OIG
Complaint Intake and Field Inquiries Report 2020
Read the report at CDCR ↗
Roy W. Wesley, Inspector General Bryan B. Beyer, Chief Deputy Inspector General
OFFICE of the
OIG
INSPECTOR GENERAL
Independent Prison Oversight June 2020
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Electronic copies of reports published by the Office of the Inspector General
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For questions concerning the contents of this report,
please contact Shaun Spillane, Public Information Officer,
at 916-255-1131.
STATE of CALIFORNIA
OIG OFFICE of the Roy W. Wesley, Inspector General
INSPECTOR GENERAL Bryan B. Beyer, Chief Deputy Inspector General
Independent Prison Oversight
Regional Offices
Sacramento
Bakersfield
Rancho Cucamonga
June 2, 2020
The Governor of California
President pro Tempore of the Senate
Speaker of the Assembly
State Capitol
Sacramento, California
Dear Governor and Legislative Leaders:
Enclosed is the Office of the Inspector General’s report titled Complaint Intake and Field Inquiries: Addressing
Complaints of Improper Governmental Activities Within the California Department of Corrections
and Rehabilitation. This is our first report dedicated to the work we perform in response to complaints we
receive from inmates, family members, interest groups, and other concerned individuals. As part of our statutory
responsibilities, we maintain a statewide complaint intake process that provides concerned individuals a
point of contact to raise allegations of improper activity within the California Department of Corrections and
Rehabilitation (the department). This report summarizes the work we performed in response to 6,009 complaints
we received in the two-year period between July 1, 2017, and June 30, 2019.
This report provides an overview of our processes for reviewing and analyzing the complaints we receive and
examples of ways in which we have helped individuals resolve their disputes with the department. The report
also summarizes the inquiries our field inspectors performed into 49 complaints that warranted additional
scrutiny. Our field inspectors identified instances in which the department responded appropriately and
commendably to the concerns we raised. But in other instances, our field inspectors found policies and practices
that were both costly to the State and harmful to the inmates who were affected by the policies and practices.
Chief among the concerns we identified is the unintended impact of a regulation the department enacted in
2017, which restricted the department’s ability to advance an inmate’s release date after discovering staff erred
in rescinding an inmate’s sentence reduction credits. The regulation prohibits the department from releasing
an inmate any sooner than 60 days after the error is corrected. After reviewing allegations that the department
erroneously rescinded four inmates’ sentence credits within 60 days of their estimated release dates, we
determined that the department’s policy of performing audits of inmates’ release date calculations when an
inmate is only 60 days from release imposes an undue hardship on inmates. Because the department cannot fully
correct any mistakes staff make in the final 60 days of an inmate’s incarceration, inmates are forced to forfeit
these earned credits, with the only remedy being to initiate litigation against the department seeking damages
for holding them beyond their release dates. In these four cases, the department’s mistakes and administrative
delays caused these inmates to spend a total of 122 additional days in prison, which directly cost the State
approximately $28,360 and exposed the department to additional liability for denying inmates of the liberty
interests they earned that entitled them to an earlier release from prison.
We also reviewed the department’s response to 36 complaints we forwarded to hiring authorities statewide
that involved allegations of staff misconduct. We determined the department’s hiring authorities performed
inadequate inquiries into 21 of these complaints, finding concerns similar to those we raised in our January 2019
report titled Special Review of Salinas Valley State Prison’s Processing of Inmate Allegations of Staff Misconduct.
We discovered that hiring authorities did not perform inquiries into four complaints and did not document the
Gavin Newsom, Governor
10111 Old Placerville Road, Suite 110
Sacramento, California 95827
Telephone: (916) 255-1102
www.oig.ca.gov
Governor and Legislative Leaders
June 2, 2020
Complaint Intake and Field Inquiries
Page 2
inquiries performed into another three complaints. We also found inquiries that were untimely, incomplete,
and lacking independence. On the other hand, we discovered that some hiring authorities performed excellent
inquiries into several cases in which they conducted immediate inquiries that were thorough, complete, and
well-documented.
The report also raises concerns over the department’s handling of various incidents that occurred at three
adult institutions. Although we only examined the individual incidents brought to our attention through our
complaint intake process, the issues we found may be indicative of harmful practices statewide. In the first
case, the department punished an inmate with a disciplinary action that resulted in a 30-day restriction on the
inmate’s visiting privileges for violating the department’s visiting policies and staff directives. Video footage of
the incident, however, clearly showed that the inmate and his visitor complied with all staff directives and that
the visiting officer’s report describing the violations was inaccurate. Although the department implemented our
recommendation to reduce the formal disciplinary action to written counseling and to rescind the 30-day visiting
restriction 12 days early, it refused to investigate the visiting officer’s dishonest report of the incident.
In another case, institutional staff held an inmate in administrative segregation for 81 days while the institution
performed an investigation into allegations that the inmate threatened to harm a lieutenant. The institution
completed its investigation in only four days, but staff failed to alert the institution’s classification committee of
the investigation’s closure, which caused the inmate to languish in administrative segregation well beyond the
time period necessary to investigate the threat against staff. Also of concern was the lieutenant’s involvement in
the investigation of the threat against him and in decisions to rehouse the inmate in administrative segregation,
despite the clear conflict of interest stemming from the threat against his life. Although the department recently
implemented a statewide policy for handling threats made against staff, the policy does not instruct the subjects
of threats that they have a conflict of interest when it comes to investigating the threats and making decisions
affecting the inmates who allegedly issued the threats. A conflict of interest provision in this policy would
protect staff and inmates alike by reducing staff opportunities to retaliate against inmates and preventing
inmates from making false claims of retaliation against staff.
In the final case we discuss, the department placed an inmate’s safety at risk when it entered inaccurate
information in his central file that indicated he was convicted of an offense involving the sexual abuse of a
minor. Even though the department corrected the inaccurate entry in the inmate’s file, rather than remove the
inaccurate information in its entirety, it placed an inconspicuous notation in the file indicating the information
had been revised. When we checked the inmate’s file again months later, we found the department had again
placed new information in his file identifying him as a child sex offender. After we raised this concern with the
department, it only partially corrected the mistake; staff deleted some of the inaccurate information, but did
not remove other information suggesting he had a prior conviction involving a minor. As long as this inaccurate
information remains in the inmate’s file, his safety is at risk from individuals who wish harm upon child
sex offenders.
We conclude the report by identifying instances in which departmental managers made positive changes after
reviewing three of the complaints we forwarded for their review, including closing a gap in one institution’s use-
of-force reporting policy, remedying another institution’s family visiting procedures, and re-issuing a decision of
the Board of Parole Hearings that contained inaccurate and incomplete information that reflected poorly on the
inmate’s suitability for parole.
Respectfully submitted,
Roy W. Wesley
Inspector General
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Complaint Intake and Field Inquiries iii
Contents
Illustrations iv
Summary 1
Background 5
Responsibility of the OIG 5
Complaint Intake 7
Field Inquiries 15
Field Inquiry Review Results 17
The Department’s Proposition 57 Regulations and Related Policies
Restrict Inmates’ Abilities to Challenge Decisions to Rescind Their
Sentence Reduction Credits and Can Cause Inmates to Forfeit Their
Earned Credits 17
The Department’s Hiring Authorities Took Inconsistent and Often
Inadequate Action in Response to Complaints of Staff Misconduct
We Referred for Their Review 36
Departmental Staff Improperly Punished an Inmate and His Spouse
for Violating Visiting Rules, Despite the Existence of Video Footage
Demonstrating They Complied with Visiting Policies
and Staff Directives 53
Staff Inactions and Indifference Caused an Inmate to Languish
in Administrative Segregation for Two-and-One-Half Months 56
The Department Placed an Inmate’s Safety at Risk by Entering
Inaccurate Information in His Disciplinary Records Indicating
He Was Convicted of a Sex Offense Involving a Minor 62
The Department’s Hiring Authorities Made Policy Changes,
Rescinded Earlier Actions, and Provided Training to Staff as a Result
of Complaints We Forwarded for Their Review 67
Recommendations 71
Appendices 73
Appendix A. Number of Complaints Received, by Institution 74
Appendix B. Summary of Field Inquiry Outcomes for Cases
Containing Allegations of Staff Misconduct, as Determined
by the OIG 75
Appendix C. Detail and Outcomes of Field Inquiry Cases
Containing Allegations of Staff Misconduct, as Determined
by Staff 76
Appendix D. Detail and Outcomes of Field Inquiry Cases Not
Containing Allegations of Staff Misconduct, as Determined
by Staff 82
Office of the Inspector General, State of California
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iv Complaint Intake and Field Inquiries
Illustrations
Figures
1. Number of Complaints Received, by Institution 9
2. Allegations Received in Fiscal Years 2017–18 and 2018–19 12
3. Categories of Allegations We Receive 13
4. Time Line of the Department’s Actions That Impacted
an Inmate Whom the Department Incorrectly Classified
as a Sex Offender 22
5. Time Line of the Department’s Actions in Rescinding
42 of an Inmate’s Milestone Credits 25
6. Time Line of the Restrictions Placed on an Inmate’s Ability
to Effectively Challenge the Department’s Decision to Rescind
42 of His Milestone Credits 26
7. Time Line of the Department’s Actions in Rescinding
56 of an Inmate’s Milestone Credits 28
Tables
Terms Used in This Report vi
1. Number of Complaints Received, by Method of Submission 7
2. Number of Complaints Received, by Complainant 8
3. Summary of the Department’s Delays in Notifying Inmates of Decisions
to Rescind Their Credits 31
4. Assessment of the Department’s Performance in Addressing
the 36 Complaints of Staff Misconduct We Referred
for Their Review 37
5. Entries in an Inmate’s Rules Violation Report History When
We First Reviewed the Inmate’s Records on February 9, 2018 63
6. Three Different Descriptions the Department Entered in
an Inmate’s Rules Violation Report History Attempting to Classify
a Single Disciplinary Action for Indecent Exposure 64
7. Additional Rules Violations the Department Entered Into the Inmate’s
Rules Violation Report History Between March 2018 and October 2018
for Additional Indecent Exposures 65
Exhibits
Summary Reproduction of the Inmate’s Rules Violation Report History
Related to Indecent Exposure Incidents 66
Photographs
Inmate and Spouse (Three Images) 53
Graphics
OIG Statutes v
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries v
T
he Office of the Inspector General may
receive communications from any individual,
including those employed by any department,
board, or authority who believes he or she
may have information that may describe an
improper governmental activity, as that term is
defined in subdivision (c) of Section 8547.2 of the
Government Code. It is not the purpose of these
communications to redress any single disciplinary
action or grievance that may routinely occur.
(California Penal Code section 6128 (a))
In order to properly respond to any allegation of
improper governmental activity, the Inspector
General shall establish a toll-free public telephone
number for the purpose of identifying any alleged
wrongdoing by an employee of the Department
of Corrections and Rehabilitation. This telephone
number shall be posted by the department in
clear view of all employees and the public. When
requested pursuant to Section 6126, the Inspector
General shall initiate a review of any alleged
improper governmental activity.
(California Penal Code section 6128 (b))
— State of California
Excerpted from Penal Code sections
Office of the Inspector General, State of California
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vi Complaint Intake and Field Inquiries
Terms Used in This Report
A housing unit for inmates who have been removed from general population because
Administrative Segregation they allegedly present an immediate threat to the safety of the inmate or others,
endanger institution security, or jeopardize the integrity of an investigation.
An inmate may appeal (or challenge) any policy, decision, action, condition, or
omission by the department that has a material adverse effect upon his or her
Appeal
health, safety, or welfare. Toward that end, an inmate may use the CDCR Form 602
(commonly referred to as a “602”) to file his or her appeal.
A prison employee who is responsible for processing appeals (receiving, logging,
routing, and monitoring disposition), monitoring the system, preparing the quarterly
Appeals Coordinator appeals report, recommending corrective action where indicated, and working with
the in-service training officer to ensure that training on the appeals process is carried
out. This employee runs the institution’s Appeals Office.
Inmates can earn sentence reduction credits by engaging in positive behavior and
Credits for completing and progressing in various academic, vocational, and rehabilitative
programs.
The form inmates can complete to request informal assistance from department staff
Form 22 concerning issues related to their confinement or to request an interview with a staff
member.
An executive, such as a warden, superintendent, or regional parole administrator,
Hiring Authority authorized by the Secretary of the California Department of Corrections and
Rehabilitation to hire, discipline, and dismiss staff members under his or her authority.
The initial investigative process the department performs into allegations of staff
Inquiry misconduct. During an inquiry, staff conduct interviews with various individuals, gather
and examine relevant documentary evidence, and draft a report.
Institution Classification A group of staff at each institution that makes decisions affecting transfer, program
Committee (ICC) participation, supervision, security, housing, and safety of persons.
A unit staffed by prison employees who are trained to conduct administrative reviews
Investigative Services Unit (ISU)
and investigations.
A type of sentence reduction credit inmates receive for achieving a distinct objective
within approved rehabilitative programs, including academic programs, substance
Milestone Credits
abuse treatment programs, social life skills programs, Career Technical Education
programs, Cognitive Behavioral Treatment programs, and other similar programs.
The office within the department authorized to investigate allegations of staff
Office of Internal Affairs
misconduct. This office works independently of the prison chain of command.
In November 2016, California passed Proposition 57, the California Parole for
Non-Violent Criminals and Juvenile Court Trial Requirements Initiative, requiring
Prop 57 the department to adopt regulations implementing new parole and sentence credit
provisions to enhance public safety, and authorizing the department to award
sentence credits for rehabilitation, good behavior, or educational achievements.
