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Standards
Auditor Overall Determination Definitions
• Exceeds Standard
(Substantially exceeds requirement of standard)
• Meets Standard
(substantial compliance; complies in all material ways with the stand for the relevant
review period)
• Does Not Meet Standard
(requires corrective actions)
Auditor Discussion Instructions
Auditor discussion, including the evidence relied upon in making the compliance or non-
compliance determination, the auditor’s analysis and reasoning, and the auditor’s conclusions.
This discussion must also include corrective action recommendations where the facility does not
meet standard. These recommendations must be included in the Final Report, accompanied by
information on specific corrective actions taken by the facility.
115.311 Zero tolerance of sexual abuse and sexual harassment; PREA
coordinator
Auditor Overall Determination: Meets Standard
Auditor Discussion
Evidence Used to Determine Compliance with Standard 115.311
Documents Reviewed:
· NNJDC Pre-Audit Questionnaire
· NNJDC Policy 115.311 – Zero Tolerance of Sexual Abuse and Sexual
Harrassment
· NNJDC Policy 115.5 – General Definitions
· NNJDC Policy 115.6 – Definitions Related to Sexual Abuse
· NNJDC PREA Zero Tolerance informational signage
· NNDJS Organizational Chart
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