomas, M [Sick / Annual] GA 7/23 04:31 (sp)Suidde Watch 2 Thomas, M [Time Change] GA 7/23 04:31 Shift Staff OT/CT Start End Suicide Watch Thomas, M OT 01:30 08:00 INTERNAL 2 Thomas, M [Time Change] GA 7/23 04:32 Shift Staff OT/CT Start End INTERNAL Thomas, M OT 00:00 01:30 11 SOUTH 8 Sdc Leave <Unassigned> GA 7/23 05:05 ""Recapitulation"" Morning Watch 8 AM Watch 7 Day Watch 23 PM Watch 6 Evening Watch 17 "Back Page Catogonosn Sick Leave 4 Day Off 20 Annual Leave 7 LWOP 1 LWOP(M) 4 AWOL 9 SUSPENSION 1 OFFICIAL TIME 1 COP 2 IF TRAINING 3 Total Correctional Svcs. Staff: 113 Non Correctional Svcs. Staff: 2 Overtime Occurrences: 18 Comptime Occurrences: 1 Ops Li Evening Watch Signature: Captain's Signature: 723/2019 7.02:36 AM EFTA00132454 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: ALP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): (D: t "I do not know. Just went to drink a little water and wake up snorting". sti il k 4-116P7 Symptoms (as reported by inmate): None OBJECTIVE: Temperature: Dahl Lima Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral MLP Pulse: Date Time Rate Per Minute Location Rhythm. Provider 07/23/2019 06:30 92 Via Machine Regular nLP Respirations: Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 ALP Blood Pressure: DAM Time Value Location Position Cuff Size provider 07/23/2019 06:30 NYM 140/85 Right Ann Sitting Adult-regular MLP SaO2: Data Time Value(%1 Air Provider 07/23/2019 06:30 NYM 96 Room Air Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 0723/2019 09:05 MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00132455 em1 7 o C.1";) EFTA00132456 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Sex: Provider. Aim WHITE MLP Reg it: 76318-054 Facility: NYM Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation. Vesicular Breath Sounds Bilaterally No: Crackles. Rhonchi, Wheezing barn Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 24 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Tooic Outcome 07/23/2019 Counseling Access to Care Verbalizes i l Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by MLP on 07/23/2019 09:05 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 taLP Bureau of Prisons - NYM Page 2 of 2 EFTA00132457 Metropolitan Correctional Center New Yorkl, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 1:27 AM Inmate Name/Register Number Epstein, Jeffrey 476318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Timc of Photo 07/23/19 -1:45 AM /49) EFTA00132458 teurenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 0- '23 19- 1:27 AM Inmate Name/Register Number Epstein, Jeffrey 76318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1:45 AM EFTA00132459 Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 — 1:27 AM Inmate NametReuister Number Epstein. Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1:45 AM epily;,2,3-11 •e EFTA00132460 Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 — 1:27 AM Inmate Name/Register Number Eps►ein, Jeffrey #76318-054 Location of Incident .Special Musing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1:45 AM top EFTA00132461 Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 - 1:27 AM Inmate Name/Register Number Epstein, Jeffrey 1176318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 0'23'19-1.45 AM EFTA00132462 l.:emenant ice Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 — 1:27 Aill Inmate Name/Register Number Epstein, Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1:45 AM Copt; EFTA00132463 Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Timc of Incident 07/23/19 - 1:27 AM Inmate Name/Register Number Epstein, Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date. and Time of Photo 0723/19-1:45 AM -1,15-11 Fi EFTA00132464 Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 — 1:27 AM Inmate Name/Register Number Epstein, Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1:45 AM EFTA00132465 Lieutenant's (Vice Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt(Cellmate) Date and Time of Incident 07/23/19 - 1:27 AM Inmate Name/Register Number Tartaglione, Nicholas 1178514-0541 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -2:25 AM EFTA00132466 Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt(Cellmato Date and Time of Incident 07/23/19 - 1:27 AM Inmate Name/Register Number Tanaglione, Nicholas 1178514-054 Location of Incident Special Housing Unit Photograph(s) by Date and Time of Photo 07/-23/19 -2:25 AM EFTA00132467 Len:emit. Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Allen:M(COrnate) Date and Time of Incident P 07/23/19 — 1:27 AM Inmate Name/Register Number Tartaglione, Nicholas #78514-051 Location of Incident Special Housing Unit Photograph(s) by . Lieutenant Date and Time of Photo 0 7 23,19 -2:25 ,4A1 EFTA00132468 Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt(Cellmate) Date and Time of Incident 07/23/19 — 1:27 il.V1 Inmate Name/Register Number Tartaglione, Nicholas #78514-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 0723119 -2:25 Aiti neOpy EFTA00132469 L,rmenani:cQflice Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt(Cellmate) Date and Time of Incident 07/23/19 -- 1:27 AM Inmate Name/Register Number Tartaglione, Nicholas 1178514-054 Location of Incident Special Housing Unit Photograph(s) by ieutenant Date and Time of Photo 07/23/19 -2:25 A Al EFTA00132470 Lieutenant iv (Mice Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Auempt(Cellmate, Date and Time of Incident 07/23/19- 1:27 AA1 Inmate Name/Register Number Tartaglione. Nicholas #78514-054 I.ocation of Incident Special housing Unit Photograph(s) by Lieutenant Date and 'lime of Photo 07/23/19 -2:25 AM eith COPY 1) K_ 2 EFTA00132471 ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEWYORK MCC Insikaon Damaime 07-10-2019 TO: Speciaanit Officer FROM: IEUTENANT (Name/Title) SUBJECT : Placement of EPSTEIN. JEFFERY .Reg No. 7-10-2019 in Adrniristrative Detention (a) Is pending an investigation for a iiiolaticei of Bureau regulations: (b) Is pending an SIS investigation (c) Is pending investigation or trial for a criminal act: (0) Is to be admitted to Administrative Detention (1) Since the mmatehas requested admission br protection: I hereby request placement in Administrative Detention for my own protection. Inmate Signature/Register No.: Staff Witness Printed Name Signature: (2) Since a serious threat exists to individual's safety as perceived by staff. allhough person has not requested adintleiell: MEWS 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 classification: or Is terminating confinement in DisciFfmary Segregation and has been ordered into Minnisuative Detention by the Warden's designee. It is this Correctional Supervisors decision based on all the circtenstances that the above named Inmate s continued presence in the general population poses a serious threat to Me. property, sell. staff, other inmates. orb the security or orderly running of the institution because' PENDING CLASSIFICATION Therefore. the above named Inmate is to be placedIn Administrative Detention until further nonce. The inmate received a copy of ths Order on (date/tine) (0 StaffWitriess Signature/Printed Name Date Supervisor 24 hour review of placement: Signature/Printed name c--.C - In the case of D11O action, reference to that order is sufficient. In other cases, the Correctional supervisor inn make an ndependent review and decision. vihich is documented here. Record Copy - Inmate Concerned (not necessary if placement is a result of holdover status): Copy - Captain: Copy - Unit Manager: Copy - Oper 0 • rwsor - Adminstratwe Detention UM: Copy — Psychology. Copy - Central File COPY PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88.) 1 EFTA00132472 INCIDENT REPORT J.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Part I — Incident Report I —Institution MCC New York 2 Inmate's Name: Epstein . Jeffery Register Number. 76318-054 1In ffRopoit ruirnbe 4. ale o /ridden:. 07/23/2019 erslac".:5 j 1:27am 8. Place of Incident 7. -Assignment: 8. Un SHU MiTier Cell 124 Unassigned ZA 9. Incident 10. Prohibited Ad Code (s): Self-Mutilatio n 228 11. Description of Incident (Gale: 07/23/2019 Time' 1:27AM Staff became aware of incident): On July 23.2019 at approx. 1:27am While working in the Special Housin21.1nit Myself and SIC) heard noise coming from the M tier cell 124.Upon arrival uM's Epstein,Jefferya76318.054i it mate aaartaglionen78314-054)was at the door staWng UM Epstein...lottery/a-GM-054 had attempted to hang himself. I kept a visual while S/0 grabbed the door keys and called for assistance. After Securing UM Tartaglionett78514-064 and removing bun from the ca.( ordered then placed pstein on his side and removed a orange homemade rope from his neck.UM was breathing at this time But unresponsive. Addition staff and Ops Lt arrived WM was then removed from SHU rang Employee: 13. Date And Time. 07/23/2019 3:30am 14. Incident Repo to Above Inmate By ant Report Delivered: 16. Time Incident Report Delivered: (Two Name/Sig Part II — Committee Action 17. Comments of Inmate to Committee Regarding Above Incident: 18. A. It is the finding of the committee that you: B. The Committee is referring the Charge(s) to the DHO for further Reagan-, n Committed the Prohibited Act as charged: Did not Commit a Prohibited Ad. Committed Prohibited Act Code (s). 19. Committee Decision is Based on Specific Evidence as Follows: C I I The Committee advised the Inmate of its finding and of the rigM to file an appeal within 20 calendar days. 20. Committee action and/or recommendation if referred to DHO (Contingent upon D)-10 finding inmate committed prohibited act): 21. Date and Time of Action: (The UDC Chainnanns signature certifies who sat on the UDC and Mal the completed report accurately reflects the UDC proceedings). Chairman (typed Name/Signature): Member ( typed Name): Member (Typed Name): INS RUC IONS: All items outside of heavy rule are for staff use only. Begin entries with the number 1 and voided by staff. work up. Entries not completed will be Distribute. Oriainai-Central File Record; COPY-1-DHO: COPY-2-Inmate after UDC Action; COPY 3-Inmate within 24 hours of Part I Preparation PDF Prescribed by P5270 Replaces BP-A0288 of AUG 11 EFTA00132473 Part III - Investigation 22. Date And Time Investi< ation Began 23. Inmate Advised Of Right To Remain Silent: You are advised of your right to remain silent at all stages of the discipline process. Your silence may be used to draw an adverse inference against you at any stage of the discipline process. Your silence alone may not be used to support a finding that you have committed a prohibited act. The Inmate Was Advised Of The Above Right By At (Date/tine) 24. Inmate statement and attitude 25. Other facts about the incident, statements of those persons present at scene, disposition of evidence, etc. 26. Investigator's comments and conclusions 27. Action taken Date and Time Investigation Completed Printed Name/Signature Of Investigator Title er PDF Presaibed by P5270 Replaces BP-S288.052 Of MAY 94 EFTA00132474 cot..dor 715/v-or/ /427A tauC / 4e3 &// hi,t zr-F ratted A., Rk 7-03/4 EFTA00132475 Bureau of Prisons' Health Services Clinical Encounter Inmate Name: TARTAGLIONE, NICHOLAS JOHN Reg #: 78514-054 Date of Birth: 10/10/1967 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/31/2019 14:11 Provider: PA-C Unit: Z06 Mid Level Provider - Evaluation encounter performed at Special Housing Unit. SUBJECTIVE: COMPLAINT 1 Provider: PA-C Chief Complaint: No Complaint(s) effect from Subjective: 1 feel good today, can't complain. My anxiety is getting better and I have no side the new anxiety medication" IM being seen in the SHU as per the request of lieutenants. States he's been doing well and has no acute complaints. what For what happened to his previous cell mate about a week ago, states "I have no idea was going on. I didn't do anything and I have no injury" Pain: No OBJECTIVE: Pulse: Time Rate Per Minute Location Rhythm Provider Date 07/31/2019 14:19 71 Via Machine E=IPA-C Respirations: Date Time Rate Per Minute provider 07/31/2019 14:19 NYM 15 IMA-C Blood Pressure: Time Value Location position Cuff Size Pro ' er Data 07/31/2019 14:19 NYM 118/70 Left Arm Sitting Adult-regular PA-C SaO2: Rata Time Valuer/0i Air Provider 07/31/2019 14:19 NYM 98 Room Air ' A-C Exam Comments General: AAOx3. NAD HEENT: PERRLA. EOMI. Nares patent. Neck: Supple Heart: S1, S2. RRR Lungs: CTAB EXT: No edema. Neuro: Grossly normal CN ASSESSMENT: Encounter for general adult medical exam without abnormal findings. Z0000 - Current PLAN: Disposition: Follow-up at Sick Call as Needed Other: -C Bureau of Prisons - NYM Page 1 of 2 Generated 07/3112019 14:39 by-PA EFTA00132476 a q it() c',3) EFTA00132477 Inmate Name: TARTAGLIONE. CHOLAS JOHN Reg ti: 78514-054 Date of Birth: 10/10/1967 Sex: M Race: Wit 1E Facility: NYM 07/31/2019 14:11 Provider: PA-C Unit: Z06 Encounter Date: IM states he feels as himself and denies being in acute distress. Patient Education Topics: Handout/Topic Provider Outcome Date Initiated Format Access to Care Verbalizes 07/31/2019 Counseling Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by IA-C on 07/31/2019 14:39 Requested to be cosigned by I MD. Cosign documentation will be displayed on the following page. PA-C Bureau of Prisons - NYM Page 2 of 2 Generated 07131/2019 14:39 by EFTA00132478 90A-NY-3151227 Serial 82 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Additional Psychology Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID It: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, Bureau of Prisons (BOP) SIS Lt. Doctor provided BOP Psychology Services Notes regarding Jeffrey Epstein .• UNCLASSIFIED EFTA00132479 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 8: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility NYM Unit Ter: 5 Date: 07/27/2019 07:14 Provider. PsyD focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offerer. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion. ate, and slept. When interviewed, he stated he still cannot remember what happened in SHU that caused the marks on his neck. He stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU. He stated he is anxious about going back to SHU because he stated he is going back to a place where he had gotten marks on his neck and he does not know why it happened. He said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and c4herent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated "tm a coward." He added he does not like pain and even does not, like when he has to give blood. He agreed to immediately tell staff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. interyentiontal Supportive and educative interventions were provided. Turning Points handouts on stress management, sleep, and building a routine in SHU were placed on his cell door to be given to him when his food slot is opened. He stated he wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him from sleeping. Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by PsyD on 07/28/2019 09:19 Generated 0728/2019 09.19 by PsyD Bureau of Prisons - NYM Page 1 of 1 EFTA00132480 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M ciiity: NYM Unit Team 5 Date: 07/28/2019 08:33 Provider: syD focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" noted that yesterday he ate breakfast. He is not in the Psych Observation cell r about 12 hours per day because of being In Attorney Conference with his Attorneys, so the "Eating/Shower Chart" milli not reflect all of his meals. He stated he was served one meal in Attorney Conference yesterday. He stated he drinks a lot water at night. The Psych Observation log noted he talked about life in general population and he slept. Earlier he had complained that his right arm was numb and hanging. Nurse from Medical had seen him for this. When this writer was interviewing him, he said his right arm still feels somewhat numb Mid he cannot make a fist with that hand. He also said he has numbness on his neck. This writer notified Nurse He stated last night when he flushed the toilet it kept flushing for 45 minutes. He stated he found it so aversive and upsetting that he said he sat in the corner and held his ears. He said because of this he was agitated for hpurs and was not able to sleep. The Li will be moving him to a different cell and he was Informed of this. He stated the feeling he got with the noise of the toilet was similar to when he was in SHU. He said he may have something on the Autism spectrum. He said in the movie "Rain Man," the person with Autism had an aversion to noise. He stated hp is also really good with numbers. Current Mental Status: He exhibited a mildly anxious mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff and Inmate Compapions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has Mete thoughts. Interventlnnft Supportive and educative interventions were again provided. He had not been given the Turning Point handouts yesterday that were on his cell door, so they were handed to him by staff today. Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to b¢ made on Monday. Mile on Psych Observation, he will be seen daily by Psychology. Completed by 'syD on 07/28/2019 09:24 Generated 07/28/2019 09.24 Psy0 Bureau of Prisons - NVM Page i of 1 EFTA00132481 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM UM Ter 5 Date: 07/29/2019 10:01 Provider: MINI PhD/Chief focus of Session Inmate Epstein was seen while on psychological observation today in the hospital area. einblectIvelattjactive Presentation Same presentation today, but he said he thinks his memory for the incident (injury to his neck) may be impaired because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be retuning to SHU, but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night of sleep with his CPAP and will return to SHU with a cellmate tomorrow. He then asked if he could remain down here where it is "safe" for the entire week. I told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he would be returned to SHU tomorrow. It was explained that there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area because he felt safe or more comfortable for him. It was explained to him that he would be placed in a safe situation in the SHU. According to his log book and eating/shower chart, he has been eating and drinking when not in his legal visits. He has also been writing and attending his legal visits. intervention(al Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was somewhat receptive to these interventions, but appears more concerned about getting his various needs in the prison (phone calls, recreation, housing placement concerns, etc.) prowess/Plan He will remain on psychological observation today and will transition to the SHU tomorrow. He will be seen by psychology daily to assess his mental status and psychological functioning. Completed by PhD/Chief Psychologist on 07/29/2019 10:26 Generated 07/29/2019 10:26 by PhD/Chief Bureau of Prisons - NYM ',spate I EFTA00132482 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 1: 76318-054 Date of Birth: 01/20/1953 Sex: cility NYM Unit Teem 5 Date: 07/30/2019 12:01 Provider: syD bus of He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation He stated he hasn't slept well at MCC-NY because he hasn't had his cpap machine. He stated it Is here and he will be able to start using it tonight. He discussed how he does not think he will able to sleep in SHU and how he does not like SHU because of the noise. He discussed issues on not getting some medication with Medical today. The "Eating/Shower Chart" indicated yesterday he ate breakfast and dinner, drank liquids, and took a shower when offered and so far today it noted he ate breakfast and drank liquids. The Psych Observation Log noted he1slept. drank water, went to legal, and talked to an Inmate Companion about investments. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and herent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucin bons were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Personal hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate dang to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. Interventionist Supportive and educative interventions were provided. When asked about the Turning Point handouts for coping In SHU, he stated he already knows these strategies before he read the handouts and had tried them when was in SHU the last time. He stated with the noise in SHU, he said the strategies will not work. He was encouraged to try them. progress/Plan The Chief Psychologist was consulted. Psych Observation will be discontinued. Mr. Epstein was educat about both routine and emergency procedures for contacting Psychology staff. He will be seen in follow up by Psych gy tomorrow to monitor his mental status and to provide further intervention if needed and he was informed he will be seen by Psychology tomorrow. In the meantime, he was encouraged to self-refer to Psychology if needs to which he agreed and seems capable of doing. If he remains in SHU, he will be seen by Psychology in SHU Round and in SHU Reviews. The SHU Lt. was informed that Mr. Epstein needs to be housed with an appropriate cellmate. Completed balliantsyD on 07/30/2019 13:54 Generated 07/30/101913:54 PsyD Bureau of Prisons . NYM Pert& t EFTA00132483 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED— Psychology Services Institution Disciplinary Process Report Inmate Name: EPSTEIN, JEFFREY EDWARD Reg S: 78318-054 Date of Birth: 01/20/1953 Sex: M F ally: NYM Unit Teem 5 Date: 07/30/2019 12:01 Provider. PsyD Reason for Referral and Identifying Information Inmate Epstein was referred by Unit Manager Proto for an evaluation of competency to proceed with the d .PrinarY process for actions resulting in an incident report. On 7/23/19, inmate Epstein was charged with code 228 attocIng or Self-Mutilation). These infractions were assigned incident report number 3282555. Background Information According to a Suicide Risk Assessment dated 7/09/19 by Dra, "Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time." According to a Suicide Risk Assessment dated 7/09/19 by Dr.., "Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past." According to this writer's Suicide Risk Assessment dated 7/23/19, "It is unclear at this time if he had placedthe string around his neck or if someone else did." Clinical Interview and Mental Status Exam Inmate Epstein still does not remember how he obtained the marks around his neck. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. P I hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if h starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate dang to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. Clinical Impression According to his last Diagnostic and Care Level Formulation Note dated 7/09/19 by Dr. "No Diagnosis. No Dx - Current " Findings The determination of whether an inmate is competent to proceed with the disciplinary process is based on a clinical assessment of the inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to assist in their own defense. Depending on the outcome of the assessment, one of three findings can be made: (1) the inniate is COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT but could be restored to competence with treatment; or (3) the inmate Is NOT COMPETENT and Is unlikely to become competent. Recommendations Regarding Semitone In the case of inmate Epstein, after a review of available psychological and psychiatric records as well as information pertaining to the offense conduct, it is determined that this inmate is: (X) COMPETENT to proceed with the disciplinary process. ( ) NOT PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that inmate for an updated competency assessment in 30 days. ( ) NOT COMPETENT and not likely to become competent. Generated 07/30/201912'33 PsyD Bureau of Prisons - NYM Page 1 of 2 EFTA00132484 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Teem: 5 Date: 07/30/2019 12:01 Provider. PsyD Completed b PsyD on 07/30/201912:33 Generated 07/30/2019 12:33 bap Bureau of Prisons - NYIA Page 2 of 2 EFTA00132485 Bureau of Prisons "SENSITIVE BUT NCLASSIFIED" Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: cility: NYM Unit Team: 5 Date: 07/30/2019 12:01 Provider syD Comments Psych Observation Discontinuation Note: Please see "Clinical Contact- dated today. Completed by 'syD on 07/30/2019 12:33 Generate 07/30/2019 12:33 tap Buneu of Mims - NYM Page 1 of 1 EFTA00132486 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #. 