A supervising prison employee who is responsible for conducting the staff complaint
Reviewer inquiry. Typically, the reviewer is a sergeant or a lieutenant, but the reviewer must
hold at least one rank above that of the accused staff member.
Disciplinary action taken against an inmate for violating the law or departmental rules
regulating inmate behavior. An RVR can result in various penalties, such as a loss of
Rules Violation Report (RVR)
sentence reduction credits, a temporary loss of privileges, placement in segregated
housing, and loss of work assignments.
Staff Complaint An inmate appeal alleging facts that would constitute prison employee misconduct.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 1
Summary
The Office of the Inspector General (OIG) maintains a statewide
complaint intake process that provides concerned individuals a
point of contact to report allegations of improper activity within
the California Department of Corrections and Rehabilitation (the
department). We receive allegations from inmates, parolees, families,
departmental employees, and advocacy groups, among others. People
submit complaints by sending us letters, calling our toll-free public
phone line or our main telephone number, or filling out the complaint
form on our website.
Between July 1, 2017, and June 30, 2019, we received 6,009 complaints
of improper governmental activities. After we reviewed each
complaint, we provided a written response to the complainant. Our
office does not have the authority to conduct investigations into the
complaints we receive; however, we perform preliminary inquiries by
reviewing policies and procedures, accessing information stored in the
department’s electronic records systems, requesting relevant records
from institutional staff, and speaking with institutional staff regarding
the merits of the complaints and our recommendations on how to
resolve them.
In the vast majority of cases, our work results in our office providing
the complainant with advice on how to address his or her concerns
with the department. However, when our examination of a complaint
identifies potential violations of policy or procedure, we open a
more detailed field inquiry to bring the matters to the attention of
the department. In such cases, we typically visit the institutions
to observe operations, meet with departmental administrators,
make recommendations to prison administrators, and monitor the
department’s response.
In this reporting period, we performed 49 field inquiries. This
report summarizes the results of these field inquiries, including the
following highlights:
○ We reviewed five complaints that inmates were being held
beyond their correct release dates and determined the
department mishandled four of the five situations.
Ǯ For two inmates, staff improperly rescinded sentence
credits that caused the release dates for these inmates to
be incorrectly extended by a total of 111 days.
Ǯ In a third inmate’s case, staff appropriately rescinded
56 credits from an inmate because he did not meet the
criteria required to earn the credits, but failed to apply a
Office of the Inspector General, State of California
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2 Complaint Intake and Field Inquiries
loss of credits, which caused the department to release
him 32 days early.
Ǯ In a fourth inmate’s case, the department delayed
restoring an inmate’s credits, which caused the inmate
to spend an additional 11 days in prison.
Ǯ In three of the release date calculation cases we
reviewed, the department failed to appropriately
address the inmates’ appeals and requests for assistance,
which prevented these three inmates from challenging
the decision to rescind their credits.
Ǯ In the fifth inmate’s case, the department reviewed the
inmate’s complaint, realized the inmate was entitled
to credits that he had never received, and awarded the
credits in time to facilitate the inmate’s timely release
from prison.
○ In 36 complaints of staff misconduct we referred to the
department, we determined 21 of the 36 complaints
(58 percent) were handled inadequately.
Ǯ Hiring authorities did not perform inquiries into four of
the 36 complaints (11 percent).
Ǯ Of the 32 staff complaint inquiries, we found hiring
authorities completed their inquiries within the
30-business-day time limit prescribed by departmental
policy in only 19 instances (59 percent).
Ǯ In nine instances (28 percent), we found reviewers
failed to conduct sufficient interviews or failed to
consider all relevant information, or both.
Ǯ In three complaint inquiries (9 percent), the reviewer
either lacked independence or displayed bias in favor of
departmental staff.
○ An officer canceled an inmate’s visit and suspended his
visiting privileges for reasons that were not supported by
video footage of the incident. When we raised this issue
to the department’s attention, the department reduced
the disciplinary action it instituted against the inmate, but
refused to investigate the officer’s alleged dishonesty in
writing a report that contained statements that contradicted
the video footage we reviewed.
○ A captain’s failure to timely alert the institution’s
classification committee that an investigation had
concluded caused an inmate to spend 81 days in
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 3
administrative segregation even though the investigation
had concluded just four days after the inmate was placed in
administrative segregation.
○ We reviewed an inmate’s allegation that departmental staff
placed inaccurate information in his disciplinary records
that indicated that he had been convicted of a sex offense
involving a minor. After we brought this error to the
department’s attention, staff revised the inmate’s disciplinary
record, but failed to completely remove the incorrect
information that labeled the inmate as a convicted child sex
offender. This inaccurate information places the inmate at
risk of harm by those who wish to harm child sex offenders.
○ The department’s hiring authorities made several positive
changes after reviewing the complaints we referred and
listening to our concerns, including:
Ǯ An institution’s Chief Executive Officer over health care
revised policies and training materials to ensure health
care staff are aware of their obligation to inform custody
staff when a patient states that custody staff used
excessive force.
Ǯ A warden improved the institution’s family visiting
process by requiring staff to monitor the freshness of
food that inmates and their families purchase in advance
of the visits, instructing staff how to accommodate
visitors who need dietary accommodations, and
training involved staff regarding the importance of
communicating positively with family members.
Ǯ The Board of Parole Hearings revised an earlier
decision it issued by removing incorrect information
it received from the inmate’s assigned institution,
incorporating positive information regarding the
inmate’s rehabilitative programming, and deleting
outdated conviction information it was not permitted to
consider. Although the updated decision did not change
the Board’s ultimate decision to deny the inmate parole,
the revisions ensured the inmate received his due
process rights.
Office of the Inspector General, State of California
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4 Complaint Intake and Field Inquiries
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Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 5
Background
Responsibility of the OIG
California Penal Code section 6128 requires the OIG to maintain a
complaint intake process to address concerns from any individual
regarding allegations of improper governmental activity within
the department.
Although we review complaints filed by inmates, employees, and other
stakeholders, we are not authorized to conduct investigations into
these complaints. Rather, when we receive complaints, we evaluate
the allegations and review departmental records to determine if the
department complied with its policies. If this preliminary inquiry
uncovers information that warrants further examination by the
department, we notify departmental administrators of the issues raised
by the complaint and recommend they evaluate the complainant’s
concerns. When our inquiry identifies violations of the department’s
policies, practices, and procedures, we refer the complaint to our
regional field inspectors, who work directly with the hiring authority
for resolution at the local level.
Before making a complaint to the OIG, inmates and parolees are
encouraged to complete the department’s appeals process. All other
complainants are similarly requested to first attempt to resolve their
concerns informally with the department by using the department
contact information provided to them as listed in the text box on the
next page.
Office of the Inspector General, State of California
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6 Complaint Intake and Field Inquiries
Any inmate, parolee, or ward who is not satisfied with the department’s
response to an appeal or who believes an inquiry into staff misconduct
was not conducted properly may request that we examine his or her
concerns. In addition to utilizing our toll-free public telephone number
or our main office number, individuals may also file a complaint by
mail or electronically via our website as listed below.
The Office of the Inspector General maintains a toll-free public telephone number
for inmates using the inmate phone system at adult institutions (916-555-0001), wards
at juvenile facilities (959-958-0001), and members of the public (1-800-700-5952). We
also provide a link for complainants to use in submitting complaints on our website:
https://www.oig.ca.gov/connect/report-misconduct/. In addition, anyone can send
correspondence to us using the following address:
The Office of the Inspector General
10111 Old Placerville Road, Suite 110
Sacramento, CA 95827
Source: California Office of the Inspector General.
The Office of the Ombudsman can be contacted by calling (916) 445-1773, completing
the online Ombudsman Contact Form available at https://www.cdcr.ca.gov/ombuds/, or
by writing to the following address:
California Department of Corrections and Rehabilitation
Office of the Ombudsman
1515 S Street
Sacramento, CA 95811
Source: https://www.cdcr.ca.gov/ombuds/.
A Citizen’s Complaint form (CDCR 2142) can be submitted to the California Department
of Corrections and Rehabilitation to make a complaint of improper conduct against
employees of the department. Complaints may be submitted to any supervisor or
manager of the department, or may be addressed to the department’s Office of Internal
Affairs at any of the following regional offices:
Office of Internal Affairs
Northern Region Central Region Southern Region
P.O. Box 3009 5100 Young Street 9035 Haven Avenue, Suite 105
Sacramento, CA 95812 Building B, Suite 160A Rancho Cucamonga, CA 91730
(916) 255-1301 Bakersfield, CA 93311 (909) 483-1594
(661) 664-2054
Source: https://www.cdcr.ca.gov/ocr/contact-us/.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 7
Complaint Intake
Our office primarily receives complaints from inmates, parolees,
families, departmental employees, and advocacy groups. OIG contact
information is posted in all adult institutions, Division of Juvenile
Justice facilities, and parole offices. Our informational posters are
placed in each housing unit and provide resource information for
both inmates and departmental employees explaining how to file a
complaint with the OIG by telephone or through the mail.
Table 1, below, illustrates that between July 1, 2017, and June 30, 2019,
our office received 6,009 complaints. Of these, 4,598 complaints
(77 percent) were submitted via mail, 783 complaints (13 percent)
were received directly from our toll-free public telephone number, and
545 complaints (9.1 percent) were submitted electronically via
our website.
Table 1. Number of Complaints Received, by Method of Submission
Percentage
Total of Total
Method of Fiscal Year Fiscal Year Complaints Complaints
Submission 2017–18 * 2018–19 * Received Received
Mail 2,249 2,349 4,598 76.5%
800 Number 378 405 783 13.0%
Web / Email 235 310 545 9.1%
Phone 24 31 55 0.9%
Fax 9 7 16 0.3%
In-Person 6 6 12 0.2%
Grand Total 2,901 3,108 6,009 100.0%
* Fiscal Year 2017–18 refers to the time period beginning July 1, 2017, and ending June 30, 2018.
Fiscal Year 2018–19 refers to the time period beginning July 1, 2018, and ending June 30, 2019.
Source: The Office of the Inspector General Tracking and Reporting System, June 2017
through July 2019.
On the next page, Table 2 documents the sources of the complaints we
received. Inmates filed the vast majority of them, submitting 4,864 of
the total 6,009 complaints (81 percent) our office received, while all
other complainant submissions combined resulted in 1,145 complaints
(19 percent).
Office of the Inspector General, State of California
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8 Complaint Intake and Field Inquiries
Table 2. Number of Complaints Received, by Complainant
Received Received
Fiscal Year Fiscal Year Grand Percentage
Complainant 2017–18 2018–19 Total of Total ‡
Inmate 2,377 2,487 4,864 80.9%
Family Member 236 345 581 9.7%
Advocate 90 135 225 3.7%
CDCR Employee * 74 46 120 2.0%
Other † 40 22 62 1.0%
Anonymous 30 26 56 0.9%
Parolee / Ward 27 21 48 0.8%
Governor’s Office 24 18 42 0.7%
Inspector General 3 8 11 0.2%
Grand Total 2,901 3,108 6,009 ‡
* CDCR Employee includes both current and former departmental employees.
†
Other includes complaints received from the general public, the district attorneys, the
California Rehabilitation Oversight Board, the State Auditor, the Legislature, and other
entities.
‡
Percentages do not sum to 100 percent due to rounding.
Source: The Office of the Inspector General Tracking and Reporting System,
June 2017 through July 2019.
On the next page, Figure 1 displays the volume of complaints we
received concerning each adult institution, the Division of Adult
Parole Operations, and Division of Juvenile Justice facilities during
fiscal years 2017–18 and 2018–19. The volume of complaints we received
varied from institution to institution. Ten of the state’s 35 institutions
(29 percent) disproportionately accounted for 3,238 (54 percent)
of the complaints we received. Of these 10 institutions with the
highest volume of complaints, seven of them (California State Prison,
Corcoran; California State Prison, Los Angeles County; Kern Valley
State Prison; California State Prison, Sacramento; Substance Abuse
Treatment Facility; Salinas Valley State Prison; and High Desert
State Prison) are assigned to the department’s high security mission
classification. This category of institution houses male offenders whom
the department considers to be the most violent and dangerous in the
state. Historically, we have received the majority of our complaints
concerning issues at institutions from this
mission classification.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 9
Figure 1. Number of Complaints Received, by Institution
430
400 390
369 376
335
313
300
275
261 255
234
200
169
121
107
100 84 78 67 58 54 52 87 87 87 69 62 59 55 87 66 53 54
38 36
28
13 16
0
COR LAC KVSP SAC SATF SVSP HDSPPBSP CAC MCSP SOL ASP VSP CEN CVSP CAL ISP PVSP RJD CIM NKSP SQ WSP SCC CBU DVI CRC CCC CHCFCCWFCIW FSP FWF DAPO DJJ
High Security General Population Reception Centers and Camps FOPS / SH * Other †
* Female Offender Programs and Services / Special Housing.
† Other divisional entities.
Note: The 10 institutions about which we received the most complaints are shaded in yellow.
Source: The Office of the Inspector General Tracking and Reporting System.
Staff in our Intake Unit review each complaint to identify the types
of issues each complaint addresses. For allegations that fall outside
of our jurisdiction, such as complaints regarding county jails, federal
prisons, or local law enforcement, we refer the complainants to the
most appropriate entity holding jurisdiction over the issues raised in
the complaint. For allegations that fall within our jurisdiction, our staff
conduct a preliminary inquiry and respond to the complainant.
