Wolff v. NH Department of Corrections et al

Filing 14

RESPONSE (pages 1-28) to Motion re 12 REPORT AND RECOMMENDATIONS re 5 Complaint, recommending that it be served as to 1983 and RLUIPA claims against Wrenn, Perkins and Daly, and the other claims be dismissed. filed by Charles Jay Wolff. (Attachments:, # 1 pages 29-54)(mxm, )

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C A PA O"S ce1\1( J )YD Vcio c? Xcii IN To DlScvir TI z W HAf /f AN Y , c Tf u,y ,/`V/L L / czc- b T° M141V,4(,,-&)l, C I1rrME' ^-)0.148 F/LE D Tht2 611 E' e,vc& Ai-,411,uT ^JM ^J D ALW To 7l16 T Of CuYl ke c T/oNJ C oM/A LS$!0NE/l O F T1-1 LZ DC pA TM ^j upe c T)c v ( Lx cs,^ f/th1 TP 6 b d pATr1 A TTOA/' t FO W O-j C o /JAC( TH-E f r A )-e a ?A C- t C o 176 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 7 of 28 NH DEPARTMENT OF CORRECTIONS POLICY AND PROCEDURE DIRECTIVE CHAPTER Personnel STATEMENT NUMBER 2.30 SUBJECT: PROPONENT . DOC CODE OFETHICS John Vinson , Staff Attorney Namel itle EFFECTIVE DATE REVIEW DATE SUPERCEDES PPD# 06101/05 11115106 2.30 Commission er's Offic Ofce 271-5604 Phone # DATED ISSUING OFF R: 11/15/03 DIRECTOR'S INITIALS DATE APPENDIX ATTACHED: S ph u , Commissi e YES NO REFERENCE NO: See reference section on last page of PPD. I. PURPOSE : To establish a code of ethics for Department of Corrections employees that guards against conflicts +1,^+ A. ,^^01., n^F .+,. +l.. II. APPLICABILITY : To all staff POLICY : A. It is the policy of the Department of Corrections to adhere to the Code ofEthics promulgated by the American Correctional Association (ACA), as well as the Executive Branch Code of Ethics. B. Department of Corrections employees are responsible for following the ideals and principles embodied in the ACA Code (attachment I) and the Executive Branch Code of Ethics as ordered by the Governor through executive order (attachment 2). C. Failure to abide by the Code of Ethics will result in discipline in accordance with the New Hampshire Division of Personnel Administrative Rules and PPD 2.16. IlI. REFERENCES: Standards for the Admin istration of Correctional Agencies Second Edition. Standards Standards for Adult Correctional Institutions Fourth Edition Standards 4-4069 Standards for Adult Community Residential Services Fourth Edition Standards 2-CO-1C-24 Standards for Adult Probation and Parole Field Services Third Edition. Standards 3-3068 VINSON/pf Attachments Other NH Division of Personnel Admin. Rules PPD 2.16 Case 1:06-cv-00321-PB Document 14 2 Filed 02/07/2007 Page 8 of 28 Attachment 1 Page 1 of 2 American Correctional Association Code of Ethics Preamble The American Correctional Association expects of its members unfailing honesty, respect , for the dignity To this and individuality of human beings and a commitment to professional and compassionate service . end, we subscribe to the following principles: Members shall respect and protect the civil rights of all individuals. Members shall treat every professional situation with concern for the welfare of the individuals involved and with no intent to personal gain. Members shall maintain relationships with colleagues to promote mutual respect within the profession and improve the quality of service. Members shall make public criticism of their colleagues or their agencies only when warranted, verifiable and constructive. Members shall respect the importance of all disciplines within the criminal justice system and work to improve cooperation with each segment. Members shall honor the public's right to information and share information with the public to the extent permitted by law subject to individual's right to privacy. Members shall respect and protect the right of the public to be safeguarded from criminal activity. Members shall refrain from using their position to secure personal privileges or advantages. Members shall refrain from allowing personal interest to impair objectivity in the performance of duty while acting in an official capacity. Members shall refrain from entering into any formal or informal activity or agreement which presents a conflict of interest or is inconsistent with the conscientious performance of duties. Members shall refrain from accepting any gifts, service, or favor that is or appears