OIG
Audit of the Department of Corrections and Rehabilitation’s Processes and Procedures for Preventing, Detecting, and Responding to Escapes Fact Sheet
Read the report at CDCR ↗
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Summary Fact Sheet
Independent
November 21, 2024 Prison Oversight
Audit of the Department of Corrections and Rehabilitation’s Processes and Procedures for
Preventing, Detecting, and Responding to Escapes (Audit Report № 23–02, November 2024)
In this audit, we evaluated the department’s policies In addition, each prison and conservation camp is
and processes for preventing, detecting, and required to have an escape pursuit plan that must be
immediately responding to escapes. We reviewed updated annually. Escape pursuit plans are initiated by
escapes that occurred from January 1, 2022, through prisons and conservation camps when an incarcerated
December 31, 2023, from minimum-support facilities person is discovered missing.
and conservation camps—the only locations with
reported escapes during the audit period. Our audit After every escape, staff must prepare an after-action
did not include a review of escapes or attempted report summarizing the incident and detailing a
escapes from community reentry programs. timeline of key events that occurred both before and
after the escape. After-action reports also identify
deficiencies that contributed to the escape and
Background
recommend specific actions to correct the deficiencies.
One of the department’s primary objectives is to
protect the public by maintaining physical custody of In total, from 2019 through 2023, one incarcerated
incarcerated people. Incarcerated people are not in person escaped from a secure prison facility, while 50
the department’s physical custody when they escape. incarcerated people escaped from either a minimum-
Incarcerated people are guilty of escape if, without support facility or a conservation camp. Although the
lawful authority, they remove or attempt to remove number of escapes is relatively low, the department
themselves from official confinement. must take every precaution to prevent escapes and to
protect the safety and security of prisons, prison staff,
When incarcerated people are taken into departmental incarcerated people, and the public. The risks and
custody, they undergo a classification process to consequences of just one escape can be severe and
establish where they will be housed. Staff use a tragic, resulting in injury and harm to prison staff and
placement score, in conjunction with escape history the public.
and other case factors (administrative determinants),
to house the person in either a secure or
The Department Can Improve Its Policies and
nonsecure facility.
Procedures to Ensure That Established Protocols
Secure facilities generally have multiple physical Are Followed to Prevent, Promptly Detect, and
barriers and checkpoints, such as sallyports and gates, Respond to Escapes
which confine incarcerated people and restrict their In our review of 12 of 25 escapes that occurred from
movement within facilities. Conversely, nonsecure January 1, 2022, through December 31, 2023, we found
facilities generally do not restrict movement and that count procedures were effective in detecting
include fewer physical barriers. missing incarcerated people and initiating emergency
counts to confirm escapes. Moreover, departmental
Departmental regulations and guidelines include
staff conducted the required searches of housing and
measures that may deter and prevent escapes. These
yard areas after escapes were suspected. However,
measures include conducting physical counts to track
staff did not always follow departmental policy and
and account for incarcerated people. The department’s
procedures when carrying out the escape pursuit plan.
Design and Construction Standards: Design Criteria
Guidelines (design guidelines) also require security We found several instances in which prisons or
fences and walls, based on the security level of the conservation camps did not follow the required
facility. Most prisons that currently operate minimum- sequence of escape pursuit activities. For example,
support facilities include fencing with razor or barbed incident commanders failed to notify designated
wire. In contrast, most conservation camps do not departmental units of escapes, assign additional
have physical fences. central control staff to pursue the escapee, retrieve
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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
Summary Fact Sheet
Independent
November 21, 2024 Prison Oversight
and review escapees’ records, or notify escapees’ In one instance, the incident commander’s contact
documented victims. information was missing from an initial press
release issued after an escape. Because the incident
commander’s contact information was missing from
After-Action Reports Are Not Written After All
the press release, the incident commander did not
Escapes as Required by Departmental Guidelines
receive timely information regarding a sighting of
and Policy
the escapee, and law enforcement units were not
Departmental staff provided us with vague
immediately dispatched. According to the department,
and contradictory explanations regarding the
staff who were responsible for issuing the incomplete
circumstances under which after-action reports
press release received training, but the department
are required after an escape. During our review,
neither provided proof of training nor training
departmental managers stated that after-action reports
memoranda to support the statement.
had not been completed for seven escapes. When we
made numerous requests for clarification as to why the After another escape, a manager recommended
reports were not prepared, a departmental manager corrective action to address deficiencies identified in
stated that departmental policy does not require staff reports, in communication among staff, and in
after-action reports for all escapes, and that policy monitoring a conservation camp’s telephone system.
supersedes the guidelines that require after- Although the department provided a participation
action reports. sheet as evidence that staff had attended training after
the escape, it did not include any information about
We requested that the department provide us with
the training topic, the individuals who attended, or the
after-action reports for three escapes we had selected
date the training was provided. Therefore, we found
for substantive testing. After informing us multiple
no evidence that staff at the conservation camp had
times that those reports did not exist, the department
carried out the corrective action recommended in the
ultimately provided the reports 49 days after we had
after-action report.
initially requested them. However, none of the three
reports document that they had been submitted Finally, a manager from a conservation camp jointly
to departmental executives for review or approval, operated with the California Department of Forestry
and the department could not confirm whether and Fire Protection (CAL FIRE) recommended
management had reviewed them. Furthermore, the corrective action after identifying errors in reports,
department could not provide the date on which one of deficiencies in the inventory of vehicles used at the
the three after-action reports had been prepared. camp, and delayed telematics reporting from a stolen
CAL FIRE vehicle used in an escape.
