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Speaker 1: One, and welcome back to the Epstein Chronicles. We're gonna

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pick up where we left off with the last episode

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and we're going to continue looking at the OIG report

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into the circumstances surrounding Jeffrey Epstein's death. And in our

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last episode, we were talking about the discovery of the

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security camera system recording issues. So let's pick right up

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with Section B response on August eighth and ninth to

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discovery of the recording failure. On August eighth, following discovery

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of the recording failure, Company one Service records reflect that

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the electronics technician contacted a Company one technical support representative,

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who ultimately determined that two hard drives within DVR two

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had failed. According to the electronics technician and the Company

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one Service request record, the Company one representative informed the

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electronics technician that the two drives needed to be replaced

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and that DVR two needed to be rebuilt in order

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for the cameras to record again. The electronics technician told

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the OIG that he informed a Company one technician that

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he had to obtain the drives from mcc New York's

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computer services manager. The electronics technician further stated that he

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left the institution at the end of his shift and

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did not obtain the hard drives and did not continue

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to work on the matter. The electronics technician told the

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OIG he had no idea why he did not stay

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at the facility to resolve the problem that day, but

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he noted for the OIG that he had not historically

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been required to stay after his shift ended to work

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on such matters, and even if he had begun working

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on the DVR that day, he would not have completed

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the work on August eighth due to the time it

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takes for the rebuilding process. The OIG found that the

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electronics technicians immediate supervisor, the facility manager, was on leave

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that week and therefore was not told on August eight

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about the DVR recording failure. The facility manager confirmed that

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he did not learn about the camera's problem until days

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after Epstein's death. The electronics technician told the OIG that

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he did not report the problem to the lock and

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security supervisor, who was the acting facility manager in the

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facility manager's absence. The SIS lieutenant told the OIG that

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after the electronics technician had examined the system on August eight,

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the electronics technician informed her that the cameras were not

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recording and said, I'm going to stay and do overtime tonight.

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Based on his comment, the SIS Lieutenant assumed that the

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electronics technician would remain at the institution after his shift

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ended that day to correct the issue. The electronics technician

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told the OIG there must have been some sort of

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miscommunication because he did not say he was going to

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work overtime and resolved the problem that same evening since

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he knew the problem could not be fixed in one evening.

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The electronics technician told the OIG that in hindsight, he

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should have stated at the institution to be in work

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on the problem that same day. The Sis Lieutenant told

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the OIG that she verbally informed the captain on August

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eight that the cameras were down, but BOP records reflect

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that the captain left the institution before the malfunction was discovered.

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The captain told the OIG that he did not learn

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about the DVR recording issue until after Epstein's death on

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August tenth, when he asked to see video related to

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the Epstein incident. Associated ward I confirmed she was with

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the SIS Lieutenant on August eighth when the camera problem

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was discovered, but she told the OIG she only knew

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video could not be replayed. She did not know the

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recording system for certain cameras was down. She could see

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live video from the cameras on the date and therefore

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assumed that they were recording. According to the electronics technician,

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after he reported the work on August ninth, twenty nineteen,

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and attended to other matters throughout the day, the electronics

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technician obtained the replacement hard drives and attempted to perform

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the repair sometime late in the day. However, the electronics

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technician told the OIG that no SIS staff were present

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at the time to give him access to the room

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in which the DVR room was located, so he requested

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access from the only other individual who had a key

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to the space, Correctional Officer Number four. According to the

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electronics technician, Correctional Officer number four denied a access to

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the room because CO four shift was ending at four

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pm and CO four was unable to stay to accompany

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him in the space while the the electronics technician performed

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the work. According to the electronics technician, CO four said

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he would be at the institution the following day to

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provide the electronics technician access to the room, so the

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electronics technician decided to postpone the repair until the following day.

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The electronics technician said his decision was influenced by the

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fact that he had historically been told by mcc New

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York supervisors that such matters did not have to be

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attended to until the following day, and even if he

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had replaced the hard drives that day, the rebuilding process

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would have taken twenty four hours to complete and would

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therefore not have finished until the following day anyway. Part c.

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Shoe Camera locations and operational status on August tenth. The

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electronics technician arrived at the institution around six am on

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August tenth, twenty nineteen, and shortly thereafter, before he could

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begin working on the DVR system, he heard the staff

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body alarm sound, and he reported to the shoe to assist.