to be improper or implies an obligation inconsistent with the free and objective exercise of professional duties. Members shall clearly differentiate between personal views/statements and views/statements/positions made on behalf of the agency of Association.Members shall report to appropriate authorities any corrupt or unethical behaviors in which there is sufficient evidence to justify review. Members shall refrain from discriminating against any individual because of race, gender, creed, national origin, religious affiliat.ion, age, disability, or any other type of prohibited discrimination. Members shall preserve the integrity of private information; they shall refrain from seeking information on ,r Case 1:06-cv-00321-PB Document 14 3 Filed 02/07/2007 Page 9 of 28 individuals beyond that which is necessary to implement responsibilities and perform their duties; members shall refrain from revealing nonpublic information unless expressly authorized to do so. Attachment 1 Page 2 of 2 Members shall make all appointments, promotions, and dismissals in accordance with established civil service rules , applicable contract agreements, and individual merit, rather than furtherance of personal interests. ^Members shall respect, promote and contribute to a work place that is safe, healthy and free of harassment in any form. Adopted August 1975 at the 105'h Congress of Correction Revised August 1990 at the 120'h Congress of Correction Revised August 1994 at the 124th Cougress of Correction Case 1:06-cv-00321-PB Document 14 4 Filed 02/07/2007 Page 10 of 28 Attachment 2 Page 1 of2 State of New Hampshire CODE OF ETHICS The following Code of Ethics shall govern the conduct of all Executive Branch employees and officials. · I. Declaration of Policy It is hereby declared to be the policy of the state that no public official or employee of a state agency shall have any interest, financial or otherwise, direct or indirect, engage in any business transaction or professional activity, or incur any obligation of any nature which is in substantial conflict with the,proper discharge of his or her duties. To implement this policy and to enhance the faith and confidence of the people of the state in their government, this code of ethics sets forth standards. of conduct required of officials and employees of the Executive Branch in the performance of their official duties. It is declared to be the policy of the state that public officials and employees are bound to perform their duties efficiently and faithfully under the laws of the state of New Hampshire. Such officials and employees are bound to observe the highest standards of ethics consistent with this code regardless of personal considerations, recognizing that promoting the public interest and maintaining the respect of the people in their government must be of foremost concern. · II. Definitions As used herein: · a. "State Agency" shall mean an executive branch agency, department, division, board, lcommission or entity of the executive branch. Il '^P,,hlir (l nial" eha11 mPan a rnmmieernn Prl an ,,nrlareifiPt4 nr a nnnrlaeci+ i 4 PV PL,,*1'IP · · · · branch employee but shall not include any commissioned, unclassified, or nonclassified elected by the legislature. · c. "Public Employee" shall mean a classified employee of a state agency. · d. "Conflict of Interest" shall mean a situation, circumstance, or financial interest which has the potential to cause a private interest to interfere with the proper exercise of a public duty. III. Conflict of Interest Public employees and public officials shall avoid conflicts of interest or the appearance of a conflict of interest. Public employees and public officials shall not participate in any matter in which they, or their spouse or dependents, have a private interest which may directly or indirectly affect or influence the performance of their duties. IV. Misuse of Position No public official and no public employee shall disclose or use confidential or privileged information for personal benefit or for financial gain. Public officials and public employees shall not use their positions with the government to secure privileges or advantages for themselves, which are not generally available to governmental