76318-054 Date of Birth: 01/20/1953 Sex. M Facility: NYM Unit Team- 5 Date: 07/31/2019 10:35 Provider: PsyO/DAPC Focus of Session Mr. EPSTEIN was seen today by this writer for a follow up appointment after he was removed from Psychological Observation yesterday. Subjective/Objective Presentation Mr. EPSTEIN presented in a pleasant mood and reported he is generally doing well. He stated, "I could be tter," but acknowledged he is doing as well as can be expected given his circumstances. He reported he is going to Court today for a status hearing. He stated he generally slept well last night and is readjusting to being placed back in SHU. He reported getting along well with his cell mate. He was Informed of appropriate procedures for contacting Psychology staff while he is in SHU, if needed. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. He spoke witlli normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangenyal, circumstantial, a irrelevant content. There was no evidence of perceptual disturbance, delusional ideation,,or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future- oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others. interventionist Supportive interventions and cognitive behavioral therapeutic techniques were utilized. Mr. EPSTEIN was receptive to all interventions. Progress/Plan Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. There appears to be no need for follow-up at this time and he expressed willingness to self refer to psychology staff if needed. He will continue to be seen during routine SHU rounds and SHU reviews while he is housed in SHU. He was encouraged to reach out for PRN services should he experience any psychological distress. I Completed bass/DIDAPC on 07/31/2019 10:56 Generated 07/311201910:56 by sytD/DAPC Bureau of Prisons- NYM Rigel of 1 EFTA00132487 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg X: 76318-054 I Date of Birth: 01/20/1953 Sex: M Facilit NYM Unit Team: 5 Date: 08/01/2019 13:29 Provider: PsyD Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record, Psychology Data System, Sentry Reason for Referral. R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies." Mr. Epstein was seen for a Suicide Risk Assessment at about 1:00 PM on 8/01/19 in Attorney Conference. This note is being entered at about 4:20 PM on 8/01/19. Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by Dr. "Inmate Epstein denied any history mental of health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the pest or present with psychotropic medication. He also denied any acute mental health symptoms at this time? Self-Harm History According to a Suicide Risk Assessment dated 7/09/19 by Dr. "Inmate Epstein denied any past or esent suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious beh or in the past." According to this writer's Suicide Risk Assessment dated 7/23/19, "It is unclear at this time if he had pla around his neck or if someone else did." Current erjahlem R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies" This is likely due to the incident on 7/23/19, but as a precaution another Suicide Risk Assessment was conducted. Mr. Epstein seemed surprised that there was a form noting suicidal tendencies. He denied stating he wa8 suicidal. He said he saw the DHO today and he said his Incident report for the marks on his neck was expunged. He stated even though he has his cpap machine now, he said his cellmate talks at night and he stated this keeps him upi This writer offered to talk to the SHU Lt. to have him housed with a different cellmate, but he stated he wants to give it 3 to 4 days to see if he wants a different cellmate. He complained about the noise in SHU. Current Mental Status, Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a mildly restricted range of affect. His speech was logical and Generated 06/01/201916.21 by M'syO Bureau of Prisons - NYM Page 1 of 3 EFTA00132488 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M NYM Unit Team: 5 Date: 08/01/201913:29 Provider PsyD coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thought's of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmates risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Sleep problems The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of sulckle:Able to identify reasons to live, Denial of suicidal Ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative. Willingness to engage in treatment Risk Factors: He was found by staff in his cell in SHU on 7/23/19 with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is still unclear at this time if Mr. Epstein had placed the string around his own neck or if someone else did. He has a high profile sex offense case. He stated his lower back hurts and he stilted Medical is aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate talks at night. Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion. Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, Intention or plan. Suicide Watch is not indicated at this time. DIAGNOSIS. No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS 1. Suicide Watch is not indicated at this time. 2. Supportive and educative interventions were provided. 3. He was educated about both routine and emergency procedures for contacting Psychology staff. 4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed. 5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. 6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews. Suicide Watch: A suicide watch Is not warranted at this time Generale.] 08/01/2019 16:21 by I Bureau of Prisons - NYM Page 2 of 3 EFTA00132489 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg it 78318-054 Date of Birth: 01/20/1953 Sex: M NYM Unit Team: 5 Date: 08/01/2019 13:29 Provider. PsyD Completed b PsyD on 08/01/2019 16:21 Generated 08/01/2019 1611 b PsyD Bureau of Prisons NYM Page 3 of 3 EFTA00132490 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 1 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: I 5 Date: O8/08/2019 10:02 Provider. PhD/Chief focus of Salton Inmate Epstein was seen today for a follow-up session in SHU. IthhictiyelOialecthateresentattan Inmate Epstein stated he is feeling okay and has been eating his meals. He reported his sleep as "fair" and would like to go the general population. He denied any mental health symptoms at this time and denied any feelings of depression and/or anxiety. Inmate Epstein denied any suicidal ideation, intention, or plan. He currently has a cellmate and appears to interact with him. Inmate Epstein continues to spend his days and evening with his attorney's in the attorney conference room. He told this writer he received his PAC number to make phone calls. Inmate Epstein indicated he has only had a couple of phone calls over the speaker phone and wondered "if that counted" as his monthlyl phone contact. He also reported he his missing some books he was reading in the suicide watch area prior to returning to the SHU. Other than complaints about the prison and concerns regarding his housing, he had no mental health concerns today. He did not appear to be in any distress and the SHU Staff have not reported any unusual behaviors on his part. interventionist Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department. There appears to be no need for follow up at this time. He will be seen in weekly rounds and monthly for SHU reviews. Completed a PhD/Chief Psychologist on 08/08O019 10:09 Generated 08108/2019 10:09 by PhD/Chief Bureau of Prisons - NYM Pin1of EFTA00132491 90A-NY-3151227 Serial 83 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Documents provided by BOP SIS Lt. Doctor regarding 30 Minute Rounds Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided the MCC 30 Minute Round Check Sheet for the SHU for 8/8/2019 .• UNCLASSIFIED EFTA00132492 MOO MINTON MCC NEW YORK SPECIAL HOUSING UNIT WKS.NOW NIG an 30 MINUTE CHECK SHEET MOM160u11PG0MT ZA TIER-G DATE: 08/08/2019 TIME TIME TIME SIGNATURE / I N E FRAME TIME TIME SIGNATURE TIME FRAME TudE TIME SIGNATURE FRAME START END START END START END 12:00-12:30 AM (2, vi: 004 30 AM 4:00-4:30 PM re II OC 12:30- 1:00 AM ket e.; ft ( 30.9:00 AM 4:30-5:00 PM if ef4" l 4i 8... 1:00-1:30 AM \ IA k t4 ii. I 9:30AM S:00-5:30 PM Crri6 C -6‘ 1:30-200 AIA 03 \S I F.30-10:00 AM 5:304:00 PM 9c. s34,, 2:00430 AM -7_kA 21 -0 0,00.10:30 AM 6:004:30 PM 4 t (0 6t ellr 6:30-7:00 PM &It fait 2:304:00 AM 1? 930-11:00 AM 3:00-3:30 NA ir 54'1- II 00-11:30 AM 7:00-7:30 PM 76:1 --00 l 3:30-4:00 AM 3 35 -53 11.1042:00 AM 7:304:00 PM e75 .4 7%9. 4:00-4:30 AM if 1;5 4 2 00-12:30 PM 6:00430 PM .8 15° aok 43s- 2 4:30-5:00 MA Ii el 4 Le ( r12 30- 1:00PM 6:30- 9:00 PM 5:008:30 AM 501 tf 1.004 30PM 9.00430 PM c0 eln. 5:30400 AM 3 4° < 144 .30-2.00 PM 930.10:00 PM c i q. 4C 6:00-6:30 AM ( 0 #1- i 7- 1 .00-2:30 PM 10-.00-10:30 PM 1OCC. let 930.100 AAA 34 tabs 2.303:00 PM 10:30-11:00 PM 163t tos 7:00-7:30 MA 1 of --r L-Li -003.30 PM 11:0011:30 PM i to r u 04 7:30400 AM 2- 3 330-4:00 PM 11:30-12:00 PM it t 314 i i3 MORNING WATCH DAY WATCH EVENING WATCH OPERATIONS OPERATIONS PERATIONS LIEUTENANT LIEUTENANT LIEUTENANT A staff mem r must observe all inmates confined in a continuous locked down status, such as admtulstt Live detention or disciplinary segregation, at least once in the tint 30 minute period of the hour lexample, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These Es ronds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations m t be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132493 • NCO COI1011 ii•CG Atm 1011^ MCC NEW YORK SI'ECIAL HOUSING UNIT 30 MINUTE CHECK SHEET $1.1C111Housinc tsAllf eetcatiaog bac .4iit ZA TIER-1-1 DATE: 08/08/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE FRAME START END START END START END a /I / '2:001240 AM il l -/ J' r 800.8:30 AM 4:00410 PM (AG. CO? 12.30- 1:00 AM \T.. kj V -lr 30.900 AM 4 30.5 00 PM L{ 30 11 St 1.00.1:30Am ,i v %.5 nt 00-9.30 AM 5:00 -5:30 PM C5'l S r° 2 i 30-2100AM 5 q (S cf .' 531 \ 30-1000 Ali 5:304:00 PM 2.00.2:30 AM I2 221 0:00-10:30AM 6.004130 PM 6,0b cn,bc:1 210-3:00 HA 2:51 /fit - 103011:00 AM 6:30-7:OOPM &SC CI S. 3:00-3:30 AM 3‘l 5 k3 11:0011:30AM 7:00-7:30 PM r 7 00 3:304:00 MI 1 3 1 30-12:00AM 7:304:00 PM 1 35 13 5 '3L1 3." 4:004:30 AM 4-(2j4 11 75 1200-12.30 PM 8:0043:30 PM T it) . 1°C-3 li 4'304:00 fra, 44 VS il il 41 I 12:30- 1:00 PM 1330. 9:00 PM S rS C"'" 5 00 -5-30AM 5 it 5, 3 1:00.1:30 PM 9:00.9 30 PM 10L 2( 0a 5 30-600AM . ti l 54 t_ / '30200 PM 9'30.10:00 PM C -Sio at3c, co 7-0 (AZ- l 0 0.2 0a 6 004:30 MI 0 00.2 30 PM 10:00-10:30 PM 10 . 10 j.. .30.700 MI (D 3 g - Le 170 .3 00 PM a2 10:3011:00PM (Olt (0 _2 1 7:00.7•30 MI IGID / 60 r 00.3 30 PM 11:00-11,30 PM j 01 ( (07 T 304.00 MI ----)3 I ri3e, 3'30.4.00 PM 11:3012:00 PM 1 .k, 31 I rm. MORNING WATCH DAY WATCII EVENING WATCH OPLRATIONS (—/Y OPERATIONS OPERA1IONS LIEUTENANT LIEUTENANT / LIEUTENANT (4) A /14-4) / A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.). thus ensuring an inmate is observed at least twice per hour. These rounds arc to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132494 'cc Mao TOPA MCC NEW YORK MCO OIW IOU SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET IPICIM 'IMMO(' nit ZA TIER-J DATE: 08/08/2019 TIME TIME TIME SIGNATU • ME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE START END START END START END FRAME Al 12:00-12:30 AM 1 ,O1 .7.9 i .430AM If - 4:004:30 PM 03 LI D 3 12:30- I:00AM r tb t i g rflaraliffal IMMEZU 1:00-1:30 AM k ti- t '15 =natal 5:00.5:30 PM az_ SO D> 1:304:00 AM t5 I t‘ t 5:304:00 PM 34 200-t30 AM 2, 21t :00-1010 AM U 6e 6:004:30 PM (OD 1 (p03 2:30-300 AM /2,4 ,D 5 03041:00AM EDO Al 3 ,-t 6:30-7:00 PM 3:2 c.3 2 3:00-3:30 MI / 50S. 34-1 I:00-11:30 AM •3 • y 7:00-7:30 PM l e S "P"— t 3:30-4:00 AM X 33 3`" :30-12:00 AM 7:304:00 PM 3 2, - 7 "Sa- 4/ .44 ci 277.. 4:00-4:30 AM 00-12:30 PM 0 S. 900410 PM OW a te 4:30-5:00 MI sin ten 230. 900 PM Pi- 237 910- 9:00 PM 41),(, .... 2. .. I or 500-5:30 AM OS -1 700-1:30 PM o 7 • 7 9 00-9:30 FM 6 cet 5 30400 AM 31 IX=Irn 9.30-10:00 PM (es. 6006:30 AM illiZEMPArgigi 10-0040:30 PM I D s' ( ° D 6 30-7:00 AM Ce (P ETZMPlarai 10.3041:00 PM 01C ( t,I 700-7:30 AAI 0% 1 of :00-3:30 PM p7 I 11:00-11:30 PM 03 I 04 7 304:00 AM ---1 Ma IlliaEIE M- ICI Ala i I1111hiall MORNING WATCH DAY WATCH EVENING WATCH OPERATIONS OPERATIONS OPERATIONS LIEUTENANT / LIEUTENANT ........ LIEUTENANT 7 41j A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m.— 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an Inmate Is observed at least twice per hour. These rounds arc to be conducted on an irregular schedule and no more than 40 minutes app CXlflibSFrvations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132495 &CO MY TOON MCC NEW YORK r e% SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET IfrtGiii1110•11 MG IOW ZA lllCIM HOU11.14 TIER-K DATE: 08/08/2019 TIME TIME TIME SIGNATU: THE FRAME TIME TIME SIGNATURE TIRE FRAME TIME TIME SIGNATURE FRAME START END - A I START END START END 12.00-12.30 AM 11 4 -.004.30 AM • ' i Kg ) 440-4:30 PM 14 41 4044 iik 12:30-1:00AM 44 til I :30- 9:00 AM 1 ..1 g I -00-1:30 AM 113 14 • .. 5:00.5:30 PM 4c04-A ce-, ‘-{ ti i It 1-30-2.00 AM '\SI- \ 5 3 ' ra, sta5:30-6:00 PM 0 SC 2 00-2:30 AM ,2y -s- Ili . 0" 0 1'10:00-10:30 AM IC 6:004:30 PM GOZ- Gp2- 2 30-3 00 AM #.55 2 4 6:30-7:00 PM ,35 6,3? On On 0 PI 7:00-7:30 PM 702. 3.00-3 30 AM 11:00-11:30 AM 10L 3 30-4 00 AM 3 IlltThEalliail 7:304:00 PM - 733 75-3. 4 00-4 30 AM Li2'7- I... 12:00-12:30 PM 7 (C t 2 er 8:004:30 PM 3 -80 4. .4-- 4.30-5 00 AM if 75 IS tic -6:00 PM ,3s3 -2%41 5.00 -530 AM oi . oet 0-i 30 PM 61 0 1 — 9:004:30 PM (JO c( 9c'-& 5.304.00 AM 5'51 il 0 .30-2.00 PM 33 rt 9:30-10:00 PM ql; RTA 640-6:30 AM La / d r 00.2'.30 PM !"-- 7, 10:0040.30 PM (SP (0 ° 9 6:30-7.00AM Lo / L. V .30.3'.00 PM 7 2_ r 10:30-11:00 PM t () 3 Ca i t 7.00-7 30 AM 1 03 05 r 11:00-11:30 PM CPC 0 I 7-304.00 AM --1 1 & I /3 30-4 00 PM ( 11:301200 PM i tC 0 s 3t\ NIORNING WATCH DAY WATCII EVENING WATCH (,----/ OPERATIONS OPERATIONS OPERATIONS (9 44-1 ..././ LIEUTENANT LIEUTENANT LIEUTEN.ANT A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 ininutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per These rounds arc to be conducted on an irregular schedule and no more than 40 minutes apart. obsery ions must be documented. REVIEWED BY MORNING WATO I LIEUTENANT CAPTAIN EFTA00132496 •MX. d4 OA I OUP. MCC NEW YORK SPECIAL HOUSING UNIT soyliA;# Vt 11 30 MINUTE CHECK SHEET IIICIAINOUSIAGIJ All M-TIER DATE: 08/08/2019 TIME TIME TIME SIGNATURE -TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE START END START END START END FRAME A 12:00-12:30 AM rip' Q )I r rre 5 re rt. Ili-0 2., 8:00-8.30AM 4004 30 PM h. 12:30- 1:00AM fl i t (11; i; :30- 9:00 AM 4 " er 3 it 4:30-8:00 PM Liss- 44 At. I:001:30NA k‘t C . .009:30AM en i 'll'S 5:00.5:30 PM 5O( CO( I:30-2:00 AM `SO kV' :30-10:00 AM ( I if IG. 6:304:00 PM 5 32- SS% 2:004:30 AM 2 .3)4 7n 10:00.10:30 AM VC /.0- ii, 6004:30 PM (D DL I GO LF 2:30-3:00 AM 1._..51)7... 2:s4 P10:30-11:00 AM /Cie( i 6:30-7:00 PM (0,3 ( to 31 3:00-3:30 AM SCr2- 305 00-11:30 AM - ier 70S- l et /( °2- 7:007:30 PM 3'304:00 AM syL. 33 11:30-12:00 AM if f ? L 7:304:00 PM igi -731 4:00-4:30 AM q20 et" 12:0012:30 PM IV) trl 8-00-8:30 PM •• e l OP- 4.30400 AM 12:30-1:00 PM 8 30- 9:00 PM -RS 2- Le l tr a -? St ( 1" ( 224 5:00 .5:30AM 503 5 05 :001:30 PM 1 0 7 ` 4r 9.009:30 PM (RDC, '? 5.30400 AM 5-t . '3C 5 12 14 i AI I:30-2:00 PM iit /ltd 9 30-1000 PM q31 C-i.R( 8.004:30 AM (0 - -6 00-2:30 PM 2, (( 1 '2 I0:00-10:30 PM 1 b°‘ ie0 o ; XS 'nig./ 830.7:00 Am (49-k) 1 (1 52- '303:00 PM Z.? i 10:3011:00 PM O gPI 0 7:007:30 NA I OS' _ 106 7 3(2 :003:30 PM 30 3.‘ 33 r 11:00.11:30 PM 0 Hot 7:30-8:00 AM 1 y e 3:304.00 PM 9 ? 11:30-12:00 PM `1131 us-2 MORNING WATCH OPERATIONS LIEUTENANT DAY WATCH OPERATIONS LIEUTENANT -FD EVENING WATCH OPERATIONS LIEUTENANT A staff member must observe all inmates confined in a continuous locked down status, such as administrative CN detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round In the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hou These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. Al s must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN N EFTA00132497 eiGG 4lS 106. MCC NEW YORK SPECIAL HOUSING UNIT $4.4 C.014 iiellIlmoualf 30 MINUTE CHECK SHEET JPICIAII401111114 L-TIER DATE: 08/08/2019 TIME TIME TIME SIGNATURE T E FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE FRAME START END START END START ENO OP.*" ?C#2 12:00.12:30AM It o 5 0.1130 AM 4:00.430 PM of (1 0 (Di 12:30- 1:00AM 1 2t It "- 30- 9.00 AM 131 i el L 4:30.5.00 PM 41-651 +3 1:00.1:30 AM 1 10 I n 9.00.9:30 Ala t i 5:00.590 1/5 C: G/14- ) 41 4 1% PM 5 1:30-200 AM t Li tik ISO 910-1000 AM &i 13 1 5:30-6:00 PM 5 .3 (P- S"..-.3( , 2 15 ill, 200.230 AM 10:0040:30 AM 0 it 16°' 6:00-610 PM i t Cr i Or 232- Z'13 t o SIO V P 2 30-3 00 AM 1010.11:00 MI 10 32- 6:30.7:00 PM )t) P 300-730 AM ,7100 3OT^ 100.1130 AM / /0 4 // 7:00.7:30 PM 70c. 7e07 tiia O 9_ -1- 330-4 00 AM 11:3042:00 AM II 7:30.8.00 PM 7 . 3t) II 7 113 3) t'1 4 00-4 30 AM (4 '4 L i ti ( 1200-12 30 PM iLe. 11' 'i 800.8:30 PM O CIS 8 ° 11 4:30.500 AM 4 440 230- 100 PM 11 31 1231 830. 9 00 PM --23C) --3ZII 500 .5:30 AM Sel 3 '1 ' 5 1 001.30 PM i 01 I a 9:00.9.30 PM "--101 . 1 . 9,1 2- (II° 5 30440 AM 5"4' 5 31 I 30.2 00 PM IV I3- 9:30-10:00 PM Q30 -2.. 5. 1.-Le .2 .04 ) v 7- 10:00-10:30 PM 00 (000 600.6 30 AM if 2 C0.2.30 PM Ce 830-7.00 AM ce o u , A/ * I 230-3:00 PM 2 , 3‘ 2.5 1- 10:30.11:00 Phl I D315 pSet. 7.00.7 30 M1 !.-7,,05. . 1 Ix 3.00.3.30 PM 3 06 3Ot 11:00.11:30 PM 11 06 1 (00 7:30.8 00AM -1rj 13Y1 3 30.400 PM 11:30-12:00 PM I ‘ 3- i I St NIORNING WATCII DAY WATCH EVENING WATCH OPERATIONS OPERATIONS OPERATIO.NS LIEUTENANT 7 / LIEUTENANT ., LIEUTENANT /.....) 7 44-../ A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 n.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All ohs ations st be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132498 III00 04111 TONI isOO MCC NEW YORK SPECIAL HOUSING UNIT MGM Noulinciona 30 MINUTE CHECK SHEET mom% liounimmut ZB DATE: TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE RAME START END START END START END 12:00.12:30 AM • 900-8:30 AM icy. 2.5 8 : 2 7 4:004:30 PM 00 il 4 1210- 1:00AM I p 8-30- 9:00 AM • 'Al • W.4 e Ineralgrli 1:00-1:30 MA ' ti 1: ri 9:00.9:30 AM q; 12 4: . 5:00 -5:30 PM il , SA 1:30-2.00 AM ( 3,e; (3 9:30-10:00 AM CI :5 0 q; 5 =Mi ra 200410 AM of 10.00-10:30 AM I 0', 17 10,•19 IZIMISeada 7' 2:304 00 AM i' gr / ..53 10.30-11:00 AM 6:30-7.00 PM 1/fi~i 1n ' I li A. • 0 300-3 30 AM S, i 11.0041:30 AM E. 22 tv.2.4 7:00-7 30 PM 3 30-1 00 AM , 39 ,%,e, 11:30.12:00AM 1.5% W II4 C 7:30-8.00 PM .3 c 3• .....-7 4.004.30 AM 1r, 1200.12:30 PM 22:15, El :26 It00-8.30 PM .0 122- 11 4.30.5.00 AM M= 12.30.1:00 PM 2140 IZA2 130-9.00 PM 3O g3,". 5 00 -5.30 A1A Si 22 1.00-1:30 PM ... h to g OPI A - .1 ha En 5:30-6.00 AM IV 3 Era II=Wirenal 6.00-6:30 AM 600 190b Z00-2:30 PM • i 1 2: t t I 10:00-10:30 PM ON og_s 6:30-7:00 AM C 63 2:30-3:00 PM re. S0 ., S i' Irte r / C if 3.23 3:is I liailaggiUMEI 7.00.7.J0 AM 1004:30 PM 00 05 7:30-900 AM 7 753 3:30-4:00 PM 11:30.12:00 PM ly J 9 3 .- 3 q:I ti til MORNING WATCII DAY WATCH EVENING WATCH OPERATIONS OPERATIONS OPERATIONS LIEUTENANT LIEUTENANT (--"-- LIEUTENANT (4 itilitt A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds arc to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132499 90A-NY-3151227 Serial 84 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Documents provided by BOP SIS Lt. Doctor regarding 30 Minute Rounds Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided the MCC 30 Minute Round Check Sheet for the SHU for 8/9/2019. .• UNCLASSIFIED EFTA00132500 MOO MY SOAK 00011401TOIIIK e l Att MCC NEW YORK SPECIAL HOUSING UNIT IPICIalk01/11AGWIll 30 MINUTE CHECK SHEET Anoint 1101.111A6 Von L-TIER DATE: 08/09/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE FRAME START END START END START END '2:00-12:30 AM cc t 8.00-8:30 AM VII__ E13.3 4:004:30 PM et) I 44°2- 12:30- 1:00AM 0 1- 094 630. 9.00 MI c 09 16 % -r) x'.30.5:00 PIA 453 4 %1 ,:004:30 AM ) 65 1c 9.004:30 AM CI 05 5:09.5:30 PM O :5 'Oeat 1:30-2:00 AM 9:30-1&00 AM C r° 5.30400 PM 53 1 . 2—., 1 I ig' I 2:00.2:30 AM 00 spOS) 10:0040:30MA ( D A 1 It 6,004:30 PM (frt UP , 7.304:00 AM )35 10:30.11:00 AM Ill) 1 Ili) 6:30-7:00 PM (530 3:00-3:30 AM 3 01 11:0041:30AM 1 0 11 1;1 7:00-7:30 PM 4 .O 1 1 .02 3:30-4:00 AM 53 .i 11:SO42:00 AM It el 7:304:00 PM -P 1 59 4:00-4:30 AM 0, ' 'a ILI bats . Tsts-4- 12:00-12:30 PM 8:008:30 PM x:30.5:00 AM SO q51 12:30- 1:00 PM ii5ls 17 8:30- 9:00PM fib() 8 ,e) i 5:00.5:30 AM c CC :3 S IG l 1:00-1:30 PM I'D i 9-.00-9-.30 PM 900 Cio I 5:3043:00 AM _3 9 It 1:30.2.00 PM b4,12 4.1 9:30.10:00 PM q 4th Dg b7 (00 a 6:004:30 AEA wed' Q6 700-2:30 PIA 10:00-10:30 PM IUD 6:30-7.00 AM C9D. (0 43 730.3:00 PM 10:3041:00PM p eal 10 a 7:00.7:30 MA i a .1O3 3:00-3:30 PM 11:00.11:30 PM i 1 ty2_ 1 103 ( 7:30-8 00 AM --pi 3:304:00 PM 11:30-12:00 PM 11 31 1 la2- MORNING WATCH DAY WATCII EVENING WATCH OPERATIONS ',MATIONS OPERATIONS LIEIITENANT _// LIEUTENANT LIEUTENANT 7 1; I O F A staff member must observe all inmates confined In a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate Is observed at least twice per hour. These rounds arc to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132501 Ii00 MW IONIA MCC NEW YORK SPECIAL HOUSING UNIT ,rwmuo111W11fill 30 MINUTE CHECK SHEET leccunnotomcklall NI-TIER DATE: 08/09/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE START END START END START END FRAME 12:0012:30 AM 10 19 400-430 PM '2) 4 0'4 12:30. 1:00 AM OS 030 4.30-500 PM /4 3,5 (4 3( 1:00-1:30 AM (GS" loco 500-5.'30 PM jiff n53 e 3. Z1 1:30-2:00 AlA i 130 530400 PM 2:00-2:30 AM 9c3 ..2c-1-1 8904:30 PM 0 2) leg 2:30-3:00 AM .'..31 a>n S 610-7:00 PM (.0 5 i . tobS 3:004:30 MI V ;o4 7 00-7:30 PM 03 3:304:00 AM gr V's 0 4:004:30 MI 0 a ((CC( 12:001230 PM 800.8:30 PM S e3 4:30400 AM V 49 12:30- 1:00 PM 2 8 30.900 PM 4; 62- •Ii5.3 1 5:008:30 AM 'CD. c -CS 1:004:30 PM tog b, 9009:30 PM 94- qob 5:304:00 AM 1:30-2:00 PM f5 f) tb76 9.30.10.00 PM C 11;° 93w 3C: 1 2 1° 8:004.30 Am LOA -h (.9 CS- 2:004:30 PM ii 12, 10:W40:30PM i d el K3 6 6:30-7:00 NA 2:30-3:00 PM 10:3041:00 PM el (0 56 (P LI (PCC 7:00-7:30 AM 1 v(.1 l es-- 3:004:30 PM 11:0041:30 PM 1 I Dm it P30400 AM 41 , 53 3:304:00 PM 11:3042:00 PM ,: 5 i ft ..t iI 3 1 MORNING WATCH DAY WATCH EVENING WATCH OPERATIONS OPERATIONS OPERATIONS LIEUTENANT LIEUTENANT LIEUTENANT J A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am —1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132502 ace sw folk MCC NEW YORK MCC 1O44 SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET JPLCIA111O0-114 ZA trtciattio4iin4 VAR TIER-J DATE: 08/09/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE START END START END START END FRAME 12:00-12:30 AM 19cC I2,cQ' 8:004:30 AM • ‘ 0 0 St 1) 4004:30 PM ge 12:30 1:00 AM S 0-3- Erjrneifill 4304:00 PM • Ea 1.„ 1:004:30 AM 67 'O 4 9:00430 AM 5 cm -sae PIA -0-4 05 / - 1:30-2:00 AM 13 15 G. 9:3040:00 AM 1 2, I 530.6:00 PM 515 2:00-2:30 AM 2 Cl . C (:: 10:00-10:30 AM t IF /I I 600-6:30 PM 1 2:304:00 AM 234 2(10 10:30-11:00 AM mad • A 3:004:30 AM 3 45 C.40 1) 7 007:30 PM 4 oU) i 11:0011:30 AM Ila 3:304:00 AM '7- €- 11:301200 AM g ft 1 v tq 4:00-4:30 AM (01 it 12:0342:30 PM Anal ill 800.8:30 PM )0 VI 4 4:304:00 AM 12:30. 1:00 PM amitig 8 30.900 PIA eS t ) I SOO 4:30AM .. a.1 SC ormn ial Rezz 5:304:00 AM - 5 3° 1:30-2:00 PM % 417 9 3010:00 PIA CPg 8:004:30 AM ' ( (.2 10.0040:30 PM I ISt: I L, IME la it ia 8:307:00 AM 5(0 2:30-3:00 PM 10 3041:00PM 61.-9 .4 .. PI 7:007:30 AM 3:004:30 PM II 0041:30 PM 01 CIO 7:304:00 AM eia, 1% 0 3:304:00 PM 11 3042.00 PM MORNING %Vmci i DAY WATCII EVENING WATC II OPERATIONS OPERATIONS OPERATIONS (...•; LIIEuTENANT LIEUTENANT LIEUTENANT ) A staff member must obsent all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m.