Form CJ-43A 2019 CCF Confinement Facilities

Attachment 2
OMB No. XXX Approval Expires XXX.  

2019 CENSUS OF STATE AND FEDERAL ADULT
CORRECTIONAL FACILITIES
CONFINEMENT FACILITIES

Form CJ-43A

U.S. DEPARTMENT OF JUSTICE
BUREAU OF JUSTICE STATISTICS
AND ACTING AS COLLECTION AGENT:
RTI INTERNATIONAL

DATA SUPPLIED BY
Name

Title

Official
Address

Telephone

City

FAX

State

Zip

E-mail

GENERAL INFORMATION

FACILITY INFORMATION 

Please complete this questionnaire before [DATE] using one
of  the following methods:
Online: [Survey Web Link TBD]

MERGED INFORMATION ON FACILITY

Mail: RTI International, 2019 CCF, Attn: Christian Genesky
3040 Cornwallis Road, PO Box 12194, Research Triangle
Park, NC 27709-2194
Fax: 1-866-354-4993
If you have any questions, contact Christian Genesky of RTI
International at 1-866-354-4993
or [email protected].

FACILITY ELIGIBILITY
The census includes all correctional facilities administered by state departments of corrections (DOC) or the Federal
Bureau of Prisons (BOP) or operated under contract to hold inmates primarily for state correctional authorities or the BOP.
These facilities are intended for adults but sometimes hold juveniles. For this data collection, each individual correctional
facility or unit holding inmates under your jurisdiction is included, even if that facility shares budget or staff with other
facilities.
The CJ-43A is intended to collect data on confinement facilities administered by the state DOC or the BOP or operated
under contract to primarily house inmates for state correctional authorities or the BOP.
As you complete the survey, please provide a response to each question:
 If the answer to a question is “none” or “zero”

Write “0” in the space provided.

 If an exact numeric answer is not available

Provide an estimate and check the box labeled “Check if
estimate.”

 If an exact numeric answer is not available
and you cannot provide an estimate

Write “DK” (don’t know) in the space provided.

 If you do not know the answer to a question

Write “DK” (don’t know) in the space provided.

 If the question does not apply to your agency
or those you are reporting for

Write “NA” (not applicable) in the space provided.

BURDEN STATEMENT
Under the Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a currently valid OMB control
number. The burden of this collection is estimated to average 2 hours and 45 minutes per response, including reviewing instructions, searching existing
data sources, gathering necessary data, and completing and reviewing this form. Send comments regarding this burden estimate or any aspect of this
survey, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street, NW, Washington, DC 20531. Do
not send your completed form to this address.

   Section I — FACILITY CHARACTERISTICS

1. As of June 30, 2019, what were the functions of this facility? Mark (X) all that apply.
a. Facility functions
General adult population confinement
Alcohol/drug treatment confinement
Reception/diagnosis/classification
Medical treatment/hospitalization confinement
Mental health/psychiatric confinement
Community corrections/work release/prerelease
Boot camp
Primarily for persons returned to custody (e.g., parole violators)
Primarily for confinement of youthful offenders
Geriatric care
Other — Specify:
b. Which function selected applies to the largest number of inmates?
Mark (X) only ONE box.
General adult population confinement
Alcohol/drug treatment confinement
Reception/diagnosis/classification
Medical treatment/hospitalization confinement
Mental health/psychiatric confinement
Community corrections/work release/prerelease
Boot camp
Primarily for persons returned to custody (e.g., parole violators)
Primarily for confinement of youthful offenders
Geriatric care
Other — Specify:
2. As of June 30, 2019, what percentage of the inmates in this facility were regularly permitted to leave the
facility unaccompanied to work release, study release, rehabilitation? Mark (X) only ONE box.
50% or more
Less than 50%
None

STOP

Please review your answers to Question 1b and Question 2.
 If you answered “Community corrections/work release/prerelease” to Question 1b or “50% or
more” to Question 2, DO NOT complete this form. Please contact RTI at 1-866-354-4993 or
[email protected] to receive the appropriate form for this facility.
 Otherwise, please continue completing this form.