employees, or to secure governmental privileges or advantages for others. V. Acceptance of Campaign ContributionsA public official or a public employee who is candidate for an elective office that is not subject to the reporting requirements of RSA 664 and who accepts a fmancial contribution or other form of political contribution from an entity which is or is likely to become subject to that public official's or public employee's duties shall make a disclosure of such contributions in writing on the form appended hereto, within five (5) days of receipt of such contributions, to the Secretary of State. VI. Acceptance and Giving of Gifts No public employee, no public official, and no public employee's or public official's spouse or dependents, shall give, solicit, accept or agree to accept a gift from a person who is subject to or Case 1:06-cv-00321-PB Document 14 5 Filed 02/07/2007 Page 11 of 28 likely to become subject to or interested in, any matter or action pending before or contemplate by Ariachmeat 2 Page 2 of2 · · · the public employee or official or by the governmental body with which that employee or official is affiliated. Nothing in this section shall be construed to prohibit gifts made to the state of New Hampshire and accepted in accordance with the law. VII. Post Employment Restrictions For one year after leaving office or employn ent with the state, a public official shall not appear as a lobbyist or as a paid advocate on behalf of any matter over which that official had personal and direct responsibility while in state government. VM. Supplemental State Agency Ethical Codes In addition to this Code, each state agency may promulgate a supplemental ethics code to address issues specific to that agency. In the event of a conflict, the provisions of this Code shall supersede the agency code. To the extent that this Code or an ethics code adopted by a state agency shall apply to classified employees, this Code, or an agency code, shall be interpreted to be consistent with the provisions of the classified employees' collective bargaining agreement. IX. Financial Disclosure To ensure that the performance of official duties does not give rise to a conflict of interest or the appearance of a conflict of interest, the following public officials shall file with the Secretary of State a statement of financial disclosure that conforms to the requirements of the form appended hereto: a) all agency heads, and b) any public official designated, due to the responsibilities of the position, by the agency head. The agency head shall file with the Secretary of State an organizational chart identifying the names, titles and position numbers of officials required to file a statement of financial disclosure. The statement of financial disclosure and organizational chart shall be filed within thirty days of the PffPrfi,P rla+a nfth,c nrrlPr T1PrPnftPr ravicPrl ctnto mPn +e nf fin^nriol rlic. lnenrP .nrl nrnanio^+innol charts shall be filed immediately upon any change of status. New agency heads shall file a statement of financial disclosure no later than the first day of service. Statements of fmancial disclosure and organizational charts filed with the Secretary of State shall be public documents. Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 12 of 28 INMATE REQUEST SLIP Submit your request to the Unit Supervisor , Security Lieutenant , or CC/ CM. Your Unit Supervisor, Security Lieutenant , or CC/ CM will help you resolve the problem or it will be forwarded to the appropriate person. Unit Supervisors , Security Lieutenants , or CC/ CM will forward the request , NOT the inmate. Request slips not reviewed by the Uni t Supervisor , Security Lieutenant , or CC/ CM will be returned to you. 3 0 TO: Unit Supervisor , Security Lieutenant , or CC/CM FROM : ^Wt L Last Name DATE: ID #: 2Yj IL Middle Initial 0r CL-i- nc 1J First Name Housing Unit r Pod/Tier/Div. Cell Work/Shift INMA E REQUEST: a1 M i f1hl L,- . ct2' _ c-t C` - /V v 1` fl Ivt y (If you need more space, use plain paper.) Inmdte Sig nat TO: 1 rf r fr'I 10 N DATE: e FROM : Unit Supervisor , Security Lieutenant . or CC/CM REMARKS: Staff Signature TO: C. W olff Inmate MS Housing Unit Cell # DATE: 12/ 19/05 FROM : J. L eeka, RH IA We