-12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132503 iocc situ IOu. AISI 1044 MCC NEW YORK SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET SPLCOL 110.11inGuAlI ZA MCIAIHOWIA404111 TIER-K DATE: 08/09/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIRE FRAME TIME TIME SIGNATURE START ENO START END START END FRAME 12:0012:30AM 10(9 (2c9 8:00-8:30 AM 15 le 400.4:30 PM epl- / le§ rl 12:30- 1:00AM (751 /2 c(C7 8:30- 9:00 AM 4:30500 PM '1 I -(41O Mall 1:00-110 AM ( 4-1 (/O 9:00-9:30 AM e 1A 590.5:30 PM -5(..)01 5i "0.2.00Am (.3? (5 9:30-10:00 AM el 3 it 510-6:00 PM r-57)4 -s- J6 2 00.2'30 AM 90 94 10:00-1030 AM ro il il 6 0043 30 PM • - 4- le 230.3.00 AM 9 kit 2 (i) 10:3011 00AM A 6 30-7 00 PM Loh a 614 3.00.3. 30 AM '2, el 11:00.1110 AM 15 • 700.7:30 PM 'ICI z 3 (5 •e 'j&1 3 304 00 AM 7? •, 3'1 12 11:30.12.00 AM 1 S1 730.8'00 PM 1Si 9 / 4 004 30 AM tio- c{ 13 12:00.12:30 PM A Z 800.6.30 PM %I 9- ct 13 VIVe 43'1 r 4: 3o.s.00 suA 12:30. 1:00 PM Or . 8 30.800 PM 95, 1-5) J) 5:00.5:30 AM c Cu' cC.7 1.001:30 PM It 1-, 900.9.30PM at -sail 5:46-6:60 AM 6:00-6:30 AM c -5 4 (i ce C c. ( • ce c 9 I:30-2:00 PM 2:00-2:30 PM j •04 I -on 910.1000 PM 10.00-10:30 PM Cifl l 164 941., `[Q • 6:30-7'00 AM 7.004:30 AM 6, -5 i, 7e ') e ("g er 74. 0 2'301:00 PM 3.00-3.30 PM 10:30-11:00 PM 11.0011:30 PM otio (,...,.... 7:3043:00 AM q ri '73 , 1304100 PM 11:3012.00 PM MORNING WATCH DAT WATCH EVENING WATCH 7 %) OPERATIONS OPERATIONS oFERATIONS LIEUTENANT LIEUTENANT (4- */ LIEUTENANT ( / s A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 n.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING wATai LIEUTENANT CAPTAIN EFTA00132504 sitcc ma row Roo /0 1041 MCC NEW YORK SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET srcesatmovicacomir ZA TIER-G DATE: 08/09/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TAE FRAME TIME TIME SIGNATURE FRAME START END START END START END 12:0412:30 AM 96 400-8:30 AM 1 4IP 8 4:00-4:10 PM 61 (b I 7f° ill 12:30-1:00 AM lif 2 (19 8:30- 9:00 AM A figi - 1:00-1:30 AM 11 t o 9:00-9:30 NA ir r - ' n 6 efe4 ra 1:304.00 All II? 9:3410:00 AM 4304:00 PM l " rilg 2:004:30 AM 96 9.(0 10:0410:30 AM 1 lA ll 6:004:30 PM Opel So 2:304:00 AM 9:0 944 10:30-11:00 AM i i 6:30-700 PM (deb 3:00-3:30 AM • f I 11:0411:30AM I g I 7:00-7:30 PM 47499 1.1O 13(.9- 3:30-4:00 AM ?(U 11:30-12:00 AM 7:304:00 PM 4i 1 4:00-4:30 AM 4 114 titr 12:00-12:30 PM 11 8 004:30 PM %IL I $3 15 0 4:30-5:00 AM 3h 12:30- 1:00 PM 8 30- 9.00 PM 1 2)Z r) 5:00 -5:30 AM c ° ' 1:00-1:30 PM Ce • 5:304:00 AM c if _5" V-- 1:30-2:00 PM 1 e a 9 30-1040 PM girt cj,(0 e2=1Migire 6:00430 AM ten 0, (1 c V EMIS1111 6:30-7:00 AM 2:30.3:00 PM EZInIE 7:004:30 AM 0 3:004:30 PM 11:00-11:30 PM `, 7:304:00 MA en 1 a 3:344:00 PM 11:30-12:00 PM MORNING WATCH OPERATIONS LIEUTENANT \ ) DAY WATCH OPERATIONS LIEULENANT Ll EVENING WATCH OPERATIONS LIEUTENANT <0 A staff member must observe all inmates confined In a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 n.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 ant — 1:00 a.m.), thus ensuring an inmate Is observed at least twice per hour. These rounds arc to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132505 NCO 0(0 roar MOO a W TOAK MCC NEW YORK SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET swam How Inc. WIT inCillt HOW NIGbill ZA TIER-14 DATE: 08/09/2019 TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME TIME TIME SIGNATURE ENO START END START END START FRAME 12:00-12:30 AM 1211 I'112 8.00-8:30 AM N 11 i 1 1t.\ 4:004:30 PM 0 412 ntill 12 .30. 1:00 AM 12 q 5 /20 8 30 9 00AM k 6 4:305:00 PM „a 14b A i 001 30 AM Ir3 (Ii 9 0003 30 AM 5:00 •S: 30 PM SI3 5 14 OEM 111=Pn 1.30.2':00 AM 41 la 930.1000 MI MEM 2 002.30 AM V •ni I.> 10.00-10:30 MI MIMI 2.30-3.00 MI fin C do 10.30.11:00 AM li alleil IZIE 311 ( IL 7:007:30 PM CT I k el -1 3.00-3130 AM 31 II:00-11:30AM 1 ° 1 3:304:00 AM •4 3 9 1 11:30-12:00 AM kimi -6 I:r 121:1IIgMtall 3 at S (it it 12:00-12:30 PM IMRE 8:008:30 PM 400-4:30AM 44,21 4:30-5:00 AM tit 12:30. 1:00 PM IBM& analnikTI 5:00.5:30 AM c"- Cc, 5( 1.001:30 PM 9:00-9:30 PM , 111 n., ...i. 5:30-6:00 AM c ( -(.% 5 -kii-/ 1.30-200 PM 37 9:30-10:00 PM et45 izsi 6:00-6:30 AM '2- 0, `5 200.2:30 PM e 10:001030 PM I Ci 0 6:307:00 AM c I v5 1 2.30.3.00 PM 10:30-11:00 PM C 45 3.00330 PM 11:00-11:30 PM 7:00-7:30 AM ft / I— 7:304100 AM 1 VI i ci #2 3:304.00 PM 11:30-12:00 PM DAY WATCH EVENING WATCH ( vj MORNING WATCH i OPERATIONS OPERATIONS - OPERATIONS ( I.IEUT ENANT LIEUTENANT LIEUTENANT at ) A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — I:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED I3Y MORNING WATCH LIEUTENANT CAPTAIN EFTA00132506 moo NW TORII SOO WO TONI MCC NEW YORK SPECIAL HOUSING UNIT 5PECIIII HOMO% WAIT 30 MINUTE CHECK SHEET 11101M11041110411111T ZB DATE: g r q TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE RAME START END START END START END a 12:00-12:30 AM Li */ N . 40 8:00.8.30 AM I3 4:004:30 PM I V- g 12:30- 1:00AM • r"" 1:00-1:30 AM -Li 900-9:30 AM t ' '. ID 5:00.5:30 PM 0( 1:30-2:00 AM se 9.30.10.00 AM • -•3(0 q, )i 72 2:00-230 AM 27 e 1000-10:30AM MT/ i 0: 4 6008:30 PM te .)/ (7 2:30-000 AM • 10:3041:00 AM I 0, In Mr. IME: 1 144 Ma rlal 3.003-30 AM J, 7 H;00.71:00 AM v.2 2 -24 '7 a 7 03.7'30 PM 3:30.4 00 AM 3 4* EIMPiffirean 4:00-4.30 AM 45 0., 1200-12:30 PM -1: i i 12'•13 IP erOf 4:30.5.00 AM 12.30- 1:00 PM el: %. /431 .18 6:30.9:'. • 0 500-5:30 AM 5* S .ps . 5:30-5.00 AM 53 o 5 1:30.2:00 PM :4 i l'44 9.30-10:00 PM b 6:00-6:30AM b • 9 6 4:1 2002.30 PM • - 63 2;os- ... 14. • s 6:30-700 AM 1, 3o b3 2.30-3:00 PM 2-Z 2 : 1 0 . le ' 7:00.7:30 AM 3.00-3:30 PM %.y . OS 3 .. 0 7 cm 70 BakilinEM 7:304100 AM 7,30 133 3:30-4:00 PM 3 -.44 3'.51 a rel rfe__ ___ (....... MORNING WATCH DAY WATCH EVENING WATCH OPERATIONS OPERATIONS OPERATIONS LIEUTENANT LIEUTENANT LIEUTENANT A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All obse -anon? must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132507 • • -4. • L. */ 1 4 vte•-• . •. . • t•• V v • .• • ?. ;' • •i . . • ..• ".• 4. ' :•• i: 4: • • .• : • ••• EFTA00132508 90A-NY-3151227 Serial 85 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Documents provided by BOP SIS Lt. Doctor regarding 30 Minute Rounds Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided the MCC 30 Minute Round Check Sheet for the SHU for 8/10/2019. .• UNCLASSIFIED EFTA00132509 ACC 111.11101141 MCC NEW YORK SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET iPlOntliouncI4 YAIT ZA TIER-G DATE: 08/10/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TAE FRAME TIME TIME SIGNATURE START END START END START END FRAME 12:00-12:30AM 1DEA ale , 11004:30AM 4:00-4:30 PM 12:30. 1:00AM I )Ay) 1 aka 8:30 9:00AM 4:30.5:00 PM 1:004:30 AM II ia. ( 4.004:30AM 5:003:30 PM 1:30-2:00 AM - (11 1 b€, 9:3040:00 AM 5:30800 PM 300-2:30 AM 251 .2 , 0S 10:00-10:30 AM 0:004:30 PM 2:30-3:00 AM 2.......4%.2_4.2 10:30-11:00 AM 0:304:00 PM 3:00-3:30 AM 46.5 61 )...9.)06 II:00-11 ‘1. 700-7:30 PM 3•304:00AM 3 .15 3 11:30-12:00 AM 7.304:00 PM 4004:30MI 441U Lid- 12:00-12:30 PM 80043:30 PM 4:304:00AM g_.1/41.) I 12:30- 1:00 PM 6:30- 9:00 PM 5:00 4:30AM O.6 1:004:30 PM 900-9:30 PM 5:30-6:00 AM rs' 0 5'49- 1:304.00 PM 9:30-10:00 PM 6:00-6:30 MI (1 1O t oI t 2:00-2:30 PM 10:00-11330 PM 630-7:00 NA 2104:00 PM 10:3041:00 PM T00.7:30 AM 3:00-3:30 PM 11:00-11:30 PM 7:304:00 MI 3:30-4:00 PM 11:30-12:00 PM MORNING WATCH DAY WATCH EVENING WATCH OPERATIONS 7 OPERATIONS OPERATIONS LIEUTENANT +._ LIEUTENANT LIEUTENANT 2 A staff member must observe all inmates confined Ina continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132510 moo Aim TORII MCC NEW YORK SPECIAL. HOUSING UNIT 30 MINUTE CHECK SHEET 1110111110IIIIAG4alf ,r ,L.M1114Y1414 41111 ZA TIER-1-1 DATE: (18/10/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE START END STAR- END START ENO FRAME 12:00-12:30 AM 1, ii ,n t 13004:30AM 4:00-4:30 PM L I, 12:30- 1:00 AM 1(2.46 12 „, mem 4.30- 9:00 AM 4104:00 PM 1.00-1:30 AA, 1 lb i 4004:30 AM 5:00.5:30 PM 111 1 30-2130 AM \I .).31, 131-) 9'3040:00 AM 5:30.8:00 PM 200.230 AM * it a a 4 10:00-1030 AM 6 00410 PM 230-300 AM 145 t -I61 1010-1140AM 6.30.7'.00 PM 3:00-3.30 AM 4)3 1 cz,L2- 11:00-11 30AM 700.7:30 PM 3 30-4.00AM S i t. 3‘11-1 11:30-12.00 AM 7:30.8:00 PM 4.00-4 30 AM .44ILI? 4Id 12:00-12.30 PM 6 00.8:30 PM __VI 4 to 4:105.00 AM 12:30- 1:00 PM 8.30. 9.00 PM 5:00 -5:30AM IC t 1:00-1:30 PM 9.00.9:30 PM I 5:30-6:00 AM nz, 3 PL-1(4 1:30-2:00 PM 9.30-10.00 PM 6:00-610 AM 2:00-2:30 PM 10:0010:30 PM f t Ci %a -•• 6:30.7:00 AM 2:30-3:00 PM 10.30.11:00 PM 7:00-7:30 AM 3:00-3:30 PM 11:0041:30 PM 730-8:00 AM 3:30-4:00 PM 11:30-12:00 PM MORNING WATCH I DAY WATCII EVENING WATCH OPERATIONS OPERATIONS OPERATIONS 1.IEUrENANT 1.1EtriliNANT I.IIaJTVNANT ( / A staff member must observe all inmates t odiumt in a continuous locked down status, such as administrative detention or disciplinary segregation, at le it once in the first 30 minute period of the hour (example, 12:00 a.m.— 12:30 a.m.) followed by another roan 1 in the second 30 minutes period of the same hour (example, 12:30 am — I:00 a.m.), thus ensuring an inmate is .bscrved at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than • 0 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132511 MCC NEW YORK SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET ZA 11.1014IIIOVIMOIMIT TI ER-J DATE: 08/10/2019 TIME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE FRAME START ENO START END START END 12:00-12:30 AM act5 at, 000410AM 410-4:30 PM 12:30- 1:00 AM iayi la 8:30 9.00 AM 4:30-5:00 PM 1.00-1:30 MA I O C:4 ICC? 9:00.9 30 AM 5:00-5:30 PM 1:30.2:00 MI [2).5 k s 910.10:00 AM 430400 PM 200-210 MI e O5 ,..9 t3 • 10:00-1010 AM 600-6:30 PM 1. C... 2:301.00 MI 9 t a ‘CACC.-' 10:30-11:00 AM 6 30.7:00 PM 3'00.3 30 AM v:5&5 t,)(F 11:00-11:30AM 7 00.7:30 PM .. 1304.00 AM _%39 :SI 11:30-12:00AM 730.8:00 PM 4.00.4:30 MI , \IQ. e..A 12.00-12:30 PM 8 004.30 PM 4.304.00 MI 9 3. 4 4\.3e.r1 12:30- 1:00 PM 8 30. 9.00 PM 5:00 -5:30AM 5°t-1 50 1:00-1:30 PM 9004:30 PM 5:304:00 AM 9A re5- 594 1:30-2:00 PM 9.30-10.00 PM 6:00410 AM (P e (...04 2:00-2:30 PM 10.00-10:30 PM 6:30.7:00 AM 2130-3.00 PM 10:30-11:00 PM 7:007:30 MA 200-330 PM 11.00.11:30 PM 7:304:00 MI 3.304:00 PM 11:30.12:00 PM MORNING WATCH DAY WATCII EVENING WATCH OPERATIONS OPERATIONS OPERATIONS LIEUTENANT LIEUTENANT LIEUTENANT A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING wAral LIEUTENANT CAPTAIN EFTA00132512 Isco MY TOM, KO Mal TOOK MCC NEW YORK SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET SP 4Ciat 11011,1116 ZA SPCCORNOUlli14111111 'TER-K DATE: 08/10/2019 TIME TIME TIME SIGNATURE THE FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE FRAME START END START END START END 12:00-12:30 AM 10 6 1 abti., B008:30 AM 4.00.4:30 PM 12:30- 1:00 AM 19....3 1 8:30- 9:00 AM 4:30.5:00 PM 1•00-1-30 AN 1O4 lir% 900-9 30 AM 5:00.5:30 PM 111. 7 1•30-2 00 AI 1 S (.4 \3•6 9 3010 00 NA 1304:00 PM 2.00210 AM L. C)1- 2— 10 00-10:30 AM 8.004:30 PM 2.304.00NA 241 24-i 10301100AM 8 30.7 00 PM 100-3:30 AM c 4. 42;10% *--4.) II 00.11 30 AM 7 007 30 PM *-- 3:30-4:00 AM /344 I r).14 11.30.12':00 AM 7.30400 PM 4:004:30 AM 44 I L-4 .41 lel. 12.00.12:30 PM 8.004 30PM 4:30-5:00 AM LI 38 i S 1210- 1:00 PM 8.30- 9:00 PM 5:00 -5:30 AM 60 14 5 0 4- 1:00-1:30 PM 9.00-9:30 PM 5104:00AM :33S C) 544 1:30-2:00 PM 9 30-10:00 PM 100410 AM i c art' t 2.00.2:30 PM 10:00-10:30 PM 6:30.700 AM 210-100 PM 10:30-11:00 PM 7:00.7:30 AM 100-3:30 PM 11:00.11:30 PM 7:30-8:00 AM 330.4:00 PM 11:30-12:00 PM MORNING WATCH DAY WATCH EVENING WATCH OPERATIONS OPERATIONS LIEUTENANT ( I IEUTENAN l' LIEUTENANT A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. - 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132513 1100 ntio Tok• 4:GO OttLi TOPA et" llh4. MCC NEW YORK SPECIAL HOUSING UNIT IPlaillIOUSIII4 W4Ciiii Ileum/16 soil 30 MINUTE CHECK SHEET ZA TIER- L DATE: 08/10/2019 TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME TIME TIME SIGNATURE START END START END START END FRAME ta e 1 To 8.00.8:30 AM 4-004:30 PM 12:00-12:30AM 11Th5 l O ilI 1230. 1:00 AM 8 30. 9 00AM 430.5:00 PM 1 004 30 AM I 10 I 9 00.9 30 AM 5 CO -5 30 PM °3 ii 131 1, 2- /I 9.3010.00 AM 53048:00 PM 1.30.2 00 AM 2.00-2.30 AM no 40.2.... I I $0:00-10:30 AM 0.004:30 PM 10:30.11:00AM 8.304:00 PM 2-30-3:00 AM .Q. "bLl 411 c 7.00-7:30 PM 300-3:30 All ppts I :231 11:00.11:10 AM 310-4:00 AM 74,3 .3)34t 11:30-12:00 AM 7.30-8:00 PM if 4O - 12:00.12:30 PM 8.00.8:30 PM 4,00-4 30 AM 1.1--n O Ai a., 12:30.1:00 PM 8 30- 9:00PM 410-500 AM 43 V i 900.9:30 PM 5:00.530 AM rz /pu 50 1:00-1:30 PM 53% 65. 4i 1:30-2:00 PM 9 30.10.00 PM 510-6.00 AAA 2:00.230 PM 1000.10:30 PM 600430AM (1 °2 ' ( C 2 30-3 00 PM 10.30.11:00 PM 8.30.7.00 AM 3:00-3:30 PM 11:00-11:30 PM 7.00-7.30 AM 3:30-400 PM 11:30-12:00 PM 730$90 AM MORNING WATCH OPERATIONS LIEUTENANT 62 DAY WATCII OPERATIONS LIEUTENANT EVENING WATCH OPERATIONS LIEUTENANT ve A staff member must observe all inmates confined in a continuous locked down status, such as administrati detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 (example, 12:30 a.m.— 12:30 n.m.) followed by another round in the second 30 minutes period of the same hour thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted am — 1:00 a.m.). must be documented . on all irregular schedule and no more than 40 minutes apart. All observations REVIEWED BY MORNING WATCI I LIEUTENANT CAPTAIN EFTA00132514 GOO filSIOIR BCC Ill J1 MCC NEW YORK SPECIAL HOUSING UNIT 30 MINUTE CHECK SHEET IPIC141no !In unn ZA TIER-M DATE: 08/10/2019 TIME TSAE TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE TIME FRAME TIME TIME SIGNATURE FRAME START ENO START END START ENO 12:03-12:30AM LQ(1) 800430 AM 4:00-4:30 PM 12:30- 1:00AM ta . i 8:30.9:00 AM 430400 PM v004:30 AM 1D5 1O(.0 9:00-9:30 AM 5:004:30 PM 1:30-240 AM 1 ) 1 59 9:30-10:00 AM 5:304:00 PM 2:00430 AM 2 , 5 29 14 1000-10:30 AM 8404:30 PM 2:30-3:00 AM Q3&- 9P KI:30-11:00 AM 8:30-7:00 PM 3:00-3:30 AM sire 11:0041:30 AM 7:004:30 PM 3:30-4:00 AM 11:30-12:00 AM 7:304:00 PM IS 53 4:03-4:30 AM 14 O3 12:0042:30 PM 8:00-8:30 PM 4:304:00 AM Lp 4 ti 12:30- 1:00 PM 8:30.0.00 PM 5:00.5:30 AM ) 5O2 b-1) 1:00-1:30 PM R004:30 PM 4304:00 AM 5S 5.3t1 1:30-2:00 PM 9:3040:00 PM 6:00430 AM i pq Lo toano PM 100040:30 PM 6:30-7:00 AM 2:304:00 PM 1Ct30-11:00 PM 7:004:30 AM 3:00-3:30 PM 11:00-11:30 PM 7:30-8:00 AM 3:30-4:00 PM 11:3042:00 PM MORNING WATCH DAY WATCH EVENIAi WATCH OPERATIONS oPERATIONS OPERATIONS LIEUTENANT IC-- tej LIEUEENANT LIEUTENANT A staff member must observe all inmates confined in a continuous locked down status, such as administrative detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00 a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same hour (example, 12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be conducted on an irregular schedule and no more than 40 minutes apart. All observations must be documented. REVIEWED BY MORNING WATCH LIEUTENANT CAPTAIN EFTA00132515 90A-NY-3151227 Serial 86 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) TRU-SCOPE Logs Provided by BOP Approved By: SSA Drafted By: Case ID It: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided TRU-SCOPE Logs for the SHU. .• UNCLASSIFIED EFTA00132516 Page I of 2 Truscope.Silverlight.Dasiaboard Willtif111;11,17011 k597 I AI StSItadni I AIM Son WA. bse WA at 5/), Z¢tar* 61/4 Li4p *at? fl $ ANA !AI Puto/ 67,2001511.17:0131 AI Us v Cwt.* (c..e.7 74 tip*? 71.1 yr; t I. P ;-; te Wol7iptur tWDb L.. ' 1W101/17:73 boas- oa PA LA; 4* lu 041201/1643 +OM UN f von MMUS t 05,77MEveceg 'PIGA ft! Oa k llinort074CAO. Pia kabc.C-1242A 7. 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Jg rata /Sad FN of CIV7017 IMP MI MIMI 07,414iiiker • COMP nal Alcor ma cal oded tela1311:77 rt* 8/10/2019 https://10.33.3.57/Dashboard.aspx EFTA00132517 Truscope.Silverlight.Daskkoard Page 1 of 2 IIIIIX.1411/1111 1.15011AISSCOn4r4161µ v • 9 SOUTH SHU 0741 i•90 Råe IntetieS SBh eSCxlad 6Y LIY 01~ ne %mina Mai 611(413 I Al le4 kri v Ond 1•14 Ø3N i . Can vinetv~e -aeweannirxtr- SN 0Y4701100./WIWIWYJ09:151/ 10er fit4/11rnaia entir efta 011/07/201301e16/4601/10frkttl »ANDet 105011001e illek Lian 6.13tS19. I OVW70210361414760(70/3111Die 'reglene:en Intimt). I C117420111*%All 14/141X1109‘13111 Dee ein ibiq bedt C 29,Cosit fi. I OnY20111N6fle 7dItirS103:31111 Ny 4,04 ibibteenCV,C•410. 1 06W711115-30.11 WItilta143Wk ire On ibie Antre: C 3.1.tevit 7. I Urie. SOS »na 11,74 NI WItMa <9.15*PI (tron b/ Le* B 72.Cott e. I 1964 Ct.'.04113 rt.S$171 0S1(127-109:151.4itere "'• 11010161712/10/NI1NIS 411 Ote keA`rnlniOat 'n eve ShenieSel faas. Parat I :'. 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Ite7t17110510 ilig*0•7CII I:,S,X NI hvin W.aCwi I43.4.ri 617. i XiiWX11tos Ni zivitucami Fet Liohe.S7taeck 4.6,Lialvs i :stima em twasng me m4;umv, /te.ea hd 'e,ser.~40% I 171« 9001,111 ' https://1 0.3 3.3 .57/Dashboard.aspx 8/10/2019 EFTA00132518 90A-NY-3151227 Serial 87 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Staff Roster for MCC on 8/9/2019 Approved By: SSA Drafted By: Cass ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided the MCC Staff Roster for 8/9/2019. .• UNCLASSIFIED EFTA00132519 EFTA00132520 Friday August 09, 2019 MCC NEW YORK Page 1 NEW YORK, NY Daily Assignment Roster 6 07:00 -15:00 9 12:00 - 20:00 10 14:00 • 22:00 12 16:00 - 00:00 2 00:00 - 08:00 3 06:00 . 14:00 8 08:00 - 16:00 Poet Split Shift SHU LT "3 <unassigned> "8 <unassigned> SIS LT 8 <unassigned> SIS LT 02 8 <unassigned> SIA 8 <unassigned> SIS TECH N1 **8 <unassigned> PHONE MONITOR 3 <unassigned> SEC OFFICER 01 8 Reyes. d SEC OFFICER 02 6 <unassigned> TOOL ROOM 8 Legrand. C SEARCH OFFICER I/10/2019 7:18:58 PM Friday August 09, 2019 Page 2 REC OFFICER #2 -3 <unassigned> e*8 Roberts, A '•1i Illekenbacker, J 11 NORTH —2 Rickenbadrer. J OT OT —8 Arafat. M Ling, M 11 SOUTH —2 Shaidr. OT NC) OT **12 Roberts. A 11 SOUTH #2 REAR GATE 8 Kearins, M 8 Leathern. k $ ••1 Mates. e f OSP #1 2 Tearnok g SANITATION OFF -2 <unassigned> 9 Adams, r S VISIT 01 —9 Torres C VISIT 02 V1 N: VV LIMY 9 Solomon, S VISIT #3 ""Speclal Asalgnmente"" PHONE RM 8 Melia, CI PHONE RM 2 *I <unassigned> EPO OFFICE ^3 West, r $ 07:00 15:00 9 Alvarado. A LOBBY #2 ESCORT OFF #1 ^8 Hawkins, a $ 06:30 14:30 ESCORT OFF 02 "BSc,* d S 08:3014:30 TNWDVR '90 Grijalvs r S OT 14:00 ESCORT OFF #3 —8 Findlay, g S ".10 West. r S TREATY LT OT 15:00 22:30 —10 Tay, m S TREATY 1 OT 16:00 22:30 TREATY 2 n10 CoNer. s S OT (NC) 07:30 22:30 2 Arafat, M DRY CELL 0 18:0000.00 "'tack Page Categories" SICK LEAVE ANNUAL LEAVE LWOP(M) 3/10,2019 7:18:59 PM EFTA00132521 Friday August 09, 2019 Pap 3 AWOL SUSPENSION OFFICIAL TIME IF TRAINING "••'Change Records"' Relieved Officer's Relieving Officers Rot New Status Relieving Officer Previous Status Shft Changod By Post Spit Shft Officer LOBBY 3 (sp)PHONE RM 2 8 SHU #1 Day Off pick I Annual] MILITARY LEAVE SHU #1 12 11 SOUTH 8 [Inserted NCS] SHU INTERNAL 7 SOUTH (Inserted NCSJ INTERNAL #2 11 SOUTH [Inserted NOS] SHU #1 (Inserted NCSJ SHU a4 12 SHU 04 12 Sit 0r2019 7:19:00 PM EFTA00132522 Friday August 09, 2019 Page 4 Relieved Officer's Relieving Officers Rot Now Status Relieving Officer Previous Status Shft Changed By Post Spit Shft Officer 10 SOUTH 01 2 <Unassigned> 7 SOUTH 12 <Unassigned> (sp)ESCORT OFF #2 8 <Unassigned> 10 SOUTH 01 8 <Unassigned> (Sick / Annual) (sp)ESCORT OFF #2 (sp)ESCORT OFF #2 8 3 SALLY OFF 8 CONTROL S2 3 SHU it3 3 ACT LT (Inserted) (Inserted) [Insetted( (Inserted( (Sick I Annual! (Sick / Annual) (Sick / Annual] [Sick / Annual) (Inserted NCS1 7 SOUTH SANITATION OFF 2 7 SOUTH (Sick I Annual) 7 SOUTH 7 NORTH 9 NORTH (/10/20197:19:01 PM EFTA00132523 Friday August 09, 2019 Page 5 Relieving Officels Ret Relieved Offices Relieving Officer Previous Status Shft Changed By Spit Shft Officer New Status Post VISIT 02 9 CAPTAIN SEC (sp)TNWDVR 10 (sp)EPO OFFICE 3 11 NORTH 12 ACT LT SHU #1 12 11 SOUTH (Inserted NCSI UNIT 2 CONTROL WI 2 CONTROL Iii (Sick / Annual) SHU 04 (Inserted NCS) SHU 04 12 (Inserted NCS) 5 SOUTH 5 SOUTH 8 7 SOUTH SHU #2 (Silk /Annual) INTERNAL 02 2 SALLY OFF 1/1012019 7:19:01 PM EFTA00132524 Friday August 0% 2019 Pape 6 Relieved Officer's Relieving Officer's Rot New Status Relieving Officer Previous Status Shft rigid BY Post Spit Shft Officer SHU #1 2 [Sick / Annual] [Inserted NCS] INTERNAL #2 SHU #1 Stitt 02 iSidc Annuag Still 02 11 NORTH SHU 04 SHU 04 5 NORTH (sp)ESCORT OFF #1 (sp)ESCORT OFF 2 (sp)ESCORT OFF #3 CONTROL #2 [Inserted NCSJ 5 NORTH SHU LT 3 (sp)TNWDVR (Sick / Annual) (sp)TNWDVR SIS LT OPS LT 1 OPS LT 1 ACT LT 7 NORTH [Inserted NCS) ACT LT 1/1020197:19:01 PM EFTA00132525 Friday August 09, 2019 Page 7 Relieving Officer's Rot Relieved Officer's Relieving Officer Previous Status Shft rd BY Spit Shft Officer Now Status Post 12 •"*Recapitulationn" Morning Watch 8 AM Watch 4 Day Watch 21 PM Watch 6 Evening Watch 14 "Back Page Categories" Day Off 23 Sick Leave 9 Annual Loavo 8 LWOP(M) 2 AWOL 11 SUSPENSION 1 OFFICIAL TIME 1 COP 4 IF TRAINING 4 Total Correctional Svcs. Staff: 116 1/10/2019 719:01 PM EFTA00132526 Friday August 09, 2019 Page 8 Non Correctional Svcs. Staff: 8 Overtime Occurrences: 28 Comptime Occurrences: 0 Ops Lt. Evening Watch Signature: Captain's Signature: 1/10/2019 7:19:02 PM EFTA00132527 90A-NY-3151227 Serial 88 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Staff Roster for MCC on 8/10/2019 Approved By: SSA Drafted By: Cass ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided the MCC Staff Roster for 8/10/2019. .• UNCLASSIFIED EFTA00132528 Saturday August 10, 2019 MCC NEW YORK NEW YORK, NY Page 1 Daily Assignment Roster 6 07:00 -15:00 9 12:00 - 20:00 3 06:00 - 14:00 8 08:00 • 16:00 10 14:00 - 22:00 12 j6:00-00:00 Post Split Shift 2 00:00.0000 OPS LT ACT LT SHU LT SIS TECH #1 PHONE MONITOR SEARCH OFFICER LOBBY CONTROL 81 CONTROL #2 INTERNAL INTERNAL #2 Am CONF UNIT 2 UNIT 3 5 NORTH 5 SOUTH 7 NORTH 7 SOUTH 9 NORTH SHU #1 SHU #2 SHU #3 SHU #4 10 SOUTH 81 10 SOUTH #2 11 NORTH 11 SOUTH 11 SOUTH 82 OSP #1 SANITATION OFF VISIT 81 VISIT 02 VISIT 03 "Special Assign 1012019 10:46:64 AM EFTA00132529 Saturday August 10, 2019 Page 2 PHONE RM "8 <unassigned> —10 <unassigned> STAFF SEARCH LOBBY #2 —8 ChimmIng, R OT (NC) DRY CELL "2 Joyner, P "8 Mateo, M OT ESCORT #1 ell Dupree, d S OT ESCORT #2 "8 Adams, g S OT esikoraii....t, ria....> rs•annase.*** SICK LEAVE COP ""Change Record?"' Relieved Officer's Relieving Officer's Ret Spit Shft Officer Now Status Relieving Officer Previous Status Shft Changed By Post CPS LT 8 Assignment Swap 11 SOUTH #2 12 [Sick / Annual] 9 NORTH (Inserted NCS] SHU #2 [Inserted NCB] INTERNAL 10/2019 10:48:58AM EFTA00132530 Saturday August 10, 2019 Page 3 Relieving Officer's Ret Relieved Officer's Shft Changed By New Status Relieving Officer Previous Status Post Spit Shft Officer SHU 03 3 CONTROL 02 3 VISIT 03 8 7 SOUTH 2 (Inserted NCS) 5 SOUTH 2 (Inserted NCS) CONTROL 01 2 INTERNAL 02 2 [Inserted NCS] 11 SOUTH 2 10 SOUTH 01 2 ACT LT 3 (Inserted) Unsorted] (Inserted] [Inserted] [Sick / Annual) [Sick / Annual) (Sick / Annual] Pick /Annual) 5 SOUTH 1 7 NORTH 1 ACT LT ACT LT 1 (Inserted NCSJ 7 SOUTH (Inserted NOS] 10/2019 10:48:57 AM EFTA00132531 Saturday August 10, 2019 Page 4 Relieved Officer's Relieving Officer's Ret Relieving Officer Previous Status Shft Changed By Post Spit Shft Officer New Status 7 SOUTH (Sick /Annual) 7 SOUTH 7 SOUTH 7 NORTH (Inserted NCS VISIT 92 SHU 92 [Sick /Annual) INTERNAL 92 7 NORTH [Inserted NCS) SHU a1 11 SOUTH INTERNAL INTERNAL 92 OSP 91 (sp)DRY CELL OSP 91 Slit) 91 (Sick / Annual) 11 SOUTH 11 SOUTH (sp)LOBBY *2 10/2019 10:46:57 AM EFTA00132532 Saturday August 10, 2019 Page 5 Relieved Officer's Relieving Officer's Ret New Status Relieving Officer Previous Status Shft Changed By Post Spit Shft Officer 5 SOUTH 8 (Inserted NC.% (sp)LOBBY 02 LOBBY 3 LOBBY 1 (sp)PHONE FtM 8 SEARCH OFFICER 8 CONTROL 91 8 9 NORTH OSP 1/1 Sick Leave 0 11 SOUTH 8 OSP 81 8 LOBBY (sp)DRY CELL 11 SOUTH (sp)DRY CELL 8 5 NORTH [Sick / Annual) 11 SOUTH LOBBY (Sick I Annual] SHU 83 (Sick /Annum) CONTROL 02 SHU SO SEARCH OFFICER UNIT 2 5 NORTH (Sick / Annual) 1012019 10:48:57 AM EFTA00132533 Saturday August 10, 2019 Page 6 Relieving Officers Rot Relieved Officers Relieving Officer Previous Status Shft Changed By Post Spit Shft Officer Now Status 5 NORTH 8 CONTROL it 8 UNIT 3 ACT LT 10 (Sick / Annual] ACT LT 10 ACT LT 3 7 NORTH [Sick / Annual] UNIT 2 [Inserted NCS) UNIT 2 (sp)ESCORT #1 (sp)ESCORT 02 [Inserted NCSJ SHU #3 SHU e3 Stilt #2 [Sick / Annual' SHU 02 SHU 04 CONTROL 02 LOBBY (Sick /Annual] [Sick / Annual] INTERNAL [Inserted NCSJ INTERNAL (Inserted NCSJ 10/2019 10:48:58AM EFTA00132534 Saturday August 10, 2019 Page 7 Relieved Officer's Relieving Officer's Rot New Status Relieving Officer Previous Status Shft Changed By Post Spit Stiff Officer ****Recapitulation•*" Morning Watch 8 AM Watch 1 Day Watch 10 PM Watch 3 Evening Watch 12 "Back Page Categories" Day Off 84 Sick Leave 11 Annual Leave 6 COP 2 Total Correctional Svcs. Staff: 116 Non Correctional Svcs. Staff: 7 Overtime Occurrences: 26 Comptime Occurrences: 0 Ops LL Evening Watch Signature: Captain's Signature: 10:2019 10.46:58 AM EFTA00132535 90A-NY-3151227 Serial 89 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) MCC Staff Emergency Contacts Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided MCC Staff Emergency Contacts. .