Terrell Jenkins v. Anthony Annucci, et al.

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK TERRELL JENKINS, Plaintiff, -against- 25-CV-7478 (JGLC) ANTHONY ANNUCCI, et al., ORDER Defendants.

JESSICA G. L. CLARKE, United States District Judge: On November 17, 2025, pursuant to this Court’s Order at ECF No. 9, the Office of the New York State Attorney General served on Plaintiff the identity of the Deputy Superintendents of Administration and Security at Sing Sing Correctional Facility in October 2022. See ECF No. 11. Plaintiff SHALL file his amended complaint, naming the newly identified individual defendants he wishes to add to the lawsuit, by no later than December 19, 2025. The amended complaint will replace, not supplement, the original complaint. Once Plaintiff has filed an amended complaint, the Court will screen it and, if necessary, issue an order directing service on the newly identified defendants. An amended complaint form 1s attached to this Order, together with Plaintiffs original Complaint for his reference.

The Court respectfully directs the Clerk of Court to mail a copy of this Order and the letter at ECF No. 11 to Plaintiff.

Dated: November 20, 2025 New York, New York SO ORDERED.

JESSICA G. L. CLARKE United States District Judge UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK CVE Write the full name of each plaintiff. (Include case number if one has been assigned) -against- COMPLAINT (Prisoner) Do you want a jury trial? ssssssss...0.0.0. L1Yes LINo Write the full name of each defendant. If you cannot fit the names of all of the defendants in the space provided, please write “see attached” in the space above and attach an additional sheet of paper with the full list of names. The names listed above must be identical to those contained in Section IV.

NOTICE The public can access electronic court files. For privacy and security reasons, papers filed with the court should therefore not contain: an individual’s full social security number or full birth date; the full name of a person known to be a minor; or a complete financial account number. A filing may include only: the last four digits of a social security number; the year of an individual’s birth; a minor’s initials; and the last four digits of a financial account number.

See Federal Rule of Civil Procedure 5.2.

Rev. 5/20/16 I. LEGAL BASIS FOR CLAIM State below the federal legal basis for your claim, if known. This form is designed primarily for prisoners challenging the constitutionality of their conditions of confinement; those claims are often brought under 42 U.S.C. § 1983 (against state, county, or municipal defendants) or ina “Bivens” action (against federal defendants).

L] Violation of my federal constitutional rights L] Other: II. PLAINTIFF INFORMATION Each plaintiff must provide the following information. Attach additional pages if necessary.

First Name Middle Initial Last Name State any other names (or different forms of your name) you have ever used, including any name you have used in previously filing a lawsuit.

Prisoner ID # (if you have previously been in another agency’s custody, please specify each agency and the ID number (such as your DIN or NYSID) under which you were held) Current Place of Detention Institutional Address County, City State Zip Code II. PRISONER STATUS Indicate below whether you are a prisoner or other confined person: L] Pretrial detainee L] Civilly committed detainee Immigration detainee L] Convicted and sentenced prisoner L] Other: IV. DEFENDANT INFORMATION To the best of your ability, provide the following information for each defendant. If the correct information is not provided, it could delay or prevent service of the complaint on the defendant.

Make sure that the defendants listed below are identical to those listed in the caption. Attach additional pages as necessary.

Defendant 1: First Name Last Name Shield # Current Job Title (or other identifying information) Current Work Address County, City State Zip Code Defendant 2: First Name Last Name Shield # Current Job Title (or other identifying information) Current Work Address County, City State Zip Code Defendant 3: First Name Last Name Shield # Current Job Title (or other identifying information) Current Work Address County, City State Zip Code Defendant 4: First Name Last Name Shield # Current Job Title (or other identifying information) Current Work Address County, City State Zip Code STATEMENT OF CLAIM Place(s) of occurrence: Date(s) of occurrence: FACTS: State here briefly the FACTS that support your case. Describe what happened, how you were harmed, and how each defendant was personally involved in the alleged wrongful actions. Attach additional pages as necessary.

INJURIES: If you were injured as a result of these actions, describe your injuries and what medical treatment, if any, you required and received.

