Form Cdcr 2152 PDF Details

In addressing the complexities faced by employees within the correctional system, the State of California Department of Corrections and Rehabilitation has designed CDCR 2152 form, a critical document focusing on the reporting of inmate sexual misconduct. Initiated to uphold the integrity of the penal system and safeguard the well-being of its staff, this form serves as an essential tool in documenting and responding to incidents of sexual misconduct by inmates. The form is carefully structured to ensure detailed reporting, featuring sections to be completed by supervisors and the reporting employee. It captures the date of the offense, inmate information, the nature of the misconduct, and whether previous incidents involving the same inmate have occurred. Additionally, it inquires about the employee's knowledge of the inmate's history with sexual misconduct, measures discussed or taken to prevent such incidents, and recommendations for procedural changes to better handle future occurrences. Recognized protocols and support services available to employees, such as the Employee Assistance Program (EAP)/Employee Psychological Treatment Program (EPTP), are also highlighted to ensure a comprehensive support system post-reporting. Through establishing whether departmental policies were adhered to, and documenting any corrective actions taken, the CDCR 2152 form plays a pivotal role in fostering a safer work environment for corrections staff while holding inmates accountable for their behavior.

QuestionAnswer
Form NameForm Cdcr 2152
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesEPTP, california cdcr2152 pdf, IERC, california 2152 form

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STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

CDCR 2152 (12/06)

EMPLOYEE REPORT OF INMATE SEXUAL MISCONDUCT

SECTION A (Completed by Supervisor only)

CDC NUMBER

INMATE NAME

INSTITUTION

THE ABOVE NOTED INMATE IS CHARGED WITH VIOLATING THE INDICATED SECTION OF CCR TITLE 15, SECTION 3007 (Check One):

INDECENT EXPOSURE

SEXUAL DISORDERLY CONDUCT

DATE OF OFFENSE

/

/

. INCIDENT LOG # ___________________________.

SECTION B (Completed by Employee/Supervisor)

Check here and sign form if you decline to complete report.

Where was the inmate when the offense was committed?

CELL / YARD / OTHER:

 

 

 

 

 

 

 

 

 

Has the same inmate engaged in sexual misconduct towards you in the past?

YES

NO

 

 

 

 

 

 

 

 

Were you aware the inmate was a sexual misconduct offender?

YES

NO

 

If response is “YES”, how was the inmate identified?

MEMO / YELLOW CELL FRONT COVERING / OTHER:________________________________

If response is “NO” supervisor must comment below.

Have sexual misconduct Security Precautions been discussed with you?

YES

NO

If response is “NO” supervisor must comment below.

 

 

Please indicate any procedural changes you might recommend to manage incidents like this one. __________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

 

Are you aware that the EAP/EPTP provides support services to you?

YES NO

 

 

 

 

 

 

 

 

What do you want done for you concerning this incident? (i.e. training, EEO referral, etc.)?

 

 

 

 

 

 

 

 

 

SECTION C (Completed by Supervisor only)

Was departmental policy concerning inmate sexual misconduct followed?

YES NO

If response is “NO” what actions have been taken to correct this situation?

 

 

Was departmental policy regarding inmates sexual misconduct discussed with reporting employee? YES NO

Mental Health Referral (CDCR Form 128-B) completed by: ____________________________________ on: ____/__________/__________

Reporting Employee Name

Date

REPORTING EMPLOYEE NAME

SIGNATURE

TITLE

DATE

EMPLOYEE SUPERVISOR NAME

SIGNATURE

TITLE

DATE

Original: Employee

Copies: EEO Coordinator

Facility Captain

IERC

NO INMATE ACCESS