• UNCLASSIFIED EFTA00132536 -=- QUERY EMPLOYEE LOCATOR RECORD KEY INFORMAT ION: DEPT DJ AGENCY FP PF1=GROUP PF10=NSEARCH SSN PF4=CHANGE ENTR=PROCESS PF5=HELP CLR =EXIT PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) THOMAS MICHAEL A 2.POI 4080 3.ORG STRUCTURE (2-4) 30 02 4080 4.BUILDING CODE 36540 5.ROOM NUMBER BUILDING ABBR MCC 6.MAIL ROOM BUILDING NAME METROPOLITAN CORRECTIONAL CENTER ADDRESS 7.OFFICE PHONE 8.HOME PHONE EMERGENCY CONTACT 9.NAME (LAST FI CHEEK EDAIN 10.PHONE NUMBER XT 11.RELATIONSHIP .DELETE INDICATOR *** QUERY FUNCTION COMPLETE *** EFTA00132537 -=- QUERY EMPLOYEE LOCATOR RECORD KEY INFORMATION: DEPT DJ AGENCY FP PF1=GROUP PF10-NSEARCH SSW SW PF4=CHANGE ENTR=PROCESS PFS=HELP CLR =EXIT PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) NOEL TOVA A 2.POI 4080 3.ORG STRUCTURE (2-4) 30 02 4080 4.BUILDING CODE 5.ROOM NUMBER BUILDING ABBR 6.MAIL ROOM BUILDING NAME ADDRESS 7.OFFICE PHONE ( ) EXT 8.HOME PHONE ( ) EMERGENCY CONTACT INFORMATION: 9.NAME (LAST FIRST) 10.PHONE NUMBER ( ) - EXT 11.RELATIONSHIP 12.DELETE INDICATOR *** QUERY FUNCTION COMPLETE *** EFTA00132538 -=- QUERY EMPLOYEE LOCATOR RECORD -=- KEY INFORMATION: DEPT DJ AGENCY a PF1=GROUP PF10=NSEARCH SSN PF4=CHANGE ENTR=PROCESS PFS=HELP CLR =EXIT PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) 2.POI 4080 3.ORG 4.BUILDING CODE 28555 5.ROOM NUMBER BUILDING ABBR FCI 6.MAIL ROOM BUILDING NAME FED CORR INSTITUTION ADDRESS MS 39194 5050 7.OFFICE PHONE 8.HOME PHONE EMERGENCY CONTACT 9.NAME (LAST FIRS 10.PHONE NUMBER ( 11.RELATIONSHIP SPOUSE 12.DELETE INDICATOR *** QUERY FUNCTION COMPLETE *** EFTA00132539 EFTA00132540 SSN AG FP * ADDRESS/CHECK INFORMATION * 08/10/19 IR124 SCRIPA0L I TME NATHANIEL BULLOCK POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * 637 POST OAK PLACE ACCOUNT T P ROUTE NO ACCOUNT E PEARL MS 39208 0000 CITY CD 1918 COUNTY CD 121 STATE/COUNTRY 28 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 28 2870 18 37 CITY CD 0000 STATE CD EFFECTIVE PP 04 YR 18 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 = SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT EFTA00132541 AG FP * ADDRESS/CHECK INFORMATION * 08/10/19 IR124 SSN~ NOEL SCREEN 000 NAME TOVA A POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYP ROUTE NO ACCOUNT EFT NEW YORK -BRONX NY 10456 3117 CITY CD 4170 COUNTY CD 005 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 14 YR 18 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 = SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT EFTA00132542 SSN G FP * ADDRESS/CHECK INFORMATION • 08/10/19 IR124 SCREEN MICHAEL ALBERT THOMAS POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS k c S * * CHECK BANK ADDRESS * ACCOUNT TYPE C ROUTE_NO ACCOUNT EFT PLAINFIELD NJ 07063 1045 CITY CD 2630 COUNTY CD 039 STATE/COUNTRY 34 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 06 YR 13 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 - SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT SS . P * ADDRESS CHECK INFORMATION * 08/10/19 IR124 SCREE 00 NAME POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYP ROUTE NO ACCOUNT EFT NEW YORK -BRONX NY 10465 2106 CITY CD 4170 COUNTY CD 005 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 19 YR 14 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 s SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT EFTA00132543 -=- QUERY EMPLOYEE LOCATOR RECORD KEY INFORMATION: DEPT Di AGENCY FP PF1=GROUP PF10=NSEARCH SSN PF4=CHANGE ENTR=PROCESS PFS=HELP CLR =EXIT PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) 2.POI 4080 3.ORG STRU 4.BUILDING CODE 5.ROOM NUMBER BUILDING ABBR 6.MAIL ROOM BUILDING NAME ADDRESS 7.OFFICE PHONE ( ) - EXT 8.HOME PHONE ( ) - EMERGENCY CONTACT INFORMATION: 9.NAME (LAST FIRST) 10.PHONE NUMBER ( EXT 11.RELATIONSHIP 12.DELETE INDICATOR *** QUERY FUNCTION COMPLETE * * * EFTA00132544 SS TION * 08/10/19 IR124 SCREEN 000 NAME POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * SS * * CHECK BANK ADDRESS * ACCOUNT TYP ROUTE NO ACCOUNT EFT ORANGE NJ 07050 2372 CITY CD 2440 COUNTY CD 013 STATE/COUNTRY 34 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 12 YR 19 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 = SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT EFTA00132545 -=- QUERY EMPLOYEE LOCATOR RECORD -=- KEY INFORMATION: DEPT DJ AGENCY FP PF1=GROUP PF10=NSEARCH PF4=CHANGE ENTR=PROCESS SSN IIIIIIIIIIII, CLR =EXIT PFS=HELP PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI 2.POI 4080 3.ORG STRUCTURE (2-4) 30 02 4 4.BUILDING CODE 5.ROOM NUMBER BUILDING ABBR 6.MAIL ROOM BUILDING NAME ADDRESS 7.OFFICE PHONE ( EXT 8.HOME PHONE EMERGENCY CONTACT INFORMATION: 9.NAME (LAST FIRST) 10.PHONE NUMBER ( EXT 11.RELATIONSHIP 12.DELETE INDICATOR *** QUERY FUNCTION COMPLETE *** EFTA00132546 EFTA00132547 SS AG FP * ADDRESS/CHECK INFORMATION * 08/10/19 IR124 SCREE POSITION CURSOR ANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYP• ROUTE NO ACCOUNT EFT MIDDLETOWN NY 10940 2589 CITY CD 3730 COUNTY CD 071 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 24 YR 09 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 = SUB MENU PFS = HELP ENTER = INQUIRY CLEAR = EXIT -=- QUERY EMPLOYEE LOCATOR RECORD -=- KEY INFORMATION: DEPT DJ AGENCY FP PF1=GROUP PF10.-NSEARCH SSN PF4=CHANGE ENTR=PROCESS PFS=HELP CLR =EXIT PF9-REPO RTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) 2.POI 4080 3.ORG STRUCTURE (2-4) 30 02 408 4.BUILDING CODE 36540 5.ROOM NUMBER BUILDING ABBR MCC 6.MAIL ROOM BUILDING NAME METROPOLITAN CORRECTIONAL CENTER ADDRESS NEW YORK NY 10007 7.OFFICE PHONE 8.HOME PHONE EMERGENCY CONTACT INFORMATION: 9.NAME (LAST FIRST) 10.PHONE NUMBER ( 84 11.RELATIONSHIP MOTHER 12.DELETE INDICATOR * • * QUERY FUNCTION COMPLETE *** EFTA00132548 SS AG FP * ADDRESS/CHECK INFORMATION * 08/10/19 IR124 SCREEN 000 NAME GHITTO NMN BONHOMME POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYP• C ROUTE NO ACCOUNT EFT NEW YORK-KINGS NY 11203 2432 CITY CD 4170 COUNTY CD 047 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 11 YR 16 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 = SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT EFTA00132549 -=- QUERY EMPLOYEE LOCATOR RECORD -=- KEY INFORMATION: DEPT DJ AGENCY FP PF1-GROUP PF10-NSEARCH SSN PF4=CHANGE ENTR=PROCESS PF5=HELP CLR =EXIT PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) 2.POI 4080 3.ORG STRUCTURE (2-4) 30 02 4080 4.BUILDING CODE 5.ROOM NUMBER BUILDING ABBR 6.MAIL ROOM BUILDING NAME ADDRESS 7.OFFICE PHONE ( ) - EXT 8.HOME PHONE EMERGENCY CONTACT INFORMATION: 9.NAME (LAST FIRST) 10.PHONE NUMBER ( EXT 11.RELATIONSHIP 12.DELETE INDICATOR *** QUERY FUNCTION COMPLETE *** EFTA00132550 SS AG FP * ADDRESS/CHECK INFORMATION * 08/10/19 IR124 SCREEN 000 NAME POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYPE C ROUTE NO ACCOUNT EFT NEW YORK-KINGS NY 11239 0000 CITY CD 4170 COUNTY CD 047 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 18 YR 17 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 = SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT EFTA00132551 -=- QUERY EMPLOYEE LOCATOR RECORD -=- KEY INFORMATION: DEPT DJ E C FP PF1=GROUP PF10=NSEARCH SSN PF4=CHANGE ENTR=PROCESS PFS=HELP CLR =EXIT PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) 2.POI 4080 3.ORG STRUPPRI M PIRI MM 4.BUILDING CODE 5.ROOM NUMBER BUILDING ABBR 6.MAIL ROOM BUILDING NAME ADDRESS 7.OFFICE PHONE ( ) - EXT 8.HOME PHONE ( ) - EMERGENCY CONTACT INFORMAT ION: 9.NAME (LAST FIRST) 10.PHONE NUMBER ( EXT 11.RELATIONSHIP 12.DELETE INDICATOR *** QUERY FUNCTION COMPLETE *** EFTA00132552 SS AG FP * ADDRESS/CHECK INFORMATION * 08/10/19 IR124 SCREEN 000 NAME =MalEMI=EIMII___ POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYPE C ROUTE NO ACCOUNT EFT BROOKLYN NY 11207 1012 CITY CD 0706 COUNTY CD 009 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD DESIGNATED AGENT 0000 TA CONTACT POINT 36 4170 20 03 CITY CD 0000 STATE CD EFFECTIVE PP 03 YR 19 INQUIRY COMPLETE - PRESS ENTER FOR MORE RECORDS. 0000 PF1 = SUB MENU PF5 = HELP ENTER = INQUIRY CLEAR = EXIT EFTA00132553 -=- QUERY EMPLOYEE LOCATOR RECORD -=- KEY INFORMATION: DEPT D GENCY FP PF1=GROUP PF10=NSEARCH SSN PF4=CHANGE ENTR=PROCESS PFS=HELP CLR =EXIT PF9=REPORTS EMPLOYEE INFORMATION: 1.NAME (LAST FIRST MI) WASHINGTON CLYDE S 2.POI 4080 3.ORG STRUCTURE (2-4) 30 02 4080 4.BUILDING CODE 5.ROOM NUMBER BUILDING ABBR 6.MAIL ROOM BUILDING NAME ADDRESS 7.OFFICE PHONE ( ) - EXT 8.HOME PHONE ( ) - EMERGENCY CONTACT INFORMAT ION: 9.NAME (LAST FIRST) 10.PHONE NUMBER ( EXT 11.RELATIONSHIP 12. DELETE INDICATOR *** QUERY FUNCTION COMPLETE *** EFTA00132554 90A-NY-3151227 Serial 90 FD-I036 (12cv. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Sentry Documentation for Jeffrey Epstein Approved By: SSA Drafted By: Case ID It: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided Sentry Documentation regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132555 'Page 1 of 1 PP37 INMATE HISTORY * 08)10-2019 NYMHM 531.01 * ADM-REL 10:40:24 PAGE 001 OF 001 * REG NO..: 176318-054 NAME • EPSTEIN, JEFFREY EDWARD CATEGORY: FIE FUNCTION: IS FORMAT: START DATE/TIME STOP PATE/TIME FCL ASSIGNMENT DESCRIPTION NYM L HOSP USM ESC TRP TO LOC HOSP W/RETN-USM 08-10-2019 0747 CURRE NYM A-PRE PRE-SENT ADMIT, ADULT 07-08-2019 1749 08-10 019 0747 NYM COURT COURT APPEARANCE W/SCHED RETRN 07-08-2019 0920 07-08-2019 1749 NYM A-PRE PRE-SENT ADMIT, ADULT 07-06-2019 2124 07-08-2019 0920 SSING I DESIRED 00005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCE 8/10/2019 htops://bop.tep.doj.gov:9049/SENTRY/J1PP160.do EFTA00132556 Page 1 of 1 PP37 INMATE HISTORY * 08-110-2019 NYMHM 531.01 * QUARTERS 10:141:01 PAGE 001 OF 001 * REG NO..: 176318-054 NAME • EPSTEIN, JEFFREY EDWARD CATEGORY: RFT FUNCTION: IS FORMAT: fl START DATE/TIME STOP ATE/TIME FCL ASSIGNMENT DESCRIPTION NYM 204-206LAD HOUSE Z/RANGE 04/BED 206L. AD 07-29-2019 1221 08-10 2019 0747 NYM NO1-001t. HOUSE H/RANGE 01/BED 0011. 07-23-2019 0324 07-29 2019 1221 NYM 205-124LAD HOUSE Z/RANGE 05/BED 124L AD 07-10-2019 1526 07-23 2019 0324 NYM NO1-001L HOUSE H/RANGE 01/BED 001L 07-08-2019 1803 07-10 2019 1526 202-201LAD HOUSE Z/RANGE 02/BED 201L AD 07-08-2019 1749 07-08 2019 1803 NYM NYM 202-201LAD HOUSE 2/RANGE 02/BED 201L AD 07-07-2019 1920 07-08 2019 0920 NYM E06-547U HOUSE E/RANGE 06/BED 547U 07-06-2019 2136 07-07 2019 1920 NYM R01-001L HOUSE R/RANGE 01/BED 001L 07-06-2019 2124 07-06 2019 2136 SSING DESIRED 60005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCE 8/10/2019 https://bop.tcp.doj.gov:9049/SENTRY/J1PP160.do EFTA00132557 Page 1 of 1 PPIO tak‘ 00^ * 0a-10-2019 NYMHM 535.07 * CIM CLEARANCE AND SEPARATEE DATA 1 :31:37 PAGE 001 OF 001 * EY EDWARD REGISTER NO: R6318-054 NAME: EPSTEIN, JEFFR ARS ARS ARS ARS QTR REGISTER FIRST NAME FCL ASSIGN DATE TIME ASSIGN NUMBER LAST NAME 76318-054 EPSTEIN JEFFREY NYM L HOSP USM 08-10-2019 0747 FOI EXEMPT P0011 THIS INMATE HAS NO CMC ASSIGNMENTS 8/10/2019 https://bop.tcp.doj.gov:9049/SENTRY/J1PPG20.do EFTA00132558 INMATE PROFILE • 08-10-20 NYMHM 535.03 • 09:28:51 PAGE 001 OF 001 76318-054 REG REGNO: 76318-054 FUNCTION: PRT DOB/AGE.: 01-20-1953 / 66 EDWARD R/S/ETH.: W/M/O WALSH: ES NAME.: EPSTEIN, JEFFREY RSP..: YM-NEW YORK MCC MILEAGE.: 5 MILES PHONE: ARS ASSIGNMENT..: ESC TRP TO LOC HOSP W/RETN-USM FBI NO..: ARS DATE/TIME...: 08-10-2019/0747 INS NO..: PROJ REL METHOD: UNKNOWN SSN • 090443348 PSYCH: NO DETAINER: NO CMC..: INO PROJ REL DATE..: UNKNOWN RELEASE DESTINATI ON AGENCY DST ASSIGNMENT ADDRESS • NYPH 170 WILLIAMS STREET NEW YORK, NEW YORK 10038 OFFN/CHG RMKS: SEX TRAFFICKI NG CONSP. OFFN/CHG RMKS: SEX TRAFFICKING OF MINORS FACL CATEGORY - - - - - CURRENT ASSIGNMENT EFF DATE TIME NYM ADM-REL L HOSP USM ESC TRP TO LOC HOSP W/RETN-US M 08-10-201 9 0747 CARE1-MH CAREX-MEN TAL HEALTH 07-08-201 9 0934 NYM CARE LEVEL NYE CASE MOT CFSA CERT FOOD SINCERITY APPROVAL 07-19-2019 1209 NYE CUSTODY IN IN CUSTODY 07-06-2019 2124 NYM EDUC INFO GED UNK GED STATUS UNKNOWN 07-06-2019 2124 NYM FIN RESP UNASSG FINANC RESP-UNAS SIGNED 07-06-2019 2124 NYM LEVEL UNASSG UNASSIGNED 07-06-2019 2124 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 07-06-201 9 2124 NYM RELIGION UNKNOWN RELIGION UNKNOWN 07-06-201 9 2124 NYM SECUR THRT RAPE H HISTORY OF COMMITTIN G RAPE 07-10-201 9 1455 G0000 TRANSACTION SUCCESSFULLY COMPLETED EFTA00132559 Page 1 of 1 PPG() /s•N eas1/4 NYMHM 600.00 * SECURITY/DESIGNATION 0 -10-2019 DATA 0 :29:48 PAGE 001 OF 001 * NAME: EPSTEIN, JEFFREY EDWARD ORG: REGNO: 176318-054 RC/SEX/AGE: W/M/66 FORM D/T: RES: NEW YORK, NY 10 21 OFFN/CHG : SEX TRAFFICKING CONSP. SEX TRAFFICKING OF MINORS BIL: CITIZENSHP: UNITED STATES F AMERICA CUSTODY..: IN CIM CONS.: USM: • RECFACL/PGM: OLSUR: JUDGE VS DT/LOC: MOS REL: SEVERITY: CHP/CHS/S: VIOLENCE: ESCAPES.: AGE: EDUC LV: HGC: DETAINER.: DRUG/ALC.: TOTAL: SEC LVL: PUB SAFTY: CAR MD/MH: T REF: CCM RMKS.: PS110 DESIGNATION RECORD DOES NOT EXIST FOR THIS INMATE https://bop.tcp.doj.gov:9049/SENTRY/J1PPG00.do 8/10/2019 EFTA00132560 PD l5 too\ ak Page 1 of 1 NYMHM INMATE DISCIPLINE DATA 08-10-2019 PAGE 001 OF 001 * CHRONOLOGICAL DISCIPLINARY RECORD 09:30:45 REGISTER NO: V6318-054 NAME..: EPSTEIN, JEFFREY EDWARD FUNCTION...: IS FORMAT: ICHRONO LIMIT TO F::-F408 PRIOR TO RSP OF: NYM-NEW YORK MCC G5463 NO ENTRIES EXIST IN CHRONOLOGICAL LOG FOR TIME PERIOD RE ESTED https://bop.tcp.doj.gov:9049/SENTRY/J1PPD50.do I 8/10/2019 EFTA00132561 PD15 Page I of I ta1 la\ NYMHM INMATE DISCIPLINE DATA 0-10-2019 PAGE 001 OF 001 * PENDING REPORTS 01 9:30:56 REGISTER NO: R6318-054 NAME..: EPSTEIN, JEFFREY EDWARD FUNCTION...: FAT FORMAT: PENDING LIMIT TO c...:MOS PRIOR TO 8-10-2019 RSP OF: NYM-NEW YORK MCC G5464 NO PENDING INCIDENT REPORTS EXIST FOR ABOVE INMATE https://bop.tep.doj.gov:9049/SENTRY/J1PPD50.do 8/10/2019 EFTA00132562 PSCD Page 1 of 1 Ash, NYMHM 540.23 * SENTENCE MONITORING * 0E-10-2019 PAGE 001 OF 001 * COMPUTATION DATA 09:31:27 AS OF 08-10-2019 REGNO..: 16318-054 NAME: EPSTEIN, JEFFREY EDWARD COMP NO: r- ALL CURR COMPS(Y/N): F ALL PRIOR COMPS(Y/N): FUNC...: Piff S0057 INMATE HAS NO CURRENT OR PRIOR SENTENCE DATA https://bopicp.doj.gov:9049/SENTRYIIIPSCDO.do 8/10/2019 EFTA00132563 eimN DEPARTMENT OF JUSTICE tabs • 08-10-20 NYMHM 533.01 • ASSIGNMENT HISTORY REPORT • 09:31:50 PAGE 001 JEFFREY EDWARD REG NO: 76318-054 NAME: EPSTEIN ADM-REL RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT NEW YORK MCC ESC TRP TO LOC HOSP W/RETN-USM 08-10-2019 0747 CURRENT NEW YORK MCC PRE-SENT ADMIT, ADULT 07-08-2019 1749 08-10-20 NEW YORK MCC COURT APPEARANCE W/SCHED RETRN 07-08-2019 0920 07-08-20 NEW YORK MCC PRE-SENT ADMIT, ADULT 07-06-2019 2124 07-08-20 CARE LEVEL RESPONSIBILITY OF: ASSIGNMENTS - - START DATE/TIME STOP DAT NEW YORK MCC CARE1-MENTAL HEALTH 07-08-2019 0934 CURRENT COR COUNSL RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT NEW YORK MCC VACANT 10-19-2019 1805 07-22-20 9 NEW YORK MCC UNASSIGNED ADMISSION 07-08-2019 1749 10-19-20 9 CASE MGT RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT NEW YORK MCC CERT FOOD SINCERITY APPROVAL 07-19-2019 1209 CURRENT CASEWORKER RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT NEW YORK MCC UNASSIGNED ADMISSION 07-08-2019 1749 07-22-20 9 CUSTODY RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT EDUC INFO RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT FIN RESP RESPONSIBILITY OF: ASSIGNMENTS - - START DATE/TIME STOP DAT NEW YORK MCC FINANC RESP-UNASSIGNED 07-06-2019 2124 CURRENT LEVEL RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT MED DY ST RESPONSIBILITY OF: ASSIGNMENTS - - START DATE/TIME STOP DAT NEW YORK MCC SUICIDE WATCH 07-23-2019 0140 07-24-20 9 OUTCOUNT RESPONSIBILITY OF: ASSIGNMENTS START DATE/TIME STOP DAT$ NEW YORK MCC ATTORNEY VISIT 08-09-2019 1455 08-09-2019 NEW YORK MCC ATTORNEY VISIT 08-08-2019 1514 08-08-2019 NEW YORK MCC ATTORNEY VISIT 08-07-2019 1527 08-07-2019 NEW YORK MCC ATTORNEY VISIT 08-06-2019 1537 08-06-2019 NEW YORK MCC ATTORNEY VISIT 08-05-2019 1518 08-05-2019 00002 MORE PAGES TO FOLLOW . . . EFTA00132564 eaN iseN • 08-10-201 NYMHN 533.01 • DEPARTMENT OF JUSTICE • ASSIGNMENT HISTORY REPORT 09:31:50 PAGE 002 OUTCOUNT RESPONSIBILITY OF: ASSIGNMENTS START DATE/TIME STOP DATE NEW YORK MCC ATTORNEY VISIT 08-04-2019 1557 08-04-201 NEW YORK MCC ATTORNEY VISIT 08-04-2019 0957 08-04-201 NEW YORK MCC ATTORNEY VISIT 08-03-2019 1555 08-03-201 NEW YORK MCC ATTORNEY VISIT 08-03-2019 0926 08-03-201 NEW YORK MCC ATTORNEY VISIT 08-02-2019 1522 08-02-201 NEW YORK MCC ATTORNEY VISIT 08-01-2019 1550 08-01-201 NEW YORK MCC ATTORNEY VISIT 07-31-2019 1534 07-31-201 NEW YORK MCC COURT-SOUTHERN DISTRICT N.Y. 07-31-2019 0926 07-31-2019 NEW YORK MCC ATTORNEY VISIT 07-30-2019 1523 07-30-201 NEW YORK MCC ATTORNEY VISIT 07-29-2019 1607 07-29-201 NEW YORK MCC ATTORNEY VISIT 07-28-2019 1551 07-28-201 NEW YORK MCC ATTORNEY VISIT 07-28-2019 0938 07-28-201 NEW YORK MCC HOSPITAL 07-28-2019 0934 07-28-201 NEW YORK MCC ATTORNEY VISIT 07-27-2019 1456 07-27-201 NEW YORK MCC ATTORNEY VISIT 07-27-2019 0934 07-27-201 NEW YORK MCC ATTORNEY VISIT 07-26-2019 1508 07-26-201 NEW YORK MCC ATTORNEY VISIT 07-25-2019 1524 07-25-201 NEW YORK MCC ATTORNEY VISIT 07-24-2019 1537 07-24-201 NEW YORK MCC ATTORNEY VISIT 07-23-2019 1528 07-23-20 NEW YORK MCC ATTORNEY VISIT 07-22-2019 1551 07-22-201 NEW YORK MCC ATTORNEY VISIT 07-21-2019 1536 07-21-20 NEW YORK MCC ATTORNEY VISIT 07-21-2019 0947 07-21-20 NEW YORK MCC ATTORNEY VISIT 07-20-2019 1445 07-20-20 NEW YORK MCC ATTORNEY VISIT 07-20-2019 0900 07-20-20 NEW YORK MCC ATTORNEY VISIT 07-19-2019 1442 07-19-20 NEW YORK MCC ATTORNEY VISIT 07-18-2019 1537 07-18-20 NEW YORK MCC COURT-SOUTHERN DISTRICT N.Y. 07-18-2019 0859 07-18-201 NEW YORK MCC ATTORNEY VISIT 07-17-2019 1611 07-17-2019 NEW YORK MCC ATTORNEY VISIT 07-16-2019 1653 07-16-201p NEW YORK MCC ATTORNEY VISIT 07-15-2019 1456 07-15-2019 NEW YORK MCC COURT-SOUTHERN DISTRICT N.Y. 07-15-2019 0900 07-15-20 NEW YORK MCC ATTORNEY VISIT 07-14-2019 1511 07-14-20 NEW YORK MCC ATTORNEY VISIT 07-14-2019 0957 07-14-20 NEW YORK MCC ATTORNEY VISIT 07-13-2019 1459 07-13-201 NEW YORK MCC ATTORNEY VISIT 07-12-2019 1507 07-12-20 NEW YORK MCC ATTORNEY VISIT 07-11-2019 1510 07-11-20 NEW YORK MCC ATTORNEY VISIT 07-10-2019 1533 07-10-201 NEW YORK MCC ATTORNEY VISIT 07-09-2019 1510 07-09-20 NEW YORK MCC ATTORNEY VISIT 07-07-2019 1600 07-07-20 QUARTERS RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT NEW YORK MCC HOUSE Z/RANGE 04/BED 206L AD 07-29-2019 1221 08-10-20 NEW YORK MCC HOUSE H/RANGE 01/BED 001L 07-23-2019 0324 07-29-20 NEW YORK MCC HOUSE Z/RANGE 05/BED 124L AD 07-10-2019 1526 07-23-2019 NEW YORK MCC HOUSE H/RANGE 01/BED 001L 07-08-2019 1803 07-10-20 NEW YORK MCC HOUSE Z/RANGE 02/BED 201L AD 07-08-2019 1749 07-08-201 NEW YORK MCC HOUSE Z/RANGE 02/BED 201L AD 07-07-2019 1920 07-08-201 G0002 MORE PAGES TO FOLLOW . . . EFTA00132565 NEW YORK MCC HOUSE R/RANGE 01/BED 001L U1-06-2U15 4144 kii-U6-su te N /41‘‘ RELIGION RESPONSIBILITY OF: ASSIGNMENTS STAR- DATE/TIME STOP DAT NEW YORK MCC RELIGION UNKNOWN 07-06-2019 2124 CURRENT SECOND RSP RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT SECUR THAT RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT NEW YORK MCC HISTORY OF COMMITTING RAPE 07-10-2019 1455 CURRENT UNIT RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DATE NEW YORK MCC UST MGR. N. REID EXT 6421/6301 07-22-2019 1806 08-10-20 9 NEW YORK MCC N. REID, UNIT MANAGER X 6473 07-08-2019 1749 07-22-20 9 NEW YORK MCC N. REID, UNIT MANAGER X 6473 07-06-2019 2124 07-08-20 WRK DETAIL RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DAT NEW YORK MCC UNASSIGNED WORK DETAIL 07-08-2019 1749 08-10-20 NEW YORK MCC UNASSIGNED WORK DETAIL 07-06-2019 2124 07-08-20 9 G0000 TRANSACTION SUCCESSFULLY COMPLETED EFTA00132566 (Its\ DEPARTMENT OF JUSTICE 08-10-201 NYMHM 533*01 * ASSIGNMENT HISTORY REPORT 09:31:50 PAGE 003 QUARTERS RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DATE NEW YORK MCC HOUSE E/RANGE 06/BED 547W 9 2136 07-07-201 07-06-201. - . . EFTA00132567 NYMHM 533'01 • ANIN DEPARTMENT OF JUSTICE tak • 08-10-201 ASSIGNMENT HISTORY REPORT • 09:31:50 PAGE 003 • QUARTERS RESPONSIBILITY OF: ASSIGNMENTS - - - START DATE/TIME STOP DATE NEW YORK MCC HOUSE E/RANGE 06/BED 5470 07-06-2019 2136 07-07-201 NEW YORK MCC HOUSE R/RANGE 01/BED 001L 07-06-2019 2124 07-06-201 RELIGION RESPONSIBILITY OF: ASSIGNMENTS START DATE/TIME STOP DATE NEW YORK MCC RELIGION UNKNOWN 07-06-2019 2124 CURRENT SECOND RSP RESPONSIBILITY OP: ASSIGNMENTS - - - - START DATE/TIME STOP DATE SECUR THRT RESPONSIBILITY OP: ASSIGNMENTS - - - START DATE/TIME STOP DATE NEW YORK MCC HISTORY OF COMMITTING RAPE 07-10-2019 1455 CURRENT UNIT RESPONSIBILITY OF: ASSIGNMENTS - - - - START DATE/TIME STOP DATE NEW YORK MCC UNT MGR. N. REID EXT 6421/6301 07-22-2019 1806 08-10-201 NEW YORK MCC N. REID, UNIT MANAGER X 6473 07-08-2019 1749 07-22-201 NEW YORK MCC N. REID, UNIT MANAGER X 6473 07-06-2019 2124 07-08-201 WRK DETAIL RESPONSIBILITY OF: ASSIGNMENTS - START DATE/TIME STOP DATE NEW YORK MCC UNASSIGNED WORK DETAIL 07-08-2019 1749 08-10-2019 NEW YORK MCC UNASSIGNED WORK DETAIL 07-06-2019 2124 07-08-2019 G0000 TRANSACTION SUCCESSFULLY COMPLETED EFTA00132568 90A-NY-3151227 Serial 91 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Psychology Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided MCC psychology notes regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132569 "SENSITIVE BUT UNCLASSIFIED" Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Reg #. 