VI. RELIEF State briefly what money damages or other relief you want the court to order.

VII. PLAINTIFF’S CERTIFICATION AND WARNINGS By signing below, I certify to the best of my knowledge, information, and belief that: (1) the complaint is not being presented for an improper purpose (such as to harass, cause unnecessary delay, or needlessly increase the cost of litigation); (2) the claims are supported by existing law or by anonfrivolous argument to change existing law; (3) the factual contentions have evidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable opportunity for further investigation or discovery; and (4) the complaint otherwise complies with the requirements of Federal Rule of Civil Procedure 11.

I understand that if I file three or more cases while I am a prisoner that are dismissed as frivolous, malicious, or for failure to state a claim, I may be denied in forma pauperis status in future cases.

I also understand that prisoners must exhaust administrative procedures before filing an action in federal court about prison conditions, 42 U.S.C. § 1997e(a), and that my case may be dismissed if I have not exhausted administrative remedies as required.

I agree to provide the Clerk's Office with any changes to my address. I understand that my failure to keep a current address on file with the Clerk's Office may result in the dismissal of my case.

Each Plaintiff must sign and date the complaint. Attach additional pages if necessary. If seeking to proceed without prepayment of fees, each plaintiff must also submit an IFP application.

Dated Plaintiff's Signature First Name Middle Initial Last Name Prison Address Date on which | am delivering this complaint to prison authorities for mailing: UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK TERRELL JENKINS, PLAINTIFF, CIVIL RIGHTS COMPLAINT V. PURSUANT TO 42 U.S.C. § 1983 Anthony Annucci, Comm. (now retired) OF “ 4 □ 8 Michael Capra, Supt., John Doe (1), D.S.A., voCV John Doe (2), D.S.S., Alverado, SGT., C.O. R. Franklin, C.O. J. Reyes, Plaintiff Demand Jury Trial In their Official, and Individual Capacities DEFENDANTS, JURISDICTION 1) This is a civil action seeking relief and for damages to defend Protect the rights guaranteed by the constitution of the United States.

This action is brought pursuant to 42 U.S.C. § 1983. The Court has Jurisdiction over this action pursuant to 28 U.S.C. § 1343(3) and (4)and 2201 PARTIES 2) Plaintiff: Terrell Jenkins, 14-A-2803 Address: Eastern Corr. Fac., P.O. Box 338 Napanoch, New York 12458-0338 3) A) Defendant: Anthony Annucci Official Position NYS DOCCS Commissioner = The Harriman State campus 1220 Washington Ave., Albany, New York 12226-2050 B) Defendant: Michael Capra Superintendent of Sing Sing Corr. Fac., Address: 354 Hunter Street Ossining, New York 10562 C) Defendant: John Doe (1) Official Position: Deputy Supt., of Admin., Sing Sing Corr. Fac., Hunter Street □ Ossining, New York 10562 ADDITIONAL DEFENDANTS D) Defendant: John Doe (2) Official Position: Deputy Supt. of Security Sing Sing Corr. Fac., Hunter Street Ossining, New York 10562 E) Defendant: Alvarado, Sgt.

Official Position: Sergeant Sing Sing Corr. Fac., Address: 354 Hunter Street Ossining, New York 10562 F) Defendant: R. Franklin, Official Position: Correction Officer Sing Sing Corr. Fac., Hunter Street Ossining, New York 10562 G) Defendant: J. Reyes, Official Position: Correction Officer Sing Sing Corr. Fac., Hunter Street Ossining, New York 10562 4) PLACE OF PRESENT CONFINEMENT a. Is there a prisoner grievance procedure at this facility? [YES] b. If your answer on 4A is YES, did you present the facts relating to your complaint in this grievance program? [YES] If your answer to 4B is YES, (i) What steps did you take? I grieved that on the morning of October 13, 2022, while returning from the mess hall at 7:15 am., I was surround by (3) assailants and attacked on ‘N gallery’. (See ex “C” 1, Grievance dated 11-2022) (ii) What was the result of your grievance? Grievance denied.

Investigation reveals there is a well-documented unusual incident Report on file surrounding this incident. Efforts are made to Ensure all incarcerated individuals are safe, however, unfortunate incidents happens, as in this case. Grievant seen by medical and further followed up by mental health staff during rounds. (See ex “C” 1- c-3, grievance, supt. response, and care Decision). : 5) PREVIOUS LAWSUITS a. Have you filed other lawsuits in state or federal court relating to your imprisonment? [NO] 6) FACTS On this particular morning, October 13, 2022, petitioner chose To go to breakfast (chow) prior to starting my laundry porter duties, But during that, moment petitioner took notice how the assigned female gallery officer, J. Reyes who had let us out for chow, who also controlled the movement on the gallery, was nowhere to be seen, not on her post, and didn’t even clear the gallery before leaving her post, unlike what was commonly done by steady Officer Camron.