We immediately act on the most critical allegations, such as life-
threatening situations, or safety and security concerns that may affect
departmental staff or inmates. For example, we make safety or mental
health referrals when a complaint alleges potentially unsafe conditions,
such as enemy concerns, threatening behavior, suicidal thoughts, or
other indicators noting safety or security risks. All other allegations,
such as those regarding due process violations, missing inmate
property, dissatisfaction with living conditions, the visiting process,
and appeal outcomes, are prioritized by urgency and severity, and
assigned to an OIG staff member to perform a preliminary inquiry into
the concerns presented.
We do not have the authority to conduct investigations into the
complaints we receive. Instead, we perform what we refer to as
preliminary inquiries by reviewing departmental records to verify the
Office of the Inspector General, State of California
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10 Complaint Intake and Field Inquiries
complainant’s allegations to the extent possible. During
a preliminary inquiry, we locate an inmate’s or parolee’s
records by directly accessing various departmental
ACCESS TO INMATES’ APPEALS
electronic records management systems. For access
During the reporting period July 1, 2017, to records that cannot be retrieved electronically, we
through June 30, 2019, our office
made approximately 1,480 requests* typically request relevant documentation directly from
to the department’s public information departmental staff 1 (text box, left). We also review
officers (PIOs) at the 35 institutions
statewide, to request documents and departmental regulations, policies, and operational
other information, such as the Inmate
procedures to identify the standards applicable to the
Appeals Tracking System (IATS)* histo-
ry report for an inmate. Although the issues raised in each complaint.
department provides us with remote
access to many of its electronic data-
Following our inquiry into the complaint, we provide a
bases, we do not currently have direct
access to IATS. written response to the complainant that includes the
outcome of our review and a description of our actions
Because we encourage inmates and
parolees to complete the depart- taken. In the majority of cases, our preliminary inquiry
ment’s administrative appeals process
work results in our office providing complainants
before making a complaint to our
office, we first verify whether an in- with advice on how to address their concerns with
mate or parolee has demonstrated an
attempt to resolve his or her issues by the department. For example, inmates frequently raise
initiating a departmental appeal. concerns to our office before either attempting to utilize
When the department’s records the administrative appeals process or exhausting the
indicate a related appeal exists, we
appeals process in its entirety. In such cases, we provide
contact the institution’s PIO again and
request the supporting documentation complainants with instructions on how to use the
to assist our inquiry into the com-
department’s grievance processes to resolve any issues
plainant’s issues. Having direct access
to IATS would streamline our inquiries before seeking outside assistance.
and reduce the amount of time the
department’s PIOs spend responding
We notify the appropriate departmental administrators
to our requests for records.
of allegations of serious staff misconduct and
* The OIG reviewed all intake staff requests
recommend they evaluate the complainant’s concerns.
made to the department during the third
quarter of 2018; 185 requests for IATS and We also notify the Prison Rape Elimination Act (PREA)
appeals-related information were made.
Extrapolating this figure annually results compliance manager at the relevant institution and
in 740 requests, and over the two-year re-
porting period, accounts for approximately recommend its staff perform an investigation into
1,480 requests.
complaints containing allegations of sexual harassment
Source: The Office of the Inspector General
Tracking and Reporting System. or sexual misconduct against departmental staff
or inmates.
In other less serious matters, when our preliminary
inquiry results are inconclusive, or when our office is unsure
which departmental policy or procedure governs the issues raised
in a complaint, we may refer the complainant’s allegations to the
department for an evaluation and potential inquiry to resolve
the concerns.
1. The department maintains, at the institutional level, an inmate appeals history known
as the “Inmate Appeals Tracking System” (IATS) database. Our staff review individual
IATS reports obtained from the department to determine whether an inmate has access
to the appeals process and whether he or she has exhausted administrative remedies.
Inmates’ attorneys may also request information from this database to determine if their
clients have exhausted their administrative remedies prior to filing a lawsuit against
the department.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 11
We treat all personal information contained in a complaint as
confidential in order to respect the complainant’s privacy
and protect him or her from retaliation. Therefore, for
the majority of the complaints we refer beyond our
OIG FIELD DUTIES
agency, such as to a warden or the Office of Internal
Affairs, we request that complainants sign and return Deputy Inspectors General on our
Force Accountability and Compliance
a waiver consenting to the release of their name and Team monitor the department’s
correspondence. A complainant is not required to consent review process for use-of-force
incidents. Our inspectors review
to the release of this information, but due to the nature and analyze use-of-force incidents
of some allegations, it would be difficult to conduct by reviewing written reports,
photographs, and other records,
an inquiry without the complainant doing so. When a and, when applicable, viewing
video recordings of the incidents
complaint identifies an imminent threat to life, we proceed
and inmate interviews. We inde-
without obtaining a waiver. pendently determine whether staff
actions before, during, and after
Our intake staff also assist complainants by collaborating the use of force were reasonable
under the circumstances and within
with our regional field inspectors who are assigned to the bounds of departmental policy
and training procedures. We then
monitor other departmental processes at each prison
provide real-time feedback and
(text box, right). When our intake unit receives complaints make recommendations to the de-
partment’s committees that review
regarding departmental matters that are actively being
use-of-force incidents.
monitored by our office, intake staff alert our regional field Attorneys in our Discipline Monitoring
inspectors to those issues. Our inspectors can immediately Unit provide contemporaneous
oversight of the department’s in-
bring these matters to departmental representatives’ ternal investigations and employee
attention and ensure the department receives the disciplinary processes, and oversee
the department’s response to
complainant’s information and considers it during critical incidents. Our attorneys
communicate with investigators,
these processes.
attend interviews, and review
investigative reports to assess the
Finally, our office may elevate a complaint to the level adequacy of the investigative work
we refer to as a field inquiry if the complaint involves performed. If the department sub-
sequently imposes discipline, we
a potential policy violation by departmental staff that also monitor the performance of
the department’s hiring authorities
cannot be resolved through our standard monitoring
and advocates during the disci-
responsibilities. Depending upon the nature of the plinary appeal process, including
the department’s attorneys and
matter, field inquiries can involve communication with
employee relations officers.
departmental administrators located within various
Board-certified physicians
departmental offices and programs; however, most often, and registered nurses in our
Medical Inspection Unit complete
they involve a site visit to meet with the warden of the
comprehensive reviews of, and
institution to which the complaint pertains. In such report on, the ongoing medical
care the department provides to
instances, our staff make recommendations to remedy inmates. To complete these assess-
identified issues varying from simple, informal fixes, such ments, we perform clinical case
reviews and compliance testing
as the reversal of a previous departmental decision; the based on both file reviews and on-
site medical inspections. After the
need for corrective actions, such as staff training; or the
inspections, we issue a report sum-
initiation of an inquiry into allegations of staff misconduct marizing our findings and recom-
mendations. We send this report
to determine whether to request a formal investigation. If
to the department, the Receiver,
the department performs a formal investigation, our field the Plata plaintiffs’ counsel, and
we also publish it on our website,
inspectors may monitor the case as part of our discipline
allowing for public access.
monitoring activities.
Office of the Inspector General, State of California
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12 Complaint Intake and Field Inquiries
Statistics Regarding Complaints Received From July 1, 2017,
Through June 30, 2019
Between July 1, 2017, and June 30, 2019, the OIG received
6,009 complaints of improper governmental activities. In 388 of
them, we determined that our office did not have jurisdiction because
the allegations involved county jails, federal prisons, local law
enforcement, or some other outside entity. In these cases, we referred
the complainant to the most appropriate entity. For the remaining
5,635 complaints, we conducted either a preliminary inquiry or a field
inquiry into 6,218 allegations2 to assist the complainant or to examine
the alleged improper activity (Figure 2, below).
Figure 2. Allegations Received in Fiscal Years 2017–18 and 2018–19
Grievances and 1,803
Staff Misconduct 1,571
1,001
Prison Conditions
811
Medical, Dental, 316
and Mental Health 213
156
PREA
151
99
Legal
97
No OIG 172
Jurisdiction 216
0 250 500 750 1,000 1,250 1,500 1,750 2,000
FY 2017–18 FY 2018–19
Note: Allegation volume was determined by assessing the volume of allegation types within each complaint.
Source: The Office of the Inspector General Tracking and Reporting System.
In the vast majority of the 5,635 preliminary inquiries we performed,
our inquiry work resulted in our office advising the complainants how
to address their concerns with the department. Common examples
of such advice involved how to request services or navigate through
2. Complainants often submit multiple, distinct allegations in each complaint. For each
allegation we receive, our office assigns a category/subcategory from a standardized list
of issues to identify the alleged topic, location, and parties involved. There were
14 complaints that contained one allegation within OIG jurisdiction and one allegation
that was not within OIG jurisdiction.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 13
Figure 3. Categories of Allegations We Receive
Grievances and Staff Misconduct Prison Rape Elimination Act (PREA)
Complaints that involve concerns with Allegations that inmates were subjected to
access to or processing of inmate appeals sexual misconduct by inmates or staff, or
and allegations of staff misconduct by made complaints of sexual harassment that
departmental staff. were not handled appropriately.
Prison Conditions Legal
Complaints that involve concerns with prison Requests for various types of legal
conditions, such as incorrect release date assistance, including access to public
calculations, missing inmate property, access records, and allegations of retaliation by
to rehabilitative programs, or the visiting departmental staff.
process.
Medical, Dental, and Mental Health No OIG Jurisdiction
Complaints that involve concerns with access Allegations that fall outside of OIG
to medical, dental, or mental health services jurisdiction, such as complaints involving
or objection to a decision that has a material county jails, federal prisons, or local law
adverse effect on an inmate’s physical or enforcement.
mental well-being.
the department’s various processes for appeals, sentence calculations,
disciplinary violations, and visiting, or how to contact specific
departmental divisions and offices for services or additional help. On
other occasions, after we conducted a preliminary inquiry, we worked
with departmental staff to facilitate resolution of the complainant’s
issues. Below, we provide a sampling of four preliminary inquiries
as examples of assistance we provided to complainants who were
unsuccessful in their initial attempts to resolve their concerns with
departmental staff.
○ An inmate’s brother alleged staff at the inmate’s institution
restricted the inmate’s ability to receive visits from family
members despite the inmate’s request to receive visits. We
reviewed institutional records and found the inmate’s brother
was on the list of approved visitors and no other restrictions
appeared to be preventing the inmate from receiving visits.
After we raised this concern with the institution, its public
information officer requested the institution’s visiting
sergeant contact the inmate’s brother to coordinate a visit.
The inmate received a visit from his family members three
days after we contacted the institution.
○ We received an allegation that an inmate mailed an appeal
to the third level of review before the applicable deadline,
Office of the Inspector General, State of California
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14 Complaint Intake and Field Inquiries
but the department’s Office of Appeals rejected the appeal
as untimely. After reviewing the inmate’s appeal history and
mail logs, we determined the inmate had mailed his appeal
three days prior to the due date, but delays in the institution’s
processing of his mail caused his appeal to reach the Office of
Appeals three days late. After we contacted the department
with our findings, the Office of Appeals agreed to rescind its
prior decision and accept the inmate’s appeal as timely filed.
○ An inmate alleged the department denied him access to
its administrative appeal process by failing to respond
to his missing property appeal. The inmate claimed that
while at one institution, staff issued him a property receipt
that failed to account for all the property that was in his
cell before being rehoused in administrative segregation.
The inmate refused to sign the property receipt because
it was inaccurate, but did not file an appeal until after the
department transferred him to another institution.
We reviewed the institution’s records, which indicated the
inmate’s appeal had been forwarded to his prior institution
for processing; however, the former institution had no record
that it received the appeal. After we contacted the inmate’s
current institution, its staff agreed to resend the appeal to the
inmate’s previous institution for processing as an original,
thereby allowing the appeal to be accepted as timely filed.
○ In a final complaint, a family member alleged that an
inmate was not receiving adequate dental treatment despite
multiple attempts to request assistance from the department
and California Correctional Health Care Services over the
past year. The family member alleged the inmate suffered
substantial tooth loss and bone deterioration due to the delay
in receiving these services.
We reviewed the inmate’s extensive dental history from 2017
through 2018, including dental progress notes and health
care requests the inmate had submitted, among which was
a June 2018 order for the inmate to receive partial dentures.
However, the department transferred the inmate to another
institution in October 2018 without having received his
needed dental services. We contacted the institution in
October 2018 with our concerns about the delay. One week
later, the inmate received his denture.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 15
Field Inquiries
Between July 1, 2017, and June 30, 2019, we performed 49 field inquiries
regarding selected complaints that involved a potential policy
violation by departmental staff that could not be resolved through
our standard monitoring responsibilities. Our staff brought potential
policy violations to the attention of specific hiring authorities,
made recommendations, and monitored the department’s response
at the local level. We then followed up with the hiring authorities
to determine what actions they took in response to receiving the
complaints and assessed the adequacy of the hiring authorities’
responses. Our assessment of the hiring authorities’ responses did
not consider whether the underlying complaint or allegation was
substantiated. Rather, we assessed whether the department took
appropriate action to investigate the complaint and address the
complainant’s concerns.
Throughout the remainder of this report, we discuss a sampling of the
49 field inquiries we completed between July 1, 2017, and June 30, 2019,
identifying areas in which the department performed well and areas in
which the department can improve its policies, practices,
and performance.