currently do not have a dietician, what is your question? REMARKS : . Staff Signature Cc 1\ White - Offender Records ,d c> /, 0'3 Yellow - Inmate Received By SP-014 (A) REV. 3/98 Pink - Staff Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 13 of 28 INMATE REQUEST SLIP Submit your request to the Unit Supervisor, Security Lieutenant, or CC/CM. Your Unit Supervisor, Security Lieutenant, or CC/CM will help you resolve the problem or it will be forwarded to the appropriate person. Unit Supervisors, Security Lieutenants, or CC/CM will forward the request, NOT the inmate. Request slips not reviewed /Yj 0 *4y by the Unit Supervisor, Security Lieutenant, or CC/CM will be returned to you. TO: Unit Supervisor , Security Lieutenant , or CC/CM FROM : IN 4 LAI-1 Last Name DATE : / L-- d -oJ f^ At, (ac First Name Middle Initial ID #: 2 Vj 1 r/j ^f L rl6ryedYyfA l i- t" 3 Housing Unit 1' Pod/Tier/Div. Cel / LJ Work/Shift ^^([\ r CAe&Lar^r.l^,-{^,LI I ^3 'N u t,r ! d INMATE REQUEST : Cr,c1 t r h c. r !! r ot G P r. . . / /:N er v)y J 'r, D c c.c CJ , eT ` J} ^r T es(kt . r a ti c^ u f u ^d r^ svj ff ^i t C v Ad4c c·4- ^' T y- ^^ V^- /=- f e /t!^ gM C... W^ l^c^ t[L - !f ti - '1 PI rt 4Z .,. f 7),g >" b ti /C J^- 7 w r I (If you need more space, use plain paper.) ^^ t.-r^. Staff. TO: FROM : ' nature 1/3/06 C. Wolff Inmate MS Housing Unit Cell # DA E: J. Leeka, RHIA M r. W olff I have told you this once and now I'm telling you for the last time. REMARKS · You elected a kosher diet for religious purposes not medical. Religious diets are the or responsiblity for any issues with religious diets. Jeff Perkins. Takeyourpro Staff Signature CoABD1-0,3 White - Offender Records Yellow - Inmate Received By Pink - Staff SP-014 (A) REV. 3/98 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 14 of 28 LEXSTAT N.H. ADMIN RULE COR 301.03 NEW HAMPSHIRE CODE OF ADMINISTRATIVE RULES Copyright (c) 2006 by Weil Publishing Co., Inc. All rights reserved *** THIS DOCUMENT IS CURRENT THROUGH NOVEMBER 2006 *** DEPARTMENT OF CORRECTIONS CHAPTER Cor 300 OPERATION AND MANAGEMENT OF CORRECTIONS DEPARTMENT ACTIVITIES PART Cor 301 STANDARDS OF OPERATION, MANAGEMENT AND ADMINISTRATION OF STATE CORRECTIONS FACILITIES N.H. Admin. Rules, Cor 301.03 ( 2006) Cor 301.03 Food Service. (a) Each inmate shall be given the opportunity to have 3 wholesome and nutritious meals each day served with proper eating and drinking utensils. (b) Efforts shall be made to ensure that food that is supposed to be served hot shall be served hot, and food that is supposed to be served cold shall be served cold. (c) Restrictions on the type of food or utensils provided to residents shall be imposed if the resident throws his/her food or uses his/her food to make the area unclean, unhealthy . unsafe , or is likely to use such items as weapons against him/herself or others. (d) Each resident shall be served the same quality of food in a quantity sufficient to meet the resident's nutritional needs. ( e) Availability of special diets shall not be dependent upon custodial or disciplinary status. ( f) There shall be a varied menu that provides for a regular variety in meals. (g) The food served to residents shall be properly prepared and served under the direction of the chief steward. (h) Menu planning , food purchasing , and sanitation shall be overseen by a, 'etician to ensure that meals are wholesome a nd nutritious . A dietician shall provide staff and residents training in food handling , preparation and medica diet supervision . The dieticia n shall also assist in the implementation of recomme ndati ons of the of the '^ DHHS , offi e o^unity and ublic health . (i) Food shall be served, prepared and stored in accordance with He-P 2300. Food service equipment shall be maintained in good working condition. (j) All kitchen employees including the residents shall be trained in the handling and preparation of food by the di etician and chie f steward. Staff hired for food service duty shall be qualified by experience, training or education for the p osition (k) ^All perso n s who assist in the preparation or serving of food shall have a medical exa L r 1I i ation nor o ^uc jo ssigxgnent to determine their medical suitabi chwg k, and reexaminations at 6-mon erva