On this same morning, October 13, 2022, petitioner re-call wanting to retain the laundry duffle bag from the gallery supply cell next to the office before heading to the mess-hall that morning for breakfast meal. Upon returning, heading back to my cell location at N-73 cell, I re-call again, how I still did not see C.O. J.

Reyes, who was the assigned gallery officer. But yet I'd notice several I/I’s on the gallery who did not go to a.m. breakfast, and some who didn’t even lock on the gallery at all, just hanging out, fraternizing among others in front of I/I’s cells that were locked in and didn’t attend chow.

On October 13, 2022, as Petitioner reached the square of N-Gallery control box, at around N-44/45 cell, an area which allowed staff, and authorized I/I’s to cross over to the opposite side, which is particularly the front-side in “A” block, along with the ability to access the gated stairwell there. The front-side is called J- gallery on this particular level, I may add. At this time I’d notice the assigned C.O.

J. Reyes, who had the gallery, standing between the two (2) galleries (J & N), holding the stairwell gate open for others, secretively conversing with the J-gallery laundry porter, the porter who'd played a significant role in luring me into the ambush that morning in the rear section of N-Gallery, close to the cell I locked in N-73 cell. Here, I observed quite a few I/I’s hanging out, fraternizing among others locked in their cells, wearing rubber latex gloves, furtively obtained to gain privilege at being able to move around the galleries freely in the pretense of being a gallery clean-up porter’s. At this time, I asked C.O. J. Reyes, the assigned gallery officer, for the laundry duffle bag from the locked supply cell there on N-gallery, which is required, for me to attend to my laundry porter duties, still at no perceivable moment did C.O. J. Reyes make any real attempts to clear and control her gallery. Soon after I’d attain the laundry duffle bag from the supply cell, the J- side gallery laundry porter, cunningly insisted how he needed to follow me back to my cell to acquire a laundry log-sheet from me to document who, and from which cell chose to send laundry out on J-Gallery, a laundry log-sheet I am sure he’d already acquired the night before from the officer that was just downstairs on the front side of where he locked, who’d brought me up over a dozen copies. To clarify exactly what he had meant, he displayed to me a copy in his hand, right there before C.O. J. Reyes, as they stood between the J & N galleries. This same porter adamantly insisted how he needed to accompany me back to my cell to attain these laundry log-sheet, even after I’d told him no, how I would bring him back a few copies, right in front of C.O. J. Reyes, hoping that she would intervene, and assent, but she just stared at me, and said nothing. Here it clearly shows what was being orchestrated to take place that same morning. October 13, 20022, C.O. J.

Reyes clearly knew something was going to happen, and knew that I could or would be attacked, and did nothing to prevent it from happening, instead, let the J- side gallery porter insist on following me back to my cell.

7) CAUSES OF ACTIONS FIRST CAUSE OF ACTION Defendant, Anthony Annucci, was the acting commissioner for New York State Department of Corrections Community Supervision, and in general, Prison officials have a duty to protect prisoners from violence at the hands of other prisoners. Farmer v. Brennan, 511 U.S. 825, 833 114 S. ct 1970 (1994) (citation omitted). Although, defendant, Annucci was not personally involved in the incident, but he was in charge of the State Correctional Facility, there for he is liable for the assault that took place. No weapon should be in the hands of other I/I’s, especially when all I/I’s entering the state are searched.

The eighth Amendment does not require “comfortable prisons” it does require that prison officials “must take reasonable measures to guarantee the safety of the inmates...” Farmer v. Brennan, 511 U.S. 825,832, 114 S. ct. 1970 (1994) quoting Hudson v. Palmer, 468 U.S. 517, 527, 104 S. ct. 3194(1984); see also Gaston v. Coughlin, 249 F.3d 156, 164 (2d. cir. 2001). However, not “every injury suffered by one prisoner at the hands of another ...translates into constitutional liability for prison officials” at a facility. Farmer, 511 U.S. at 834, 114 S.ct. 1970; see also Gasten, 249 F.3d at 164. Instead, the failure to protect an inmate only violates the constitution when prison officials act with act with “deliberate indifference.” Farmer, 511 U.S. at 834, 114 S. ct 1970; see also Gasten “Supra” 249 F. 3d at 164.