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Later that day, he asked to pull potential video from

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cameras located in and around the shoe. The electronics technician

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eventually determined that most of the cameras in the shoe

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area were assigned to record to DVR two, while the

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cameras assigned to DVR two were providing live video streams

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on August ninth and tenth, twenty nineteen. No recordings from

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those cameras were available due to the DVR two hard

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drive issue, which the FBI later determined had occurred on

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July twenty ninth, twenty nineteen. Among the cameras whose video

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was not recorded was the camera at the end of

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L Tier, the shoe tier in which Epstein was housed.

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Only two cameras in the vicinity of the shoe area

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were recording to DVR one at the time of Epstein's death.

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One camera was located on the upper level edge rants

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to the ten South Unit, a housing unit adjacent to

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the shoe, near the door mcc new York staff referred

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to as the forty six door. That camera captured video

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of a large part of the common area of the shoe,

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including the shoe officer's station, and portions of the stairways

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leading to the different shoe tiers, including the tier containing

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Epstein's cell. Thus, anyone entering or attempting to enter the

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L Tier from the common area of the shoe on

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August ninth and tenth would have been picked up by

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the video recorded by that camera. Epstein cell door, however,

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was not in the camera's field of view. The other

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camera that was recording was located in one of the

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ninth floors two elevator bays and provided video of the

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ninth floor fire exit and two of the floors four elevators.

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The available video showed that at approximately seven to forty

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nine pm on August ninth, Epstein was a scorded toward

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the L Tier stairway by an individual believed to be

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the evening watch shoe officer in charge. At approximately ten

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thirty nine PM, and unidentified COO appeared to walk up

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the L Tier stairway and then reappeared within view of

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the camera at ten forty one pm. This is believed

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to be the last time anyone entered El Tier before

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approximately six thirty am on August tenth. Between approximately ten

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forty pm on August ninth and just before six thirty

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am on August tenth, the OIG did not observe on

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the recorded video any COO or other individual enter any

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of the shoe tiers, which is consistent with co Tovin

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Noel and material handler Michael Thomas's admissions to the OIG

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that the shoe rounds and counts were not conducted during

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that timeframe. At approximately six twenty eight am, an unidentified

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officer was observed on the L Tier stairway, presumably to

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deliver breakfast food trays. Between six twenty eight am and

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six thirty two am, an unidentified officer believed to be Noel,

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moved back and forth several times between the L Tier

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stairway and the shoe officer's station. At approximately six thirty

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three am, additional officers entered the Shoe and ascended the

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El Tier stairway, presumably after Noel activated her body alarm

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when Epstein was discovered hanged in his cell. As noted above,

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the camera at the end of the El Tier was

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providing a live video feed at the time of Epstein's death,

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but the video was not being recorded. The electronics technician

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told the OIG that certain mcc New York personnel, including

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the Control Center SIS personnel, but Warden, most lieutenants, and

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the electronics technician, had access to the live video feed

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of the institution's security cameras. He explained that to view

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the live video feed of a particular camera, an employee

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with access would need to key in the specific camera

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into the security camera system to call up the live

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feed with terms conditions eighting plus. The correctional Systems officer

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who was working at the control center on August tenth

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from twelve am to eight am, and the morning watch

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operations lieutenant both told the OIG that the only live

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feed from the shoe on their screens was video from

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the cameras showing the shoe's common area, and they did

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not perceive a need to take the necessary steps to

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see the live feed from the shoe el tier from

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either of their duty stations. On the evening Epstein died.

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The warden, who was not scheduled to work on August tenth,

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twenty nineteen, arrived at the institution later that morning after

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being notified of Epstein's death and was informed that most

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of the cameras in the shoe were not recording. He

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told the OIG that when the SIS lieutenant arrived at

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the facility that morning, he informed her that the shoe

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cameras had not been recording, and the SIS lieutenant explained

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that the hard drive issue had been detected on August eight.

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He told the OIG that prior to August tenth, he

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was unaware that the DVR two issue had been detected

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on August eighth, and that approximately half of the facility's cameras,

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and in particular, the cameras in the shoe, were found

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to not be recording on that date. The electronics technician

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told the OIG that the warden had instructed electronics technician

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to try and recover any potential shoe video and that

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may have been recorded by the cameras assigned to the

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malfunctioning DVR two system, but the electronics technician was unable

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to find anything. The electronics technician further said that the

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warden wanted to have the facilities cameras recording again as

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soon as possible, so he instructed the electronics technician to

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begin repairing DVR number two. Part D FBI forensic analysis

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of the DVR system. FBI evidence documents revealed that on

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August tenth, twenty nineteen, the FBI seized all our drives

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contained within the DVR two system. On August fourteenth, twenty nineteen,

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the FBI returned to mcc New York and seized additional

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DVR two components. On August fifteenth, twenty nineteen, the FBI

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sees the entire DVR one system. The FBI's Digital Forensic

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Analysis Unit in Quantico, Virginia, received mcc new York's DVR

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system on August sixteenth, twenty nineteen, and began to conduct

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a forensic analysis of the system. According to FBI forensic reports,

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DVR two did not start successfully. The Digital Forensic Analysis

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Unit found that the system contained three faulty hard drives.

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The FBI forensic report states that the three drives were

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repaired by an FBI Advanced Data Recovery Specialist, but the

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DVRs were never able to be assembled successfully. The forensic

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report further state that an FBI computer scientist and the

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company's one technician reviewed the DVR two controller logs and

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found that there had previously been catastrophic disc failures and

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no recordings would have been available after July twenty ninth,

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twenty nineteen. When the OIG asked the electronics technician about

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his findings by the FBI, he told the OIG he

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was unaware that cameras were not recording to DVR two

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between July twenty ninth and August eighth of twenty nineteen.

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Neither the warden nor the sis lieutenant was aware the

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cameras assigned to DVR two had not been recording since

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July twenty ninth, twenty nineteen. The company won technician could

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not recall working with the electronics technician on any DVR

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issues prior to August eighth, twenty nineteen, but he said

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that if the entire DVR two server went down on

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July twenty ninth, twenty nineteen, no video would have been

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able to have been retrieved from that point forward from

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any of the cameras recording to DVR two. All right, folks,

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that's gonna bring chapter six to its conclusion. In our

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next episode, we're gonna pick up with the OIG report,

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and that's going to be with Chapter seven conclusions and recommendations.

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And then once we have this whole entire OIG report

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added to the catalog without my commentary, then I'm gonna

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go back and we're gonna go through certain parts of

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it again, but with added commentary, because it's taking everything

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in my power not to have my aapp running while

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I'm reading through this. All right, folks, All of the

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information that goes with this episode can be found in

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the descript as for me. And then Welcome back to

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the Epstein Chronicles. We're going to pick right back up

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with that OIG report, and in this episode, we're going

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to start looking at Chapter seven Conclusions and Recommendations, Part

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one Conclusions. Our investigation and review of the Federal Bureau

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of Prisons custody care and supervision of Jeffrey Epstein identified

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numerous and serious failures by employees of the Metropolitan Correctional

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Center located in New York, New York MCC New York,

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including falsifying BOP records relating to inmate counts, en rounds,

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and multiple violations of MCC New York and BOP policies

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and procedures which compromised Epstein's safety, the safety of other inmates,

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and the security of the institution. Specifically, we found that

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MCC New York staff failed to undertake the z or

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acquired measures designed to make sure that, among other things,

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Epstein and other inmates were accounted for and safe, such

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00:16:08,799 --> 00:16:13,559
as conducting inmate counts and thirty minute rounds, searching inmate cells,

243
00:16:13,840 --> 00:16:18,120
and ensuring adequate supervision of the Special Housing unit, and

244
00:16:18,200 --> 00:16:23,440
the functionality of MCC New York's security camera system. We

245
00:16:23,519 --> 00:16:28,799
further found that multiple BOP employees submitted false documents claiming

246
00:16:28,840 --> 00:16:32,200
that they had performed the required counts n rounds, and

247
00:16:32,240 --> 00:16:35,960
that several MCC new York staff members lacked candor when

248
00:16:36,039 --> 00:16:40,360
questioned by the Office of the Inspector General about their actions.

249
00:16:41,279 --> 00:16:44,799
Two MCC New York employees, Touvin Owell and Michael Thomas,

250
00:16:44,799 --> 00:16:49,639
were charged criminally with falsifying BOP records relating to their

251
00:16:49,679 --> 00:16:53,639
conducting inmate counts and rounds. The US Attorney's Office for

252
00:16:53,679 --> 00:16:57,639
the Southern District of New York subsequently entered into deferred

253
00:16:57,639 --> 00:17:01,120
prosecution agreements with Noel and Tom Thomas, and the court

254
00:17:01,200 --> 00:17:05,640
dismissed all charges against them. After Noel and Thomas successfully

255
00:17:05,960 --> 00:17:10,039
fulfilled the terms of their agreements. Prosecution was declined by

256
00:17:10,039 --> 00:17:13,119
the US Attorney's Office for the Southern District of New

257
00:17:13,200 --> 00:17:16,640
York for other MCC New York employees assigned to the

258
00:17:16,680 --> 00:17:20,799
shoe on August nineth and tenth, twenty nineteen, who the

259
00:17:20,839 --> 00:17:25,960
OIG found also created, certified, and submitted false documentation regarding

260
00:17:26,000 --> 00:17:29,200
inmate counts and rounds on the day before and the

261
00:17:29,279 --> 00:17:33,799
day of Epstein's death. The OIG also found that the

262
00:17:33,960 --> 00:17:37,359
mcc new York staff failed to carry out the psychology

263
00:17:37,440 --> 00:17:41,480
departments directive that Epstein be assigned to cellmate, and that

264
00:17:41,559 --> 00:17:44,839
an mcc new York supervisor allowed Epstein to make an

265
00:17:44,960 --> 00:17:49,279
unmonitored phone call the evening before his death. The OIG

266
00:17:49,480 --> 00:17:53,160
determined that the combination of these and other failures led

267
00:17:53,200 --> 00:17:57,039
to Epstein being alone and unmonitored in his cell with

268
00:17:57,119 --> 00:18:01,519
an excessive amount of bed linens from approximately ten pm

269
00:18:01,839 --> 00:18:04,519
on August ninth until he was discovered hanged in his

270
00:18:04,599 --> 00:18:09,400
cell at approximately six thirty am the following day. Additionally,

271
00:18:09,680 --> 00:18:13,680
the OIG found that staffing shortages, a persistent issue for

272
00:18:13,720 --> 00:18:18,000
the BOP, compromised the ability of mcc new York staff

273
00:18:18,279 --> 00:18:23,039
to adequately supervise inmates, as detailed below. We make a

274
00:18:23,119 --> 00:18:27,079
number of recommendations to the BOP to address the serious

275
00:18:27,160 --> 00:18:32,400
issues we identified during our investigation and review. While the

276
00:18:32,400 --> 00:18:37,680
OIG determined that mcc new York staff committed significant violations

277
00:18:37,680 --> 00:18:42,559
of BOP and mcc new York policies and falsified records

278
00:18:42,720 --> 00:18:46,720
relating to their conducting inmate counts and rounds, the OIG

279
00:18:46,920 --> 00:18:53,160
did not uncover evidence that contradicted the FBI's determination regarding

280
00:18:53,200 --> 00:18:56,960
the absence of criminality in connection with how Epstein died.

281
00:18:57,680 --> 00:19:00,960
All MCC new York staff members who were interviewed by

282
00:19:01,000 --> 00:19:03,680
the OIG said that they did not know of any

283
00:19:03,720 --> 00:19:07,599
information suggesting that Epstein's cause of death was something other

284
00:19:07,680 --> 00:19:12,400
than suicide. Likewise, none of the interviewed inmates provided any

285
00:19:12,440 --> 00:19:16,079
credible information that Epstein's cause of death was something other

286
00:19:16,319 --> 00:19:20,119
than suicide. As detailed in Chapter four of this report,

287
00:19:20,400 --> 00:19:23,200
the Shoe was a housing unit within the MCC New

288
00:19:23,279 --> 00:19:27,519
York where inmates were securely separated from the general inmate

289
00:19:27,599 --> 00:19:32,119
population and kept locked in their cells for approximately twenty

290
00:19:32,119 --> 00:19:35,240
three hours a day to ensure their own safety as

291
00:19:35,279 --> 00:19:38,920
well as the safety of staff and other inmates. Access

292
00:19:38,960 --> 00:19:42,319
to the Shoe was controlled by multiple locked doors. The

293
00:19:42,319 --> 00:19:46,359
primary entrance to the shoe, main exterior entry door, was

294
00:19:46,440 --> 00:19:49,880
opened remotely by a staff member in mcc new York's

295
00:19:49,880 --> 00:19:54,039
centralized control center. Additionally, there was a second locked door

296
00:19:54,200 --> 00:19:57,640
at the main entrance main interior entry door, which could

297
00:19:57,640 --> 00:20:00,440
be opened only with the key held by a limited

298
00:20:00,519 --> 00:20:04,960
number of correctional officers while on duty. Within the Shoe,

299
00:20:05,039 --> 00:20:08,160
the entrance to each tier could be accessed only via

300
00:20:08,359 --> 00:20:11,440
a single locked door at the top or bottom of

301
00:20:11,480 --> 00:20:15,680
the staircase leading to the individual tier. Keys to open

302
00:20:15,680 --> 00:20:18,559
the locked tier doors were available only to a limited

303
00:20:18,640 --> 00:20:22,160
number of cos while on duty. Each tier had eight cells,

304
00:20:22,559 --> 00:20:25,720
each of which could house either one or two inmates.

305
00:20:26,319 --> 00:20:29,279
Each individual cell, which was made of cement and metal,

306
00:20:29,559 --> 00:20:32,720
could be accessed only through a single locked door, to

307
00:20:32,799 --> 00:20:35,839
which only a limited number of cos had keys while

308
00:20:35,839 --> 00:20:39,200
on duty. The Shoe cell doors were made of solid

309
00:20:39,240 --> 00:20:42,920
metal with a small glass window and small locked slots

310
00:20:42,920 --> 00:20:46,960
that correctional staff used to handcuff inmates and provide food

311
00:20:47,200 --> 00:20:51,319
and toilet trees two inmates as a further security measure.

312
00:20:51,559 --> 00:20:54,680
During each shift, a limited number of the coos had

313
00:20:54,759 --> 00:20:58,920
keys while on duty. While BOP policy in practice require

314
00:20:59,000 --> 00:21:01,799
that all shoe in makes be locked in their cells overnight,

315
00:21:02,279 --> 00:21:05,440
the OIG found no evidence indicating that the door to

316
00:21:05,480 --> 00:21:08,200
Epstein's cell, or any other cell in the shoe tier

317
00:21:08,480 --> 00:21:11,319
in which Epstein was housed, was unlocked on the evening

318
00:21:11,720 --> 00:21:15,920
of August ninth and tenth, twenty nineteen, after Shoe staff

319
00:21:15,960 --> 00:21:19,440
locked Epstein in his cell at approximately eight pm. Shoe

320
00:21:19,440 --> 00:21:22,920
staff told the OIG that at approximately eight pm on

321
00:21:22,960 --> 00:21:25,920
August ninth, all shoe inmates were locked in their cells

322
00:21:26,200 --> 00:21:29,440
for the evening, and that there was no indication that

323
00:21:29,519 --> 00:21:31,720
any of the other inmates could have gotten out of

324
00:21:31,759 --> 00:21:35,000
their cells. Epstein did not have a cell mate after

325
00:21:35,039 --> 00:21:38,400
inmate Iree was transferred out of mcc New York on

326
00:21:38,440 --> 00:21:41,359
August ninth, and therefore Epstein was alone in his cell

327
00:21:41,559 --> 00:21:45,079
the evening of August ninth and tenth. The door to

328
00:21:45,119 --> 00:21:48,759
Epstein's cell was visible from the shoe officer's station, and

329
00:21:48,880 --> 00:21:52,680
co Tove Noel and material handler Michael Thomas told the

330
00:21:52,720 --> 00:21:56,319
OIG that no one entered or exited epstein cell during

331
00:21:56,319 --> 00:22:00,000
their shift on August tenth. Both of them further described,

332
00:22:00,000 --> 00:22:02,720
I'm delivering breakfast to the el tier at about six

333
00:22:02,880 --> 00:22:06,200
thirty am on August tenth, and al Noel unlocked the

334
00:22:06,240 --> 00:22:09,240
door to the el tier. Thomas entered the el tier

335
00:22:09,599 --> 00:22:12,559
and called for Epstein, and then Thomas unlocked a cell

336
00:22:12,640 --> 00:22:17,200
door when Epstein failed to respond. Additionally, the three inmates

337
00:22:17,200 --> 00:22:19,839
who were housed in the same shoe tier as Epstein

338
00:22:20,079 --> 00:22:22,519
on August ninth and tenth, who had a direct line

339
00:22:22,559 --> 00:22:25,799
of sight to the door of epstein cell from their cells,

340
00:22:26,119 --> 00:22:30,119
stated that no one entered or exited epstein cell after

341
00:22:30,200 --> 00:22:33,319
the shoe staff returned Epstein to is cell on the

342
00:22:33,359 --> 00:22:37,480
evening of August ninth, which is consistent with the security

343
00:22:37,480 --> 00:22:42,160
measures in place within the MCC New York Shoe. Further,

344
00:22:42,359 --> 00:22:45,880
the OIG analyzed the available recorded video of the shoe,

345
00:22:46,119 --> 00:22:49,000
which was limited to the common area of the shoe,

346
00:22:49,240 --> 00:22:52,640
including the shoe officer's station. Due to the mcc New

347
00:22:52,759 --> 00:22:57,359
York security camera systems video recording issues that we detailed

348
00:22:57,359 --> 00:23:01,839
in chapter six, the OIG is annownalysis of the recorded

349
00:23:01,920 --> 00:23:05,960
video did not identify any CEOs other than those assigned

350
00:23:05,960 --> 00:23:08,559
to the shoe during that time frame or had a

351
00:23:08,559 --> 00:23:13,039
specific reason for visiting the shoe, or other individuals present

352
00:23:13,279 --> 00:23:16,359
in the common area of the shoe approach any of

353
00:23:16,400 --> 00:23:20,119
the shoe tiers, including the L tier where Epstein was housed,

354
00:23:20,319 --> 00:23:24,720
between approximately ten forty pm on August ninth and approximately

355
00:23:24,960 --> 00:23:29,160
six thirty am on August tenth. In some the OIG's

356
00:23:29,200 --> 00:23:33,759
investigation did not find any evidence that anyone was present

357
00:23:34,240 --> 00:23:37,599
in the L Tier during that time frame other than

358
00:23:37,640 --> 00:23:40,519
the inmates who were locked in their assigned cells on

359
00:23:40,680 --> 00:23:44,480
that tier of the shoe. We also noted that the

360
00:23:44,519 --> 00:23:47,960
surveillance cameras in the L Tier as shown in the

361
00:23:47,960 --> 00:23:51,160
photograph in Figure six. Pot seven was in plain view

362
00:23:51,200 --> 00:23:53,720
of the inmates, and therefore the inmates would have been

363
00:23:53,799 --> 00:23:58,000
aware that any hallway movements, including into or out of

364
00:23:58,039 --> 00:24:02,000
Epstein's cell, were being livest and could be monitored, even

365
00:24:02,039 --> 00:24:06,119
if unbeknownst to them, the digital video recording system was

366
00:24:06,160 --> 00:24:09,640
not recording the live stream at the time. As the

367
00:24:09,680 --> 00:24:13,920
OIG is noted in numerous prior reports regarding the goop's

368
00:24:14,000 --> 00:24:18,160
camera system, BOP staff and inmates are aware of where

369
00:24:18,200 --> 00:24:22,240
prison cameras are located, and often engage in wrongdoing in

370
00:24:22,319 --> 00:24:27,200
locations where they know cameras are not located. Additionally, the

371
00:24:27,240 --> 00:24:30,799
OIG did not observe on the recorded video of the

372
00:24:30,839 --> 00:24:34,119
Shoe common area that Noel and Thomas, who were seated

373
00:24:34,160 --> 00:24:37,960
at the desk at the Shoe Officer's station immediately outside

374
00:24:38,000 --> 00:24:41,200
the L tier during that time period, at any time,

375
00:24:41,359 --> 00:24:44,920
rose from their seats or approached the L tier. We

376
00:24:45,000 --> 00:24:48,279
additionally found that Thomas and Noel's reaction on the morning

377
00:24:48,519 --> 00:24:51,680
of August tenth, upon finding Epstein hanging in his cell,

378
00:24:52,279 --> 00:24:56,039
as described to us by Thomas, Noel, the responding lieutenant,

379
00:24:56,160 --> 00:25:00,400
and inmates, was consistent with their being unaware of any

380
00:25:00,400 --> 00:25:04,640
potential harm to Epstein prior to Thomas entering Epstein's cell

381
00:25:04,920 --> 00:25:08,680
at about six thirty am on August tenth. We further

382
00:25:08,759 --> 00:25:12,400
noted that Epstein had previously been placed on suicide watch

383
00:25:12,680 --> 00:25:16,559
and psychological observation due to the events of July twenty third,

384
00:25:16,839 --> 00:25:21,039
twenty nineteen, that numerous newses made from prison bed sheets

385
00:25:21,240 --> 00:25:23,960
were found in his cell on the morning of August tenth,

386
00:25:24,599 --> 00:25:26,720
and that he had signed a new last will and

387
00:25:26,759 --> 00:25:30,640
testament on August eighth, two days before he died. No

388
00:25:30,759 --> 00:25:34,839
weapons were recovered from Epstein's cell after his death. Additionally,

389
00:25:34,839 --> 00:25:38,599
the inmates who were interviewed consistently reported that on the

390
00:25:38,640 --> 00:25:42,359
evening Epstein died, the Shoe staff did not systematically conduct

391
00:25:42,480 --> 00:25:45,480
or required rounds and counts, which was one of the

392
00:25:45,480 --> 00:25:49,279
primary mechanisms for the Shoe staff to ensure the safety

393
00:25:49,440 --> 00:25:53,480
and security of inmates housed in the Shoe. As a result,

394
00:25:53,559 --> 00:25:57,119
Epstein was unmonitored and locked alone in his cell for

395
00:25:57,359 --> 00:26:01,319
hours with an excess amount of linens, which provided an

396
00:26:01,359 --> 00:26:06,200
opportunity for him to commit suicide. Finally, the medical examiner

397
00:26:06,240 --> 00:26:10,160
who performed the autopsy detailed for the OIG why Epstein's

398
00:26:10,160 --> 00:26:14,519
injuries were more consistent with and indicative of a suicide

399
00:26:14,559 --> 00:26:19,480
by hanging rather than homicide by strangulation. The medical examiner

400
00:26:19,599 --> 00:26:23,319
also told the OIG that the ligature furrow was too

401
00:26:23,359 --> 00:26:26,480
broad to have been caused by electrical cord of the

402
00:26:26,480 --> 00:26:30,079
medical device in Epstein's cell, and the blood toxicology tests

403
00:26:30,160 --> 00:26:35,079
revealed no medications or legal substances were in Epstein's system.

404
00:26:35,359 --> 00:26:39,240
The medical examiner also noted the absence of debris under

405
00:26:39,279 --> 00:26:43,359
Epstein's fingernails, marks on his hands, contusions to his knuckles,

406
00:26:43,680 --> 00:26:47,400
or bruises on his body that would have indicated Epstein

407
00:26:47,640 --> 00:26:50,759
had been in a struggle, which would have been expected

408
00:26:50,759 --> 00:26:55,240
if Epstein's death had been a homicide by strangulation. This

409
00:26:55,319 --> 00:26:57,599
is not the first time that the OIG has found

410
00:26:57,640 --> 00:27:01,359
significant job performance and management failures on the part of

411
00:27:01,440 --> 00:27:06,799
BOP personnel and widespread disregard of BOP policies that are

412
00:27:06,839 --> 00:27:09,880
designed to ensure that inmates are safe, secure, and in

413
00:27:09,920 --> 00:27:13,960
good health. For instance, the OIG's December twenty twenty two

414
00:27:14,039 --> 00:27:18,000
investigation and review of the GOP's handling of the transfer

415
00:27:18,000 --> 00:27:22,960
of James Whitey Bulger identified serious job performance and management

416
00:27:22,960 --> 00:27:27,200
failures at multiple levels within the BOP. Similar to the

417
00:27:27,200 --> 00:27:31,319
Bulger report, the numerous and serious transgressions that occurred in

418
00:27:31,400 --> 00:27:34,799
this matter came to light largely because they involved a

419
00:27:34,880 --> 00:27:39,039
high profile inmate. The fact that serious deficiencies occurred in

420
00:27:39,079 --> 00:27:43,279
connection with high profile inmates like Epstein and Bulger is

421
00:27:43,400 --> 00:27:48,359
especially concerning given that the BOP would presumably take particular

422
00:27:48,440 --> 00:27:53,200
care in handling the custody in care of such inmates. Regrettably,

423
00:27:53,400 --> 00:27:57,480
the OIG has encountered similar issues on many other occasions.

424
00:27:57,799 --> 00:28:02,720
For example, the OIG is investigation numerous allegations related to

425
00:28:02,799 --> 00:28:08,079
the falsification of a official GOP documentation concerning inmate counts

426
00:28:08,079 --> 00:28:11,720
and rounds, several of which have resulted in criminal prosecution.

427
00:28:12,319 --> 00:28:16,880
The OIG currently has two open investigations into allegations of

428
00:28:16,960 --> 00:28:21,599
falsified inmate count and round documentation, each involving an inmate

429
00:28:21,680 --> 00:28:26,359
death by suicide and homicide or escape from a GOOP facility.

430
00:28:27,200 --> 00:28:31,720
This investigation and review also revealed the direct impact of

431
00:28:31,960 --> 00:28:36,920
insufficient staffing levels on inmate safety. Witnesses repeatedly told the

432
00:28:36,960 --> 00:28:40,920
OIG that counts, round cell searches, and other methods of

433
00:28:40,920 --> 00:28:46,480
inmate accountability were not undertaken because correctional staff were working

434
00:28:46,559 --> 00:28:50,039
multiple shifts, including one staff member who worked twenty four

435
00:28:50,039 --> 00:28:54,160
hours straight, and were tired and overwhelmed with the duties.

436
00:28:54,640 --> 00:28:58,599
As discussed in greater detail in our recommendations, the OIG

437
00:28:58,759 --> 00:29:03,200
is repeatedly found the need for BOP to address staffing shortages.

438
00:29:03,680 --> 00:29:07,079
Most recently, in March of twenty twenty three, the OIG

439
00:29:07,240 --> 00:29:12,400
found that the coronavirus disease twenty nineteen pandemic accelerated the

440
00:29:12,400 --> 00:29:16,400
effects of pre existing BOP medical and non medical staffing

441
00:29:16,400 --> 00:29:20,640
shortages and issue the OIG as identified as a concern

442
00:29:20,880 --> 00:29:25,359
for the BOP since at least twenty fifteen. Further, the

443
00:29:25,400 --> 00:29:29,960
OIG has repeatedly found that BOP personnel have not consistently

444
00:29:30,000 --> 00:29:33,400
been attentive to the needs of inmates at risk for suicide.

445
00:29:33,720 --> 00:29:38,160
In this investigation, that inattention manifested in the failure of

446
00:29:38,279 --> 00:29:42,200
mcc New York staff and supervisors to ensure that Epstein

447
00:29:42,519 --> 00:29:46,279
was assigned to cellmate as required by mcc new York

448
00:29:46,519 --> 00:29:51,400
Psychology Department directive issued after July twenty three, twenty nineteen,

449
00:29:52,640 --> 00:29:55,200
in which Epstein was discovered in his cell with an

450
00:29:55,240 --> 00:29:59,119
orange cloth around his neck. In March twenty twenty three's report,

451
00:29:59,480 --> 00:30:02,759
the OIG, he found that BOP psychology staff did not

452
00:30:02,880 --> 00:30:06,400
assess the suitability of a single cell assignment for five

453
00:30:06,440 --> 00:30:09,200
of the seven inmates who died by suicide while in

454
00:30:09,279 --> 00:30:13,359
COVID quarantine units between March twentieth and April twenty twenty one.

455
00:30:14,200 --> 00:30:18,240
The OIG's twenty seventeen report on the BOP's use of

456
00:30:18,359 --> 00:30:22,400
restrictive housing for inmates with mental illness also noted that

457
00:30:22,519 --> 00:30:26,400
single selling may present risk to inmate mental health, and

458
00:30:26,559 --> 00:30:30,119
both the recommendations from that report regarding the use of

459
00:30:30,160 --> 00:30:34,720
oversight of single selling remain open as of March of

460
00:30:34,799 --> 00:30:38,960
twenty twenty three. Lastly, as discussed in greater detail in

461
00:30:39,000 --> 00:30:43,640
the conclusions and recommendations that follow, the persistent deficiencies of

462
00:30:43,680 --> 00:30:48,039
the BOP security camera systems are well documented in long standing.

463
00:30:48,680 --> 00:30:52,680
The combination of negligence, misconduct, and outright job performance failure

464
00:30:53,079 --> 00:30:56,920
documented in this report all contributed to an environment in

465
00:30:56,960 --> 00:31:00,000
which arguably one of the most notorious inmates and us

466
00:31:00,000 --> 00:31:03,720
the BOP's custody, was provided the opportunity to take his

467
00:31:03,799 --> 00:31:07,839
own life, resulting in significant questions being asked about the

468
00:31:07,880 --> 00:31:10,960
circumstances of his death, how it could have been allowed

469
00:31:11,000 --> 00:31:15,240
to happen, and most importantly, depriving his numerous victims, many

470
00:31:15,279 --> 00:31:17,799
of whom were underage girls at the time of the

471
00:31:17,839 --> 00:31:21,400
alleged crimes, of their ability to seek justice through the

472
00:31:21,440 --> 00:31:25,599
criminal justice process. The fact that these failures have been

473
00:31:25,680 --> 00:31:29,319
reoccurring once at the BOP does not excuse them and

474
00:31:29,359 --> 00:31:32,759
gives additional urgency to the need for the Department of

475
00:31:32,960 --> 00:31:38,000
Justice and BOP leadership to address the chronic staffing, surveillance, security,

476
00:31:38,680 --> 00:31:43,319
and related problems plaguing the BP. The OIG is completed

477
00:31:43,480 --> 00:31:47,519
its investigation and is providing this report to the GOP

478
00:31:48,000 --> 00:31:52,839
for appropriate action. Unless otherwise noted. The OIG applies the

479
00:31:52,880 --> 00:31:57,720
preponderance of evidence standard in determining whether DOGA personnel have

480
00:31:57,799 --> 00:32:03,079
committed misconduct. RIT System Protection Board applies the same standard

481
00:32:03,359 --> 00:32:07,200
when reviewing a federal agency's decision to take adverse action

482
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against an employee based on such misconduct. C five USC

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Section seventy seven oh one C one B and five

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CFR Section twelve oh one dot fifty six B one

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Section two. All Right, folks, that's going to wrap up

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this episode here and in the next episode, we're gonna

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pick up on the recommendations. All of the information that

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goes with the episode can be found in the description box.