s. (1) Each resident who requires a specia ] diet certified by a prison physician shall be provided a diet to meet the resident's medical needs. (m) Special diets for " reli °ious p urposes shall be made available by the use of substitutes of approximate nutritional value, as determined by the department' s dietician for those food items which conflict with the dietaiy quirements of a resident ' s religion. (n) Adequate alternatives of equivalent nutritional value shall be made available for vegetarians. STATUTORY AUTHORITY: RSA 21-H:13, RSA 622:44; RSA 651:2 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 15 of 28 Effective Date: See Revision Note Below Superseded : 4 7448, eff 2/6/01, exp 2/6/09 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 16 of 28 INMATE REQUEST SLIP 15 Submit your reques - t to the Unit Supervisor , Security Lieutenant , or CC/CM . Your Unit Supervisor, Security Lieutenant , or CC/ CM will help you resolve the problem or it will be forwarded to the appropriate' erson ..`..U .il..,,. Supervisors , Security Lieutenants , or CC/ CM will forward the request , NOT the inmate. Request slips not reviewed by the Unit Supervisor , Security Lieutenant , or CC/CM will be returned to you . TO: Unit Supervisor , Security Lieutenant , or CC /CM DATE : FROM : ID #: I V 2Z V-5 Housing Unit Pod/Tier/Div. Cell Work/Shift INMATE REQUEST: 40 v -'1)d l a rCJ Az, 1) 4:Ta Zr f^ ^I rzL ))r v -,rC TO: X A. / CL C -U ! DATE : ,_ FROM : Unit Supervisor , Security Lieutenant. or CC/CM REMARKS· ail fv`' Inmate ,)f Staf DATE: lvfll ^r Housing Unit a^rkIP_ Cell # 2 FROM: I jm^^ REMARKS: Received By W'hite - Offender Records Yellow - Inmate Pink - Staff SP-014 (A) REV. 3/98 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 17 of 28 INMATE REQUEST SLIP Submit your request to the Unit Supervisor, Security Lieutenant , or CC / CM. Your Unit Supervisor , Security Lieutenant , or CC / CM will help you resolve the problem or it will be forwarded to the appropriate person. Unit Supervisors, Security Lieutenants , or CC / CM will forward the request , NOT the inmate . Request lips riot reviewed by the Unit Supervisor , Security Lieutenant , or CC/CM will be returned to you . fr, -^-) TO: Unit Supervisor , Security Lieutenant , or CC/ CM FROM: DATE: 01^3 _ Wo J oj . Gl= f^fi.^ First Name J Middle Initial ID #: Last Name Housing Unit 2-c Pod/Tier / Div. Cell Work/Shift INMATE RE UEST: D G L 7-- ^° AI-2- c r o7 ^ .. C0 rr ^rr ,^ ^a -1-r 0` + of Ler 0 Tt 4-' rr Ls i ' 4 Y CL. No (If you rteed more space, usevp n paper . t.^ J L L l GCi f'*..- C+; C` P-L t if' i? ^, { F^ /r aF 9 I ate ig : ature TO: (t' I L - j,{ .,e4x YL 6L{ 1" wf z s6- / !'a' ^ , ,y DATE: FROM: Unit Supervisor, Security Lieutenant. or CC/CM REMARKS: Staff Signature.' TO: , a,a Inmate Housing Unit Ce DATE: JL v 30/o FROM: REMARKS: Af A4 111AIt MA4 .'/79 r 54 f'y?/0 fi/AA /·S V'&C- I+^ /^is o^ r1a/4c, R cm ra/ a)r AsiN AlAW / OMGF 1/0(,- fe W& ,t10 arKkj kli' , - cl tved 1A 4711 MAj, Staff Signature £^pANdM ,s ,p/ J1 7 &/A,) L,Ard^O+ CA/e-IJ White - Offender Records Yellow - Inmate Pirrk - Staff SP-014 (A) REV. 3/98 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 18 of 28 DEPARTMENT OF CORRECTIONS STATE OF NEW NAMPSHIRE f'^y ! ( P O Box 14 CoNcoRD 03301 JEANNE SHAHE.EN GOVERNOR / Cr GRIEVANCE FORM (See Reverse for Irstructions ) ! O r2 ^ `I ) f · to 0^ ' HENRY RISLEY COMMISSIONER t./.. L ) rre r`^^ (!y) 1. Date : D(_ZC L^{ ' 2. 4aRIEVANT , 4. Address i [LL L1 t" h'Au'T17 3. Number: 4 'R t c r ^ir tr - C' j" o L= (" '°r ^uf r 5. Brief Description of Grievance : s J"^ L L i(yA C / P' i ^ 6 c-r c*° J`l^-,.P U .. t ,. c, ---. r M'. Cz Pt fj I t4f` k'--' V ,rri 1-p r^ r-- h'r c ftr & kiy C , w / i r.