To meet the deliberate indifference standard which embodies both an objective and subjective prong Hathaway v. Coughlin, 99 F. 3d 550, 553 (2d cir.

1996). Objectively, the deprivation must be “sufficiently serious” meaning the prison condition posed “a substantial risk of serious harm.” Farmer, 511 U.S. at 834, 114 S. ct. 1970; Hathaway, 99 F. 3d at 553. Subjectively, the prison official must act with a “sufficiently culpable state of mind.” Farmer, 511 U.S. at 834, 114 S. ct. 1970; Hathaway, 99 F. 3d at 553. Such culpability exists when an official has knowledge that an I/I faces a substantial risk of serious harm and he disregards that > risk by failing “to take reasonable measures to abate the harm Hayes v. N.Y.C.

Dept. of Corr., 84 F.3d 614, 620 (2d cir. 1996) (Citing Farmer, 511 U.S. at 847, S. ct. 1970) Plaintiff “must allege action or omissions sufficient to demonstrate deliberate indifference, mere negligence will not suffice” Hayes, 84 F. 3d at 620.

In other words, for plaintiff to state a claim for deliberate indifference base on failure to protect him, he must allege that corrections officers knew of and disregarded a particular risk to his safety. Zimmerman v. Macomber, 95 civ-0882, 2001 WL 946383 at (S.D.N.Y. August 21, 2001). Here, most certain prison officials knew of his disciplinary background, yet still allowed him to work as a porter in a meritorious housing area. Defendants Anthony Annucci, the Commissioner, Michael Capara, the Superintendent, of Sing-Sing Correctional Facility, Deputy Supt. of Admin., John Doe(1), Deputy Supt. of Security John Doe(2), Sgt. Alvarado, C.O. J. Reyes, the gallery officer, and C.O. R. Franklin.

These defendants knew of this incarcerated individuals background, and institutional records, but allowed him to work as a porter in the housing area.

Wherefore, these defendants knew of this incarcerated individuals background, and disciplinary record but took no reasonable measures to abate the harm. Hayes v. N.Y.C. Dept. of Corr., 84 F .3d 614, 620(2d cir. 1996) (Citing Farmer 511 U.S. at 847, 114 S. ct. 1970). These defendants knew that objectively the everyday prison life in a maximum-security facility “A,” is sufficiently serious “meaning the prison conditions posed a substantial risk of serious harm.” Farmer, 511 U.S. at 834, 114 S.ct. 1970; Hathaway 99 F.3d at 553. Subjectively, the Correctional Officer, J. Reyes must act with a “sufficiently culpable state of mind.”

Farmer, 511 U.S. at 1970; Hathaway, 99 F.3d at 553. Here, C.O. J. Reyes had knowledge that an I/I faced a substantial risk by failing to take reasonable measures to abate the harm. Hayes v. Supra, 84 F.3d 614, 620 (2d cir. 1996) Farmer supra, 511 U.S. at 847) To be clear, A prisoner’s claim for failure to protect invokes the eighth amendment, and thereby comes in the purview of §1983. See Farmer v. Brennan, 511 U.S. 825, 832, 114 S. ct. (1994)(Citing Rhodes v. Chapman, 452 U.S. 337,349, S. ct. 2392 (1981) and Helling v. Mckinney, 509 U.S. 25, 31, 113 S. ct. 2475 (1993)). The eighth amendment impose a duty on prison officials to “take reasonable measure to guarantee safety of the inmates.”’ id. at 832, 114 S.ct. 1970( citing Hudson v. Palmer, 468 U.S. 517, 526-27, 104 S.ct. 3194, (1984); In particular a prison official has a duty to protect prisoners from violence from other prisoners. See id. at 825,114 S.ct. 1970. While prison conditions may be harsh being violently assaulted in prison simply is not “part of the penalty that criminal offenders pay for their offenses against society.” id, at 833, 114 S. ct. 1970.