Office of the Inspector General, State of California
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16 Complaint Intake and Field Inquiries
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Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 17
Field Inquiry Review Results
The Department’s Proposition 57 Regulations
and Related Policies Restrict Inmates’ Abilities to
Challenge Decisions to Rescind Their Sentence
Reduction Credits and Can Cause Inmates to
Forfeit Their Earned Credits
We performed field inquiries into five complaints we received alleging
the department erroneously rescinded inmates’ sentence reduction
credits and detained them beyond their true release dates. These
complaints provided us an opportunity to examine the department’s
process for rescinding sentence reduction credits inmates earn by
completing various rehabilitative programs and for following the
department’s behavioral rules and regulations. In two of the five cases,
departmental staff made incorrect decisions to rescind sentence
credits from inmates who were fewer than two months away from
their scheduled release dates. When the department attempted to
reverse these decisions and restore the credits, departmental rules
coupled with administrative delays prevented the inmates from
having their credits fully restored. In a third case, departmental
staff delayed restoring an inmate’s credits at the earliest possible
opportunity, causing him to spend 11 extra days in prison. These errors
and administrative delays caused these three inmates to spend a total
of 122 additional days in prison, which directly cost the department
approximately $28,360 to incarcerate these inmates.3 Staff errors in
a fourth inmate’s case caused the department to release him 32 days
early. In the final case, the department was able to correct its initial
mistake 105 days before the inmate’s anticipated release date and
released him on time.
Even more concerning than the outcomes of these individual cases
was our discovery that the interplay among various departmental
regulations, policies, and practices causes institutional staff to rescind
inmates’ credits within the final 60 to 120 days of their incarceration.
This practice often prevents inmates from challenging the
department’s actions before any incorrect decisions can be undone and
causes some inmates to be detained beyond their true release dates.
3. The Department of Finance estimates that it costs approximately $84,848 per year to
incarcerate an adult inmate in California; http://www.ebudget.ca.gov/2019-20/pdf/
Enacted/GovernorsBudget/5210/5225_fig1f.pdf (website accessed September 5, 2019).
Office of the Inspector General, State of California
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18 Complaint Intake and Field Inquiries
Background: Sentence Reduction Credits
For more than 100 years, offenders sentenced into the department’s
custody have had the ability to earn credits that reduce the length of
their incarceration. With the implementation of
Proposition 57, the Public Safety and Rehabilitation Act
PROPOSITION 57 of 2016 (Prop 57), offenders can now earn more credits
for good behavior and for approved rehabilitative or
On November 8, 2016, California
educational achievements than ever before (text box,
voters approved Proposition 57,
the Public Safety and Rehabilitation left). Credits can advance the release date of an inmate
Act of 2016 (Prop 57). Prop 57 gave sentenced to a determinate term,4 or advance the initial
the department “authority to award
parole hearing date of an inmate sentenced to an
credits earned for good behavior
and approved rehabilitative or edu- indeterminate term5 with the possibility of parole. Credit
cational achievements.” *
earning opportunities are available to all inmates
As a result of Prop 57’s passage,
excluding condemned inmates and those serving
inmates can now earn additional
sentences of life without the possibility of parole.
good conduct credits for complying
with the department’s policies gov-
erning inmate behavior; milestone Following the passage of Prop 57, the department was
completion credits for accomplishing
tasked with enacting regulations to implement the
objectives in certain rehabilitative
programs, including academic, vo- new law; the regulations took effect on April 13, 2017.
cational, and therapeutic programs;
Among the regulations was a new rule restricting
rehabilitative achievement credits
the department from awarding credits or restoring
for participating in self-help and vol-
unteer public service activities; and previously rescinded credits for determinately
education merit credits for earning
sentenced inmates if doing so would advance these
high school diplomas, high school
equivalencies, or higher education inmates’ release dates any sooner than 60 days after the
degrees. award or restoration occurred.6 In other words, once
* Cal. Const., art. I, sec. 32, subd. (a), an inmate is within 60 days of his or her department-
par (2).
calculated release date, the department cannot expedite
Source: CDCR—Proposition 57 Revised
the inmate’s release even if it determines he or she is
Regulations, Milestone Completion Credit
Schedule, as of July 2018. From https:// legally entitled to be released on an earlier date. The
www.cdcr.ca.gov/wp-content/uploads/
sites/171/2019/06/adopted-regula- regulations do not allow for any exceptions to this
tions-ncr-18-09.pdf (URL accessed on 60-day restriction.
August 2, 2019).
When the department imposed this new restriction
upon itself, it did not immediately adjust its other
policies and practices that can cause adjustments to inmates’ release
dates. The most impactful of these policies sets forth time frames in
which institutional staff perform prerelease audits of inmates’ central
4. Under the Determinate Sentencing Law, offenders are sentenced to California
State prison for a set amount of time. Once the offender serves the specific time, the
offender is released either to parole or to probation for supervision. Offenders serving
determinate sentences may become eligible for a parole suitability hearing before their
release date if they meet certain criteria.
5. Under the Indeterminate Sentencing Law, offenders serve a term of life with
possibility of parole. Offenders sentenced to a life term with the possibility of parole
cannot be released on parole until the Board of Parole Hearings determines that they are
ready to be returned to society.
6. California Code of Regulations, Title 15, Article 3.5, Section 3043, subdivision (c).
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 19
files to determine whether their release dates have been calculated
correctly. The audits are primarily intended to confirm that an inmate’s
credit gains, losses, and restorations have all been accounted for
and that the inmate was eligible to receive the credits which were
previously awarded. When the Prop 57 regulations went into effect on
April 13, 2017, the department’s policy required institutional staff to
perform these audits at the following times:
○ Upon an inmate’s initial intake at a receiving facility after
being sentenced to prison.
○ Sixty days prior to an inmate’s scheduled parole/release date.
○ Ten days prior to an inmate’s scheduled parole/release date.
○ Upon receipt of an additional commitment following initial intake.
○ Upon transfer to facilitate federal deportation.
○ Every 30 days beginning nine months before release regarding
notorious or special interest cases.7
This means that for many inmates, other than their initial intake audit,
the first time a staff member audited their release date calculation
was 60 days before their scheduled release. As we discovered during
the field inquiries we performed, this 60-day prerelease audit policy,
combined with the recently enacted 60-day restriction, imposed
an undue hardship on inmates whose release dates were extended
as a result of a change made during a prerelease audit. Because the
release date restriction prevents the advancement of inmates’ release
dates during the final 60 days of their incarceration, an inmate’s
release date could be extended after a prerelease audit, but it could
not be expedited if the audit revealed that an inmate should be
released sooner.
Staff Failure to Recognize the Urgency of Inmate Appeals
Challenging the Department’s Decisions to Rescind Credits Within
the Final 60 Days of an Inmate’s Incarceration Prevented Inmates
from Contesting Decisions to Rescind their Credits
The department’s regulations contain a process by which inmates
can appeal departmental policies, decisions, actions, conditions, or
omissions that have a material adverse effect on them. At the time of
our review, departmental staff typically had 30 business days from
7. Department Operations Manual, 73010.4.1, Audit Schedule Revised June 16, 1995.
Office of the Inspector General, State of California
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20 Complaint Intake and Field Inquiries
receipt of an appeal to issue a response to the inmate who
filed the appeal (text box, left).8
FILING A FORM 602 The department also had a process for prioritizing
“emergency appeals” for circumstances in which the regular
To file an appeal, an inmate must
complete an Inmate/Parolee appeal time limits “would subject the inmate or parolee to
Appeal form (known as a Form a substantial risk of personal injury or cause other serious
602) and describe the specific
issue under appeal and the and irreparable harm.” Staff had only five business days to
relief requested, stating all facts respond to an emergency appeal. Although the department’s
known regarding the issue being
regulation defining emergency appeals did not specifically
appealed, the names of all staff
member(s) involved, and a de- include release date calculations, the regulation broadly
scription of each staff member’s
applied to all situations that pose a substantial risk of
involvement in the issue. The
inmate must also attach all sup- irreparable harm to the inmate. The regulation provided
porting documents necessary to
the following guidance for staff to determine which appeals
clarify the issues under appeal.
qualify for the emergency appeals process:
Appeals can be screened out for
many reasons, including failure
to attach necessary supporting (1) When circumstances are such that the regular
documents, failure to submit the appeal time limits would subject the inmate or
appeal on the appropriate form,
parolee to a substantial risk of personal injury
failure to exhaust other informal
processes, failure to appeal the or cause other serious and irreparable harm,
action within 30 days, inclusion of
the appeal shall be processed as an emergency
multiple unrelated issues in a sin-
gle appeal, and filing more than appeal. Emergency circumstances include, but
one nonemergency appeal in any are not limited to:
14-day period, among others.
If inmates are not satisfied with (A) Threat of death or injury due to enemies
an initial response to an appeal, or other placement concerns.
they can elevate the appeal for
at least one more level of review. (B) Serious and imminent threat to health
or safety.
Source: California Code of Regu-
lations, Title 15, Article 8, Sections
3084–3085.
The regulation did not define the term irreparable harm;
however, the term is often used in the legal field, where it is
defined as “an injury that cannot be adequately measured
or compensated by money and is therefore often considered
remediable by injunction.”9 The term injury is itself defined as “the
violation of another’s legal right, for which the law provides a remedy;
a wrong or injustice.” An injury is not limited to physical harm.10 In our
opinion, the forfeiture of credits, to which the inmate has accrued a
8. California Code of Regulations, Title 15, Article 8, Section 3084.9. The department is
repealing this regulation on June 1, 2020, as part of a package of emergency regulations
that overhaul the department’s grievance and appeal process. The revised regulations
no longer contain a separate emergency appeal process for circumstances in which
regular processing time limits would subject an inmate to a substantial risk of serious
and irreparable harm. Instead, the new grievance and appeal procedure only provides
an expedited review of grievances that implicate personal safety, institutional security,
or sexual misconduct. Notice of Approval of Emergency Regulatory Action, OAL Matter
Number 2020-0309-01, https://www.cdcr.ca.gov/regulations/wp-content/uploads/
sites/171/2020/04/Master-File-Appeals-Emerg-Regs_ADA.pdf.
9. Black’s Law Dictionary, ed. B. Garner, 11th ed. (Thomson Reuters, 2019), “Injury.”
10. Ibid.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 21
vested legal right, would subject the inmate to irreparable harm and
qualify for the emergency appeal process.
In three of the five release date calculation complaints that we
internally elevated to field inquiries, the affected inmates filed appeals
and other requests for assistance seeking a reversal of the decisions
that postponed their release dates. The department did not treat any of
the appeals as emergency appeals even though the appeals indicated
the inmates were within 60 days of release and were challenging the
revocation of their credits. These credits would be forfeited once the
60-day release date restriction became applicable if the appeals were
not acted upon immediately. Nor did the department treat any of the
appeals with any sort of urgency, in one case rejecting the appeal
altogether and, in another case, failing to respond to the
inmate’s request for assistance.
DELAYS
An inmate lost 97 credits because institutional staff
incorrectly reclassified him as a sex offender 61 days In the discussion that follows, we
before his scheduled release and refused to consider note that there were significant
delays between the time the
his appeal.
department made the decision
to rescind an inmate’s credits and
As shown in Figure 4 on the following page, 61 days the time the department notified
before an inmate’s original release date, institutional the inmate of the rescission.
Because the department does
staff rescinded 197 days of credits, extending his not keep records of the dates on
release date from March 4, 2018, to September 16, 2018. which inmates receive notice, we
could not independently confirm
Although the inmate filed an emergency appeal
the dates on which any individual
challenging the decision, the department did not release inmate received actual notice of
the rescission. However, in their
him until June 9, 2018, causing him to lose 97 of the
communications with us, each of
197 days he earned by complying with the department’s the inmates included the dates
on which they received notice of
credit-earning regulations.
the rescission.
In accordance with the department’s policy requiring We were able to independently
confirm the dates on which the
staff to perform audits of inmates’ files when an inmate inmates challenged these rescis-
is 60 days from release, institutional staff audited the sions, which often occurred soon
after the date they claim to have
inmate’s central file and determined a prior conviction
received actual notice. Consider-
from 2003 required him to register as a sex offender ing the great incentive inmates
have to immediately challenge
under Penal Code section 290. The inmate had
decisions that postpone their
completed his sentence for the 2003 conviction in 2006, impending release from prison,
we credited the inmates’ state-
had been in and out of prison several times since then,
ments regarding the dates they
and had never previously been required to register received actual notice, particular-
ly in the absence of departmental
as a sex offender. This sudden change in the inmate’s
records. Accordingly, we calculat-
classification status caused him to earn credits at a ed the time between rescission
reduced rate of 20 percent (one credit for every four and notice by using the dates the
department made the decision to
days served) instead of at his previous rate of 33 percent rescind the inmate’s credits and
(one credit for every two days served). the date the inmates stated they
received actual notice.
Office of the Inspector General, State of California
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22 Complaint Intake and Field Inquiries
Figure 4. Time Line of the Department’s Actions That Impacted an Inmate Whom the Department
Incorrectly Classified as a Sex Offender
257 Days
60 Days
60 Days Prior to Scheduled Release Credits Rescinded (197)
Credits Permanently Lost (97) Credits Restored (100)
Original 60-Day Restricted Period 60-Day Restricted Period After Correction
January 3, 2018
197 Credits
Erroneously Rescinded March 4, 2018 April 10, 2018 June 9, 2018 September 16, 2018
Original Correct Correction of Inmate Released Adjusted Release Date After
February 2, 2018 Release Date Rescission From Prison Rescission of 197 Credits
Inmate Notified
of Credit Rescission
February 21, 2018
Inmate Filed Appeal
Sources: The Strategic Offender Management System and the Office of the Inspector General Tracking and Reporting System.