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M F ili : NYM Unit Team: A8O Date of Birth. Date: 07/10/2019 08:38 Provider focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation his Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his cell. Today, he presented this writer with meals, sleeping, interacting with the inmate companions, and pacing in mfortable numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolex he received fro medical u form to his yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange legal visits because he is treated "like a punished inmate," he wants a phone call before he leaves the psy ological would like to be housed in the cadre (5S) unit; and wou like his observation area: he wants a shower and towel; he property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or with placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this ming. Mterventionnil Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to and interventions and was able to elucidate his various needs. He did not present with any acute psychopathology forward to his bail hearing on Monday but continues to deny any suicidal ideation, intention, or plan. He is looking jail. stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the Progress/Plan complaints, Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or and is denying any suicidality. He appears psychologica lly stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed byMila n 07/10/2019 09:09 PhO/Chlef Bureau of Prisons - NYM Page 1 of 1 Generated 07/10/2019 09:09 by-,- EFTA00132570 1 Bureau of Prisons "SENSITIVE BUT NCLASSIFIED" Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 78318-054 Date of Birth: 01/20/1953 Sex: Unit Team: MO Date: 07/11/2019 14:28 Provider. Comments This writer attempted to see Mr. Epstein in the morning and then again in the afternoon for a Psych Obsery on Follow Up, but he was in Attorney Conference. Completed b 07/11201915:51 Generated 07/111201915:51 Bureau of NYU Page 1of EFTA00132571 "SENSITIV E BUT UNCLASSIFIED" Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft. 76318-054 01/20/1953 Sex: Unit Team: MO Date of Birth: Date: 07/11/2019 15:21 Provider focus of Session Inmate Epstein was seen for his psychological observation follow-up in attorney conference this afternoon. Subjective/Objective Presentation t his Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated concerns feeling cold in his cell, not receiving his Cola , not having incarceration including not receiving his property yet in SHU, in SHU." Inmate Epstein was also upset a wearing enough water in attorney conference, and a desire to recreate Custody and an orange jumpsuit and being treated like "a bad guy" when he did not do anything wrong in the prison. security concerns were addressed with Inmate Epstein including why he has to wear his orange jumpsuit (due to his being housed in SHU). He requested that he be placed in a brown uniform during his legal visits. He was told his concerns would be addressed in the SHU meeting. Inmate Epstein stated he is not having any current problems with his cellmate and indicated he at bran cereal for suicidal breakfast and took a shower yesterday. He did not sleep well last night. Inmate Epstein continues to deny any ideation, intention or plan. He did not appear to be in any distress at this time. fntervention(a) Inmate EPSTEIN was provided with brief supportive interventions, CBT-based Interventions, and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. angrftinalln staff. He was Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology available through the Psychology department. He will be seen next reminded of the self-help books and audiotapes week after his bail hearing to assess his mental status and psychologica l stability. Completed by on 07/12/2019 07:51 Bureau of Prisons - NYM Page 1 of 1 Generated 07/12O019 07:51 by EFTA00132572 "SENSITIVE BUT UNCLASSIFIED" Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Inmate Name: Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: MO Date: 07/16/2019 12:48 Provider Focus of Session writer Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notified this that he was asking to be seen. Subjective/Objective Presentatlort that were Inmate Epstein reported he has not received a spoon or soap In SHU, nor did he receive the phone calls "promised to him." He told this writer we need to have mutual trust that his needs are met in the prison. Th s writer told inmate Epstein that she would address his concerns. On the way out, a staff member told this writer she witnessed his inmate Epstein receive two phone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant concerns and he said he would ensure that he had soap, a spoon, and his Initial SHU phone call. Inmate stein did He has eating not have any psychological concerns today. He denied any mental health symptoms or suicidality. as best as he can and has requested a Kosher diet. interventIonCsi Inmate Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strategies. EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan staff. He was Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology app rs to be no reminded of the self-help books and audiotapes available through the Psychology department. There need for follow up at this time. He will be seen in SHU for rounds and monthly SHU reviews. Completed by 07/18/2019 13:05 Bureau ciPasorts - HYM Piga I of 1 Generated 07/18/201913:0 EFTA00132573 Bureau of Prisons "SENSITIVE BUT NCLASSIFIED" Psychology Services SHU Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 8: 7 8-054 Date of Birth: 01/20/1953 Sex: M Facility NYM Unit Team: MO Date: 07/18/2019 07:21 Provider. Placed in SHU: 07/10/2019 Type: SHU Status: ADMIN.DETENTION Threat to Self: Low Basis of Review: Inmate was interviewed Adjustment: Satisfactory, seg aeon not detrimental Mental Status: No significant mental health issues. Threat to Others: Low Comments Monthly SHU Review Note Inmate Epstein was meeting with his legal team today and has a court hearing. He was not able to be seen for a SHU review. Another attempt to interview him for a SHU review will be done in the near future. Completed by n 07/18/2019 12:06 Generated 0711a/201912:08 teMM Bureau of Prisons - NYM Pogo 1 of 1 EFTA00132574 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED— Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex Facility: NYM Unit Tern: 5 Date: 07/23/2019 07:56 Provider: Comments This On-Call Psychologist was contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform Mr. Epstein was being placed on Suicide Watch because he was found with a string loosely hanging around his neck. Mr. Epstein will be seen today by the duty psychologist for a Suicide Risk Assessment. Completed by PhD/Chief Psychologist on 07/24/2019 07:59 Genera led 07(24/2019 07.59 Bureau of Prisons - NYM Page 1 of 1 EFTA00132575 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft 76318-054 Date of Birth: 01/20/1953 Sex: M Facility. NYM Unit Team: 5 Date: 07/23/2019 10:09 Provider. Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell FINDINGa This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record, Psychology Data System, Sentry Reason for Referral The On Call Psychologist, Dr. MI, had been contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was found with a string around his neck. Mr. Epstein was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7/23/19. This note is being entered at about 3:35 PM on 7/23/19. Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by Dr. M, "Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the pastor present with psychotropic medication. He also denied any acute mental health symptoms at this time." Self-Harm History According to a Suicide Risk Assessment dated 7/09/19 by Dr. M, "Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavitx in the past." Substance Abuse History According to a Suicide Risk Assessment dated 7/09/19 by Dr. M, "Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol." Current Problem Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck It is unclear at this time if Mr. Epstein had placed the string around his own neck. Wien Mr. Epstein was asked by this writer how he ended up on Suicide Watch, he denied remembering. I je stated he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is ring himself snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was found in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had a rule out of self inflicted injuries. When this writer reviewed the Staff Suicide Watch Log, it noted that Mr. Epstein told the staff watching him tat his cellmate tried to kill him, which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epstei . This writer was not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was not ed about this notation and the Captain stated they were already aware of this statement. Current Mental Statue Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior. Cooperative Mood: Appropriate to Content Generated 07/23/2019 15:38 by Bureau of Prisons - NYM Page 1 of 3 EFTA00132576 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex. M Facil NYM Unit Team: 5 Date: 07/23/2019 10:09 Prov der: Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and erent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations ere denied. and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED. This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for tf-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmates risk for engaging In Suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, VVillingness to engage in treatment Risk Factors: lie was found by staff in his cell in SHU with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is unclear at this time if Mr. Epstein had placed the string around his own ned$ or if someone else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing how he obtained. He stated his throat hurls which was reported to Medical. He has a high profile sex offense case and recently was denied ball. When asked If he has any fiends or family that are emotionally supportive, he stated he does not know what that means. When emotional supports were explained to him and then again asked if he as any family or friends that are emotionally supportive, he was vague and said he has a lot of people. Protective Factors: He denied current suicidal or self harm thoughts or ever having these thoughts. He denied a history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having any chronic medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing for his safety. He denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to enjoy life, and to learn. He said his future plans include fighting his case and going back to his normal life. Whereas, he is denying suicidal and self harm thoughts and has a lot of protective factors, he is denying that he remembers how he ended up on Suicide Watch and has marks encircling his neck. It is unclear at this time if he had placed the string around his neck or if someone else did. He will remain on Suicide Watch for further observation and safekeeping. DIAGNOSIS' No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Moderate Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS 1. Mr. Epstein will remain on Suicide Watch for further observation and safekeeping. 2. Wile on Suicide Watch, he will be continuously observed by Inmate Companions. 3. While on Suicide Watch, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Medical was informed that he reported his throat hurts. Suicide Watch: A suicide watch was Initiated by non-clinical staff and continues to be warranted Suicide Watch was initiated on: 07/23/2019 01:40 Generated 07/23/2019 15 38 by Bureau or Prisons - !OW Pop 2 of 3 EFTA00132577 Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M NYM Unit Team: 5 Date: 0723201910:09 Provider .111.PsyD Completed b 0723201915:38 Geoefsbod 07/231201915:38 by M. Pay° Bono of Prisons • NYM Pap• 3 of 3 EFTA00132578 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Post Suicide Watch Report Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: F iii : NYM Unit Team: 5 Date: 07/24/2019 09:23 Provider Watch Start Date: 07/23/2019 01:40 Watch Stop Date: 07/24/2019 08:45 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Transfered to Medical Center. No Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought dieorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others. Rills Factors ACIPviPti* This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self harm. The following STATIC risk factors were assessed to be present and Increase the inmate's risk for engaging in kle related behaviors: High Profile Crime. Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in uidde related behaviors: Current physical pain, Fear for own safety The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide. le to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, V of death as negative, Willingness to engage in treatment Risk Factors: Mr. EPSTEIN has a significant scar around his neck, which is now scabbing over. He reported sw4lling in this area but denied experiencing any related pain. Mr. EPSTEIN continues to claim a lack of memory for the incident resulting In this scar. The story he provided was vague, such that this writer challenged him a couple of times, but he insisted he was being honest about his lapse in memory. The nature of the incident remain unclear. Mr. EPSTEIN is incarcerated for a very high pr le crime with media attention. He was recently denied bail. He also reported difficulty managing his time in the SHU. He repo ed being fearful for his safety if he Is to return to the cell with his previous cell mate. Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide attempts. He stated, "I have no interest in killing myself." He explained, although his situation is "not perfect" due to his being incarcerated, he noted he has "lots to do for this] legal case." He described having a "wonderful life," to include interactions with "interesting people and projects." He said "it would be crazy' to take his life. He furthered, '1 would not do that to myself." He denied feelings of hopelessness, although did report being "depressed" and "unhappy" about his current legal situation. He previously denied a history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appear future-oriented as he endorsed an interest in being housed in general population. Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidality. However, in light of his vag e self-report regarding the incident which precipitated his placement on Suicide Watch, combined with his fear for his own safe ty, reported Generated 07/24/2019 12.09 by Bureau of Prisons - NYM Pap 1 of 3 EFTA00132579 finiN 1,01 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft. 76318-054 Date of Birth: 01/20/1953 Sex: lity NYM Unit Team: 5 Date: 07/24/2019 09:23 Provider: i difficulty managing his time in the SHU, and the high profile nature of his alleged offense, Mr. EPSTEIN will be stepped down from Suicide Watch to Psychological Observation. Changes In Risk Factors Assessor( Upon a review of the log book, it was indicated Mr. EPSTEIN has been speaking to the inmate companions about having previously taught mathematics and physics. He has been observed pacing the cell as well as sleeping, eating, and drinking within normal limits. Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His requeits were made known to the lieutenants and he was provided a shower prior to attending his legal visit. This writer alio provided him a toothbrush, toothpaste, and hygiene products. Asked about the alleged incident which transpired yesterday resulting in his placement on Suicide Watch, Mr. EPSTEIN said he is frustrated he has been placed in a "punishment cell for no reason." Specifically, Mr. EPSTEIN was referring to his placement in the SHU. Asked to recall the events surrounding the alleged incident, Mr. EPSTEIN sal his cell mate was "playing with a bed sheer and he claimed he does not recall the events thereafter. He said he r fled eating meat and drinking water and claimed the next event for which he has memory is his hearing himself snore aid waking up on a stretcher. Mr. EPSTEIN claimed he does not recall himself or his cell mate tying a string or rope around his neck. He said he has "been trying to remember and "wracking his mind." Asked if he experienced any interpersonal issues with his cell mate, Mr. EPSTEIN described his cell mate as "agitated" and claimed his cell mate called him a "pedophile" for the first time yesterday. His cell mate was also reportedly reading a newspaper article about Mr. EPSTEIN, which bothered him and it was something he believed to be "strange" for their to be an article about him in his cell. Mr. EPSTEIN recalled throwing away the newspaper photograph of himself by crumpling it and flushing it down the toilet. Asked if his cell mate ever threatened to harm him, he denied this to be the case. Asked why he told the inmate companions yesterday his cell mate tried to kill him, while also claiming no memory of the incident, Mr. EPSTEIN again said he did not recall the incident and further stated, "I don't know if he put it there as a joke." Mr. EPSTEIN explained he had been experiencing difficulty sleeping in his SHU cell due to his inmate peers banging on the cell door and window, but has not been experiencing any other acute issues other than this. Reason for Removal from Watch Mr. EPSTEIN stated, "I have no interest In killing myself." He explained although his situation is "not perfect due to his being incarcerated, he noted he has "lots to do for [his] legal case." He described having a "wonderful life," to include interactions with Interesting people and projects." He said "it would be crazy" to take his life. He furthered, "I would not do that to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychological Observation rather than in the SHU. He asked if he could remain on this status for a couple of days, he was advised his housing situation will be re-evaluated on a day-to-day basis. He expressed a desire to be housed in general population rather than in the SHU and asked If there were a "safer' unit for him to be housed In comparison to the one where he was initially placed. Mr. EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be maintained on Psychological Observation in the near future, but his long-term housing situation will be revisited, as it is not Ideal for one to remain in isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN acknowledged this information and thanked this writer for her explanation and time. DiagnosIs• No Diagnosis, No Dx - Current Conclusions The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Recommendations 1. Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation. 2. While on Psychological Observation, he will be continuously observed by Inmate Companions. 3. While on Psychological Observation, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Mr. EPSTEIN was provided novels and a r uest was made for his legal paperwork to be provided to him on Psychological Generated 07/24/2019 12:09 by Bureau of Prisons - NYM Page 2 of 3 EFTA00132580 la\ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M NYM Unit Team: 5 Date: 07/24/2019 09:23 Provider: I h D. Observation. 6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to slate his constipation. 7. Mr. EPSTEIN attended a legal visit today, after having been provided a shower. 8. Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. 9. The inmate was encoura ed to reach out for PRN services should he experience any psychological distress. Completed b /24/2019 12:09 Generated 0724/2019 12.09 by Ph.D. Bureau of Pnsons - NYM Pegs 301 3 EFTA00132581 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED- Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 1 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: 5 Date: 07/25/2019 10:14 Provider: PhD/Chief Focus of Session Inmate Epstein was seen by this writer this morning while on psychological observation in the hospital area of the prison. Subjective/Objective Presentation Inmate Epstein was in good spirits today and engaged in reciprocal conversation with this writer this morning. He smiled and remarked, 'welcome back' when this writer arrived. He continues to assert he does not remember how he received marks around his neck, remarking "I do not remember anything, maybe you can give me some cries." He stated he just remembers going for a drink of water and the next thing he knew he woke up to the sound of his own snoring. When this writer attempted to get a more detailed account from him, indicating that it would be rare to have such impairments in memory as he does not suffer from an acute cognitive disorder, he smiled and said he understood my position. Inmate Epstein did reveal he is unhappy with his current confinement in Special Housing (SHU) as he considers it "a punishment cell." He said he finds the restrictions up there unfair as he has not done anything wrong. Inmate Epstein stated he feels it is dangerous in the SHU, he cannot sleep well up there due to noise from the other inmates, it smells, and it is difficult for him to work on his legal case up there. He stated he has not received the phone calls he was promised nor has he been able to receive recreation. It was explained to him that he spends the entire day in the attorney conference room and it is likely that he has missed the times when staff members have attempted to give him phone calls and recreation. Inmate Epstein also reported complaints about the attorney conference room, stating they do not take him to the bathroom frequently enough. Inmate Epstein adamantly denied any suicidality at this time, stating 'I am too vested in my case to fight it I have a life and I want to go back to living my life.' He denied any acute symptoms at this time. According to his log book, he has been eating, drinking, sleeping, and interacting with the inmate compan ens. He has also been attending his daily legal visits. I bltenituttiolibil I Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additio / al coping strategies. Inmate EPSTEIN was mostly receptive to these interventions. He requested to be housed in general population rather than the SHU and stated he wanted to remain on psychological observation due to his concerns with being in the SHU. Progress/Plan In an abundance of caution, inmate Epstein will remain on psychological observation. He has yet to give an account of how he sustained the marks around his neck, is not revealing much about his mental status, and there are concerns about his adjustment at this time to being housed in the SHU. Inmate Epstein will be seen daily by psychology while on psychological observation. Completed by-, PhD/Chief Psychologist on 07/25/2019 10:43 Gene ra tee 07125/2019 1043 by M, PhD/Calor Bureau of Prisons - NYM Page 1 of I EFTA00132582 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 76318-054 Date of Birth: 01/20/1953 Sex: rN Facility: NYM Unit Team: 5 Date: 07/26/2019 09:09 Provider: f= (=PhD/Chief Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation Prior to this writers contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). With regard to the events which lead to his initial placement on suicide watch, inmate Epstein stated he has no memory of the event. He asked to speak with his old cellmate "Nick" to see if he can tell him what happened or seeif his memory could be triggered. He remarked, "I am still trying to figure out how I got this (pointing to the scab round his neck)." Inmate Epstein denies remembering harming himself and/or being harmed by his cellmate. He does not exhibit symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the Inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prisdn adjustment. Correctional Staff report during his legal visits, he Is interacting with his attorney, animated, laughing, and joking. Intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday. He continues to be vague and reports memory deficits regarding the events which lead to a piece of sheet being placed loosely around his neck and marks with scabs around his neck. Completed by a PhD/Chief Psychologist on 07/26/2019 10:05 Generaled 07126/2019 10.05 by M, PhDiChiel Bureau of Prisons - MIA I Patriot 1 EFTA00132583 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: 5 Date: 07/27/2019 07:14 Provider: PsyD Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, an When interviewed, he st ill cannot remember what happened in SHU that caused the marks on his neck. He stated that for the 5 days b had only slept about 30 minutes each night because of noise in SHU. He stated he is anxious about going back because he stated he is going back to a place where he had gotten marks on his neck and he does not know why He said he has an appetite and is eatir He said is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water be stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his t of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood ly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential ntial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. t engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated' " He added he does not like pain and even does not like when he has to give blood. He agreed to immedia t aff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He do o be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate ions if he has these thoughts. Interventionfsi Supportive and educative interventions were provided. He was given Tumin ndouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart th given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him l)9 Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing a be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by M. PsyD on 07/27/2019 08:16 Generated 0727/2019 08:16 by Pay() Bureau of Prisons • NYM Page 1 of 1 EFTA00132584 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/27/2019 07:14 Facility: NYN Amendment made to this note by M, PsyD on 07/28/2019 09:19. Bureau of Prisons - NYM EFTA00132585 90A-NY-3151227 Serial 92 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Psychology Notes from July 9, 2019 Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided MCC psychology notes from 7-9-2019 regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132586 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft 76318-054 Date of Birth: 01/20/1953 Sex: M FacLryLli NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: =PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Singe Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on sychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is t a suicide watch at this time. Reason for Referral Inmate Epstein is being seen f e risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instru &D staff s well as the Lieutenants Office, to immediately notify the psychology department when he returned fr . Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychol ALlterview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victimmha gipetrator of physical or sexual abuse. EditcaticinaingiatyirdnititiviaMpainnt Inmate Epstein reported he obtained his high school diplomdWld ed some graduate classes in the area of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail nse charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of mental health treatment, either on an inpatiellr tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d yracute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever efging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen (or a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Gemmed 07/09/2019 10:36 by-.- PhD/Chiof Bureau of Prisons • NYM Pa0o 1 of 3 EFTA00132587 - Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01120/1953 Sex: M FaaVL NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider =PhD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP N was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with approp 'a e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts nized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or ma to behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and curre eation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agree tact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS SSED: This writer screened the inmate for a variety o vakdated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connect ender status Of the DYNAMIC risk factors assessed, none were foundo$r t. The following PROTECTIVE factors were assessed to be pres may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suici j 1jntention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above. Inmate Epstein is a 66-year-old Caucasian male. He k factors for suicidality at this time including a high profile case with extensive media attention, sex offense/t arges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his leg Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not hay ationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors alt Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requeste n call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is go t sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "be n." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as' petent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS. No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by-.- PhD/Chief Bureau of Prisons - NYM Page 2 of 3 EFTA00132588 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M F49:litL NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: lig,M PhD/Chief Psychologist RECOMMENDATIONS sex offense Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current to be confined in a suitable housing unit. Inmate Epstein charges and extensive media coverage on the television, he will need be seen for a psychologic al observation follow-up session once he will be seen daily while on psychological observation and will the need for psychologica l intervention, self-help materials, or follow-up. is released from observation. Inmate Epstein denied shows no significant level He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who of functional impairment associated with a mental illness and demonstrate s no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed PhD/Chief Psychologist on 07/09/2019 10:36 MCI PhD/Chiol Bureau of Prisons - NYM Page 3 of 3 Generated 07109/201910:36 OyMil. EFTA00132589 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 763 8-054 Date of Birth 01/20/1953 Sex: M Race WHITE Encounter Date: 07/09/2019 08:41 Facility: NYM Amendment made to this note by a PhD/Chief Psychologist on 07/10/2019 09:20. Bureau of Prisons - NYM EFTA00132590 "SENSITIVE BUT NCLASSIFIED" Bureau of Prisons Psychology Services Suicide Risk Assessment EPSTEIN, JEFFREY EDWARD Reg If 76318-054 Inmate Name: Date of Birth: 01/20/1953 Sex M Sir NYM Unit Team A&O Date: 07/09/2019 08:41 Provider. PhaChief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Medical Record, Clinical Interview for Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8/19 precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psycholoc, ice' observation at-risk contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed same factors for suicidafity. Reason for Referral various Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstein has risk factors for suicidally at this time including a high profile case with media attention, sex offense/traf ficing charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenants Office, to Immediately notify the psychology department when he returned from court Inmate Epstein returned from court after duty hours and denied y suicidafity. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionar . psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment pevelnnmental HIctory Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the area of mathematics. Arrest History and Experience of Incarceration in Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting rostitution) the past. He is now being charged with sex trafficking, on a federal level. Mental Health History I mate Epstein Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. denied any treatment in the past or present with psychotropic medication. He also denied any acute men health symptoms at this time. Self-Harm History suicide inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns feeling Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associate with for a suicidality_ He denies any suicidality at this time and has no mental health or suicide history. He is being seen suicide risk assessment in an abundance of caution. Current Mental Generated 07/1or2oi 9 09:20 by-.- PhO/Chief Bureau of Prisons NYM Page I of 3 EFTA00132591 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M NYM Unit Team. A&O Date: 07/09/2019 08:41 Provider F PhD/Chief Psychologist Level of Consciousness: Alert and Oriented Psychomotor Activity Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with rormal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, cir mstantial or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal though disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal Ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Sex offender status, Lack of family connections, High Profile Crime Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suici e:Wilingness to engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideation/intention/plans, Adequate problem solving skills, Able to identify reasons to live As noted above. Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality a this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, a d he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. I Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epst(i!,in adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to m et with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said 'I have my paper spoon here." He reported he is going to have a ball hearing on Monday and believes he Is going to be releas from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fu " He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "compete t" Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family membe have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of tudy. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suici e history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS- No Diagnosis, No Dx - Current Generated 07/10/201909:20 by-.- PhD/Ch:ef Bureau of Prisons. NYP.I Page 2 of 3 EFTA00132592 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M a iii NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: =, PhD/Chief Psychologist CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATION Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his rent sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing un Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-u session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materi s, or follow-up. He has been classified as a CC1-MI-I inmate at this time. CARE1-MH is indicative of an inmate who shows rx significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health teivention. Suicide Watch: A suicide watch Is not warranted at this time Completed by M. PhD/Chief Psychologist on 07/10/2019 09:20 Goneroled 07110/2019 09:20 by M, PhD/Chlof &WOW of Prisons NYM Pogo 3 of 3 EFTA00132593 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 10:13 Provider: ilaPhD/Chief Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the ast. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink Presenting Problem/Sym Inmate Epstein was seen sk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on h ology Questionnaire (PSICI) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors y including a high profile case with media attention, sex offense/trafficking charges. pre-trial status, and he had proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein return rom court • er duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on . ,.; ionary psychological observation status until psychology could interview him this morning to conduct a fo risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health proble s not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologi nd is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-M e of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires ention on an as-needed basis. Care Level Formulation Oi CARE1-MH is indicative of an inmate who shows no significant level of airment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by a, PhD/Chief Psychologist on 07/09/2019 10:32 Ebeir Generaled 07A39/2019 10:32 by-.- PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00132594 Bureau of Prisons Health Services See Amendment Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sox M Race: WHITE Date of Birth: Facility: NYA8 Encounter Date: 07/09/2019 10:13 Amendment made to this note by PhD/Chief Psychologist on 07/09/201910:40. Bureau of Prison- NYM EFTA00132595 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/201910:13 Provider. PhD/Chief Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. presenting Problem/Symotom Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautions reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSI0) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate EpStein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Plannostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of sulcidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no ntifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical Intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated wi a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by M, PhD/Chief Psychologist on 07/09/2019 10:40 Generated 07709/2019 10'40 by M. PhD/Chief Bureau of Polsons-MIA I Pagel oft EFTA00132596 90A-NY-3151227 Serial 93 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Psychology Notes from July 8, 2019 Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided MCC psychology notes from 7-8-2019 regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132597 "SENSITIVE BUT UNCLASSIFIED" Bureau of Prisons Psychology Services Intake Screening Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M SI NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider. PsyD/PhD Limits of Confidentiality Limits of confidentiality were reviewed with inmate EPSTEIN. He expressed an understanding of the limits of confidentiality and consented to be interviewed accordingly. Data Sourcefs) The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SENTRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arriving at MCC-NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnaire. Mental Health History and Current Symptoms No history of mental health issues was noted. No history of prior mental health treatment was noted. No current mental health symptoms were noted. No suicidal ideation, attempts, or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant Psychosoclal History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months for prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was liiing in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarce • n. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex tr fficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as w II as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported was not currently interested in any treatment programs. MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He was fully cooperative, maintained good eye-contact, and related in an Interpersonally appropriate manner with interviewer. Speech and thought processes were organized, coherent, logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as reflected by adequate long and short-term memory, good attention, and appropriate concentration during interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances and described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or plan and contracted for safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helpless or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors or attempts. This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping skills and facilitate adjustment to Incarceration, Findings Care Level: CARE1-MH Generated 07/08/2019 09:30 by Payer/PTO Buroau of Prisons NYM Page 1 of 2 EFTA00132598 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 78318-054 Date of Birth: 01120/1953 Sex: M li NYM Unit Team: MO Date. 07/08/2019 09:24 Provider: . PsyD/PhD Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychology services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by PsyD/PhD on 07/082019 09:30 Generated 07/08/2019 09 30 by PsyD/PhD Bureau of Prisons • NYM Page 2 of 2 EFTA00132599 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED— Psychology Services Risk of Sexual Abusiveness Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team A&O Date: 07/08/2019 09:35 Provider: PsyD/PhD Comments Risk of Sexual Abusiveness Dunng the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due t• previous perpetration of sexual abuse in the community or in an Institutional setting, as evidenced by the following criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prier convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on todays date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein Indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were asse sed and include: ( ) History of prior sexual victimization in prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( )%fifitnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at (X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significant), alter his risk level.). Programming recommendations Included sex offender treatment. Inmate Epstein declined programming recommendations.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed In a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriates for general population at this facility. This inmate should not be housed with any inmates judged to be at an I aced risk for sexual victimization. Programming recommendations include XXXXX. Inmate =inmateLastName is ag able to/ declined programming recommendations. Generated 07f08/2019 09:41 by PsyDrPhO Bureau of Prisons NYM Page 1 of 2 EFTA00132600 Inmate Name: EPSTEIN, JEFFREY EDWARD Ftegt. 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Tam MO Date: 07/08/2019 09:35 Provider: . PsyD/PhO Completed by PsyD/PhD on 07/08/2019 09:41 Generated 07/08/2019 09:41 by PsyD/PhD Bureau of Prisons - NYM Pogo 2 of 2 EFTA00132601 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg it. 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team.' A&O Date: 07/08/2019 10:41 Provider: PhD/Chief Comments This writer consulted with Dr. Robert Nagle, Central Office, regarding inmate Epstein. Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense charges, pre-trial status and a court proceeding today which could potentially be giving him bad news regarding his legal situation. As such, whim inmate Epstein returns from court, R&D staff as well as Lieutenants have been informed to immediately notify the psychology department. If he returns after duty hours, the aforementioned staff were instructed to notify the on-call psychologist and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment Completed by In PhD/Chief Psychologist on 07/08/2019 10:49 Generated 07/08/Z010 10-49 by-. PhD/Chlef Bureau of Prisons • NYM Pawl of 1 EFTA00132602 90A-NY-3151227 Serial 94 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Medical Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided BOP medical notes regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132603 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 4: 76, 18-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: MLP Unit: HO Thorax: Contour Normal:Yes Increased AP Diameter: No Asymmetrical Expansion:No Lungs Clear: Yes Wheezes: No Crackles: No Rhonchl: No Rates: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM:Yes Tondernoss:No Comments: Cardiovascular: RRR: Yes Normal S1/S2: Yos Murmurs: No Carotid Bruits:No JVD: No Arteries: Right Left Radial: Femoral: Dorsalis Pedis: Post. Installs: Comments: Goaerale\7 07/09/2019 13:03 by MLP Bureau of Prisons • NYM Page 10 of 13 EFTA00132604 Reg #: 7 18-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Provider: MLP Unit 1 Encounter Date: 07/09/201912:35 Abdomen: Normal Contour:Yes Scaphold: No Obese: No Gravid: No Hernias: No Bruits: No Masses:No Scars: No Tenderness: No Organomogaly: No Active Bowel Sounds: Yes Comments: Extremities: Nails Clubbing: No Nails Cyanosis: No Lower Extremity Edema - Right: None Lower Extremity Edema - Left: None Atrophy: No Amputations: No Other Deformities: No Varicosities:No Calf Tenderness: No Pulse Deficit: No Strength: Fight Left Arm: Log: Full ROM: Right Arm: Yes Yee Leg: Yes Yes Comments: MLP Etwoau of Prisons NYM P. 11 of 13 Gene:rood 07/0912019 13:03 by EIM. EFTA00132605 Reg it 76 18-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Provider. a MLP Unit: Encounter Date: 07/09/2019 12:35 Reflexes: flight ken Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia: Not Done Comments: Refused. Skin: Normal:Yes Rash: No Redness:No Abnormal Pigmentation: No Abnormal Lesions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: Item Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD Administration Not Performed Comments: Patient has a history of constipation. Page 12 of 13 Generated 07/09/2010 13:03 by . MLP Bureau of Prisms - NYM EFTA00132606 Reg #. 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01120/1953 Sex: : WHITE Facility: NYM Date: 07/09/2019 12:35 Provider Unit: H01 Encounter Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - Now Medication Orders: # Medication. Order Date altadindfli Bisacodyl E.C. Tablet 07/09/2019 12:35 5 mg Ordy et bedtime PFtN x 10 day(s) Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: Yes TelophoneNerbal Order No Completed MLP on 07/09/2019 13:03 Requested to be cosigned by NM= MD. Cosign documentation will be displayed on the following page. Generated 07/09/2019 13:03 by MEIMLP Bureau of Prisons • NYM Pio 13 of 13 EFTA00132607 Bureau of Prisons Health Services Cosign/Review Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE 01/20/1953 Sex: M Date of Birth: MLP Facility: N M 07/09/ 2019 12:35 Provid er: Encounter Date: Cosigned by MD on 07/11/2019 22:41. Burew W ftilscm - WM EFTA00132608 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Health Problems Health Problem atatua Hyperlipldemia, unspecified Current HYPERTRIGLYCERIDEMIA Sleep apnea Current Essential (primary) hypertension Current BY HX. Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified Current R/O self Inflicted injuries. Body mass index (BMI) 27.0-27.9, adult Current In lorded. Medications: All medications to be continued until evaluated by a physician unless otherwise Bolded drugs required for transport. ily for 30 days Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice 01/22/2020 SIG: Take one capsule (100 MG) twice daily by th with plenty Docusate Sodium 100 MG Cap Exp: of water th twice Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10mI by daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by uth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments lima Activity Provider Dale 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order Order Date Frequency Dualism Retails EKG 07/06/2019 One Time 66 y/o male Focal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No RN Bureau of Prisons - NYM Page 1 of 2 Generated 08/10/2019 07:00 by EFTA00132609 Reg 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD d. SENSITIVE BUT UNCLASSIFIED — This Won-nation Is confidential and must be appropriately safeguard Limitations:Restrictions/Diets: Cell: lower bunk — 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. — 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: Address 2: City/State/Zip: NEW YORK, New York 10007 Nameriltle of Person Completing Form: RN Dal 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Generated 08110/2019 07:00 by RN Bureau al Prisons - NNW Page 2 of 2 EFTA00132610 Bureau of Prisons Health Services Vitals All Begin Date: 07/07/2019 End Date: 08/10/2019 Rog it: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Temperature: Data Tiffin FahrenheitCeishot Location Provider 07/24/2019 13:12 NYM 97.8 36.6 Oral .MLP Orig Entered: 07/24/2019 13:14 EST ■ MLP 07/23/2019 06:30 NYM 97.5 36.4 Oral Orig Entered: 07/23/2019 08:33 EST MLP 07/09/2019 12:49 NYM 97.3 36.3 Oral . MLP Orig Entered: 07/09/2019 12:51 EST MLP Pulse: Data Time Rate Per MInuta I ocation Rhythm EmuIda 07/30/2019 13:02 94 Orig Entered: 07/30/2019 13:04 EST MD 07/30/2019 09:40 88 Via Machine Orig Entered: 07/30/2019 13:04 EST MO 07/30/2019 09:30 87 Via Machine Orig Entered: 07/30/2019 12:59 EST MD 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST RN 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST RN 83 Via Machine Regular MLP 07/24/2019 13:12 Orig Entered: 07/24/2019 13:14 EST . MLP 92 Via Machine Regular ML,P 07/23/2019 06:30 Orig Entered: 07/23/2019 08:33 EST . MLP 82 Via Machine Regular .MLP 07/09/2019 12:49 Orig Entered: 07/09/2019 12:51 EST MLP Respirations: Rata Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 MD Orig Entered: 07/30/2019 12:59 EST MD 07/28/2019 20:28 NYM 14 RN Orig Entered: 07/28/2019 20:29 EST RN 07/28/2019 06:57 NYM 14 RN Orig Entered: 07/28/2019 06:58 EST , RN 07/23/2019 06:30 NYM 16 . MLP Oily Entered: 07/23/2019 08:33 EST . MLP 07109/2019 12:49 NYM 16 . MLP Orig Entered: 07/09/2019 12:51 EST . MLP Bureau of Prisons - NYM Pogo 1 or 3 Generated O8110/2019 11:02 by EFTA00132611 End Date: 08/10/2019 Begin Date: 07/07/2019 Reg #: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD Blood Pressure: Time Value I °cation Position Cuff Size provider Date 07/30/2019 13:02 NYM 114/84 Left Arm Standing Orig Entered: 07/30/2019 13:04 EST MD 07/30/2019 09:40 NYM 125/60 Right Ann Standing Orig Entered: 07/30/2019 13:04 EST MO 07/30/2019 09:30 NYM 108/86 Left Ann Sitting Orig Entered: 07/30/201912:59 EST MD 07/28/2019 20:28 NYM 157/91 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 138/80 Orig Entered: 07/28/2019 06:58 EST aiRN Right Arm Sitting Adult-regular ML 07/24/2019 13:12 NYM 132/89 Orig Entered: 07/24/2019 13:14 EST MLP Right Arm Sitting Adult-regular ML 07/23/2019 06:30 NYM 140/85 Orig Entered: 07/23/2019 08:33 EST MLP Right Arm Sitting Adult-regular ML 07/09/2019 12:49 NYM 117/66 Orig Entered: 07/09/2019 12:51 EST MLP Blood Glucose: Date Time Value imaldll Tyoe Regular Insulin provider 156 Non-Fasting RN 08/04/2019 08:30 Orig Entered: 08/04/2019 09:08 EST RN 08/02/2019 06:30 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST MLP 08/01/2019 06:30 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST Ma MLP 07/31/2019 06:15 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST Ma MLP Sa02: Dais Time Valuer%1 Aft Provider 07/30/2019 09:30 NYM 98 Room Air MD Orig Entered: 07/30/2019 12:59 EST MD 07/28/2019 20:28 NYM 98 RN Orig Entered: 07/28/2019 20:29 EST Milt Mill. 07/28/2019 06:57 NYM 98 RN Orig Entered: 07/28/2019 06:58 EST a RN 07/24/2019 13:12 NYM 96 Room Air . MLP Orig Entered: 07/24/2019 13:14 EST =M. MLP 07/23/2019 06:30 NYM 96 Room Air Miff MLP Orig Entered: 07/23/2019 08:33 EST MLP 07/09/2019 12:49 NYM 97 Room Air . MLP Orig Entered: 07/09/2019 12:51 EST MLP Height Concealed 09/10/2019 11:02 by Bureau of Prisons NYM Pepe 2 of 3 EFTA00132612 Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Data II= Inches Cm Provider 07/09/2019 12:49 NYM 70.0 * 177.8 MLP Orig Entered: 07/09/201912:51 EST a MLP Weight: D.A.Ltt Emit 1n Kg Weicc .In1 Provider 07/30/2019 09:30 NYM 194.2 88.1 ~nip Orig Entered: 07/30/2019 12:59 EST MD 07/09/2019 12:49 NYM 194.4 88.2 MLP Orig Entered: 07/09/2019 12:51 EST a MLP Generaled 08/10/2019 11:02 by Bureau of Prisons - NYM Pass Set 3 EFTA00132613 Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD j,ocatIon Provider Reading' Induration 07/06/2019 21:39 Right Forearm Kang, Yoon PA-C 07/09/2019 12:47 0 mm INS MLP Orlg Entered: 07/06/2019 21:43 EST Kang, `loon PA-C Ong Entered: 07109/2019 12:47 EST MI MLP Total: 1 Generated 08/10/2019 11:02 by RNAOP/IDC Bureau of Prisons - NYM Page I 011 EFTA00132614 JULY 2019 76318-054 EPSTEIN, JEFFREY Medication Administration Record Medication Orders Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Cock Dina Boadosto, Robert ILO 0780/19 PRN 1421 Inject r:oue: suboutanoeusty per Exp. Dab dlde‘e ',col,: nuke day tor 7 07/3819 days 1081 122148- NYM tesefah Reg (10 NC) 160 istimsw.tri4 Oct Date Bandesi!, Robert AID 07f31/19 PF84 1080 bjea mauler Pesubn subcutaneously par Dato Rhino sad*: each morning for 7 days ~NU (8.87/19 8~- 0959 NYM 122160- NYM lose La Reg (10 114)100 UNITS/ML Ln( -PfovIdersn-YJ = Documentation Codes: ORD = Order I NI = Dose Not Indicated Pt. Name: EPSTEIN, JEFFREY DOB: 0120/53 Regclrabon ft 76318-054 11:02 EST Kopod information is arrant as of IRS dato end free of printing: 08/100019 EFTA00132615 76318-054 EPSTEIN. JEFFREY AUGUST 2019 Medication Administration Record Medication Orders Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 04. 