However, not every assault by a fellow prisoner translates into a constitutional violation. Id. at 834, 114 S. ct. 1970. Rather a prisoner must first show that he was “incarcerated under conditions posing a substantial risk of serious harm.” Id. at 827, 114 S. ct. 1970. It is also settled that a prison official showed “deliberate indifference” to the prisoner’s health or safety. Deliberate indifference exists where “the officer knows of and disregards an excessive risk to inmates health or safety; the official must be aware of fact from which the interference could be drawn that a substantial risk of serious harm exists, and he must also draw the inference.” Id. US. at 837, 114 S.ct. 1970.

Taken together, Jenkins complaint, with supporting documents as evidence, does support the element of deliberate indifference for failure to protect claim.

8) PRAYER FOR RELIEF WHEREFORE, Plaintiff requests that this court grant the following relief.

9) A declaration that the acts and omission described herein violated plaintiff's rights under the constitution and law of the United States.

10) Compensatory damages in the amount of $5,000,000 against each defendant, jointly and severally.

11) Punitive damages in the amount of $ 1,000,000 against each defendant.

12) A jury trial on all issues triable by jury.

13) Plaintiffs costs in this suite.

14) Any additional relief this court deems just, proper and equitable I declare under penalty of perjury that the foregoing is true and correct.

Date: September 2, 2025 Sua orn 40 \gotore me Respectfully Submitted, PE LAE ‘cad in Sullivan Cou We, caters on 2, 208 cc./file Hon. Letitia James, Esq.

NYS Attorney General Department of Law The Capitol, P.O.Box7341 Albany, NY 12224-0341 8 .

EXHIBIT PAGE 1 STATE OF NEW YORK oaubren AT DEPT OF CORRECTIONS AND COMMUNITY SUPERVISION 1o/21y22 02:23 PM ‘ UNUSUAL INCIDENT REPORT SING SING GENERAL ee a ee INCIDENT DATE 10/13/22 TIME 07:54 AM LOCATION GALLERY 1 NN TELEPHONE DATE 10/13/22 TIME 01:33 PM , PERSON CALLING LT D. MONTGOMERY PERSON RECEIVING LT JOHN CONKLIN REPORT DATE 10/21/22 PERSON REPORTING LT J. MCMORROW USE OF FORCE NO WEAPON USED YES WORKPLACE VIOLEINCE NO KKH RK KKK RK KKH KKH ENR KK □□□ □□□ KH KH RRR KK EK KKH KHER KR KK ASSAULT C02) OL ON INCARCERATED INDIVIDUAL KEKE RK EEE KKK KEK KH HM KH HM KH HE EE EE EEE KEE KK MK KKH EM RK KR RX □□□□□ DESCRIPTION: CO. R. FRANKLIN OBSERVED (ts STRIKING I/I JENKINS, T 14A280/3 GP-OA-NN-73S WITH CLOSED FIST PUNCHES AND KICKS. l/l ———a Wy ALSO MAKING SLASHING MOTIONS TOWARD I/I JENKINS. CO. J. REYES UTILIZED HER PAS TO CALL FOR ASSISTANCE. CO. REYES AND CO. FRANKLIN DIRECITED l/l GQEEEAND I/1 QM) TO STOP THEIR ASSAULT AND THEY BOTH RIAN TO THEIR CELLS. SGT. A, ALVARADO WAS NOTIFIED AND RESPONDED, HEME EE HEH REE RE EKER KEK KI KK KKK KK KE EH EI EIEIO HKHKKKKRKK □□□ □□ EVENTS CAUSING: C.0. FRANKLIN OBSERVED INCARCERATED INDIVIDUAL GRR AND INCARCERATED INDIVIDUAL Qs (ES, ASSAULTING INCARCERATED INDIVIDUAL JENKINS, T. DIN-14A2803 GP-HBA-N-87 WHO WAS ON THE GALLERY FLOOR. WAS ALSO MAKIIWG © SLASHING MOTIONS TOWARD JENKINS. C.0, REYES CALLED FOR ASSISTANCE. [AND GE WERE ORDERED TO STOP AND BOTH RAN TO THEIR C | LS. □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ THEKEXKHHHX □ : PAGE 2 STATE OF NEW YORK PRINTED AT DEPT OF CORRECTIONS AND COMMUNITY SUPERVISION 10/2722 02:23 PM UNUSUAL INCIDENT REPORT SING SING GENERAL se ie ge gl ee INCIDENT DATE 10/13/22 TIME 07:54 AM LOCATION GALLERY dA NN USE OF FORCE NO WEAPON USED YES WORKPLACE VIOLENCE NO HME KEE RH RE RE KKK EK KKM RHR □□ KERR □□□□□ ACTION TAKEN: ALL INVOLVED I/I WERE ESCORTED TO THE FACILITY CLINIC. I/I JENKINS WAS EXAMINED BY RN A. AKARUMEH WHO NOTED SES Seas eee RN AKARUMEH DETERMINED THAT THE LACERATIONS WERE CONSISTENT WITH A I/I JENKINS WAS TRANSPORTED TO MT. VERNON HOSPITAL VIA STATE VAN} WHERE HE RECEIVED x 1/1 JENKINS WILL BE ADMITTED TO THE INFIRMARY UPON HIS RETURN TO THE FACILITY. □□□ WAS EXAMINED BY RN AKARUMEH, WHO NOTED NO INJURIES. I/I WAS CONFINED TO ee 1/1 (MM WAS EXAMINED BY RN AKARUMEH, WHO OTED NO INJURIES. I/IY QR) WAS RETURNED TO HIS CELL. SGT. ALVARADO'S INVESTIGATION DETERMINED THAT I/I [AND 1/1 GER ASSAULTED I7I JENKINS WITH KICKS AND PUNCHES, I/I JENKINS DID NOT FIGHT BACK.