On February 21, 2018, the inmate filed an appeal challenging the
institution’s decision to reclassify him as a sex offender under
Penal Code section 290 and requested that the institution’s Appeals
Coordinator treat his appeal as an emergency appeal. The inmate
alleged that prior to the decision to reclassify him, he was scheduled
to be released on March 4, 2018, just 11 days later. As seen in the
box below, upon receiving the appeal, the Appeals Coordinator first
determined the appeal did not meet the criteria for an emergency
appeal and then rejected the appeal outright, informing the inmate:
Source: The California Department of Corrections and Rehabilitation.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 23
Because the Appeals Coordinator did not timely or
adequately address the inmate’s appeal of the decision to
IMPROPER REASONS
reclassify him as a sex offender registrant (text box, right),
FOR REJECTING
he contacted us regarding his concerns. On March 1, 2018, THE INMATE’S APPEAL
we contacted institutional staff and questioned the The institution also erred when
it rejected the appeal outright
propriety of their decision to classify the inmate as a sex
based on the assertion that it
offender. We explained that the institution was conflating involved “multiple issues that
do not derive from a single
convictions under Penal Code section 647a, which require
event, or are not directly relat-
registration as a sex offender, with convictions under Penal ed and cannot be reasonably
addressed in a single response
Code section 647, subdivision (a), which do not require
due to this fact.”
registration. On March 2, 2018, and again on March 6, 2018, The institution did not assess
the institution refused to reverse its decision to classify two unrelated issues when it
reclassified the inmate as a
the inmate as a sex offender and indicated that it had also sex offender and rescinded his
credits. Rather, when the insti-
sought approval from the department’s headquarters,
tution reclassified him as a sex
which agreed with its decision. The institution provided offender and noted this change
in its computer system that
the inmate with a Computation Review Hearing on
calculates release dates, the
March 21, 2018, but did not reverse its decision after system automatically recalculat-
ed his release date.
the hearing.
To address the merits of the
inmate’s appeal, the depart-
On April 4, 2018, after performing additional legal
ment needed only review its
research and drafting a written analysis to provide to the earlier decision to reclassify the
inmate as a sex offender. The
department in support of our position that the inmate
rescission of credits was based
should not have been required to register as a sex offender, solely on this reclassification;
the credits would have to be
we elevated our concerns to the department’s Office of
restored as a matter of course
Legal Affairs. On April 10, 2018, the Office of Legal Affairs if the department reversed its
classification decision.
concluded its review, agreeing that institutional staff erred
in reclassifying him as a sex offender. The department
immediately restored the inmate’s credits and changed his
release date to June 9, 2018, the earliest date possible after accounting
for the 60-day restriction. As a result, the inmate spent an additional
97 days in prison.
While the department eventually agreed with our position, it missed
earlier opportunities to treat the inmate’s appeal with urgency.
The inmate filed his appeal on February 20, 2018, with the notation
“EMERGENCY APPEAL” at the top of each page of his appeal, clearly
alerting the institution’s Appeals Coordinator that he believed his
appeal qualified for treatment under the emergency appeal process.
He then explained his concern that his release date of March 4, 2018,
which was only 11 days away, had just been extended to September 16, 2018.
From this information alone, the Appeals Coordinator should have
recognized that the inmate’s appeal posed a situation of serious and
irreparable harm. The longer it took the department to address the
inmate’s appeal, the longer the inmate would be required to spend in
prison. Had the Appeals Coordinator treated the inmate’s appeal as
an emergency appeal and realized the decision to reclassify him as a
sex offender was improper within five days of receiving his appeal, the
Office of the Inspector General, State of California
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24 Complaint Intake and Field Inquiries
institution could have released the inmate on April 27, 2018, 43 days
sooner, causing a forfeiture of only 54 credits instead of 97 credits.
In addition, had institutional staff recognized their error when we first
raised our concerns on March 1, 2018, or at least sought an expedited
legal opinion from the department’s Office of Legal Affairs staff
regarding this issue of law, the inmate could have been released as
early as April 30, 2018, 40 days sooner.
Staff indifference prevented an inmate from challenging the
department’s decision to rescind his milestone credits just 46 days
before his scheduled release date.
As shown in Figure 5 on the next page, an inmate learned
that institutional staff rescinded 42 of his previously
INFORMAL REQUEST FOR awarded milestone credits on February 8, 2017, which caused
ASSISTANCE
his original release date of March 20, 2017, to be extended
The department utilizes an to May 1, 2017. The next day, the inmate filed Requests for
“Inmate / Parolee Request for
Assistance, referred to as Form 22s (text box, left) with both
Interview, Item, or Service”
(Form 22) that does not act the institution’s Case Records Office and Education Office
as a formal appeal, but rather
seeking assistance in having his credits restored. By the
a request to resolve an issue
informally. time the inmate exhausted this informal process and filed
This form can be provided to a formal appeal of the decision to rescind his milestone
any staff member who is able to
credits, he was already within the 60-day restricted period,
address the inmate’s request.
If dissatisfied with the initial re- which prevented any adjustment to his release date. As a
sponse to the Form 22 request,
result, the inmate was unable to effectively challenge the
the inmate may request a super-
visor review the response. If still decision to rescind his milestone credits, 14 of which should
dissatisfied with the response, not have been rescinded.
the inmate may proceed to the
next level of the process, which
Because institutional staff did not rescind the inmate’s
is to submit an “Inmate/Parol-
ee Appeal” (Form 602) to the credits until February 2, 2017, 46 days prior to the inmate’s
prison’s appeals office.
original release date, and did not notify him of the
Exhaustion of the Form 22
rescission until six more days had passed, by the time the
process is required before
an inmate can appeal various inmate became aware that his milestone credits had been
issues, but is not required for
rescinded, the inmate had very little time to challenge the
staff complaints, disciplinary ap-
peals, classification appeals, or institution’s decision (see text box, page 21, titled “Delays”
other appeal areas that already for further explanation). Only 40 days remained before his
document a final departmental
decision. original release date and only 82 days remained before his
As of June 1, 2020, the depart- adjusted release date.
ment will no longer require
inmates to exhaust this informal Due to the 60-day restriction, any attempt to challenge the
process. Inmates will be permit-
institution’s decision could only have resulted in a partial
ted to file grievances directly
with the institution’s Office of restoration of the inmate’s credits. Even if the institution
Grievances. had reversed its decision to rescind the inmate’s credits
Sources: California Code of Regu- on the day the inmate received the notice, only 22 of the
lations, Title 15, Article 8.5, Section
42 credits could have been restored. If the institution had
3086; Department Operations
Manual, Section 54100.8, California attempted to restore all 42 credits on February 8, 2017, the
Department of Corrections and
Rehabilitation. soonest it could release him would have been April 9, 2017,
20 days after his original release date. By March 2, 2017,
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 25
Figure 5. Time Line of the Department’s Actions in Rescinding 42 of an Inmate’s Milestone Credits
102 Days
60 Days Prior to Scheduled Release Credits Rescinded (42)
Original 60-Day Restricted Period
January 19, 2017
60-Day Restricted Period After Correction
February 2, 2017
42 Credits
Rescinded
May 1, 2017
February 8, 2017 Incorrectly Adjusted
Inmate Notified of March 1, 2017 Release Date; Inmate
Credit Rescission Last Day to Restore March 20, 2017 Released From Prison
Any Rescinded Original Release
Credits Date
March 2, 2017
Sources: The Strategic Offender Management System and the Office of the Inspector General Tracking and Reporting System.
60 days before his adjusted release date, the institution would not have
been able to accelerate the inmate’s release at all.
Due to this abbreviated time frame, institutional staff would have
had to act expeditiously in order to restore any of the inmate’s
credits. Although the inmate immediately filed a Form 22 Request for
Assistance indicating that he was scheduled to be released in 39 days
and was seeking a restoration of 42 days of credits, institutional staff
failed to recognize the urgency of his situation. The institution’s
Education Office failed to address his complaint until February 28, 2017
(19 days later), indicating it had no authority to alter his release date,
and the Case Records Office failed to respond to his request at all. By
the time he filed his appeal on March 3, 2017, the 60-day restriction
precluded him from obtaining any relief whatsoever. Because
institutional staff did not address the inmate’s requests for assistance
in a timely manner, the inmate was denied the opportunity to
challenge the loss of the 42 milestone credits the institution previously
awarded him.
During our review of this inmate’s records, we asked the department
to reassess the inmate’s entitlement to the 42 credits that had been
rescinded. Among the credits rescinded were three separate awards
of 14 credits each, which the inmate received after achieving scores
on reading and literacy exams that met three separate educational
milestones. At the time, the institution rescinded all 42 credits because
it believed the inmate possessed a high school diploma (text box,
page 27) and was therefore ineligible to earn credits for the progress he
Office of the Inspector General, State of California
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26 Complaint Intake and Field Inquiries
made in his high school course. After the inmate’s release from prison,
the department confirmed the inmate did not have a high school
diploma and was therefore not prohibited from earning the milestone
credits on that basis.
However, upon further review, the inmate was only entitled to earn
milestone credits for one of the three test scores, which entitled him to
14 days of credits. A departmental memorandum governing eligibility
to earn milestone credits in January 2017 required that inmates spend
a minimum of 40 hours of classroom time between tests in order to be
eligible to earn milestone credits. Because he met this requirement for
one of the tests, he was entitled to 14 of the 42 credits the department
rescinded. Therefore, as shown in Figure 6 below, had institutional staff
processed the inmate’s Requests for Assistance expeditiously in light
of the clear urgency of the matter, the department could have restored
these 14 credits and adjusted his release date to April 17, 2017, instead of
May 1, 2017.
Figure 6. Time Line of the Restrictions Placed on an Inmate’s Ability to Effectively Challenge the
Department’s Decision to Rescind 42 of His Milestone Credits
102 Days
60 Days Prior to Scheduled Release Credits Rescinded (42)
Credits Correctly Credits Permanently
Rescinded (28) Lost (14)
60-Day Restricted Period for Correct Release Date
January 19, 2017
February 2, 2017
42 Credits
Rescinded
May 1, 2017
February 8, 2017 Incorrectly Adjusted
Inmate Notified of February 16, 2017 Release Date; Inmate
Credit Rescission Last Day to Restore March 20, 2017 April 17, 2017 Released From Prison
14 Improperly Original Release Correct Release
Rescinded Credits Date Date
Sources: The Strategic Offender Management System and the Office of the Inspector General Tracking and Reporting System.
The institution’s justification for denying the inmate’s appeal in this
case raises an additional concern regarding the department’s process
for addressing appeals that challenge an inmate’s release date. At the
top of the following page is the explanation the institution’s appeals
office provided to the inmate for rejecting his appeal:
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 27
Source: The California Department of Corrections and Rehabilitation.
Although the inmate exhausted the Form 22
process, the institution’s appeals office rejected
STAFF DELAYS CREATED UNCERTAINTY
his appeal because he did not submit sufficient AS TO THE INMATE’S ENTITLEMENT TO
supporting documentation with his appeal.
CREDITS
Because time was of the essence to this inmate’s
A lack of diligence in obtaining the inmate’s
appeal, he should not have been required to high school records earlier in the inmate’s
incarceration created uncertainty regarding
exhaust this informal process before having the
the inmate’s education status, and ultimately
right to file an appeal. caused institutional staff to rescind his mile-
stone credits.
Because he attempted to utilize the Form 22 When the inmate entered the department’s
process before filing his appeal, by the time custody in August 2015 after being sentenced
to prison, he told staff that he already pos-
he exhausted this process and filed his appeal
sessed a high school degree. Departmental
on March 3, 2017, his original release date had policy requires institutional staff to verify all
information inmates provide regarding their
passed, and he was already within 60 days of the
educational status by requesting high school
adjusted release date. transcripts from schools that inmates have
attended. The department generally receives
Even if staff immediately granted his appeal, transcripts within one to eight weeks after
making a request. Despite learning of the
they would not have been able to advance his
need to obtain the inmate’s high school tran-
release date any sooner. However, if the inmate scripts in August 2015, the institution did not
request the records until October 2016, and
had been able to immediately appeal the decision
again in April 2017 after the first attempt was
to rescind his credits on February 9, 2017, the unsuccessful.
institution would have had seven days to process Because the department permits inmates to
work toward earning their high school degrees
the appeal and award the inmate the 14 credits he
while staff verify their educational status, the
earned before the 60-day restriction precluded institution permitted the inmate to enroll in
a high school course in December 2015 and
the inmate’s timely release.
begin earning milestone credits for demon-
strating progress in the course. In February
2017, while conducting a 60-day audit of
Staff delays prevented an inmate from the inmate’s central file, institutional staff
rescinded all the milestone credits it previously
challenging the department’s decision to
awarded him for his progress in the course
rescind his milestone credits 58 days before his because the institution still did not have a copy
of the inmate’s transcripts.
anticipated release.
The department finally received the high
school records on May 2, 2017, the day after
On December 21, 2017, the department notified an
the department released him from prison.
inmate that it had rescinded 56 days of milestone
Source: The Office of the Inspector General’s analysis
credits it previously awarded him and extended of records provided by the California Department of
Corrections and Rehabilitation.
his original release date from January 28, 2018,
Office of the Inspector General, State of California
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28 Complaint Intake and Field Inquiries
to March 25, 2018 (see text box, page 21, titled “Delays” for further
explanation). The inmate submitted an appeal of the decision the next
day. Ultimately, we determined the department was correct to rescind
the credits. However, the institution’s failure to address this inmate’s
appeal until January 24, 2018, 60 days from his adjusted release date,
prevented the inmate from challenging the decision to rescind his
milestone credits (Figure 7).
