OIG
March-April 2024 Use-of-Force Case Blocks
Read the report at CDCR ↗
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Independent
Published in May 2024
Prison Oversight
As part of the Office of the Inspector General’s statutory authority, we
monitor the California Department of Corrections and Rehabilitation’s
performance and compliance with the use of force at its 33 prisons, parole
operations, and Office of Correctional Safety. This document presents four
notable use-of-force incidents that the Field Investigations Monitoring
Unit closed from March 8, 2024, through April 5, 2024.
Incident Number Incident Summary
24-00010-UOF On December 5, 2023, officers observed two incarcerated people striking a third incarcerated
person, one of whom used an inmate-manufactured weapon, during medication distribution.
Officers gave orders to the incarcerated people to stop their attack and get down on the
Reason for Monitoring
ground, but were ignored. A control booth officer fired two less-lethal rounds;1 one round
Potential Misconduct inadvertently struck one incarcerated person on the chest. The force had its desired effect as
the incarcerated people complied with officers’ orders to get on the ground.2 The control booth
officer had failed to secure the housing section doors, which allowed the incarcerated people to
move freely between the housing unit and subsequently attack each other. Both incarcerated
people were sent to an outside hospital for a higher level of care.
Incident Disposition
The Institutional Executive Review Committee identified that the control booth officer failed
to secure the housing unit section doors, resulting in one incarcerated person entering another
section of the housing unit and repeatedly stabbing a second incarcerated person. Afterward,
the second incarcerated person with the assistance of a third incarcerated person entered
the first incarcerated person’s housing section and repeatedly stabbed him in retaliation.
The hiring authority recommended training to address the officer’s failure to secure housing
unit doors. The OIG disagreed with the hiring authority’s decision to provide training and
recommended that the hiring authority refer the officer’s failure to secure the section doors for
investigation. The hiring authority agreed with our recommendation and referred the matter for
an investigation.
1. Impact munition are less-lethal projectiles. Sponge rounds are highly accurate, spin-stabilized, direct-fire munitions,
and they should not be deployed from any distance under 10 feet. Zone 1 of the body (which consists of all areas of the
legs and buttocks) is the only authorized zone at which officers can aim a weapon. Officers are instructed to never aim at a
person’s head, wrists, or groin areas unless deadly force criteria have been met. Sponge rounds can be fired in the housing
unit from appropriate designated distances.
2. During a subsequent review of the institution’s audio-video surveillance system recording, the incident commander
identified that the attacker in the incident observed was a victim of a stabbing in an earlier incident that had
gone unnoticed.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827
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Telephone: (916) 288-4233
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www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Published in May 2024 Independent
Prison Oversight
Incident Number Incident Summary
24-00011-UOF On November 15, 2023, two Investigative Services Unit (ISU) officers were assigned to conduct
a cell search. The two ISU officers approached the cell, removed two incarcerated people, and
each conducted a clothed body search of one incarcerated person. Afterward, one ISU officer
Reason for Monitoring
proceeded to escort one of the incarcerated people to the shower to perform an unclothed
Potential Misconduct body search. While the second ISU officer was waiting to conduct an unclothed body search
of the second incarcerated person, that incarcerated person removed a metal weapon from
his waistband. The ISU officer ordered the incarcerated person to place his hands behind his
back. The incarcerated person ignored the order and attempted to kick the weapon under a
cell door. The ISU officer and two additional officers used physical force to get the incarcerated
person to the ground, where they placed him in restraints.
Incident Disposition
The Institutional Executive Review Committee (IERC) identified that one officer who observed
force failed to write and submit a report prior to being relieved from duty. The hiring authority
provided training to the officer to address this deficiency. However, the OIG raised concerns
related to how a trained officer assigned to the ISU failed to identify a large metal weapon
nearly 7 inches long affixed to the front waist band of the incarcerated person’s boxer shorts.
Additionally, the video footage shown was incomplete and did not provide committee members
with sufficient information to determine whether the ISU officer’s actions or omission of actions
may have contributed to the use of force. The OIG questioned why the staff of the various
levels of review failed to identify, investigate, or review the video footage prior to the use of
force to determine whether the ISU officer conducted a thorough clothed body search of the
incarcerated person. The hiring authority responded and disclosed there were policies and
union contract agreements in place that prevented management from viewing video footage
other than the actual use-of-force. However, the use-of-force policy allows institutional staff
the discretion to determine how much video footage the IERC is allowed to review.