«AGENCY ID» 

3. Is this facility administratively linked to any other facility? Facilities that share budgets or
administrators are administratively linked.
Yes
No

a. What are the names of the facilities?
Go to
question 4

4. As of June 30, 2019, who operated this facility? Mark (X) only ONE box.
Federal authority
State authority
Local authority
Joint state and local authority
Private contractor
5. As of June 30, 2019, was this facility authorized to house — Mark (X) only ONE box.
Males only
Females only
Both males and females
6. As of June 30, 2019, what was the physical security of this facility?
 Super maximum, maximum/close/high security is characterized by walls or double-fence perimeters, armed
towers, or armed patrols. Cell housing is isolated in one of two ways: within a cell block so that a prisoner
escaping from a cell is confined within the building or by double security from the perimeter by bars, steel
doors, or other hardware. All entry or exit is via trap gate or sally port.
 Medium security is characterized by a single or double-fenced perimeter with armed coverage by towers or
patrols. Housing units are cells, rooms, or dormitories. Dormitories are living units designed or modified to
accommodate 12 or more persons. All entry or exit is via trap gate or sally port.
 Minimum or low security is characterized by a fenced or “posted” perimeter. Cell housing units are rooms or
dormitories. Normal entry and exit are under visual surveillance.
Mark (X) the ONE box that best describes the physical security of the facility.
Super maximum
Maximum/close/high
Medium
Minimum/low
Administrative (e.g., medical facilities)
Other — Specify:
None
7. As of June 30, 2019, did this facility have —
a. A geriatric unit specifically designed for inmates of advanced age?
Yes
No
b. A housing unit specifically designated for veterans?
Yes
No

«AGENCY ID» 

8. As of June 30, 2019, what was the rated capacity of this facility?
 Rated capacity is the maximum number of beds or inmates authorized by a rating official for safe and efficient
operation of this facility. It may exceed design capacity because of double bunking. However, beds in an area
not designed as sleeping space, such as day rooms and multipurpose rooms, should not be included in rated
capacity.
Rated capacity

Check if estimate

Don’t know

Go to question 9

a. As of June 30, 2019, what was the design capacity of this facility?
 Design capacity is the number of inmates that planners or architects
intended for this facility.
Design capacity

Check if estimate

9. As of June 30, 2019, was this facility under a state or federal court order or consent decree to limit the
number of inmates it can house?
Yes
No

a. What is the maximum number of inmates this facility is
allowed to house?
Go to question 10
Number of inmates

Check if estimate

b. In what year did this order or decree take effect?
10. As of June 30, 2019, was this facility under a state or federal court order or consent decree for specific
conditions of confinement?
Yes
No

a. What were the specific conditions? Mark (X) all conditions that apply.
Go to question 11

Crowding
Visiting/mail/telephone policy
Accommodation of disabled
Religious practices
Mental health services/treatment
Search policies or practices
Fire hazards
Medical facilities or services
Disciplinary procedures or policies
Grievance procedures or policies
Staffing
Administrative segregation procedures or policies
Library services
Recreation/exercise
Inmate classification
Food services/nutrition/cleanliness
Counseling programs
Education

Other — Specify:

«AGENCY ID» 

b. Was this facility under court order or consent decree for the totality of
conditions (the cumulative effect of several conditions)?
Yes
No
c. In what year did this order or decree first take effect?

Section II — INMATE COUNTS
11. On June 30, 2019, what was the total number of inmates in this facility?
 INCLUDE all inmates temporarily absent from this facility (e.g., for court appearances, brief furloughs, and
medical leave).
 EXCLUDE all inmates who were on escape or absent without leave (AWOL).
a. Males

Check if estimate

b. Females

Check if estimate

c. TOTAL (Sum of questions 11a and 11b)

Check if estimate

12. On June 30, 2019, how many inmates in this facility were —
a. Males under age 18

Check if estimate

b. Females under age 18

Check if estimate

c. TOTAL (Sum of questions 12a and 12b)

Check if estimate

13. On June 30, 2019, how many inmates in this facility were —
a. White, not of Hispanic origin

Check if estimate

b. Black or African American, not of Hispanic origin

Check if estimate

c. Hispanic or Latino

Check if estimate

d. American Indian/Alaska Native, not of Hispanic origin

Check if estimate

e. Asian, not of Hispanic origin

Check if estimate

f. Native Hawaiian or Other Pacific Islander, not of Hispanic origin

Check if estimate

g. Two or more races, not of Hispanic origin

Check if estimate

h. Additional categories in your information system —
Specify:

Check if estimate

i. TOTAL (Sum of questions 13a to 13h should equal question 11c)

Check if estimate

«AGENCY ID» 

14. On June 30, 2019, how many inmates in this facility were held in —
a. Maximum/close/high custody
 Maximum, close, or high custody is assigned to prisoners requiring the highest degree of supervision
because they pose a danger to others and to the institution or because their well-being would be in
jeopardy if they refused protective custody.
 These prisoners cannot participate in activities requiring outside movement, and their inside movement is
closely observed.
Number of inmates

Check if estimate

b. Medium custody
 Medium custody is assigned to prisoners needing more than minimal supervision. Their inside movement
and call-outs require passes and/or supervision. Outside movement, if allowed, requires restraints except
for work or program assignments.
Number of inmates

Check if estimate

c. Minimum/low custody
 Minimum or low custody is assigned to prisoners posing the least threat to the institution and public safety.
They include inmates assigned to community service centers and halfway houses and those who
participate in work, education, and other activities in the community.
Number of inmates

Check if estimate

d. Not classified/other (e.g., unsentenced or sentenced and awaiting classification)
Number of inmates

Check if estimate

e. TOTAL (Sum of questions 14a to 14d should equal question 11c)
Number of inmates

Check if estimate

15. On June 30, 2019, how many inmates in this facility —
a. Had a total maximum sentence of more than 1 year

Check if estimate

b. Had a total maximum sentence of 1 year or less

Check if estimate

c. Were unsentenced

Check if estimate

d. TOTAL (Sum of questions 15a to 15c should equal question 11c)

Check if estimate

16. On June 30, 2019, how many inmates in this facility were —
a. U.S. citizens

Check if estimate

b. Not U.S. citizens

Check if estimate

c. Of unknown citizenship status

Check if estimate

d. TOTAL (Sum of questions 16a to 16c should equal question 11c)

Check if estimate

«AGENCY ID» 

17. On June 30, 2019, how many inmates in this facility were being held in restrictive housing?
 Restrictive housing is a placement that requires an inmate to be confined to a cell at least 22 hours per day for
the safe and secure operation of the facility.
Number of inmates

Check if estimate

If zero, skip to question 19.
18. If question 17 is greater than zero, how many inmates were in restrictive housing on June 30, 2019 for —
a. Protective custody
 Protective custody includes placement to ensure the safety of the inmate or that of another inmate.
Number of inmates

Check if estimate

b. Administrative segregation
 Administrative segregation includes placement of an inmate because the inmate is a clear and present
danger to the security of the institution.
Number of inmates

Check if estimate

c. Disciplinary reasons
Number of inmates

Check if estimate

d. Death row
Number of inmates

Check if estimate

e. Other reasons — Specify:

Number of inmates

Check if estimate

f. TOTAL (Sum of questions 18a to 18e)

Number of inmates

Check if estimate

«AGENCY ID» 

19. On June 30, 2019, how many inmates in this facility were being held for —
a. Federal authorities
Number of inmates

Check if estimate

If zero, skip to question 19b.
If greater than zero: Of all the inmates held for federal authorities, how many were held for —
1. Federal Bureau of Prisons

Check if estimate

2. U.S. Immigration and Customs Enforcement (I.C.E.)

Check if estimate

3. U.S. Marshals Service

Check if estimate

4. Bureau of Indian Affairs

Check if estimate

5. Other — Specify:

Check if estimate

6. TOTAL (Sum of questions 19a1 to 19a5 should equal question 19a)

Check if estimate

b. State prison authorities
Number of inmates

Check if estimate

If zero, skip to question 19c.
If greater than zero: Of all the inmates held for state prison authorities, how many were held for —
1. Your state

