• 4 New York Metropolitan Correctional Center (MCC) Protective Custody Unit (PCU) Weekly Sign-in Sheet August 4-10, 2019 In the event a blank space is not available in your designated department, please record your visit in the "Other Staff & Additional Weekly Rounds" section. Every Sunday during the Morning Watch shift, a new weekly sign-in sheet will be implemented. The completed weekly sign-in forms will be routed to the Associate Warden of Programs to ensure staff compliance. CORRECTIONAL SERVICES DEPARTMENT Time In: Time Out: Purpose: Printed Name: Signature: Sunday MW LT /;/04.,. /;/5i4. V-AS DW LT te9Afts 9 ' 20,49A LAS EW LT b: ?0,_ b :41.fi, 12-AS Monday MW LT t3 i-ta 3 . e,/(S I I DW LT . c V /A A I I EW LT '41)/3,./.% Jr: /1.1 I I Tuesday I I MW LT —-- ,fr.i•Ai .h. \ AZ, AO= DW LT ' As" . 0 ol.......- del./14 . 1 I EW LT 4 : si r H :55 pt.- rei II I tisanes I I MW LT DW LT /0:3840., //:0S-.4. 14 I EW LT • I Thur y I 1 MW LT t I DW LT EW LT Fri ! 1 MW LT r`lOcr) I DW LT I I EW LT GOcipin 64a2 tin e c/6 i e I Saturday II I MW LT gip t;.., A_1air.., si•dit DW LT • s (4,,, I •:— . - n•-. • • h EW LT , . L, :cgs ton., Ian! C°i•-• r 2 I it. I Page 1of5 EFTA00122689 4 New York Metropolitan Correctional Center (MCC) Protective Custody Unit (PCU) Weekly Sign-in Sheet August 4-10, 2019 Executive Staff Time In: n Time Out: Date & Day of Purpose: Printed Name: Signature: Warden Pro, j is —70.7 j -nwsmo gog II Exec Asst I AW (P) y Ai : Amm /r an r 33 iop . 4_ IC . AW (0) Au I :int HCC is as X ri Ca•tain r . . , i act ' 0 Si E I DO 4. Additional weekly Rounds Department Heads Business Office 11 O II (40 Tripkti s -:1 —lei Rf I %num IOW I Comp Services I CMC/CSS /AO e2ei a 11 41 4 1 I ED/REC I Food Service /flto i telO a 11- f -f I tic - fIeN I HRM/HRD I Facilities 1245 trZ' S5 8 -7- I9 24/11,,,. L ega I PSYCH 1p -rig et if In "' 4 /// r PiraL P Religious Services i - I I/ 11 API g 4 k I Safety I Re-entry ii:30k 11:91PA %Hirt -wig Additional Weekly Rounds -saw Page 2 of 5 EFTA00122690 New York Metropolitan Correctional Center (MCC) Protective Custody Unit (PCU) Weekly Sign-in Sheet August 4-10, 2019 Page 3 of 5 EFTA00122691 New York Metropolitan Correctional Center (MCC) Protective Custody Unit (PCU) Weekly Sign-in Sheet August 4-10, 2019 Health Services Department Department Time In: Time Out: Date & Day of the Week Purpose: Printed Signature: Name: HSA //)r 1/3 r ?/14 ly _ I AHSA //Zs"— il 1 r ,P/fV/ Clinical Director (040 0 30 Opevmds*A 1116111 P-bS I Medical Officer %%3 "En It; G 4-- "it Additional Weekly Rounds On Duty Physician Assistant (PA) Weekly Rounds Sunday AM PM Monday AM PM Tuesday AM PM Wednesday AM PM Thursday AM PM Friday AM PM Saturday AM PM Page 4 of 5 EFTA00122692 • • New York Metropolitan Correctional Center (MCC) Protective Custody Unit (PCU) Weekly Sign-in Sheet August 4-10, 2019 Other Staff s Additional Weekly Rounds Department Time In: Time Out: / rco‘ 11 0O 0 C46 o Cyr Pt Ca sio V Date Day of t e Week 41/1 I 54 Ito art( I Purpose: TV.C - Printed Name: Signature: Page 5 of 5 EFTA00122693