Figure 7. Time Line of the Department’s Actions in Rescinding 56 of an Inmate’s Milestone Credits
116 Days
60 Days Prior to Scheduled Release Credits Rescinded (56)
Original 60-Day Restricted Period
60-Day Restricted Period After Rescission
Nov. 29,
2017
December 1, 2017
56 Credits
Rescinded
January 24, 2018
Last Day to Reverse March 25, 2018
December 21, 2017 Rescission Adjusted Release Date;
Inmate Notified of Inmate Released From
Credit Rescission January 28, 2018 Prison
Original Release
Date
Sources: The Strategic Offender Management System and the Office of the Inspector General Tracking and Reporting System.
During our review of this inmate’s records, we asked the department’s
Office of Research and Office of Correctional Education to reassess
the inmate’s entitlement to the 56 credits the institution rescinded
in December 2017. After reviewing the department’s responses, we
concurred with the warden’s determination; the inmate should not
have been awarded the 56 credits in question because he did not meet
the minimum classroom hours required to earn the credits. However,
we also discovered the department failed to ensure that 32 days of
good conduct credits the inmate lost as a result of time spent in
administrative segregation in 2016 were added to the inmate’s release
date calculation. As a result, the department should not have released
this inmate until April 26, 2018, 32 days later.
Although the department correctly determined the inmate was
ineligible to receive the 56 credits in question, this inmate’s appeal
serves as another example of how the practice of auditing inmates’
release dates with only months left before their anticipated release
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 29
dates deprives them of the opportunity to
challenge the department’s decisions to A FOURTH INMATE COULD
rescind credits.
HAVE BEEN RELEASED
11 DAYS SOONER
On the face of his appeal, the inmate requested In a fourth case involving a 60-day
that the institution’s Appeals Coordinator treat audit that occurred in February 2018,
the department discovered an inmate
his appeal as an emergency appeal because his
had been found guilty of a rules vio-
original release date of January 28, 2018, was lation in March 2016 that was never
factored into the inmate’s release
only 37 days away, and he was seeking to reverse
date calculation. The rules violation
the decision to rescind 56 of his milestone carried with it a penalty of a 90-day
credits. From this information alone, the loss of credits, which, once discov-
ered and applied to his sentence,
Appeals Coordinator should have recognized
caused the inmate’s
the serious and irreparable harm the inmate release date to be extended from
could suffer as a result of further delay and March 21, 2018 to June 19, 2018.
treated the inmate’s appeal as an emergency The inmate was also eligible to have
90 days of credits restored by the
appeal. The Appeals Coordinator, however,
institutional classification committee
did not process the appeal until six days after (ICC; see page 57 for a description
receiving it, at which point he failed to comply of the ICC’s functions) if he remained
discipline-free for a 60-day time period,
with regulations that require the Appeals
which ended on January 11, 2018.
Coordinator to decide whether the complaint The inmate remained discipline-free
for that 60-day period, but he did not
qualifies as an emergency appeal and notify the
receive an ICC hearing until
inmate of this decision. Instead, the Appeals January 31, 2018, 20 days later.
Coordinator assigned the appeal to a staff
Had the department scheduled the
member to provide the inmate with a first-level inmate to receive an ICC hearing on
January 11, 2018—the first day he
response by February 7, 2018 (nine days after the
became eligible to have his 90 days
inmate’s original release date). of credits restored—he could have
been released on his original release
On January 24, 2018, staff in the institution’s date of March 21, 2018.
Education Office interviewed the inmate, Instead, because the department did
determined that the credits should not have not restore the inmate’s credits until
January 31, 2018, the 60-day restric-
been rescinded, and submitted a request to
tion precluded the inmate from being
departmental headquarters seeking restoration released before April 1, 2018, causing
of all 56 of the inmate’s milestone completion him to spend an additional 11 days
in prison.
credits. On February 2, 2018, institutional
Source: The Office of the Inspector General’s
staff informed the inmate that his adjusted analysis of records provided by the California
Department of Corrections and Rehabilitation.
March 25, 2018, release date would not change
after all; he then elevated his appeal to the
second level of review. On February 27, 2018, the
warden responded to the inmate’s second-level appeal, informing him
that after further investigation and consultation with the department’s
Office of Correctional Education, he did not meet the minimum
classroom hours required to qualify for the milestone credits. The
institution released the inmate from prison on March 25, 2018.
Because the institution did not rescind the inmate’s credits until
December 1, 2018, 58 days prior to the inmate’s original release date,
and did not notify him of the rescission until 20 more days had passed,
by the time the inmate became aware that his milestone credits had
Office of the Inspector General, State of California
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30 Complaint Intake and Field Inquiries
been rescinded, he had very little time to contest the institution’s
decision. Only 38 days remained before his original release date and
only 94 days remained before his adjusted release date. If the inmate’s
claim to the credits had been meritorious, by the time the inmate
received notice of the decision and filed an appeal, the institution
could only have restored 34 of the 56 credits. By the time institutional
staff interviewed the inmate about his appeal on January 24, 2018, only
four days remained before his original release date and only 60 days
remained before the adjusted release date. By this time, the inmate’s
release date could no longer be adjusted.
To Avoid Further Due Process Violations, the Department Should
Amend its Policies to Provide a Predeprivation Process for Inmates
to Challenge Credit Rescissions Before They Become Final
The process we reviewed whereby the department finalizes its
decisions to rescind credits within the last 60 days of an inmate’s
incarceration denies affected inmates a meaningful opportunity to
challenge the department’s decisions. Because the decisions are
rendered nearly unchallengeable, this practice has not afforded inmates
adequate due process safeguards to prevent against the wrongful
deprivation of the constitutionally protected interests they possess in
a timely release from prison. When institutional staff discover errors
during a prerelease audit, they must complete a credit rescission
request form and submit it for supervisory approval. Once approved by
a supervisor, staff enter the rescission into the department’s computer
system that automatically calculates the inmate’s release date; the
rescission then becomes final. The affected inmate is not notified of
the rescission until after it has been finalized and must file a formal
appeal to challenge the decision. However, inmates are not typically
notified of the rescission in a timely manner. In three of the five cases
we reviewed, inmates were notified of staff decisions to rescind credits
after the 60-day restricted time period had already begun, which led
to an immediate, irreversible loss of credits in each case (Table 3, next
page). Two of the five decisions were incorrect and caused the inmates
to spend an additional 111 days in prison.
Changes to departmental processes for conducting prerelease audits
and processing inmates’ appeals of release date changes.
On May 23, 2018, the department changed its practice of performing
prerelease audits 60 days before an inmate’s release, and now performs
audits when an inmate is between 105 and 120 days from release. This
change in practice was formalized in a July 2019 memorandum, which
was circulated to all institutions.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 31
Table 3. Summary of the Department’s Delays in Notifying Inmates of Decisions
to Rescind Their Credits
Number Number of Number of Number of Credits
of Credits Days Until Days Between Permanently Lost by
Rescinded at Original Rescission and the Time the Inmate
Audit Release Date Notice* Received Notice
Case 1 197 61 18 17
Case 2 42 46 6 20
Case 3 56 58 20 22
* See text box, page 21, titled “Delays.”
Sources: The Strategic Offender Management System and the Office of the Inspector General Tracking
and Reporting System.
The department also softened some of the impact of the 60-day
restriction by amending its Prop 57 regulations. The amended rule,
which took effect on May 1, 2019, now delineates three tiers of release
date restrictions for awarding credits or restoring previously rescinded
credits—a 60-day restriction for inmates serving a term for a violent
felony conviction,11 a 45-day restriction for inmates convicted of child
abuse or a sex offense involving a minor, and a 15-day restriction for
all other inmates.12 This change will reduce the frequency and degree
of credit forfeitures inmates suffer if mistakes staff make during
prerelease audits are discovered and corrected in a timely manner.
The department is also implementing a new grievance and appeal
process, which goes into effect on June 1, 2020. The new process
eliminates the special process previously applicable to appeals related
to sentence calculations and release date changes. These claims
will all proceed through the normal grievance and appeal process.
Under this new process, after receiving a grievance, institutional staff
have 60 days to mail inmates an initial response. Inmates may then
appeal the institution’s grievance response to the Office of Appeals
at departmental headquarters, which has 60 days to mail its response
back to the inmate.13 Without a method of expediting their appeals, it
could take inmates more than 120 days to exhaust the new grievance
appeal process.
Therefore, as of June 1, 2020, when an institution performs a prerelease
audit of an inmate who is 120 days from his or her anticipated release
11. California Penal Code section 667.5 (c) identifies 23 unique offenses that qualify as
violent felonies, including, but not limited to, murder, voluntary manslaughter, mayhem,
robbery, attempted murder, and kidnapping.
12. California Code of Regulations, Title 15, Article 3.5, Section 3043, subdivision (c).
13. Notice of Approval of Emergency Regulatory Action, OAL Matter Number
2020-0309-01, https://www.cdcr.ca.gov/regulations/wp-content/uploads/
sites/171/2020/04/Master-File-Appeals-Emerg-Regs_ADA.pdf.
Office of the Inspector General, State of California
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32 Complaint Intake and Field Inquiries
and determines the inmate’s release date should be extended, there will
not be enough time for the affected inmate to exhaust the department’s
process for challenging these decisions before they become
irreversible. For example, with 120 days left before his anticipated
release, John Doe receives a notice that his release date is being
extended by 30 days because of errors identified during a prerelease
audit. If John Doe files a grievance challenging the decision to extend
his release date, institutional staff have 60 days to consider his
grievance and mail him a response. If dissatisfied with the institution’s
response, John Doe may then mail a grievance to the Office of Appeals
in Sacramento, which has 60 days to consider his appeal and mail
him a response. Without factoring in any delays that are inherent in
this process (i.e., delays in notifying John Doe of the results of the
prerelease audit and the delays in processing incoming and outgoing
mail at the institution), by the time John Doe has exhausted the
administrative appeal process, his anticipated release date has already
passed. He can no longer be released on time and will have to spend as
many as 30 additional days in prison.
Due process considerations.
The due process clauses of both the United States Constitution and
the California Constitution provide that the government cannot
deprive any person of life, liberty, or property, without due process of
law. Exactly what safeguards are required and when those safeguards
must be provided in any given situation varies based on the nature
of the interest involved, the risk that the existing process will result
in an erroneous deprivation, the value of additional procedures or
safeguards, and the burden additional safeguards would place on the
government’s interests.
The constitutionally protected liberty interest inmates possess in the
sentence reduction credits they earn is well-established. The United
States Supreme Court has declared that when a state creates a right to
earn credits that shorten an inmate’s prison sentence, inmates obtain
a constitutionally protected liberty interest in the credits they earn.14
The department’s regulation governing the award of credits expressly
states: “The award of these credits . . . shall advance an inmate’s release
date if sentenced to a determinate term.”15 The regulation guarantees
inmates will receive sentence reduction credits once they complete
a credit-earning program or milestone, as long as they comply with
prison rules and regulations, and are eligible to earn the particular
type of credit in question. Once these conditions are fulfilled, the
inmate earns the legal right to have his or her release date advanced by
14. Wolff v. McDonnell (1974) 418 U.S. 539, 557.
15. California Code of Regulations, Title 15, Article 3.5, Section 3043.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 33
the number of credit-days earned and is entitled to “those minimum
procedures appropriate under the circumstances and required by
the due process clause to insure that the state-created right is not
arbitrarily abrogated.”16
The question then becomes whether due process safeguards must be
provided before the state deprives inmates of these liberty interests,
or afterward, often referred to as predeprivation due process and
postdeprivation due process. As the United States Court of Appeals for
the Ninth Circuit explained: “Process which precedes a loss of liberty
obviously prevents a constitutional violation. Process which follows
the loss of liberty can only provide a substitute remedy, usually
money damages.”17
The department does not currently offer inmates a predeprivation
appeal process; inmates do not receive advance notice that their credits
are being rescinded or an opportunity to challenge the rescission
before it becomes final. The department does provide inmates with
a form of postdeprivation due process by permitting inmates to file
a grievance challenging their release date calculations and credit
rescissions. However, as explained on pages 31 and 32, inmates are not
likely to be able to exhaust this process in time for the department to
fully correct any incorrect release date changes.
A predeprivation appeal process would provide the state with several
benefits that the current postdeprivation process does not. First
and foremost, the opportunity to challenge decisions to rescind
credits before the credits are rescinded furthers the state’s interest in
ensuring its processes are not causing individuals to be deprived of
their constitutional rights. By providing inmates with predeprivation
safeguards, the state also ensures it is not wasting taxpayer money by
incarcerating inmates beyond their lawful release dates. In the small
sample of cases we reviewed, we determined the department’s current
postdeprivation process caused two inmates to spend a combined
total of 111 additional days in prison. By allowing inmates to challenge
credit losses before they are finalized, the state would also save the
money it would otherwise spend defending against lawsuits inmates
file challenging their unlawful incarceration and paying any damages
associated with the unsuccessful defense or settlement of those claims.
A predeprivation appeal process would also reinforce the underlying
purpose of Prop 57, which was intended to encourage inmates to
participate in educational and rehabilitative programs by providing
them with credits that shorten their period of incarceration. By
ensuring inmates actually receive the benefit of the credits they earn,
16. Wolff v. McDonnell (1974) 418 U.S. 539, 557.
17. Haygood v. Younger (9th Cir. 1985) 769 F.2d 1350, 1357.
Office of the Inspector General, State of California
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34 Complaint Intake and Field Inquiries
predeprivation safeguards reassure inmates that their completion of
qualifying programs will lead to their early release.