QR) THEN ASSAULTED I/I JENKINS WITH AN UNRECOVERED CUTTING INSTRUMENT. SGT, ALVARADO DIRECTED STAFF TO SEARCH THE INCIDENT |AREA FOR WEAPONS, NO WEAPON WAS RECOVERED. SGT, ALVARADO AUTHORIZED THE SEARCH OF CELL OA-NN-73S, CELL OA-NN-86S, AND CELL OA-NN-879, NO CONTRABAND WAS RECOVERED. ALL PERTINENT DOCUMENTS AND PHOTOGRAPHS SUBMITTED. OD CAPT. NIXON WAS NOTIFIED.

EE IES HME ETE I IEEE III KE OOK I KO EK: MHHK KK KKH HHH □□ □ MEDICAL REPORT: INCARCERATED INDIVIDUAL JENKINS WAS EXAMINED AND JENKINS WAS SENT TO MOUNT VERNON HOSPITAL BY STATE VAN WHERE HE RECEIVED TO CLOSE THE LACERATIONS. INCARCERATED INDIVIDUAL [RR WAS EXANIINED AND NO INJURY WAS NOTED. INCARCERATED INDIVIDUAL MMMM WAS EXAMINED |AND NO INJURY WAS NOTED. .

A. AKARUMEH /NURSE 10/13/22 || 08:05 AM EXAMINER NAME/TITLE EXAM " E/TIME 5 nS non nonne nO DE ooLoba nolnol ecco fermions PAGE 3 STATE OF NEW YORK PRI TED AT DEPT OF CORRECTIONS AND COMMUNITY SUPERVISION 10/24722 02:23 PM UNUSUAL INCIDENT REPORT SING SING GENERAL Spe seeps Ss yg as a ee en eee INCIDENT DATE 10/13/22 TIME 07:54 AM LOCATION GALLERY NN USE OF FORCE NO WEAPON USED YES WORKPLACE VIOLENCE NO HH EE HE HE HE EH HEE EE EE IEE HE OEE EEE EEO IE HHH KK HK HH KK HUHMHEMHH □□ □□□□ PROPERTY DAMAGE: NO PROPERTY DAMAGED.

SDE HE eH WG AE te HET EERE EER EERE CN EEA HHKNKKHKKKHKH KHER a ICATION CFAMILY): NO NOTIFICATION REQUIRED.

NOTIFICATION CPOLICE/OTHER): NO NOTIFICATION REQUIRED. 5 HERR EK KWH MK HK K EK HK KHIR KKK HK KEK KH MK HEH HK KR HK KHER RRR KKK □□ MHKHRNKHK HH K INMATE INFORMATION: RRR RK EMH KE EH HHH HH EK RK HK KK RK KH IE KK EK HK HK KH HK KKK KKH KKK □□ □□□□ JENKINS, TERRELL 1442803 DOB 04/07/1966 ETHNIC- BLACK GEN INCIDENT - SPECIFIC INCIDENT ROLE WEAPON FORCE INJURY ASSAULT - ON I/I VICTIM LACERATION HEHEHE KH MM HK KE HH HE EE I HE IE HEE KK KKK KK HK KK RK ER KHHHH GEN INCIDENT - SPECIFIC INCIDENT ROLE WEAPON FORCE INJURY ASSAULT - ON I/I PERP BODY USE HHH KK HE KKK EH IK HH KEKE KK KH HH HK KKH HH HK HIKE HK HHH KKK HHH EEK RHE HK KHEXHHKHRKK □□ GEN INCIDENT - SPECIFIC INCIDENT ROLE WEAPON FORCE | INJURY ASSAULT - ON I/I PERP UNR/CUTTNG { i PAGE 4 STATE OF NEW YORK PRINTED AT DEPT OF CORRECTIONS AND COMMUNITY SUPERVISION 10/21/22 02:23 PM UNUSUAL INCIDENT REPORT

INCIDENT DATE 10/13/22 TIME 07:54 AM LOCATION GALLERY I, NN USE OF FORCE NO WEAPON USED YES WORKPLACE vrouset NO ccc re POS OES ROO OO OOOO Rid rk Oe □□ EMPLOYEE INFORMATION: JBOD ROSEBURG BECO BOBEO BERG NSOBEBEOIOO OUIEC OFGG □□□ AKARUMEH, aa NURSE 5; GEN INCIDENT - SPECIFIC INCIDENT ASSAULT =~ ON I/I KHMER REM RENE EER EWR EMER HEHE RMR KEKE KER FRANKLIN, {ay co GEN INCIDENT - SPECIFIC INCIDENT ASSAULT - ON I/I HEHEHE KUEHL MER KR KM EX ER EN HEX ns, a ser GEN INGIDENT - SPECIFIC TNCIDENT ASSAULT - ON I/I KR HE MERE □□ EN HERE □□□ □ HEX KK KNEE HER ERX GEN INCIDENT - SPECIFIC INCIDENT ASSAULT - ON I/I MEE WR HH RRR NEEM ER KH EK EK EN □□ □□ RV RN OR ALVARADO, pees SGT GEN INCIDENT - SPECIFIC INCIDENT ASSAULT - ON L[/I HM ME MM RM WH KHER □□ □□□ MY HE EERE ER EER RE RK SPT_MICHAEL CAPRA ty nike SUPERINTENDENT DATE FORM 1595 (11/11) STATE OF NEW YORK - DEPARTMENT OF CORRECTIONS AND COMMUNITY SURREAL ON INMATE INJURY REPORT Facility Date of Jnju' a9 Location Injugy scl Fh OF EA lg 5 □□ Name =— , ap — i A - @ F | Hétising Location □ C4EKS (L4 Dae LY What was cause of Inmate's injury? □ oe (lee ged Kegel | L fhe. WE~ Inmate's Statement: —. . nd | | —” TL wWhs INPLMED Hsw D wis 62DNG- 07 MA L_Punlio 2s NAGE. □□ □□□ i x | eel ef □ □□□□ WS SES ChevaRl sevcoAnt— Sx fl (04 eporting Employee , A f dA p □ Date jnjfy rep i Tims: AM Description of jajury*: □ vy BOCA EE Was fw Aces te A Le pte ode heed Ay at fy (a, theses iy Me pt noe Ayre Yel. ged ameferrm WNW Mad □□ FRONT BACK IX Yee, | E OD (Right) 7 4 \) Sars □□ □□ cape Mt ub SMe] OS (Left) da) iS (3 cr □ Guacneaaronmnen (Oat Lem OF Services Provided: wor yjuvias Clon wn (fb □□□ 6A, a | Aa N= 62 We lip] Pe Ye 7 XD admitted to facility infirmary? Outside hgspital? I Ky YI f PCP on site efaluation? | Telemed evaluation?

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2131E (9/12) STATE OF NEW YORK - DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION INMATE GRIEVANCE COMPLAINT wf “\ jy grievance No, □ (50) | / S597 □□ a. a. - 7 DOING DING CORRECTIONAL FACILITY . Date: l|-2- ee | erre (Il Jen Kins Dept. No.: \Yareod Housing Unit: SPO 3-21!

