Perf-Based Stds, Adult Corr. Inst. 5th ed March 2020

Appendix F: Organization Summary

Facility Accreditation Manager:

Telephone Number & Email Address:

Existing ACA Member? If yes, please include ACA Membership Number. State/Regional Accreditation Manager: (if applicable)

Telephone Number & Email Address:

Existing ACA Member? If yes, please include ACA Membership Number.

Physical and Operational Security Features

Date of Facility Construction:

Date of the Last Renovation: (if applicable)

Number of Satellite Facilities:

Are these facilities to be included in the accreditation?

q Yes

q No

Name of Satellite Agency or Facility:

Physical Address:

Mailing Address:

Primary Facility Telephone Number:

Security Level of the Facility:

q Maximum

q Medium

q Minimum

Number of Offenders by Custody Level:

__________ Maximum __________ Medium __________ Minimum

Signature: _____________________________________________________________________________ Printed Name: _ ________________________________________________________________________ Title: _ _______________________________________________________________________________ Date: _ _______________________________________________________________________________

276 Adult Correctional Institutions, Fifth Edition