presence of the detainee’s closest present adult rel-
ative if a parent or legal guardian is unavailable. 
(h) DOCUMENTATION.—The Commissioner shall en-
sure that the health screenings and medical care required 
under this section, along with any other medical evalua-
tions and interventions for detainees, are documented in 
accordance with commonly accepted standards in the 
United States for medical record documentation. Such 
documentation shall be provided to any individual who re-
ceived a health screening and subsequent medical treat-
ment upon release from CBP custody. 
(i) INFRASTRUCTURE AND EQUIPMENT.—The Com-
missioner or the Administrator of General Services shall 
ensure that each location to which detainees are first 
transported after an initial encounter with an agent or of-
ficer of CBP has the following: 
(1) A private space that provides a comfortable 
and considerate atmosphere for the patient and that 
ensures the patient’s dignity and right to privacy 
during the health screening and medical assessment 
and any necessary follow-up care. 
(2) All necessary and appropriate medical 
equipment and facilities to conduct the health 
screenings and follow-up care required under this 
section, to treat trauma, to provide emergency care,
including resuscitation of individuals of all ages, and 
to prevent the spread of communicable diseases. 
(3) Basic over-the-counter medications appro-
priate for all age groups. 
(4) Appropriate transportation to medical facili-
ties in the case of a medical emergency, or an on- 
call service with the ability to arrive at the CBP fa-
cility within 30 minutes. 
(j) PERSONNEL.—The Commissioner or the Adminis-
trator of General Services shall ensure that each location 
to which detainees are first transported after an initial en-
counter has onsite at least one licensed medical profes-
sional to conduct health screenings. Other personnel that 
are or may be necessary for carrying out the functions 
described in subsection (e), such as licensed emergency 
care professionals, specialty physicians (including physi-
cians specializing in pediatrics, family medicine, obstetrics 
and gynecology, geriatric medicine, internal medicine, and 
infectious diseases), nurse practitioners, other nurses, 
physician assistants. licensed social workers, mental health 
professionals, public health professionals, dieticians, inter-
preters, and chaperones, shall be located on site to the 
extent practicable, or if not practicable, shall be available 
on call.
(k) ETHICAL GUIDELINES.—The Commissioner shall 
ensure that all medical assessments and procedures con-
ducted pursuant to this section are conducted in accord-
ance with ethical guidelines in the applicable medical field, 
and respect human dignity. 
SEC. 3. WATER, SANITATION AND HYGIENE. 
The Commissioner shall ensure that detainees have 
access to— 
(1) not less than 1 gallon of drinking water per 
person per day, and age-appropriate fluids as need-
ed; 
(2) a private, safe, clean, and reliable perma-
nent or portable toilet with proper waste disposal 
and a hand washing station, with not less than 1 
toilet available for every 12 male detainees, and 1 
toilet for every 8 female detainees; 
(3) a clean diaper changing facility, which in-
cludes proper waste disposal, a hand washing sta-
tion, and unrestricted access to diapers; 
(4) the opportunity to bathe daily in a perma-
nent or portable shower that is private and secure; 
and 
(5) products for individuals of all age groups 
and with disabilities to maintain basic personal hy-
giene, including soap, a toothbrush, toothpaste,
adult diapers, and feminine hygiene products, as well 
as receptacles for the proper storage and disposal of 
such products. 
SEC. 4. FOOD AND NUTRITION. 
The Commissioner shall ensure that detainees have 
access to— 
(1) three meals per day including— 
(A) in the case of an individual age 12 or 
older, a diet that contains not less than 2,000 
calories per day; and 
(B) in the case of a child who is under the 
age of 12, a diet that contains an appropriate 
number of calories per day based on the child’s 
age and weight; 
(2) accommodations for any dietary needs or 
restrictions; and 
(3) access to food in a manner that follows ap-
plicable food safety standards. 
SEC. 5. SHELTER. 
The Commissioner shall ensure that each facility at 
which a detainee is detained meets the following require-
ments: 
(1) Except as provided in paragraph (2), males 
and females shall be detained separately.
(2) In the case of a minor child arriving in the 
United States with an adult relative or legal guard-
ian, such child shall be detained with such relative 
or legal guardian unless such an arrangement poses 
safety or security concerns. In no case shall a minor 
who is detained apart from an adult relative or legal 
guardian as a result of such safety or security con-
cerns be detained with other adults. 
(3) In the case of an unaccompanied minor ar-
riving in the United States without an adult relative 
or legal guardian, such child shall be detained in an 
age-appropriate facility and shall not be detained 
with adults. 
(4) A detainee with a temporary or permanent 
disability shall be held in an accessible location and 
in a manner that provides for his or her safety, com-
fort, and security, with accommodations provided as 
needed. 
(5) No detainee shall be placed in a room for 
any period of time if the detainee’s placement would 
exceed the maximum occupancy level as determined 
by the appropriate building code, fire marshal, or 
other authority. 
(6) Each detainee shall be provided with tem-
perature appropriate clothing and bedding.
(7) The facility shall be well lit and well venti-
lated, with the humidity and temperature kept at 
comfortable levels (between 68 and 74 degrees Fahr-
enheit). 
(8) Detainees who are in custody for more than 
48 hours shall have access to the outdoors for not 
less than 1 hour during the daylight hours during 
each 24-hour period. 
(9) Detainees shall have the ability to practice 
their religion or not to practice a religion, as appli-
cable. 
(10) Detainees shall have access to lighting and 
noise levels that are safe and conducive for sleeping 
throughout the night between the hours of 10 p.m. 
and 6 a.m. 
(11) Officers, employees, and contracted per-
sonnel of CBP shall— 
(A) follow medical standards for the isola-
tion and prevention of communicable diseases; 
and 
(B) ensure the physical and mental safety 
of detainees who identify as lesbian, gay, bisex-
ual, transgender, and intersex. 
(12) The facility shall have video-monitoring to 
provide for the safety of the detained population and