Check if estimate

2. Some other state(s) — Specify states below:

Check if estimate

3. TOTAL (Sum of questions 19b1 and 19b2 should equal
question 19b)

Check if estimate

c. Local authorities
Number of inmates

Check if estimate

d. Tribal authorities
Number of inmates

Check if estimate

e. TOTAL (Sum of questions 19a to 19d
should equal 11c)
Number of inmates

Check if estimate

«AGENCY ID» 

 Section III — FACILITY STAFF
20. On June 30, 2019, how many staff employed by this facility were —


EXCLUDE staff paid through contractual agreements and community volunteers.
Full-time
Part-time
a. Payroll staff

Check if estimate

Check if estimate

b. Nonpayroll staff
INCLUDE staff on the payroll of other
government agencies (e.g., health,
human services, education, and court)
and unpaid interns.

Check if estimate

Check if estimate

c. TOTAL (Sum of questions 20a and 20b)

Check if estimate

Check if estimate

21. On June 30, 2019, how many of the total staff reported in question 20c were —
a. Male

Check if estimate

b. Female

Check if estimate

c. TOTAL (Sum of questions 21a and 21b should equal total in 20c)

Check if estimate

22. On June 30, 2019, how many SECURITY STAFF employed by this facility were —
 Security staff are officers of all ranks and other uniformed staff who, regardless of their staff titles, are
in direct contact with inmates and involved in their daily custody, care, supervision, or monitoring.
• INCLUDE correctional officers, line staff, and their supervisors.
a. Males

Check if estimate

b. Females

Check if estimate

c. TOTAL (Sum of questions 22a and 22b)

Check if estimate

23. Of the total SECURITY STAFF reported in question 22, how many were —
a. White, not of Hispanic origin

Check if estimate

b. Black or African American, not of Hispanic origin

Check if estimate

c. Hispanic or Latino

Check if estimate

d. American Indian/Alaska Native, not of Hispanic origin

Check if estimate

e. Asian, not of Hispanic origin

Check if estimate

f. Native Hawaiian or Other Pacific Islander, not of Hispanic origin

Check if estimate

g. Two or more races, not of Hispanic origin

Check if estimate

h. Additional categories in your information system —
Specify:
i. TOTAL (Sum of questions 23a to 23h should equal question 22c)

Check if estimate
Check if estimate

«AGENCY ID» 

24. On average, how many SECURITY STAFF are on duty by shift?
 If your facility operates on 12-hour shifts, please enter your responses under 24a and 24b.
a. Day (1st) shift
b. Night (2nd) shift
c. Overnight (3rd) shift

25. If you answered “Yes” to question 3, how many of the total SECURITY STAFF reported in question 22
were shared with other facilities administratively linked to this facility on June 30, 2019?
Number of shared security staff

Check if estimate

Section IV — FACILITY OPERATIONS AND SECURITY
26. Between July 1, 2018, and June 30, 2019, how many misconduct/disciplinary reports were filed on
inmates for major infractions in this facility? Please count reports of major infractions in which one or
more inmate was found guilty.


INCLUDE major infractions, such as drug and alcohol violations; possession of stolen property, contraband or
weapons; verbal or physical assaults; work slow downs; food strikes; setting fires; escapes; and similar
major violations.

 ONLY include the number of reports filed, not the number of inmates involved in major infractions.
Number of reports filed

Check if estimate

27. Between July 1, 2018, and June 30, 2019, how many physical or sexual assaults against facility staff did
inmates commit resulting in a serious injury to staff at this facility? Please only include assaults that
took place on-site at this facility.
 A serious injury restricts the staff member’s usual activity. This type of injury requires immediate medical
attention more extensive than first-aid, such as application of bandages to wounds; it could include stitches,
setting bones, and treatment of concussion.
 INCLUDE rape/sexual assault
 INCLUDE assaults resulting in death.