To provide a predeprivation process, the department would only need
to adjust a pair of its policies and procedures that are causing inmates
to suffer irreparable credit losses. First, the department would need
to adjust its practice of conducting audits of inmates’ release date
calculations so that audits occur earlier in an inmate’s incarceration,
such as 180 days before an inmate’s estimated release, rather than
105 to 120 days before release. These 60 to 75 additional days would
provide the department adequate time to notify inmates of its intent
to extend their release dates and provide the inmates an opportunity
to challenge the proposed decision before the applicable 15-, 45-, or
60-day restricted period begins. This change would also provide the
department additional time to obtain any records or information it
needs to verify an inmate’s qualification to earn the credits in question.
Second, the department would need to adjust its appeals process to
expedite the processing of appeals that challenge proposed decisions
to rescind credits and provide for multiple levels of review before
the rescission becomes final. In each of the five field inquiries we
performed, departmental headquarters staff determined institutional
staff had made some sort of error in calculating the inmate’s release
date. This change would guarantee that appeals are processed
sufficiently in advance of the release date restriction and ensure
that multiple levels of departmental staff have reviewed decisions to
rescind the credits before they become final.
Because of the issues we discovered during the field inquiries we
performed into five complaints alleging the department erroneously
rescinded inmates’ credits, we believe the department’s current
postdeprivation process is insufficient to protect against the arbitrary
deprivation of the liberty interests inmates possess in their sentence
reduction credits. The department’s practice of finalizing credit
rescissions without providing inmates with advance notice and an
opportunity to respond fails to provide inmates with adequate due
process protection. When inmates do not receive timely notice
sufficiently in advance of their scheduled release dates, they cannot
challenge the decisions to rescind credits, even when the decisions are
later determined to be incorrect.
When departmental staff identify mistakes well before an inmate’s
anticipated release date and evaluate the inmate’s claims in a timely
manner, the department can prevent the erroneous forfeiture of credits.
The fifth field inquiry we performed highlights that when inmates learn
of departmental decisions to deny an inmate’s award of credits well in
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 35
advance of the inmate’s estimated release date, any incorrect decisions
can be fixed before the release date restriction causes a forfeiture of
credits the inmate rightfully earned.
In this final case, an inmate’s mother wrote to us claiming her son
was improperly denied milestone credits for completing a college
course after the department’s Prop 57 regulations went into effect. On
March 5, 2018, after reviewing the inmate’s records, we contacted the
department’s Contract Beds Unit regarding the inmate’s entitlement to
the credits and requested it review its previous decision to not award
him milestone credits for completing the course. The same day, the
Contract Beds Unit reviewed the inmate’s records, determined he was
entitled to academic milestone credits for completing the course, and
sent a request to the school’s principal to have the credits applied.
On March 15, 2018, the department corrected its error, awarded the
inmate 14 days of milestone credits, and advanced his release date
from July 12, 2018, to June 28, 2018. Because the department promptly
evaluated the inmate’s claim, it was able to discover the error and
correct the mistake 45 days before the 60-day rule prevented the
department from adjusting his release date.
Office of the Inspector General, State of California
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36 Complaint Intake and Field Inquiries
The Department’s Hiring Authorities Took
Inconsistent and Often Inadequate Action in
Response to Complaints of Staff Misconduct We
Referred for Their Review
The vast majority of complaints we receive through our complaint
intake process contains allegations of staff misconduct. When we
receive an allegation that contains sufficient information to suggest
potential misconduct by departmental staff, we refer the complaints
to the appropriate hiring authority with our recommendation that
the hiring authority perform an inquiry into the complaints. We then
follow up with the hiring authority to determine what actions the
hiring authority took in response to receiving the allegations and
review any records the department generated in the process. From
these records, we assess the adequacy of each inquiry.
During our special review of the staff complaint process at Salinas
Valley State Prison in 2018, we devised a set of criteria by which we
now assess the procedural adequacy of all staff complaint inquiries
we review. For an inquiry to be deemed adequate, all of the following
conditions must be met: the inquiry must have been completed within
45 business days;18 the inquiry must be documented and summarized;
the inquiry must have included interviews of all reasonably identifiable
witnesses and a collection of all documentation that are likely to
provide relevant information; and the inquiry must be free from signs
of bias.
We reviewed the department’s response to each of the 36 complaints
involving allegations of staff misconduct that we elevated to a
field inquiry. Following our initial review, we referred 35 of the
36 complaints to various hiring authorities.19 Hiring authorities
ordered their staff to inquire into the allegations for 19 of the
35 complaints (54 percent). In 14 of those 36 complaints, we learned
the department had already initiated inquiries into the allegations of
staff misconduct after receiving the complaints through a separate
process. Two complaints contained multiple allegations, some of
which the department had already initiated an inquiry into, and
18. Departmental policy generally requires that inquiries into inmate allegations of staff
misconduct are completed within 30 business days of receipt. Accordingly, we deemed
all inquiries completed within 30 business days to be timely. In our opinion, a slight
delay beyond 30 business days should not cause an inquiry that was otherwise thorough
and complete to be deemed inadequate overall. Inquiries that were not completed within
45 business days (which is approximately 60 calendar days) resulted in an automatic
inadequate overall rating.
19. We did not refer one of the 36 complaints to a hiring authority because our initial
research located the pertinent institution’s inquiry report that had already been
completed. Our review of that report determined the hiring authority thoroughly and
appropriately examined the inmate’s allegations.
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Complaint Intake and Field Inquiries 37
others it had not. Nevertheless, we assessed the response taken by the
hiring authorities in each of the 36 complaints. We assessed whether
complaint responses were timely, thorough, and complete based on the
documentation generated during the inquiry and other information the
hiring authorities and their staff conveyed to our field inspectors.
In 32 of the 36 complaints we reviewed, the hiring authorities ordered
their staff to perform an inquiry into the allegations. In three of the
32 inquiries ordered by hiring authorities, our ability to review the
department’s handling of the complaint was limited because the
staff who performed the inquiries did not draft an inquiry report
or otherwise document their investigative efforts. Table 4, below,
summarizes the department’s performance in each aspect of the
inquiry process that we assessed.
Table 4. Assessment of the Department’s Performance in Addressing
the 36 Complaints of Staff Misconduct We Referred for Their Review
Adequate
Inquiry Inquiry Timely Adequate Document Adequate
Performed Documented Inquiry Interviews * Review * Overall
Yes 32 29 20 20 24 15
No 4 3 12 8 6 21
* The OIG was not able to assess adequacy of the interview and review of evidence in
cases with limited documentation or in cases in which the OIG found the category was not
applicable.
Source: The Office of the Inspector General.
Although the 36 field inquiries we performed involving allegations
of staff misconduct represent a much smaller sample size than the
188 we assessed during our special review of Salinas Valley State
Prison’s handling of staff misconduct allegations in 2018, we noticed
some similarities between the two samples. During that special review,
we found 104 of the 188 staff complaint inquiry reviews (55 percent)
inadequate, whereas in this period, we determined the department
performed inadequate inquiries into 21 of the 36 complaints
(58 percent). We also found a number of similar issues in the inquiries
the department performed into complaints of staff misconduct, such
as incomplete investigative work, outward signs of bias, and a lack of
independence. Appendix C presents a summary detailing the various
reasons why each inquiry was not adequately conducted.
Four Wardens Failed to Take Any Investigative Steps into
Complaints of Staff Misconduct We Brought to Their Attention
An essential component of an adequate inquiry is that an inquiry
is actually performed. In four of the 36 complaints we reviewed
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38 Complaint Intake and Field Inquiries
(11 percent), the hiring authority did not perform an inquiry into
allegations that its staff engaged in misconduct. The primary reason
we refer allegations of staff misconduct to the department is because
we lack the authority to perform investigations into allegations of staff
misconduct ourselves. That authority was removed in July 2011 as part
of the 2011–12 Budget Act.20 As has been our practice since July 2011,
when we receive complaints alleging staff misconduct, we can only
refer the complaint to the department, and request information and
documentation reflecting the actions it took in response to receiving
the complaint. As a result of the 2011 changes, if the hiring authority
does not perform an inquiry, the allegation of staff misconduct
goes unaddressed.
In one instance, we provided a warden with a complaint we received
from an inmate alleging institutional staff never responded to a
complaint he filed. In that complaint, the inmate alleged a correctional
officer retaliated against him because he previously filed a complaint
against the officer. In the initial complaint, the inmate alleged the
officer required him to share a cell with an inmate whom he believed
posed a risk to his safety. The inmate warned the officer that his new
cellmate was a member of a gang whose members had tried to murder
him before he came to prison and that neither he nor his cellmate
were safe if they were forced to live together. The inmate alleged that
despite being made aware of these safety concerns, the officer still
required the inmates to share a cell. Ten days after the inmates were
housed together, they were involved in an in-cell altercation in which
each inmate claimed to have been the victim of an assault
initiated by the other.
CITIZEN’S COMPLAINT PROCESS
After we discussed the complaint with the warden,
Any noninmate may register a the warden sent the inmate a letter explaining that the
complaint against any departmen-
institution had not responded to his complaint because it
tal employee for improper conduct
by completing and submitting a was filed on a Citizen’s Complaint form (Form 2142) rather
CDCR Form 2142, “Citizens’ Com-
than on the required Inmate Appeal form (Form 602) (text
plaint Against Employees of CDCR.”
box, page 20). When we followed up with the warden two
The department reviews all com-
plaints of misconduct received and months after providing him a copy of the complaint, we
may initiate an investigation based
learned that because the inmate never refiled his allegations
upon the nature and seriousness
of the allegation(s). If an investiga- on the proper form, the institution did not perform an
tion is initiated, the complainant is inquiry or investigation into his allegations.
notified when the investigation is
complete.
Although a departmental regulation required the inmate to
Source: California Code of Regulations,
submit this complaint on a Form 602, the department should
Title 15, Article 2, Section 3391; the Cal-
ifornia Department of Corrections and have recognized the seriousness of the allegations, processed
Rehabilitation, Office of Internal Affairs,
Frequently Asked Questions, http:// the inmate’s complaint as a staff complaint, and assigned
cdcr.ca.gov/oia/faqs/ (URL accessed on
a staff member to perform an inquiry into the allegations.
February 5, 2020.)
Instead, the warden opted to ignore the inmate’s allegations
20. Senate Bills 78, 87, and 92 of the 2011–12 legislative session.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 39
that a correctional officer engaged in serious misconduct that resulted
in an in-cell assault because the complaint was not written on the
correct form. Regardless of the form on which an allegation of staff
misconduct is made, the department has an obligation to inquire
into such allegations, especially when the allegations involve serious
misconduct suggesting staff intentionally placed the safety of two
inmates at risk.
Hiring authorities also failed to perform inquiries into the following
three complaints of staff misconduct we forwarded to them:
○ The former spouse of a correctional officer alleged the officer
sent harassing text messages to her and to their two children,
threatened to kill her and commit suicide, and made false
allegations about her that could jeopardize her employment
and harm her reputation. She also alleged the officer verbally
abused her and her children and threatened to assault her
new boyfriend.21
○ The mother of an inmate alleged a lieutenant was mistreating
her son because his commitment offense involved an
assault on a peace officer and because she had previously
complained about the lieutenant’s treatment of her son. She
alleged her son was accused of writing a “kite” (inmate note)
that threatened to harm the lieutenant, and was handcuffed
and escorted to the lieutenant’s office, where the lieutenant
questioned him about the threat. The lieutenant then
allegedly placed the inmate in a holding cell for five-and-one-
half hours, where he allegedly interrogated the inmate and
told him, “Where did this get your family writing complaints
against me? Tell your family to back off.”
○ An inmate’s wife alleged the correctional officer responsible
for coordinating family visits at an institution required her
husband to pre-order food up to two months in advance of
the visit, causing the food to grow moldy or expire by the
time the visit occurred. The wife also alleged the officer
refused to accommodate the dietary restrictions her doctor
ordered and would not allow her to bring her own food into
the institution with her during family visits, even though the
institution did not provide her an option to purchase food
that met her doctor’s orders. The inmate’s wife also alleged
the officer confronted her after she called the department’s
21. The hiring authority opened an inquiry into similar allegations the spouse submitted
directly to the institution seven months later, which included additional allegations
of misconduct that occurred after she submitted her initial complaint to our office.
However, the hiring authority took no action in the seven preceding months despite
being made aware of the spouse’s initial complaint.
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40 Complaint Intake and Field Inquiries
Office of the Ombudsman regarding her complaints and told
the inmate, “We’re going to have some problems” if his wife
kept filing complaints. The officer also allegedly refused to
answer the wife’s calls regarding her visits.
Hiring Authorities Performed Timely Inquiries Into Only 63 Percent
of the Staff Misconduct Inquiries We Reviewed
Although the department’s regulations establish time frames within
which it must conduct inquiries into complaints of staff misconduct
it receives from inmates, there are no time frames for the department
to inquire into allegations of staff misconduct that the department
receives in other manners, such as through the citizen complaint
process; informally, such as by email or phone call; or after a referral
from our office or another entity. Timely inquiries are an essential
component of an effective system of internal review. Complaints must
be investigated in a timely manner to ensure that the most reliable
information and memories are collected and preserved. Inmates and
staff have dozens of interactions with one another on a daily basis. As
time passes, it becomes more and more difficult to separate any one of
those interactions from the others. Because most of these allegations
involve the actions of peace officers, to whom a one-year statute of
limitations applies, any delay in investigation shortens the amount of
time the hiring authority has to perform an investigation and institute
discipline, where appropriate.