If staff do not comply with existing policy to complete
after-action reports, the department cannot effectively The conservation camp took corrective action after
monitor staff’s compliance with procedures to prevent the escape by requiring staff to attend additional
and respond to escapes, provide guidance, or revise training and by implementing measures to control
polices to address escape risks and the inventory of vehicles; however, it did not address
improve operations. the inability to promptly access telematics reporting
from the CAL FIRE vehicle. When we asked why this
The Department Does Not Always deficiency was not addressed, the department stated
the following:
Adequately Oversee Facilities’ Responses
to Escapes in Order to Identify and Correct
CDCR has zero access or any point of
Security Weaknesses
contact for CAL FIRE telematics after
We found that the department did not always hours. This is a CAL FIRE issue and will
require deficiencies identified during escapes to be need to [sic] handled at a higher level
corrected. Managers recommended specific actions to streamline this process between
to correct deficiencies related to six of the 12 escapes CDCR and CAL FIRE. It cannot be
we reviewed. However, we found that the managers’ handled at the local level and camps
recommendations were not implemented in three of have no control over this issue.
the six cases.
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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
Summary Fact Sheet
Independent
November 21, 2024 Prison Oversight
Because conservation camps are jointly operated manual tracking system that is maintained outside
by the department and CAL FIRE, other CAL FIRE of SOMS.
vehicles could be commandeered during escapes.
Therefore, the department should have immediately When a prison or conservation camp requests
communicated with CAL FIRE to ensure that the GPS assistance from OCS to respond to an escape, and
tracking system is always enabled for all its vehicles OCS staff are deployed, a special agent in that office
used at conservation camps. Because the department generates a case number and manually logs the
failed to address this known weakness, its ability to incident in its records. If OCS is not contacted or OCS
promptly track escapees continues to be impaired. staff are not deployed, the escape is not documented
on its escape logs.
The Department Does Not Have a Central Source Because the department did not provide the
of Data for Tracking and Monitoring Escapes information we had requested from SOMS, we were
We found inconsistencies between the escape data unable to reconcile the two data sources to verify
the department had publicly reported and the data that the escape statistics the department had publicly
it provided for this audit, in part because there is reported were accurate. However, we reconciled the
no central location or source where escapes and department’s 2022 and 2023 OCS escape logs to the
attempted escapes are tracked and monitored. after-action reports the department had provided
and identified four escapes in 2023 that had not been
According to departmental management, all escape included in OCS escape logs.
data is tracked in its Strategic Offender Management
System (SOMS), one of its electronic databases. The Figure 1 below shows the discrepancy in the number
department, therefore, pulls data from SOMS to of escapes the department publicly reported and the
publicly report escape statistics. However, the escape number of escapes documented in the department’s
data provided to us during this audit came from the Office of Correctional Safety escape logs.
Office of Correctional Safety’s (OCS) escape logs, a
Figure 1. Discrepancies in the Department’s Reporting of Incarcerated Person Escapes in 2022 and 2023
14
14% discrepancy 13
(2 escapes) 12
31% discrepancy
(4 escapes)
9
2022 2023
Reported OCS Reported OCS
Publicly Escape Logs Publicly Escape Logs
Note: OCS stands for the Office of Correctional Safety.
Source: Departmental COMPSTAT reports and OCS escape logs for the period from January 1, 2022, through December 31, 2023.
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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
Summary Fact Sheet
Independent
November 21, 2024 Prison Oversight
Recommendations The Department Does Not Always Adequately Oversee
Facilities’ Responses to Escapes in Order to Identify and
The Department Can Improve Its Policies and Procedures Correct Security Weaknesses
to Ensure That Established Protocols are Followed to
• The department should clarify or, if necessary,
Prevent, Promptly Detect, and Respond to Escapes
develop and implement policies and
• The department should ensure that after- procedures to ensure that corrective action is
action reports are prepared after all escapes. taken to address all issues identified in after-
action reports written in response to escapes.
• The department should require staff to
The Department Does Not Have a Central Source of Data
document the staff member who prepared
for Tracking and Monitoring Escapes
each after-action report and the date each
report was prepared. • The department should develop a central
tracking system to collect and report all
• The department should require designated escapes and attempted escapes. The tracking
managers to document that they reviewed and protocols should include reporting all
approved the after-action reports. incidents—not only those for which OCS is
notified or when OCS staff are deployed.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov