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ERGIGSA -15-0007, P00001 Attachment 6 - Transgender Care where a consensus is not reached, the final decision shall rest with the CRO LGSTI Field Liaison. i) The TCCC shall retain summary notes of each .meeting to document persons attending and conclusions reached. A copy of the notes shall be placed In the detainee's detention file. ii) Absent extraordinary circumstances, a written Detention Plan by the TCCC for the detainee, including housing assignment, shall be forwarded to the facility classification supervisor within 72 hours (excluding weekends, holidays, and emergencies) of TCCC's decision, and maintained in the detainee's detention file; a copy of the plan and housing assignment shall also be provided to the detainee. g) ,implementation nfFetention Plan; The classification supervisor or designee shall notify line staff of the TCCC's Detention Plan and change of housing assignment decision. i) Detention facility staff shall follow the Detention Plan outlined by the TCCC. If a detention facility staff member identifies a safety or security risk posed by the TCCC's plan, the staff member must inform the TCCC directly, or must notify his/her supervisor as soon as practicable, and that supervisor must notify the TCCC. The TCCC shall review the case and make adjustrnents to the Detention Plan, if accessary, within 72 hours (excluding weekends, holidays, and emergencies) of receiving notification. li) In the case of an Immediate threat to the safety or security of the transgender detainee or others, the detention facility staff may make a temporary change(s) to the TCCC °s plan (to include housing assignment), but should notify the TCCC as soon as possible. Only the TCCC can approve permanent change(s) to the Detention Plan. h) Reassessment. The TCCC shall reassess a transgender detainee's Detention Plan and housing assignment after 30 days following the initial determination and then every 60 days thereafter or at any other time if additional relevant information becomes known, or following any incident of victimization or threats to safety experienced by the detainee. As part of its reassessment, the TCCC shall, at a minimum, consider: P� I) Changes in the transgender detainee's housing preferences; ii) Variations in the detainee's medical and /or mental health status; iii) Safety /security of the detainee, other detainees, and/or facility staff; iv) Any threats to safety experienced by the detainee, 65A -47