Number of assaults against facility staff

Check if estimate

«AGENCY ID» 

28. Between July 1, 2018, and June 30, 2019, how many physical or sexual assaults against another
inmate(s) did inmates commit at this facility? Please only include assaults that took place on-site at this
facility.
a. With serious injury to other inmates?

Check if estimate

 A serious injury restricts the inmate’s usual activity. This type of injury requires immediate medical attention
more extensive than first-aid, such as application of bandages to wounds; it could include stitches, setting
bones, and treatment of concussion.
 INCLUDE rape/sexual assault
 INCLUDE assaults resulting in death.
b. Without serious injury to other inmates?

Check if estimate

c. TOTAL (Sum of questions 28a and 28b)

Check if estimate

29. Between July 1, 2018, and June 30, 2019, how many disturbances occurred at this facility?
 A disturbance is an incident brought about by inmate action that results in loss of control of the facility or a
portion of the facility and requires extraordinary measures to regain control.
 A loss of control is defined as a situation in which inmates are acting in concert to disrupt facility operations
and refuse to comply with lockdown orders.
 Examples of extraordinary measures include sending in a significant number of staff or the tactical response
team, firing of shots, use of gas, etc.
Number of disturbances

Check if estimate

30. Does this facility have a perimeter and barriers such as walls to keep prisoners from leaving or
surveillance methods such as guard towers, perimeter patrols, and electronic monitoring devices to
detect those attempting to escape?
Yes
No

Go to question 31

30a. How many escapes occurred from this secure facility between
July 1, 2018, and June 30, 2019?
 Escape from a secure facility occurs when a prisoner breaches the last
line of security. If a prisoner clears the first fence of a double-fenced
facility but not the second, it is not an escape. Those who clear the
second fence, even if apprehended on prison grounds, have escaped.
Number of escapes

Check if estimate

31. Between July 1, 2018, and June 30, 2019, how many inmates walked away while on work detail, medical
appointment, court appearance, work release, or furlough and, as a consequence, were officially
recorded as AWOL?
 Walkaway prisoners leave custodial supervision outside a secure institution while on detail, during
transportation, medical visit, or court appearance and are recorded as AWOL. Inmates who return late from
furlough or other temporary release should be counted as walkaways, not escapees.

Number of walkaways

Check if estimate

«AGENCY ID» 

Section V — FACILITY PROGRAMS

32. As of June 30, 2019, what types of work assignments were available to inmates in this facility?
Mark (X) all that apply.
Prison industries (e.g., license plates, wood product, textiles)
Facility support services (e.g., office and administration work, food services, and building maintenance)
Farming/agriculture
Public works assignments — inmates work outside the facility and perform road, park, or other public
maintenance work
Other — Specify:
None
33. As of June 30, 2019, what types of counseling or special programs were available to inmates in this
facility? Mark (X) all that apply.
Drug dependency/counseling/awareness
Alcohol dependency/counseling/awareness
Psychological/psychiatric counseling
HIV/AIDS counseling
Sex offender counseling
Anger management
Employment (e.g., job seeking and interviewing skills)
Life skills and community adjustment (including personal finance, conflict resolution, etc.)
Parenting/child-rearing skills
Canine training
Victim services (provided to inmates who have been victims of crime prior to or during their incarceration)
Other — Specify:
None
34. As of June 30, 2019, what types of educational programs were available to inmates in this facility?
 INCLUDE only formal programs.
 EXCLUDE unscheduled activities and informal programs.
Mark (X) all that apply.
Literacy training or other lower adult basic education (ABE) — first- to fourth-grade level
Upper basic adult education — fifth- to eighth-grade level
Secondary education or High School Equivalency/GED
Special education (e.g., programs for inmates with learning disabilities)
English as a second language (ESL)
Vocational training (e.g., auto repair, drafting, and data processing)
College courses
Study release programs (i.e., release to community to attend school)
Other — Specify:
None

«AGENCY ID» 

Please use the following space to provide any comments to clarify any of your responses or describe any
challenges you had in providing a response.

«AGENCY ID»