The OIG responded by requesting a copy of the full video footage to review independently.
The hiring authority refused to provide a copy, stating this request would serve as a potential
conflict because any policy violations discovered by the OIG and reported to the warden would
result in the warden having to take appropriate action. The hiring authority referred the OIG’s
request to an associate director who agreed to release the video footage to the OIG.
The OIG requested a copy of the video footage five times between January 17, 2024, and
March 25, 2024, but the department did not provide the video footage. On March 27, 2024,
the prison notified the OIG that the video footage was no longer available, as the time to retain
it had passed the 90-day retention period despite the OIG requesting the video footage on
multiple occasions prior to the elapse of the 90 days.
Based on the hiring authority’s refusal to further review the ISU officer’s actions and refusal to
provide the OIG with any video footage regarding this case, the OIG was unable to thoroughly
review this case and determine whether potential staff misconduct had occurred.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Published in May 2024 Independent
Prison Oversight
Incident Number Incident Summary
24-00015-UOF On July 24, 2023, an incarcerated person was placed under direct observation by a medical
provider because he expressed suicidal intentions to department staff. A medical technician
was assigned to continuously observe the incarcerated person while the incarcerated person
Reason for Monitoring
was on suicide watch. An officer arrived at the cell to provide the incarcerated person with
Potential Misconduct a meal and observed the incarcerated person was agitated, and he yelled at officers for
assistance. The incarcerated person then began to cut his right wrist area with a small, sharp
metal object. The incarcerated person ignored the officer’s orders to stop cutting himself. The
officer deployed a chemical agent, and the incarcerated person complied with the officer’s
orders to stop harming himself. A second officer arrived on scene and secured the incarcerated
person in hand restraints prior to transporting him to a triage and treatment area at the prison.
The incarcerated person inflicted a serious bodily injury to his wrist, which required six sutures.
Incident Disposition
The hiring authority identified potential staff misconduct for the medical technician assigned
to observe the incarcerated person and who witnessed the force officers had used, but did
not submit an incident report. Despite their initial identification of potential staff misconduct,
the Institutional Executive Review Committee declined to refer the matter for investigation.
The OIG recommended on several occasions that the hiring authority refer the matter for
investigation, yet the hiring authority declined to do so. An OIG supervisor contacted the
associate director who supervised the hiring authority and expressed the OIG’s concern that
this incident had not been referred for investigation. The associate director assured the OIG
that the matter would be referred for investigation. The hiring authority finally referred the
incident for investigation five months after the incident occurred.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Published in May 2024 Independent
Prison Oversight
Incident Number Incident Summary
24-00016-UOF On November 22, 2023, two officers observed two incarcerated people fighting in a housing
unit dayroom. The incarcerated people ignored the officers’ orders to stop fighting. Officers
used pepper spray and baton strikes to stop the incarcerated people from fighting and ordered
Reason for Monitoring
them to take prone positions on the ground. Responding officers escorted both incarcerated
Potential Misconduct; people to holding cells, where they received medical evaluations.
Other
Incident Disposition
Prior to the meeting by the Institutional Executive Review Committee, the hiring authority
identified that the first officer used unnecessary force when the officer grabbed the chain
between the handcuffs and pulled the incarcerated person to his feet, while the second officer
watched the first officer, but failed to document in his incident report all the force he observed.
The hiring authority issued a letter of instruction to the first officer for using unnecessary force
and a letter of instruction to the second officer for failing to report the unnecessary force. The
OIG recommended that the hiring authority refer the matters of allegations of misconduct for
both officers for investigation. The hiring authority disagreed and stated the letter of instruction
for the first officer was sufficient because the officer used poor judgment, but did not engage
in misconduct. The hiring authority stated he would not refer the second officer’s failure to
report the force he observed for an investigation because there was no evidence the officer
had observed the unnecessary force, which contradicted the letter of instruction issued to the
second officer.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov