Who typically serves as the agency-wide lead for PREA compliance?

• A. The medical director
• B. The PREA Coordinator, supported by the facility administrator or equivalent.
• C. The public information officer
• D. The security captain

Answer: (B)

A designated PREA Coordinator who leads the program across the entire agency, with the facility administrator or equivalent providing essential support, is the person who typically serves as the agency-wide lead for PREA compliance. This role ensures consistency across all facilities by setting agency-wide policies, coordinating training, supervising audits, managing incident reporting and investigations, collecting and analyzing data, and driving corrective actions. The facility administrator’s backing gives the coordinator the authority, resources, and accountability needed to implement PREA standards at every site.

Other roles, such as the medical director, the public information officer, or the security captain, have important PREA-related duties but operate within more limited scopes. The medical director focuses on medical care for victims, the public information officer handles communications, and the security captain leads daily security operations. They do not oversee the agency-wide PREA program, which requires a designated cross-facility leader with agency-level authority.