Program: AM CPM (Please Print or Type — This form must be filed within 21 calendar days of Grievance Incident)* of Problem: (Please make as brief as possible) ON THE MORNING OF Ocjo BER 207 FROM JHE MeSS“HAW AT AROUND OT*00AM, TL WAS SURROUNDED BY 3 - As ANO ATTACKEO ON □□□ GALLERY FRET FROM N-73 WHERE D LOCkiO. MY PAT!

WHERE ONE STATED, “L WANT THAT 006" TWICE. WITHIN SECONDS, CONTE How To Re-ACT UPON SUCH REQUEGT, Wis’ SUCKER PUNCHED FROM DIFFERENT UNTEL I FEW To MY KNEES WHERE T wis Our’ ON THE LEFI-SD0E OF MY HEA To AVOLIO BEING CT IN MY FACE. LD WS CONTINUOUSLY KICKED IN MY HEAD, FACE THE UNTEL STAFF ARRIVED, MY FEAL BECAME MY REALITY CARE, □□□□□□□□ Grievant ANO CONTROL WOULO BF COMPROMEED. = Signature: Grievance Clerk: Date: Requested [JYES [JNO Who: _ requested by inmate: (1) ENHANCE SEWER] ¥ MEASURES To PREVEN| FUTURE ASSAVU ONETARY DAMAGES RECOMPENS FOR THE PREVENTABLE. UNDUE PAIN ANO □□□□□□ HAO ENDURE. © MEOICAL ATTENTICN FOR MENTAL. PSYCHIATRIC, ANXIETY □□□□□□□□ SOUFFERED DTSABLING ME TO SLEEP AT NIGHT.

Grievance has been formally resolved as follows: RECEIVED.

V 2022 NG SING LG.P. his Informal Resolution is accepted: be completed only if resolved prior to hearing) □ Grievant .

Signature: Date: Mew | caer GRIEVANCE NO. DATE FILED Mor [Correctionsand == s8-1300-22 11/16/22 Community Supervision — Haary POLICY DESIGNATION | SING SING Institutional TITLE OF GRIEVANCE CASE CODE INCARCERATED GRIEVANCE PROGRAM Miscellaneous 50 SUPERINTENDENT RESPONSE OT □□□ AURE wie GRIEVANT DIN j HOUSING UNIT Jenkins, T . 114A2803 HBC Grievant states security measures should be enhanced as a result of the injuries he sustained on the gallery by other incarcerated individuals. Grievant further states, he should receive monetary damages for the pain and suffering.

Grievance Denied. Investigation reveals there is a well documented unusual incident on file surrounding this incident. Efforts are made’to ensure all incarcerated individuals are safe, however, unfortunate incidents happens, as in this case. Grievant seen by medical and further followed up by mental health staff during rounds. - - APPEAL STATEMENT If you wish to appeal the above decision of the Superintendent, please sign below and return this copy to the IGRC at the facility where the grievance was filed. You have seven (7) calendar days from receipt of this notice to file your appeal.* Please provide a reason why you are appealing this decision to CORC. , _ LT WAS INSURED ONLY BECAUSE STAPF DOES NOT LOCK PRISONER'S IN THEIR CELLS AFTER RETURNING FROM MEALS, THEREBY AFFORDING THEM OPPORTUNITES TO ASSAULT OTHER PETSONGR'S - | 24 GRIEVANT'S SIGNATUR ~~ DATE GRIEVANCE CLERK'S SIGNATURE DATE *An exception to the time limit may be requested under Directive #4040, section 701.6 (g) 2133 (12/21) | Si, Sl ES ais at sees aye eta ogee □□ Bas aes Fes Get cy sai eee □ □□ 3 | eS epee et Soke oe □□□ 8 aa ee □□ □ Seer ere ee ea WY □ es ee ae ae a □ Zune sa See eook,. & & eieees pmlo = ~ =< Seas Ke □ □□ a & ieee = Soe NZAonrer . | paetee ieee wera dS | rPaeekee = | See on esos of [ee eee es | f= = | Sones eee = = 38 | [YP fr . | eee Fee 8 □□□ epee : ea a