^ -r2. N 6 (1 Signature: You will be penalized if statements are untrue . Use Attac nts if necessary. ----------------------------------- TO: DIRECTOR (Warden Director 's Action: Da eo UireQtor's ction: \1 U / U U \1 ^ Authentication: ----------------------------------------C: COMMISSIONER Commis$ ioner ' s.lction: / RG-'`f)1"" U A. Date of Qamr"i sioner's Action: ._.._ V ' ti At % "Arf r , 'J. ^ .. ^^ .P F Autenticatio'` ^ ^' · ., 4· FORWARD ALL THREE COPIES . WHITE WILL BE FILED IN OFFENDER RECORD , CANARY TO RESPONDER AND PINK TO GRIEVANT. SP-52 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 19 of 28 All elf- m UAtc-"r HAeL (&^vcu P,&r vi^^110*^ " C4 U,.r^ lj^-j v r A c 7-4oi F( ^^ 0 fv fz^ /W 14v v Ly A& PP A ck C e L. G 0 e ki l®r 404 ti c Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 20 of 28 VY, r i 2 /J er JVL^ V&c elm OW X 4,Aq7/ 414 knr c 04L f. P^ pv-rr 6^-L-sv ^l rL V e Cg f^6k AlE, =^ ^&Yetf vtr* f Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 21 of 28 DEPARTMENT OF CORRECTIONS STATE OF NEW'HAMPSHIRE P.O. Box-14 CONCORD 03301 JEANNE SHAHEEN GOVERNOR GRIEVANCE FORM (See Reverse for Instructions) 1. Date: HENRY RISLEY COMMISSIONER / J /,?- a r 2-'2 c v^^ 2. GRIEV ,4NT: 4. Address : ] &fl_ G r -rt T4-4 l'o LA! ^?ra`l`e .f'^f 3. Number-.2 6 ` - G4 ^r' c r i p^^ 't Lo1y A!l 5. Brief Description of Grievanc*: - fl'J r r fi L_ E rr ^E rkf C ^c^l^ n rr / - y C' x^ /^ . ^.C k lzk 'r. k - 1) ( {rCt 1-; ' lr nIt' 6,tr JAICC `u T I' c ^ i-'.y CVe yA/*4, - fr T mt f^ · rli L kha L-lJ ^-^ Lw-rK- J-^ ' IL LC r^ in t -! /w'("r / ' F P' r l r- A Signature: Vr u will be p enalized if statements are untrue . Use AttacFiments i '"necdssar y. Date of Director's Action: TO: DIRECTOR (Warden) Director's Action: Authentication: TO: COMMISSIONER .Commissioner's Action: Date of Commissioner 's Action: Authentication: - FORWARD ALL THREE COPIES . WHITE WILL BE FILED IN OFFENDER RECORD , CANARY TO RESPONDER AND PINK TO GRIEVANT. SP-52 - Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 22 of 28 INMATE REQUEST SLIP Submit your request to the Unit Supervisor , Security Lieutenant , or CC/CM. Your Unit Supervisor, Security Lieutenant , or CC/ CM- will help you resolve the probl em or it will be forwarded to the appropriate person, Unit Sugervisors , Security Lieutenants , or CC/CM will forward the request, NOT the inmate . Request sIips not reviewed by the Unit Supervisor , Security " Lieutenant ,-or CC /CM will be returned to you. U TO: Unit Supervisor , Security Lieutenant , or CC/CM DATE / ID Middle Initial "l, FROM: Last Name L? t r {j First Name Z Housing Unit Pod/Tier/Div. Cell WorkJShift IN M ATE REQUEST : L iC'i l ^c1-- `l.", '} f^( - (404 1 r f- P_ b- W e( I ._·J - -"t- - A. AA- /i ` F^ ) u^ i tf ,y .( .. , q{ ..^ (u , r A ,^. ,.,, ^{, 1 : ^/^ Ae , ^ [ lx? " yF1C.Iv^^1 c= 7/'G1YI ,· "'A6.., G P ^L sr ( ,n,-d ^3 c^j·-i^l ,l^ u ^-r U-F- r (If you need more^pace, use plain el ^y'+ 1 O : ia / ! ^·`cf [1 w ' p f `{ i.. . aper,) f·· f^(J '-- fl^ ! ^ r y ^.N F^ c '^ u.^i^ii j^rc \ ff ^p.^, VL Tl r..rA,: j" f x l J Inma(eGSi.gnature t^^ -OW DATE: FROM: Unit Supervisor, Security Lieutenant. or CC/CM REMARKS: Staff Signature TO: I nm ate Housing Unit DATE: FROM: r^ Staff nuture Received By Inma'e Sig ature White - Offender- Records Yellow - Inmate Pink - Staff SP-014 (A) REV. 3/98 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 23 of 28 DEPARTMENT OF CORRECTIONS STATE OF NEW HAMFSHIIRE R.O. Box 14 CONCORD 03301 JEANNE SHAHEEN GOVERNOR GRIEVANCE FORM (See Reverse for Instructions) ^A^7r^e s g ;c9 HENRY R ISLEY CO MMISSIONER 1. Date: 2. GRIEVANT ' C 6 4 L ' J slaON 0 1- te-A 3. Number :- 2- 4. Address : 'ZA 1 + f11 tz dc AOL 7eL 1; iLL 0 rG 5. Brief Description of Grievance : 1 j. rr /^-·-LI k" e- L/ ;^i_4 E^ c s ,/ J-eZ 1-41 a 1 tc4 Q ^^..^' $I d'-^-b ;^fc^ Ik C k( L I. O,·a _u cf n- 0 C ? 9 c eq-- h'.is ^- Signature: You will be penalized if statements are untrue . Use AttacIirnents if flecessary. TO: DIRECTOR ( Warden) Director ' s Action: Date of Director 's Action: Authentication: ----------------------------------------TO: COMMISSIONER -Commissioner's Action: Date of Commissioner 's Action: Authentication: FORWARD ALL THREE COPIES . WHITE WILL BE FILED IN OFFENDER RECORD , CANARY-- TO RESPONDER AND PINK TO GRIEVANT. RP-52 - Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 24 of 28 Atbanhmetri 1 NEW HAMPSHIRE DEPARTMENT OF CORRECTIONS MEDICAL/RELIGIOUS DIET ORDER Please fill in Section A and F plus other applicable sections (B,C, D, E). This form is to be utilized for all new diet orders. changes, renewals, discontinued diets and consult requests. When completed, please forward to the Dietitian within 24 hours. The physician's order (yellow copy or copy) must be attached. A. INMATE NAME Diagnosis ID4 Ht. HOUSING Wt. B. MEDICAL DIET PRESCRIPTIONS: ( circle one) New Change Renew X 180 days, or other timeframe Beginning Date DiabeticlADA (circle one ) Talcing Insulin ? (circle) 2600 2900 2200 full liquid clear liquid trimester 1800 Yes No No concentrated sweets mechanical soft pureed soft ) AM orange juice/HS snack Textured diet (circle one) Prenatal ( pt. Age Supplemental/Snack Other: DISCONTlNUE MEDICAL DIET ( D/C dietfbegin house diet) Waiver signed by patient (copy attached) DIC diet C. CONSULTATION ORDERJREQUES.T Nutritional Assessment SupplementiSnack Assessment Weight : Gain since Other Provide diet education: D. RELIGIOUS DIET ORDER: (circle) Chaplain's signature and date Kc ber Vegetarian V"Oorwa-ao egg Loss since E. COMMENTS: F. Preparer's Signature Ordered by MD/PA/ARNP/RN (temporary texture only) Date Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 25 of 28 Ariachme,d 2 RELIGIOUS DIETS Please read the notice on the right hand side and answer the following questions: Inmate Name & Number · TO BE PUT ON A RELIGIOUS DIET, YOU MUST BE AN ACTIVE PARTICIPANT OF A RECOGNIZED RELIGION WHOSE DOCTRINE REQUIRES THE TYPE DIET YOU (please print) I am a member of the I have been a member for religion. years/months. · My religion requires its members to adhere to the following diet (Please describe diet requirements) ARE SEEKING. IF YOU ARE NOT A MEMBER OF A RELIGIOUS GROUP REQUIRING DIETARY RESTRICTIONS, YOU DO NOT QUALIFY FOR A RELIGIOUS DIET. IF YOU ARE PLACED ON A SPECIAL DIET AND ARE OBSERVED EATING OR BUYING FOODS THAT ARE RESTRICTED, YOU WILL BE REMOVED FROM THE DIET. IF AFTER READING THIS YOU FEEL YOU MEET THE REQUIREMENTS FOR A RELIGIOUS DIET, PLEASE FILL OUT THIS FORM AND RETURN IT TO THE CHAPLAIN'S OFFICE. · I understand and agree to the rules established by the institution regulating special diets. CHAPLAIN Date Signature PPD ,'.17 Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 26 of 28 Attachment 3 Page 1 of 3 NEW HAMPS HIRE DEPARTMENT O F C ORRECTIONS Faith Group Overview Faith Group Diet Considerations, Fasts & Feasts Vegetarian Worship Practices/ Personal Group Allowable Personal Items Allowable Personal Items Kept in Group Locker 1 Zabuton (prayer mat) 1 Zafu (prayer cushion) Buddhist P - Individual Choice G - None at present 1 Medallion* 1 Set of Malas (prayer beads) 1 Set of Boading Balls 1 Meditation Journal 1 Meditation Bag Catholic Islam/Muslim Meatless entrde on Good Friday and Fridays throughout Lent Non-pork Vegetarian Ramadan Fast sun-up to sun-down 29-30 days Eid u1 Adha Feast Eid ul Fitri Feast None P - Individual Choice G - Mass/Communion I Medallion* 1 Rosary 1 Scapular I Medalllion* 1 Prayer Ring Service P - Pray 5 times daily for approximately 10 min (before sunrise , before noon, after noon , before sunset, after sunset) - Shave waiver allowed G - Friday Jumah Service P - Individual Choice G - Group services and Book Studies P - Individual Choice G - None at present - Shave waiver allowed 2 Kufi (skull cap) 1 Strand Prayer Beads Jehovah's Witness 1 Medallion* Followers of Kosher JMU 2icm Followers of the Native American Path Feasts: Winter Solstice Spring Equinox Summer Solstice Fall Equinox I Medallion * 1 Yamulke (skull cap) Phylacteries (leather prayer strap-like head garment P - Individual Choice G - Circle Meetings, Pipe Ceremonies 1 Native Choker 1 Beaded necklace w/fetish attached* 4 Feathers 5 Bandanas worn sweatband style, 3" fold 1 Medicine bag - may be kept on person at all times, in or under clothing. Staff may inspect contents, touched only by owner. Contents may include a pinch (the size of a pencil eraser ) of any botanical material allowed in a group setting , and a small number of sentimental objects such as a small stone , bone , feather; etc... h ms must not pose a security risk. I Medallion* 1 Wand - 6", wood /porcelain w/crystal tip Up to 24 power stones in box or bag - solid stone Neo-pagan Non-pork Vegetarian P - Individual Choice - Shave waiver allowed for Asatiu fbIlowers only G - Group services and studies Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 27 of 28 Attachment 3 Page 2 of 3 Neo-pagan (continued) Feasts: Imbolc Beltaine Lughnasadh Samhuinn energy spheres must fit in closed hand 1 Pentacle