0alo Bandote-t. Robert IAD 07/31119 Pith 1899 Ir*rt So' Ins win subcutanooesty per Esp. On MOlag scale: oath rooming for 7 days 0247119 too"' 0959 NYM 122160- ?NM Liam Rog (10 ML) 100 UNITS&IL 04; Providers: YJ = Joa Documentation Codes: ORD = Order I NI = Doso Not Indicated Regdtratton 0: 76318-054 Pt. Name: EPSTEIN. JEFFREY DOB: 01/20/53 Roped Infcanston Is current as of Itie data and limo of printing 09/1072019 11:02 EST EFTA00132616 Bureau of Prisons Health Services Devices and Equipment Start Date: 07/07/2019 Stop Date: owl012019 Reg #: 76315-054 Inmato Name: EPSTEIN, JEFFREY EDWARD Peaks/Equipment Start Pate Stop Date Pate Returned Obtained From Comments C-Pap 07/30/2019 14:05 EST 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P1131281381ED. Total: 1 Page 1 of 1 Generated 0811012019 11:02 by RNAOPADC Bureau of Prisons - NYM EFTA00132617 Bureau of Prisons Health Services Pain Management Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD lagg intervention Pain Quality Location Ea Post Provider 07/12/2019 13:25 MEDROL DOSE PACK Shooting Back-Middle 5 MD Orig Entered: 07/1212019 13:28 EST MD Generated 09/102019 11:02 by RN/IOPADC Bureau of Prisons - NYM Page 1 of 1 EFTA00132618 Bureau of Prisons Health Services Modified Diet Re uest Types of Diets: Clear Liquid Exp Date: Low Fat Exp Date: Mechanical Soft Exp Date: Low Cholesterol Exp Date: Low Triglyceride Exp Date: Renal Exp Date: Full Liquid Exp Date: Sodium Controlled Exp Date: Snack Exp Date: Diabetic Exp Date: Calorie Controlled Exp Date: X Other. FISH ALLERGIES. Exp Date: 07/30/2020 Comments: Health Service Staff EPSTEIN, JEFFREY EDWARD 76318-054 07/30/2019 Inmate Name Reg# Date Generated 07/3012019 14:57 by MD Bureau of Prisons NYM Page 1 of 1 EFTA00132619 Bureau of Prisons Health Services Allergies Reg #: 78318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Pate Noted Reaction No Known Allergies 07/06/2019 OrIg Entered: 07/06/2019 21:40 EST Kang, `loon PA•C Total: 1 Generated 08/10/2019 11:02 by Bureau of Prisons • NYM Page 1 of 1 EFTA00132620 Bureau of Prisons Health Services Patient Education Assessments & Topics Reg IS: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Rest Ay primary I anguagri Years of Education FiatheaThntucatiCal Provider 07/09/2019 Speaking/Listening English 12 None 0rig Entered: 071091201912:52 EST M. Total: 1 Topics pate Initiated Format Handout/Toplb Outcome Provider 07/30/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/30/2019 13:33 EST 07/30/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/30/2019 13:34 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/28/2019 07:22 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/28/2019 20:30 EST Columbia, 07/24/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/24/2019 13:23 EST ME. 07/24/2019 Counseling Preventive Health Verbalizes Understanding Ong Entered: 07/24/2019 13:23 EST a 07/23/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/23/2019 09:04 EST -07123/20-1-9--- Counsaling Plan of_Care Verbalizes Understanding Orig Entered: 07/23/2019 09:04 EST 07/14/2019 Counseling . Diagnosis Verbalizes Understanding Orig Entered: 07/14/2019 18:11 EST 07/12/2019 Counseling Diagnosis Verbalizes Understanding Generated 08/10/2019 11:02 by RMOPADC Bureau of Prisons - NYM Page 1 of 2 EFTA00132621 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics HandoutfTooic Outcome Provider Pate Initiated Format Ortg Entered: 07/12/2019 13:33 EST Total: 10 Page 2 oft Generated 08/1012019 11:02by RNnOWIDC Bureau of Prisons • NYM EFTA00132622 Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Dato: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) DAR lama Yalua IY121 Comments 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST MI BERN 08/02/2019 08:30 NYM 97 Non-Fasting Orig Entered: 08/0212019 08:16 EST =11 MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST MLP 07/31/2019 08:15 NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST MEM MLP Total: 4 Generated 08/10/2019 11:02 by RNAORIDC Bureau of Prisons - NYM Page 1 of 1 EFTA00132623 Bureau of Prisons Health Services Health Problems Reg $1: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Me Code Tyn Code Diag..Mate Status. Stalus.Dele. Descnotion Current HyperlIpIdemla, unspecified 07/12/2019 13:48 EST MD ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea MD ICD-10 G4730 07/12/2019 Current 07/12/2019 13:56 EST Essential (primary) hypertension MD ICD-10 110 07/30/2019 Current 07/30/2019 13:13 EST BY HX. Constipation, unspecified MLP ICD-10 K5900 07/09/2019 Current 07/09/2019 12:58 EST a Low back pain ICD-10 M545 07/12/2019 Current 07/12/2019 13:30 EST Neuralgia and neuritis, unspecified MD ICD-10 M792 07/12/2019 Current 07/12/2019 13:30 EST No Diagnosis PhD/Chief I DSM-IV No Dx 07/09/2019 Current 07/09/2019 10:28 EST RIR Prediabetes MD ICD-10 R7303 07/30/2019 Current 07/30/2019 13:26 EST Injury, unspecified MLP ICD-10 T1490 07/23/2019 Current 07/23/2019 09:04 EST a R/O self inflicted injuries. Body mass Index (BMI) 27.0.27.9, adult MD ICD-10 Z6827 07/30/2019 Current 07/30/2019 13:14 EST Total: 10 Pa;o 1 or 1 Generated 08/10201911:02 by RNIIOPROC Bureau of Prisons - NYM EFTA00132624 90A-NY-3151227 Serial 95 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Medical Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided BOP medical notes regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132625 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318.054 Inmate Name: EPSTEIN. JEFFREY EDWARD Sex: M Race: WHITE Facility: NYM Date of Birth: 01/20/1953 Provider: MD Unit: Z05 Encounter Date: 07/12/2019 13:10 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HITE MALE WITH HX OF HYPERT CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS EIR GI SIDE EFFECTS. HX OF O UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unkempt, Acutely III Nutrition Ho: Appears Obese Genet/tied 07/12/2019 bk20 by Bureau of Prisons • NYM Page 1 of 3 EFTA00132626 Inmate Name: EPSTEIN. JEFFREY EDWARD Reg ft 76318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal Si and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active B Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic 41) Cranial Nerves (CN) Yes: W Systemn ithi Normal Limits Motor -General Yes: Normal Exam 0: 4 0,120 ASSESSMENT: Constipation, unspecified. K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current 0let PLAN: New Medication Orders: Bra Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally • Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethylPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by MD Bureau of Prisons • NYM Page 2 of 3 EFTA00132627 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 1/: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM l Encounter Date: 07/12/2019 13:10 Provider: MD Unit: Z05 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Formal Handout/Topic Provider Outcome 07/12/2019 Counseling Diagnosis Beaudouin, Robert Verbalizes Understanding Copay Required:No Cosign Required: No TelephoneNerbal Order: Completed b n 07/12/2019 14:20 Generated 07/12/2019 14:20 by MD Bureau of Prisons NYM Page 3 of 3 EFTA00132628 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Dale: 07/12/2019 13:10 Provider: MD Unit: Z05 Chronic Care -14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HITE MALE WITH HX OF HYPERT CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS 9, EIR GI SIDE EFFECTS. HX OF O iS)14ii LIVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. '•1 q? HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMI S. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid. Pulmonary/Respiratory. Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic. Appears in Pain, Writhing in Pain, Pale. Pallor, Cyanotic. Diaphoretic. Disheveled, Unkempt. Acutely III Nutrition No: Appears Obese Generated 07/12/2019 14:20 by MD Bureau of Prisons • NYM Page 1 or 3 EFTA00132629 Inmate Name: EPSTEIN. JEFFREY EDWARD Reg )4: 76318-054 Date of Birth: 01)20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat d.Rhythm (RRR). Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active 8 Palpation Yes: Within Normal Limits MUSCUloskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified. K5900 - Current Hyperlipidemia, unspecified, E785 Current Low back pain, M545 - Current Neuralgia and neuritis. unspecified, M792 • Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: EK.# Ke_dkation Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - T o Times a Day PRN x 2 day( ) Indication: Constipation, unspecified MethylPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED ly - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14'20 by MD Bureau of Prisons • NYM Page 2 of 3 EFTA00132630 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg It: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: MD Unit: Z05 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format Handout/Toeic Pr_oytdes. Outcome 07/12/2019 Counseling Diagnosis Verbalizes Understanding Copay Required:No / Cosign Required: No TelephoneNerbal Order: Completed by cZn 07/12/2019 14:20 Generated 07/12/2019 14 20 by MO Bureau of Prisons • NYM Page 3 of 3 EFTA00132631 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 71 8-054 Date of Birth: 01/20/1953 Sox: M Race: Encounter Date: 07/14/2019 17:36 Facility N Amendment mado to this note by MD on 07/14/2019 18:11. Bureau of Prrsons - NYM EFTA00132632 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Note Date: 07/12/2019 09:08 Provider. MD Unit: ZO5 Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. PATIENT REQUESTED TO HAVE A COLACE FtX , INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Rx# Medication Order Date prescriber Order Dccusate Sodium Capsule 07/12/2019 09:06 TAKE ONE 1r t MG CAP Orally - Two Times Day x 30 day(s) Indication: Constipation, unspecified Discontinued Medication Orders: adt Medication Order Date c ibe 121757-NYM Bisacodyl E.C. 5 MG TAB 07/1212019 09:06 Take one tatAit (5 MG) by mouth at bedtime AS NEEDED for 10 days Discontinue Type: When Pharmacy Processes Discontinue Reason:discontinue Indication: Copay Required: No Cosign Required: No TelephoneNerbal Order No Completed by MD on 07/12/2019 09:10 Generated 07/12/2019 09:10 by MD Bureau of Prisons - NYM Page 1 of 1 EFTA00132633 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Note Date: 07/07/2019 00:17 Provider- MD Unit: ECG Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. MD MED CL:1 NO CCC APPT. Discontinued Laboratory Requests: Details Frequency Due Date Lab Tests-H-Hemoglobin AlC One Time 08/05/201900:00 R• Lab Tests-C-CBC w/diff Lab Tests-L-Lipld Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Rellex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: MD New Laboratory Requests: DataHa Frequency Rue Date Priority Chronic Care Clinics-Diabetic-CBC w/diff One Time 07/25/2019 00:00 Routine Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comerehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End aatft Due Pate Edo* General Radiology-Chest-2 Views One Time 07/25/2019 Ftouline Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX REFERRED FOR ROUITNE CXR. Copay Requlrod:No Cosign Required: No TelephoneNerbal Order: No Completed by MD on 07/07/2019 00:30 Generated 07/072019 00:30 by MD Bureau of Prisons • NYM Panto% 1 EFTA00132634 Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 78318464 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Dale: 07/09/2019 12:35 Provider BIM MLP Unit r1 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough:No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 104- Mate Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Soxual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 by M. MLP Bureau of Prisons - NYM 1el 13 EFTA00132635 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7; 18-054 Date of Birth: 01/20/1953 Sex: M : WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider . MLP Unit HIV History: When Tested: 2019 Test Result: Negative Whon Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies Gantt-aux' 07/022019 13:03 by an Bureau of Prisons NYM 2of 13 EFTA00132636 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider MB MLP Unit: 14 Mental Health: Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Hx of Mental Health Treatment: None Hx of Head Injury: None Current Mental Health Treatment: No Current Mental Health Complaint: No Hx of Loss of Consciousness: No Hx of Hearing Voices: No Past History of Suicide Attempt: No Current Suicide Ideation: No Suicide Prevention Initiated:No Comments: Substance Use History: Denied Current Painful Condition: Denied Other Health Issues: Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Condition: Denied Generated 07/09/2019 13:03 by MLP Buttenu of Prisons-NYM Page 3 ad 13 EFTA00132637 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: : WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: MLP Unit 1101 Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Generated 07,09/2019 13:03 by Ea MLP Bureau of Prisons - NYM Page 4 of 13 EFTA00132638 Reg #: 76318064 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Provider: Joaquin, Y. MLP Unit: H01 Encounter Date: 07/09/2019 12:35 Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider:MEI'. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: MLP Location: Drug Mfg: Lot Number: Dosage: Routo: Exp Dt: Comments: Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Generated 07/09/2019 13:03 by MLP Bureau of Prisons - NYM 5d 13 EFTA00132639 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider. IMIll ekILP Unit: F01 Immunization Date: Provider: IMIE. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/201912:51 EST Immunization Date: Provider: NEB MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: pa a Time Fahrenheit celsjua 1,0cation Provider 07/09/2019 12:49 NYM 97.3 36.3 Oral MLP Pulse: Mgt Time Rate Per Minute Location Rfivthrrt Provider 07/09/2019 12:49 82 Via Machine Regular MLP Respirations: io Time Rate Per Minute Provider 07/09/2019 12:49 NYM 16 MLP Blood Pressure: PAO Brae yawn Location. Position Cuff Size Provider 07/09/2019 12:49 NYM 117/66 Right Arm Sitting Adult-regular MLP SaO2: to Time Value(%) Ali Provider 07/09/2019 12:49 NYM 97 Room Air MLP Height: Data Time Inches Cm Provider 07/09/2019 12:49 NYM 70.0 177.8 MLP Generated 07/092019 13.03 by a MLP Bureau of Prisons - NYM Pali 6 of 13 EFTA00132640 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: ea: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: . MLP Unit: H01 Date Time in_cheS _Ca Provider Weight: Data Time 1.bs Ka Waist Circum Emitter 07/09/2019 12:49 NYM 194.4 88.2 MLP Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Pate gd Yrs OccUrtation Learns Best By Peqa if on 07/09/2019 12 Balker Speaking/Listening English None Family History - Father. Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Numbor of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Ger-waled 07/C9/2019 13.03 by MLP Bureau of Prisons • NYM Page 7 of 13 EFTA00132641 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg*: 318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: MLP Unit Eyes: EOMI: Yes Icterus:No Conjunctival Inflammation: No Pupils PERRLA: Yes Pupil Size Rt: Pupil Size Lt: Pupils Comments: Fundi Vessels Nicking: No Fundi Vessels Discs Flat:Yes Fund' Vessels Discs Sharp Margins: Yes Fundi Vessels Grounds Abnormal: No Eyes Comments: Vision Screen 07/09/2019 12:52 Blindness: With Corrective Distance Vision: OD: 100 OS: 70 OU: OD: OS Near Vision: OD: OS: OU: OD: OS: Ishihara Color Test: Tonometry: L: R: Comments: Needs evaluation with optometrist. Ears: Right Ear: Canal patent Left Ear: Canal patent Ears Comments: Nose: Nares Patent: Yes Septum Midline:Yes Septum Intact: Yes Drainage/Discharge: No Polyps: No Nose Comments: Generated 07/09/2019 13:03 by tat? Bureau of Prisons - NYM Page 6 of 13 EFTA00132642 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01120/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/201912:35 Provider: Ia. MLP Unit: 1 Mouth Lesions:No Oral/Buccal Mucosa:Yes Gums Normal: Yes Tonsils Present:Yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact II-Xll: Yes Cranial Nerves Comments: Neck: Full ROM:Yes Masses/Nodes: No Trachea: Midline Thyroid: Normal Size Comments: Breasts: Normal: Yes Masses:No Tenderness:No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction:No Instructions for Self Breast Exam Given: No Comments: Generated 07/09/2019 13.03 by MLP Bureau of Prisons - NYM Page 9 of 13 EFTA00132643 90A-NY-3151227 Serial 96 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Medical Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided BOP medical notes regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132644 Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: OD: OS: OU: Near Vision: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Refraction - Distance Cylinder Axis Add Sphere Cylinder Axis Sphere R: R: L: L: Color Test Tonomotry: R: L: Comments: Needs evaluation with optometrist. OrIg Entorod: 07/09/2019 12:54 EST Ma MLP Generated 08110/2019 11:02 by Bureau of Prisons - NYM Pap 1el I EFTA00132645 Bureau of Prisons Health Services Immunizations Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Immuolzalloanslle Administered. Location Dosage Drug Mfg, Txp Date Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST MLP Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 1a51 EST • MU' Smallpox Series History Unknown Orly Entered: 07/09/2019 12:51 EST MLP Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST MLP Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST MLP Total: 5 Generated 08/10/201911:02 by RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 EFTA00132646 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD ?Tr , • Houslog•Stattre: tt" tr - . a. except _meals pill line _treatments Exp. Date: confined to the living quarters .. bathroom privileges only Exp. Date: on complete bed rest:.. airborne infection isolation Exp. Date: 10/09/2019 X cell: eeN on first floor single cell X lower bunk Exp. Date: other Ptinta tli;g4DniiitsTSel1/2 :ttri: Exp. Date: all spoil:4 wstuhutfting: _upper body lower body Exp. Date: softball Exp..Date: ...ctsychavascular exercise: _running _jogging _walking _football _basketball _handball stationary equipment ' 'other: Exp. Date: • O urS areigiga niiiiig •';' falergiffinagra Start Date End Date elum Date Equipment C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. • • ...-44k;:.:4":, W m tali 1rtatts:Iriart r;:dutuSk..;.t. Cleared for Food Service: Yes X No Restrictions Comments: N/A MD 07/30/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 76318.054 Quarters: Z04 ALL EXPIRATION DATES' RE AT 24:00 Generated 0811012019 11:02 by Bureau d Prisons - NYM Page I oil EFTA00132647 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD _pill line treatments Exp. Date: confined to the living quarters except _meals on complete bed bathroom privileges only Exp. Date: single cell X lower bunk airborne infection isolation Exp. Date: 10/09/2019 X cell: cell on fi t floor. other. Exp. Date: rf itag,:frit:FL effOrahrffiallo it idrictrOrign . 5?.i.t:' 1.1. WI :a '.•••••;:' all sports„;:' Exp. Data: weigtitfifting: upper body lower body Exp. Date: -cardioyascular exercise: running _jogging _walking softball Exp. Date: football basketball _handball _stationary equipment Exp. Date: haverkgfcMirgaa61PIAglirfirOWerplass'esstoliyak&itaiW: ti Wk.,..124satta ki Aratatjai sitaterfa:r 7rt,WA /4 3 Cleared for Food Service: Yes X No Restrictions Comments: N/A MLP 07/09/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 33: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by BUIVIU or Prisons • NYM Page 1 of 1 EFTA00132648 Bureau of Prisons Health Services Medication Summary Historical Begin Date: 07/07/2019 End Date: 0B/10/2019 Complex: NYM—NEW YORK MCC Reg #: 76318-054 Quarter: Z04-206LAD Inmate: EPSTEIN, JEFFREY EDWARD this report. Medications listed reflect prescribed medications from the begin date to end date on Allergies: Denied Active Prescriptions Bisacodyl E.C. 5 MG TAB Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rx#: 121757-NYM Doctor. Ili MLP Start: 07/09/19 Exp: 07/19/19 D/C: 07/12/19 Pharmacy Dispensings: 10 TAB i 32 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice daily for 30 days Rx#: 121823-NYM Doctor. MD Start 07/12/19 Exp: 08/11/19 Pharmacy Dispensings: 60 CAP ir 29 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice daily b mouth with plenty of water Rx#: 122084-NYM Doctor. MD Start: 07/26/19 Exp: 01/22/20 Pharmacy Dispensings: 30 CAP In 15 days Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice dal b mouth Rx#: 121835-NYM Doctor. MD Start: 07/12/19 Exp: 07/14/19 Pharmacy Dispensings: 473 ML in 29 days Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 10ml by mouth twice daily AS NEEDED Rx#: 122150-NYM Doctor. MD Start 07/30/19 Exp: 10/28/19 Pharmacy Dispensings: 473 ML in 11 days methyiPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed fbc#: 121836-NYM Doctor. MD Start: 07/12/19 Exp: 07/18/19 Pharmacy Dispensings: 21 tab in 29 days methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 122149-NYM Doctor: MD Start: 07/30/19 Exp: 08/05/19 Pharmacy Dispensings: 21 tab In 11 days Generated 08/10/201911:02 by Bureau of Prisms - NYM Page 1 of 2 EFTA00132649 Begin Date: 07/07/2019 End Date: 08/10/2019 Complex: NYM—NEW YORK MCC Quarter. Z04-206LAD Reg #: 76318-054 Inmate: EPSTEIN. JEFFREY EDWARD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule food Take two capsules (2 GM) twice daily b mouth with Rx#: 121885-NYM Doctor: MD Exp: 01/13/20 Pharmacy DispensIngs: 180 Cap in 24 days Start: 07/17/19 Insulin Reg (10 ML) 100 UNITS/ML Inj daily "'pill line*" for 7 days "'pill line*" Inject regular Insulin subcutaneous/ er slidin scale: twice Rx#: 122148-NYM Doctor: MD Exp: 08/06/19 D/C: 07/31/ 19 Pharmacy DispensIngs: 0 ML in 11 days Start: 07/30/19 Insulin Reg (10 ML) 100 UNITS/ML Inj g for 7 days — *pill lino— "'pill line Inject regular insulin subcutaneous) er sliding scale: each mornin Rx#: 122160-NYM Doctor: MD Exp: 08/07/19 Pharmacy DIspensIngs: 0 ML in 1 days Start: 07/31/19 Bureau of Prisons - NYM Par 2of 2 Generated 08/102019 11:02 by EFTA00132650 Bureau of Prisons Health Services Dental Health History Screen Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M Race: WHITE Facility: NYM Date of Birth: 07:54 Provider. DDS Unit H01 Encounter Date: 07/26/2019 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem ateluS. Hypertiplderrda, unspecified Current HYPERTRIGLYCERIDEMIA Steep apnea Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified Current R/0 self inflicted injuries. Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Gorarated 07/26,2019 07:59 by DOS Bureau of Prisons • NYM Page 1 of 3 EFTA00132651 Reg #: 7631 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01120/1953 Sex: Ivi Provider alliaDDS Unit: H01 Encounter Date: 07/26/2019 07:54 Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chiamydla In 2015, treated Chicken pox in childhood Other Health Issues: Other Medical Conditions And Treatmont:sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: No Methamphotamine: No Tobacco products: No Other drugs: No Sensitive tooth: No Bleeding gums: Yes Food impaction: Yes Pain around ear: No Toothache: No Wear partial dentures: No Unusual sounds while eating: No Snoring: Yes Blisters on lips or mouth: No Clenching or grinding: Yes Swelling or lumps In mouth/throat: No Burning tongue: No Bad breath: No Decayed teeth: No Loose teeth: No Wear dentures: No None: No Comments: DDS Eturuau of Prison, • NYM Pan 2 of 3 Generated 07128/2019 07:59 by EFTA00132652 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider. ADDS Unit: H01 Cardiac Condition Requiring Prophylaxis: No Prosthetic JoInt(s): No Radiation history of head or neck: No Excessive bleeding: No Bisphosphonates: No Comments: Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: twice da4 for 30 days Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth (2 GM) twice daily by north with food Omega 3 (Vascopa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules OTCs: Listing of all known OTCs this inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: No TelephoneNerbal Order No Completed by DDS on 07/26/2019 07:59 DOS Bureau of Prison NYM p.o.3 of 3 Generated 07/26/2019 07:59 by EFTA00132653 Bureau of Prisons Health Services Dental A&O Exam Reg #:. 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Provider. DS Unit H01 Encounter Date: 07/26/2019 07:47 Reviewed Health Status: Yes Occlusion: Class I Oral Hygiene: Fair CPITN: 3 2 1 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 0 1 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions Nen: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by S on 07/26/2019 07:47. Generated omenoie 08:00 by ODS Bureau of Prisons NYM papaldl EFTA00132654 Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ti: 76318-054 01/20/1953 Sex: M Race: WHITE Facility: NYM Date of Birth: Encounter Date: 07/18/2019 13:48 Provider: DeBruce, Juanita Dental Asst Unit Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable dental clinic. Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Bureau of Prisons • NYM Pogo 1 of 1 Generated 07/19/201913:49 by DeBruce. JUarala Dental EFTA00132655 Federal U.S. Medical Center for Federal Prisons Bureau of 1900 W. Sunshine Street Prisons Springfield, MO 65807 417-874-1621 "' Sensitive But Unclassified "' Name EPSTEIN, JEFFREY Facility MCC New Ycrk Collected 07/09/2019 13:34 Reg U 76318-054 Order Uri( Received 07/10/2019 10:44 DOB 01/20/1953 Provider Reported 07/10/2019 14:46 Sex M LIS ID 188191004 CHEMISTRY Sodium 137 137-148 mmol/L 4.7 3.5-5.0 mmoUL Potassium 99 99-114 mmol/L Chloride 27 22-30 mmoUL CO2 17 7-22 mg/dL BUN 1.05 0.66-1.25 mg/dL Creatinine eGFR (IDMS) >60 GFR units measured as mL/min/1.73 m"2. If African American multiply by 1.210. A calculated GFR <60 suggests chronic kidney disease if found over a 3 month period. 9.8 8.5-10.9 mg/dL Calcium 102 70-110 mg/dL Glucose H 57 11-55 U/L AST 62 11-66 U/L ALT Alkaline Phosphatase 64 41-133 U/L 1.1 0.2-1.3 mg/dL Btlirubin, Total 7.3 6.0-8.2 g/dL Total Protein 4.4 3.6-5.1 g/dL Albumin 2.9 2.0-3.7 g/dL Globulin Alb/Glob Ratio 1.50 1.00-2.30 Anton Gap 10.2 9.0-19.0 BUN/Creat Ratio 16.1 5.0-30.0 Cholesterol H 216 <200 mg/dL Triglycerides H 413 10-150 mg/dL Calculation cf LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. L 31 40-60 mg/dL HDL Cholesterol Choi/HDL Ratio H 6.9 0.0-4.0 HEMATOLOGY WBC 7.6 4.3-11.1 KfuL NRBC% 0.0 RBC 5.42 4.46-5.78 MAIL Hemoglobin 15.6 13.6-17.6 Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 IL MCH 28.8 27.1-34.9 P9 MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low Lt=Low Critical H=l-figh H!=High Cntical A=Abnorrnal Al =Abno al Critical Page 1 of EFTA00132656 U.S. Medical Center for Federal Prisons Federal t 1900 W. Sunshine Stree Bureau of Prisons Springfield, MO 65807 417-874-1621 ••• Sensitive But LInctassilled Facility MCC New York Collected 07/09/2019 13:34 Name EPSTEIN, JEFFREY Received 07/1012019 10:44 Order Un 7U Reg # 76318-054 Reported 07/10/2019 14:46 DOB 01/20/1953 Provider LIS ID 188191004 Sex M HEMATOLOGY 6.9-10.6 IL 10.4 MPV Neutrophils % 58.7 Therapeutic decision making should be based on absolu te values, rather than percentages Lymphocytes % 25.0 cto 11.1 Monocytes % Eosinophils % 4.1 Basophils 0.8 0.3 0.0-5.0 Immature Granulocytes % K/uL 4.4 1.9-6.7 Neutrcphits # K/uL 1.9 1.3-3.7 Lymphocytes # K/uL 0.8 0.3-1.1 Monocytes # K/uL 0.3 0.0-0.5 Eosinophits # K/uL 0.1 0.0-0.1 Basophils # 10"3/uL 0.02 0.00-0 .50 Immature Granulocytes # HEMOGLOBIN A1C 6.3 <5.7 Hemoglobin A1C 5.7 -6.4 Increased Risk > 6.4 Diabetes SEROLOGY Non-Reactive Non-Reactive RPR Results may be affecte d in patient s with severe ly advanc ed immunosuppression. L=Low LI=Low Critical H=High H!=High Critical A=Abnorrnal Al =Abnormal Critical FLAG LEGEND Page 2 or' 3 EFTA00132657 Federal U.S. Medical Center for Federal Prisons Bureau of 1900 W. Sunshine Street Prisons Springfield, MO 65807 417-874-1621 ***Sensitive But unclassified "' Facility MCC New York Collected 07/09/2019 13:34 Name EPSTEIN, JEFFREY Order Unit E06-547U Received 07/10/2019 10:44 Reg # 76318-054 Provider MD Reported 07/10/2019 14:46 DOB 01/20/1953 188191004 LIS ID Sex M HIV Negative Neaten HIV 1/2 Screening test - Soo confirm atory tostIng for Reactiv e results FLAG LEGEND L=Low L!=Low Critical H=High HI=High Critical A=Abnormal Al =Abnormal Critical Page 3 of EFTA00132658 Bureau of Prisons Health Services Cosign/Review Reg /!: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: M Race: WHITE Date of Birth: 01/20/1953 16:58 Provider. Lab Result Receive Facility: NYM Encounter Date: 07/10/2019 CosIgnod bye MD on 07/14/2019 18:12. &IMAM of Prisons • NYM EFTA00132659 CDFRM BP-S358.060 MEDICAL TREATMENT REFUSAL SEP CS FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO 'Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Dale a is Sign Date NYM-NEW YORK MCC e EFTA00132660 BP-A0618 A&O DENTAL EXAMINATION JUN 18 (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: Oral Hygiene: Good Fair , oor CPITN: 3 2 3 2- 9 Head 8 Nock / Soft tissue: 1 2 3 4 5 8 7 8 9 10 11 12 13 14 15 16 32 31 30 29 28 27 2825 24 23 22 21 20 19 16 17 re Clessiftcatiom 1C7 CLT F: Pain Scale: /10 rColmfeell j c, ad In " i , Dental Prostheses at Intake: Yes Type: Russion 012Seru-e- im v ' i 0 Age: la -)e--r r'"--•4=1or CiteW.:i AS CiI►0 Se Lle4 Conelien: tntra-oral Photos Taken: Radiographs Taken: (Document findings on MO encrounter) Yes Yes o 9 Instructed how to obtain urgent and non-urgent dental care Yes: 1 Noc Treatment Prtmitas: None: Ncn-urgent Urgent Referred to Sick Cat non-urgent Radiographs author zed: Prcohylmriq authorized Yes I No PM: (Approval vafici 18 months from examination date) SW5: Panorex Pa t Name: Dental SI nature: . -376 . CR_y E DDS Nunber: Institution: Date: Signature Block/Stamp: 7(,, 3 I Sr- OS-L3/4 MCC NEW YORK 7-* 26 -19. UMW IJ mai `Tracer MCC New York • PDF Prescribed by P6403 Replaces 11P-A0818 of JUN 10 EFTA00132661 90A-NY-3151227 Serial 97 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Date: 09/06/2019 Title:(U) Medical Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On August 10, 2019, BOP SIS Lt. Doctor provided BOP medical notes regarding Jeffrey Epstein. .• UNCLASSIFIED EFTA00132662 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: alTE Facility: NYM Date of Birth: 01/20/1953 Provider: RN Unit: H01 Encounter Date: 07/28/2019 20:25 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: OMNI RN Chief Complaint Neuropathy - Tingling/Numbness of Extremity(ies) complaints or Subjective: Inmate seen for F/U after returning from attorney conference offers no new has pins and needles sometimes' No change in worsening S/S stets ° My R hand still appearance from previous exam. Pain: No OBJECTIVE: Pulse: Rate Per Minute Location RIIMUZI Provider Date nate 07/28/2019 20:28 81 s. RN Respirations: Rate fl ute Rate Per Provider 07/28/2019 20:28 NYM 14 RN Blood Pressure: befall= Position Cuff Sin provider Date Lime Value 07/28/2019 20:28 NYM 157/91 SaO2: jute Time Valtre(%1 Air Provider 07/28/2019 20:28 NYM 98 RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Bureau of Prisons- NYM Page 1 of 2 Generated 07/28/201920:30 bY RN EFTA00132663 Reg it: 76318-054 Inmate Name; EPSTEIN, JEFFREY EDWARD TE Facility: NYM Sex: i n Date of Birth: 01/20/1953 RN Unit 1-401 Encounter Date: 07/28/2019 20:25 Provider. Forow-up in 12-24 Hours Patient Education Topics: Outcome Pate Initiates( Format Handout/Topic Verbalizes 07/28/2019 Counseling Plan of Care Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order No Completed by_, RN on 07/28/2019 20:30 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. RN Eturoau of Priwris - NYM Pan 2 of 2 Generated 07/2812019 20:30 by Columba, EFTA00132664 Bureau of Prisons Health Services Cosign/Review Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Date of Birth: 01/20/1953 Sex: Provid er: RN Facility: NYM Encounter Date: 07/28/2019 20:25 Cosigned by MD on 07/28/2019 20:50. Bureau of Prisons - NYM EFTA00132665 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Sex: iacial iTE Date of Birth: 01/20/1953 H01 Provider RN Unit: Encounter Date: 07/28/2019 06:51 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) doing what it Subjective: ' I woke up and I had no control over my Right arm for a few minutes it was just wanted to dos Pain: No OBJECTIVE: Pulse: Time RAW Per Minute I-acetic/a Rhythm Provider PAM 07/28/2019 06:57 82 Respirations: Pato Dam Rate Per Minute. Provider 07/28/2019 06:57 NYM 14 fla RN Blood Pressure: nate Tme Value Location Position Cuff Size Provider 07/28/2019 06:57 NYM 138/80 SaO2: Data Time Valuef%). Alt Provider 07/28/2019 06:57 NYM 98 RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Head General Yes: Symmetry of Motor Function, Atraumatic/Norrnocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes Genoral Yes: PERRLA, Extraocular Movements Intact Face General Yes: Symmetric Genera/ad 07/28/2019 07:22 by Colombo. RN floroau or Prisons - NYM Peg.1 of 3 EFTA00132666 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Sex: M RaceiSilTE Date of Birth: 01/20/1953 Unit 1101 Provid er: Mal, NM RN Encounter Date: 07/28/2019 06:51 Exam: Edema No: Ecchymosls, Numbness, Swelling, Perlorbital Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow on Palpation R Yes: Normal Exam R, Full Range of Motion R, Non-Tender Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers ion R, Swelling R Yes: Full Range of Motion R, Non-Tender on Palpat rness R, Laceration(s) R, Abrasion(s) No: Inflammation R, Ecchymosis R, Erythema R, Tende Contusion(s) R ROS Comments Right &Mt full sentenced ambulating independently C/ Received inmate AAOX3 In no acute distress, speaking in psyc obs through that has since subsided. Inmate interviewed in numbness after waking up from 'sleeping on my side' ogical deficits noted, no facial droop slurred speech or the slot V/S noted WNL, RR even and unlabored, no neurol phalan ges th bilaterally, slight swelling noted to right dysphagia, Inmate with Full ROM to all extremities with 4/4 streng at this time. nosis noted. Denies any pain numbness or tingling when compared to left, no edema, erythema or ecchyr Re-evaluate Blurred vision. Eyes PERRLA. MD on Call notified, Denies any Chest pain, Headache, Dizziness, SOB or this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: ' Outcome Pate Initiated fornlat Handout/Tonic Verbalizes 07/28/2019 Counseling Plan of Care Understanding Page 2 of 3 RN Bureau of Prisons • NYM Generated 07,28/2019 07:22 by EFTA00132667 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Facility: NYM Sex: M Date of Bldh: 01/20/1953 Unit: H01 Encounter Date: 07/28/2019 06:51 Provider: ME RN Provider outcome Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Orden No Completed by RN on 07/28/2019 07:22 Requested to be cosigned by MD. page. Cosign documentation will be displayed on the following BUrtgal Of Prisons . NYM Pie 3 of 3 Generated 07/28/2019 07:22 by MISI, RN EFTA00132668 Bureau of Prisons Health Services Cosign/Review Reg #: 76:', 18-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WhITE 01/20/1953 Sex: M Date of Birth: RN Facility: NYM 06:51 Provid er: Encounter Date: 07/28/2019 Cosigned bye MD on 07/2812019 20:51. Bureau of Prisons - NYM EFTA00132669 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: NSW. Facility: NYM Provider-. MD Unit: HO Note Date: 07/26/2019 08:57 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. MD TO HIM THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED 2 NIGHTS AGO. New Medication Orders: Medication Order Date Prescriber Order Docusato Sodium Capsule 07/26/2019 08:57 TAKE ONE 10 MG CAP Orally - Two Times a Day x 180 day(s) Indication: Constipation, unspecified Copay Roquirod:No Cosign Required: No TelephoneNerbal Orden No Completed by MD on 07/26/2019 08:58 Gene-Med 0726/2019 0B:58 by MO atteau ol Prisons-NYM Page 1al I EFTA00132670 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Reg tt: 76318.054 Inmate Name: EPSTEIN. JEFFREY EDWARD Facility: N Date of Birth: 01/20/1953 S H01 Provider: ex: MD Unit: Note Date: 07/24/2019 16:10 Health Services. Cosign Note - Clinical Encounter Cosign encounter performed at Administrative Notes: Provider: MD ADMINISTRATIVE NOTE 1 MENT REGARDING WHAT HAPPENED TO HIM THE MLP NOTIFIED THE OP LT OF THE INMATE STATE 2 NIGHTS AGO. Copay Required:No Cosign Required: No TelephoneN- I Order: No Completed by 24/2019 16:12 Page 1 of 1 Bureau of Prisons NYM Generated 07/2412019 16:12 by EFTA00132671 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Reg 76318-054 Inmate Nemo: EPSTEIN. JEFFREY EDWARD NYM Date of Birth: 01/20/1953 Sex: 1-101 Provider: =NM= MD Unit: Note Date: 07/24/2019 16:10 ed at Health Services. Cosign Note - Clinical Encounter Cosign encounter perform Administrative Notes: Provider: MD ADMINISTRATIVE NOTE 1 HIM MENT REGARDING WHAT HAPPENED TO THE MLP NOTIFIED THE OP LT OF THE INMATE STATE 2 NIGHTS AGO. Copay Required:No Cosign Required: No TelephoneN 0 Completed by 24/2019 16:12 Page 1 of 1 MD Bureau of Prisons - NYM Generated 07/24/2019 1612 by EFTA00132672 Bureau of Prisons Health Services See Amendment Reg #: 76318-054 EDWARD Inmate Name: EPSTEIN, JEFFREY M Race: WHITE 01/20/1953 Sex: NYM Date of Birth: Facility: Encounte r Date : 07/26/2019 08:57 MD on 07/26/2019 08:58. Amendment made to this note bat SHOW Or - YM em.N EFTA00132673 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD i s ailla Facility: NYM Date of Birth: 01/20/1953 Sex: Provider: MD Unit: H01 Note Date: 07/24/2019 15:10 med at Health Services. Admin Note - General Administrative Note encounter perfor Administrative Notes: Provider: MD ADMINISTRATIVE NOTE 1 EVALUATION. HE REFUSED. REFUSAL FORM PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST SIGNED. Copay Required:No Cosign Required: No TelephoneNerbal Order No Completed by MD on 07/24/2019 15:17 Bureau of Prisons • NYM Pago 1 of 1 Generated 07/202019 15:17 by MD EFTA00132674 Bureau of Prisons Health Services Clinical Encounter Reg 1$: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: • WHITE Facility: NYM Date of Birth: 01/20/1953 Provider. MLP Unit: H01 Encounter Date: 07/24/2019 13:08 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: ME MLP Chief Complaint: Other Problem had to do with Subjective: I still do not want to talk about. But, between you and me. I think my room mate what happened to me. Do not ask me. I am not going to say anything. Pain: No OBJECTIVE: Temperature: Data Time Fahrenheit Celsius Location Provider 07/24/2019 13:12 NYM 97.8 36.6 Oral a MLP Pulse: Ilmo Rate Per Minute Location Rhythm Provider Data 07/24/2019 13:12 83 Via Machine Regular INN MLP Blood Pressure: Data II= Value Location Position Cuff Size a Right Arm Sitting Adult-regular MIMI MLP 07/24/2019 13:12 NYM 132/89 SaO2: Rate Time Value(%) Al[ Provider 07/24/2919 13:12 NYM 96 Room Air 1.11 MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. do s not complaint He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient how the skin Injury on his neck gipped. he of any respiratory problem or distress. He still does not want to explain Insinuates that injuries on his neck have to do with his room mate. But does not want to talk about it. ASSESSMENT: Injury, unspecified, T1490 - Current PLAN: Disposition: ?ALP Bureau of NYM Page 1of 2 Genoraux107/24/2019 13:24 by EFTA00132675 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD WHITE Facility: NYM Sex: Date of Birth: 01/20/1953 . MLP Unit 1101 Provider: Encounter Date: 07124/2019 13:08 Follow-up at Sick Call as Needed Patient Education Topics: Outcome Pate Initiated Format Handout/Topic Verbalizes 07/24/2019 Counseling Access to Care Understanding Verbalizes 07/24/2019 Counseling Preventive Health Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by MLP on 07/24/2019 13:24 Requested to be cosigned by MD. page. Cosign documentation will be displayed on the following Eluroau of Prisons • NYM Piga 2 d 2 Gcnorulod 07/24/2019 13:24 by MLP EFTA00132676 Bureau of Prisons Health Services Cosign/Review Reg 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Date of Birth: 01/20/1953 Encounter Date: 07/24/2019 13:08 Sex: Provider: imm MLP Facility: NYM Cosigned with New Encounter Note by D on 07/24/2019 16:10. Bureau of Prisons • NYM EFTA00132677 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Sex: WHITE Date of Birth: 01/20/1953 Unit: H01 Encounter Date: 07/23/2019 06:20 Provider. . MLP Injury Assessment • Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: MM. MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Bo specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): 'I do not know. Just went to drink a little water and wake up snorting'. Symptoms (as reported by Inmate): None OBJECTIVE: Temperature: Date fine Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral EMI MLP Pulse: Rate Per Minute Location Rhythm provider Pete Tune 07/23/2019 06:30 92 Via Machine Regular . MLP Respirations: Pitt Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 . MLP Blood Pressure: Data. Tina Vailll Location Position Cuff Size Erraid_er 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular . MLP SaO2: Data Time Value(%) Air 07/23/2019 06:30 NYM 96 Room Air MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, MLP Bureau of Prisons • NYM Page 1 of 2 Generated 07/23/2019 09.05 by EFTA00132678 Reg #: 76318-054 RD Inmate Name: EPSTEIN, JEFFREY EDWA lair WHITE Facility: NYM 1953 Sex: Date of Birth: 01/20/ MLP Unit: H01 Provid er. Encounter Date: 07/23/201906:20 Exam: Acutely III Pulmonary Auscultation s Bilaterally Yes: Clear to Auscultation, Vesicular Breath Sound No: Crackles, Rhonchi, Wheezing Fxam Comments Inmate for injury report as requested by Operational Lt. Alleges, that he does not is ambul atory, oriente d x 3. In not apparent distress, smiling during this clinical encounter. He his neck. Responded: I don't know°. know what happened. Can not explain the marks on on his neck. He does not want to talk of the events leading to the marks He does not look in any distress or pain. wide, sparing Reaching 2/3 of the neck circumference, 2 inch Has an circular line of erythema at the base of the neck. . in the front with marks of friction the back of the neck. Has one section of this erythema omas, no lacera tions, no tenderness. Patient moving his neck without any No inflammation, no deformities, no hemat respiratory problem. restriction. Denies having any pain or discomfort. Denies any knee about 2cm In dlame ler(mil d). Has another small erythema on left inmate Epstei n was found in his cell with a rope around his neck a sitting on the As per Information from custody staff floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self Mflicted injuries. PLAN: Disposition: Folow-up at Sick Call as Needed Placed on Suicide Watch Fellow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Outcome naltunitlatad Emma Handout/Topic Verbalizes 07/23/2019 Counseling Access to Care flia• Understanding Verbalizes 07/23/2019 Counseling Plan of Care Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Comp!eted by MLP on 07/23/2019 09:05 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Bureau of Prisons • NYM Page2o1 2 Genurate0 07/23/2019 09:05 by MU' EFTA00132679 Bureau of Prisons Health Services Cosign/Review Reg tt: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Sex: Provid er. SIM MLP Facility: NYM Cosigned by on 07/23/2019 15:44. Bureau olPrima • NYM EFTA00132680 Bureau of Prisons Health Services Clinical Encounter Reg 1$: 76318 54 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: M Race: WHITE Facility: NYM Date of Birth: 01/20/1953 Provider: MD Unit: Z05 Encounter Date: 07114/2019 17:36 Chronic Care -14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRI L WAS 800 , NOW 431. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERID MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTE STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE Pain: Yes Pain Assessment Dato: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbatin g Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Soon for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinIc(s): OrthopecIldRheumatology, Pulmonary/Respiratory, Endocrine/Lipid OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears In Pain, Writhing in Pain, Pale. Pallor, Cyanotic, Diaphoretic. Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Generated 07/14/2019 18:11 by Mn Bureau of Prisons • NYM Page 1d 3 EFTA00132681 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sox: M Race: WHITE Facility: NYM Date of Birth: 01/20/1953 Provider: MINIIM Unit: Z05 Encounter Date: 07/14/2019 17:36 Mo Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Nam:a-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Sri Medication Order Date Prescriber Ord?c Omega 3 ( Vascepa) 1 GM Capsule 07/14/2019 17:36 TAKE 2 CAPS Qrally - Two Times a Day x 1 day(s)— TAKE WITH F Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequen Atte:Date Lab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine Lab Tests-L-Lipid Profile Additional Information: Generaled 07/14/2019 18:11 by Beaudou!n. Robert MO Bureau of Prisons NYM Page 2 of 3 EFTA00132682 Reg N: 76318-0fr4 Inmate Name: EPSTEIN, JEFFREY EDWARD E Facility: NYM Sex: Date of Birth: 01/20/1953 MD Unit: Z05 ' Provider: Encounter Date: 07/14/2019 17:36 FASTING. Routine One Time 08/08/2019 00:00 Lab Tests-H-Hep B surface Ab Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: Activity Date Scheduled, Scheduled Provider Clinical Encounter 07/24/2019 00:00 Optometrist 66 YR OLD MALE FOR ROUTINE SCREENING. Chronic Care Visit 01/07/2020 00:00 Mid-Level Provider 6 MONTH F/U. Chronic Care Visit 07/01/2020 00:00 Physician 01 Other: PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: provider 1211101111 Date Initiated formal flardougTopig Beaudouin, Robe Verbalizes 07/14/2019 Counseling Diagnosis Understanding Copay Required:No Cosign Required: No TeiephoneNerbal Order: No Completed by MD on 07/14/2019 18:11 MD Bureau of Prisons - NYM P0003013 Generated 07/1O2019 1811 by EFTA00132683