five-sided star wood or porcelain Meditative cards (pictures) and Mandala (could be pictures, posters, or paintings w/fur, bone or feathers attached) 1 Set of Divination Tools (can be runes, stones, bones, sticks penduhuns, wooden tiles or cards) and four casting cloths, handkerchief sized Scrolls (blank or written upon) 4 Feathers Book of Shadow (blank book in which to write spells) - to be kept in or with religious box. Spirit Bag - may be kept on person at all times, in or under clothing. Staff may inspect contents touched only by owner. Contents may include a small number of sentimental objects such as a small stone, bone, feather, etc... Items must not pose a security risk. Protestant/Christian None P - Individual Choice G - Group services and studies P - Individual Choice - Shave waiver allowed G - None P - Individual Choice G - Group services on Saturday 1 Medallion* None Rastifarian Non-pork Vegetarian 1 Medallion* None Seventh-Day Adventist Siddha Yoga Vegetarian 1 Medallion* None Vegetarian Taoist 1 Medallion* 1 Zabuton (prayer 1Hat mat) 3 I-Ching coins 1 Zafu (prayer 1 Set of Malas (prayer beads) cushion) I set of Boading Balls 1 Meditation Journal 1 Meditation Bag Notes: The following medallions will not be allowed: Swastika, Iron Cross, Inverted Cross, Five-point cross or any medallion identified as gang-related. * Medallions must be purchased shipped direct from a supplies, must not be larger than 1 1/4" diameter, and must not exceed $50. 00 In value . Some of these items, while acceptable in general population, may be restricted if the inmate is removed from general population status, or any time security deems is necessary for safety reasons. All inmates , regardless of affiliation, are allowed- 1 medallion and religious books; tapes ; literature and one religious calendar. Non-pork Vegetarian Feasts: Not more than four annually P - Individual Choice Group services and studies - Individual Choice - Shave waiver allowed Q - Group services and studies 1 Medallion* 1 Set of Malas (prayer beads) 1 Meditation mat Case 1:06-cv-00321-PB Document 14 Filed 02/07/2007 Page 28 of 28 Attachment 3 Page 3 of 3 Pagan Altar Piece (wooden obelisk) Bees wax candles (2) Black leather bag with 24 runes Black leather bag with 42 runes Brass incense burner Candle holders (3) Assorted candles (20 +/-) NEW HAMPSHIRE DEPARTMENT OF CORRECTIONS Faith g rou p Pro p e rty List Siddha Yo g a Islamic Native American Ceramic bowl Prayer caps (3) Assorted sticks Framed picture of Beans Gurumayi Blanket Wooden incense box & Cedar burner Cedar bark boat Assorted incense (200 Cotton fabric (misc. +/-) colors) Puja Cloth Cups Small statue for puja Dream catchers Dried corn Drums Linga & Yoni (stones Taoist Altar cloth Bowls (3) Chaice Singing bowls Statue Stones and crystals Taiiji balls Candles (20 +/-) Cauldron Chimes Chalice Charcoal for incense Cloth turtle Drum beaters Fhrtes Leather Leather medicine Drum Prayer flags Incense Cow bell Gandar (wand - 2) Goddess candle Handkerchief with wood runes Incense (assorted - 200 Buddhist Buddha statute Candles Bell Incense wheel Mandellas Native blue corn Partial hawk wing Pictures Pipe bundle Prayer flags Prayer ties Red felt Sage Shells Sinew Songbooks Spoons Squash seeds Sweet grass Talking sticks Tin w/cedar Turkey feather Bitterroot +/-) Large cast iron cauldron Large wooden runes (12+) Misc. leather and cloth swatches Offerings (in folded envelope) Prayer flags (13+) Scrying mirror wrapped in cloth Shell Silk altar cloth (2) Small black bag w/chalk Small brass bell Small porcelain cauldron Steel oath ring in cloth poach Wooden bowls (2) Wooden disc (7) Wooden rectangle in leather pouch God/goddess statutes Drum Flute Drinking horn Notes: 1. Books , pamphlets , papers , newspapers , cassette tapes , C)s and videos are not listed on these lists as all groups are allowed these items . Cassette tapes , cd's, dvd ' s, and videos are kept in the Chapel UbrarA 2. Statuesllcons ; no group may posses more than two statues and tbese must be no taller than 18 inches 3. Office supplies such as markers and erasers may be kept with group property , but they are not listed , as they are not Items of a religious nature

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