Considering the majority of the complaints we refer to the department
come from inmates, we assessed the timeliness of the department’s
inquiries by the same standards applicable to complaints of staff
misconduct raised via the inmate appeal process, which requires the
hiring authority to complete its inquiry within 30 business days of
receipt, but also provides a process for requesting an extension of time
in extenuating circumstances.
During our review period, we determined 20 of the 32 inquiries
(63 percent) the department performed were either completed within
30 business days or beyond 30 business days, but with a reasonable
justification for the delay. As set forth in the cases below, several hiring
authorities deserve recognition for performing immediate inquiries
into allegations of staff misconduct:
○ On September 21, 2018, we notified an institution’s public
information officer that we had received a complaint from an
inmate alleging he overheard multiple correctional officers
make statements about a captain suggesting they would
not come to the captain’s aid if he were being attacked.
Immediately upon receipt of our request, the institution
deployed a team of investigators to assess the validity of
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Complaint Intake and Field Inquiries 41
the allegations. By October 8, 2018, just 17 days later, the
department had completed its inquiry, which included
interviewing approximately 135 inmates living on the
captain’s assigned yard, the inmate who made the allegations,
an inmate who allegedly overheard the statements, and the
officers alleged to have made the statements.
○ On February 7, 2018, we referred a complaint that identified
28 allegations of misconduct to the hiring authority and
recommended an inquiry into the allegations contained in
the complaint. By February 20, 2018, just 13 days later, the
institution’s investigative services’ lieutenant had completed
his inquiry after either interviewing or collecting statements
from more than 13 staff members, reviewing a voluminous
amount of documentation related to the allegations, and
summarizing the results of his inquiry into a report. Based on
the inquiry report and the warden’s request, the department’s
Office of Internal Affairs opened an investigation into two of
the allegations contained in the complaint.
○ On July 25, 2018, we notified the department’s Office of
Internal Affairs that we received a report that a departmental
employee had been recently seen riding in a car with a
parolee, suggesting the employee was engaged in an overly
familiar relationship with the parolee. Within three business
days, the Office of Internal Affairs determined the employee
had ended her employment with the department 10 months
earlier and was able to close its inquiry because former
employees are not prohibited from associating with inmates
or parolees.
However, in 12 of the 32 inquiries the department performed
(38 percent), the department failed to perform the inquiries within
30 business days. In the following examples, the hiring authority
performed inquiries into allegations of staff misconduct that were so
untimely that we question the reliability of the information gathered
during the inquiry:
○ In one case, a warden’s 161-day delay in interviewing three
staff members precluded the warden from referring a case
to the department’s Office of Internal Affairs for further
investigation. In his complaint, the inmate alleged he was
attacked by a group of inmates on March 8, 2018,
16 days after voicing safety concerns to institutional staff,
who did not take any action to address his concerns.
The inmate initially notified the institution of these
allegations when he filed a staff misconduct complaint with
Office of the Inspector General, State of California
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42 Complaint Intake and Field Inquiries
the institution’s appeals office on March 23, 2018. During
the department’s initial inquiry into the complaint, the
department interviewed the inmate and three staff members
regarding the allegations. This initial inquiry did not include
interviews of two officers and two mental health staff to
whom the inmate claimed to have raised his safety concerns.
We met with the warden to discuss the complaint on
July 31, 2018, who stated he would look into the matter.
On August 14, 2018, the warden informed us that his staff
had already performed an inquiry into the complaint,
which determined the allegations were unsubstantiated.
On September 7, 2018, after a change in leadership at the
institution, we recommended the new warden review the
inmate’s complaint. On September 27, 2018, the warden
agreed to interview the mental health staff and officers
who were not interviewed during the initial inquiry and
to re-interview the inmate who filed the complaint. We
followed up with the warden again on November 8, 2018,
December 27, 2018, and January 8, 2019; during each
conversation, the warden told us he had not yet performed
these three additional interviews.
On January 11, 2019, 164 days after we first met with the
former warden about this complaint, and 126 days after we
first raised the complaint to the new warden, the institution
sent us the report summarizing the new information it
discovered after performing additional interviews. The
report noted that one of the mental health workers located
notes she compiled during her assessment of the inmate’s
mental health status on February 21, 2018, just 15 days before
he was attacked. During the assessment, she noted the
inmate was referred to her due to claims that he was suicidal.
When she met with the inmate, he explained that he was not
actually suicidal, which led her to believe that he was trying
to get placed in a mental health crisis bed because he feared
for his safety. She noted that custody staff had refused to
send him to administrative segregation the day before, even
though he had informed them of his safety concerns. Her
notes indicated the inmate was planning to discuss his safety
concerns with staff again following the assessment. This
information directly supported the inmate’s allegation that he
reported safety concerns to custody staff 16 days before
the attack.
Despite the discovery of this corroborating information,
because the department first learned of the inmate’s
allegations of staff misconduct on March 23, 2018, 10 months
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Complaint Intake and Field Inquiries 43
earlier, only two months remained in the one-year limitations
period for the department’s Office of Internal Affairs to
review the case and perform an investigation. Because two
months was too little time to refer the case to the Office
of Internal Affairs, which often takes 30 days to open an
investigation, the hiring authority told us he would handle
the matter internally and interview additional staff regarding
the allegations. However, when we followed up with the
hiring authority a few months later, after the one-year
limitations period expired, he told us he had not taken any
further steps to address the new information provided by the
mental health worker.
○ On September 7, 2018, we met with a warden to inform him
of a complaint we received from an inmate alleging multiple
custody staff and mental health staff failed to take any action
during two separate incidents in which an inmate was being
attacked by a group of several other inmates. The warden did
not have staff initiate an inquiry into these allegations until
January 28, 2019, 143 days later. As discussed in greater detail
on pages 49–50, when the warden’s investigative staff finally
interviewed the inmate, he could not remember important
details about the incident.
○ On November 7, 2017, we sent the department’s Office of
Internal Affairs a complaint from an employee alleging that
officers had filed false rules violation reports against inmates
and that a lieutenant was involved in an intimate relationship
with a subordinate employee. The employee further alleged
that when she spoke to an investigative services unit
sergeant about these allegations of staff misconduct, the
sergeant threatened her that she would be placed under
investigation if she continued reporting these allegations
and that the sergeant improperly disclosed her confidential
communications with him to the lieutenant and other officers
working on her yard. Although the Office of Internal Affairs
began its inquiry in a timely manner, it did not complete the
inquiry until February 2, 2018 (87 days later) and did not send
the inquiry report to the hiring authority until March 6, 2018
(33 days after completing the report).
Hiring Authorities Performed Thorough, Complete, and
Independent Inquiries Into Only 53 Percent of the Complaints
We Reviewed
In 19 of the 36 complaints we examined (53 percent), the department
performed inquiries that appeared to be both thorough and complete.
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44 Complaint Intake and Field Inquiries
We assessed the adequacy of the inquiries from the contents of the
inquiry reports compiled after the completion of the fact-finding
process. Below, we describe three cases in which we determined the
reviewers performed commendably:
○ In one case in particular, the warden and the staff member
who performed the inquiry demonstrated a thorough
understanding and appreciation for the many different issues
any single complaint can raise. In that case, a family member
of an inmate alleged officers assaulted the inmate, threw
him in a holding cell for more than three hours, ripped off
his clothes, and refused his requests to use the restroom,
causing him to defecate in his holding cell. We discovered
the inmate had already filed a complaint against the officers
alleging they used unreasonable force and engaged in
sexual misconduct. The institution had already referred the
complaint to the institution executive review committee
(IERC) to review the use of force, assigned a locally
designated investigator to perform an immediate review of
the sexual misconduct allegations, and assigned a reviewer to
perform an inquiry into the allegations of staff misconduct.
After reviewing all the records the institution
compiled during these processes, we determined the
USE-OF-FORCE REVIEW
institution properly handled the inmate’s complaints,
recognizing that the complaint raised three different
The Institution Executive Review
Committee (IERC) is the primary concerns that required compliance with three
level of review for use-of-force
different processes—an immediate interview of the
incidents occurring at adult insti-
tutions. For each adult institution, inmate as required by PREA, an inquiry into the
an institution’s executive review
allegations of staff misconduct, and a thorough review
committee examines every use
of force, except those involving of the use-of-force allegations by the IERC (text box,
deadly force, which are reviewed
left). Institutional staff completed all three processes
separately by the department’s
Deadly Force Review Board. Each in a timely and thorough manner, and reached
institution’s IERC is chaired by the reasonable conclusions in light of the evidence
warden (or his or her designee,
such as a chief deputy warden) collected.
and includes an institution’s
associate wardens, captains, The PREA interview resulted in a determination
and health care representatives.
that the inmate’s allegations of sexual misconduct by
Committees at each institution
meet regularly, depending on the staff were not substantiated based on the inmate’s
volume of use-of-force incidents, statements that he was not touched in a sexual
to discuss the merits of the force
used, and to determine wheth- manner, and staff did not make sexual comments
er staff followed policies and during the incident. The lieutenant assigned to
procedures when using force.
perform the inquiry into the inmate’s allegations of
Departmental policy generally
requires the committees to review staff misconduct performed an inquiry within 30 days
each incident within 30 days of
and provided the inquiry report to the IERC for
occurrence.
its consideration. The IERC reviewed staff reports
Source: Department Operations Manual,
regarding the incident and the inquiry report, and
Section 51020.19.5.
determined that additional inmate witnesses should
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Complaint Intake and Field Inquiries 45
have been interviewed during the inquiry to provide a
complete account of the incident and that one officer’s
account of the incident needed clarification. As a result, the
reviewer conducted interviews of two additional inmates
who may have seen the incident, conducted a follow-up
interview with the officer, supplemented the inquiry report,
and provided the supplemented report to the IERC for
further review.
Upon further review, the IERC determined staff complied
with policy during the incident; we agreed with that
determination. As a result of the three distinct processes,
the institution discovered minor policy violations that did
not appear to affect the quality of the institution’s processes.
Nonetheless, the warden appropriately trained and counseled
staff regarding their mistakes. We also observed that the
institution’s staff were extremely cooperative and transparent
during the course of our review of this incident, which
enabled us to provide effective oversight of the institution’s
processes in this case.
○ We received a complaint alleging an officer was smuggling
weapons into an institution, providing inmates with
contraband, permitting inmates to possess inmate-
manufactured weapons and to store stolen goods in their
lockers, threatening inmates, and disclosing confidential
information regarding inmates’ commitment offenses to
other inmates. The assigned investigator examined access
logs to determine whether the subject officer accessed
confidential inmate information and interviewed 11 inmates,
the complainant, and the subject regarding the allegations.
The investigator also searched the lockers and bunk areas
of two inmates whom the officer allegedly allowed to store
weapons and contraband. The inquiry report thoroughly
summarized the information the reviewer collected and
arrived at reasonable conclusions that factored in all the
information summarized in the inquiry report.
○ We received a complaint from an inmate alleging that when
he arrived at his current institution, he was improperly
housed in general population housing, despite being
classified as a maximum-security inmate based on his status
as a gang drop-out. The inmate alleged he told staff, upon
arrival, that his life would be in danger if he were placed
with the general population. The inmate further alleged that
three days after he was placed in general population housing,
the inmate was assaulted by four other inmates and suffered
serious injuries, including the loss of an eye.
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46 Complaint Intake and Field Inquiries
We reviewed the institution’s inquiry report, which indicated
the institution promptly and thoroughly investigated the
inmate’s complaint of staff misconduct. The assigned
investigator interviewed the pertinent witnesses and
summarized the witnesses’ statements. In his report,
the investigator considered all the information gathered
during the inquiry and arrived at a reasonable conclusion
that staff violated policy when assigning the inmate to
general population housing. Prior to the inmate’s arrival
at the institution, he had been placed in administrative
segregation by the action of the former institution’s
institutional classification committee (ICC) (box, page 57,
for an explanation of the ICC). Departmental policy states
that the inmate could only be removed from administrative
segregation by the actions of an ICC; individual staff cannot
override the order of the ICC. The involved staff member
also admitted to having seen the inmate’s designation as
a maximum-security inmate, but explained that he was
persuaded by the inmate’s request to live in the institution’s
general population housing and his assurances that he would
be safe there.
Insufficient Investigative Steps
In nine of the 32 complaints (28 percent) of staff misconduct we
reviewed in which an inquiry report was compiled, we determined
the inquiries were not thorough and complete because the reviewer
failed to interview all relevant witnesses or failed to ask the witnesses
critical questions, failed to collect or review departmental records
that contained pertinent information, and in some cases failed in
both respects. In eight of the 32 complaints (25 percent), the reviewer
failed to perform interviews of individuals who were likely to have
information that would support or refute the allegations. In six of the
32 complaints (19 percent), the reviewer failed to collect or review
departmental records that contained pertinent information. Five of the
32 inquiries (16 percent) suffered from both defects. We describe two
of these complaints below:
○ In the first of these two cases, an inmate alleged a
correctional officer asked him to attack other inmates who
filed complaints against the officer and convince them to
withdraw their complaints, and showed him confidential
information on his work computer that included newly
arriving inmates’ conviction offenses. The inmate alleged the
officer expected the inmate to attack convicted sex offenders
in the institution, and rewarded him with canteen items
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Complaint Intake and Field Inquiries 47
the officer took from other inmates. The inmate named two
staff members who were either involved in the misconduct
or witnessed the misconduct, and 75 inmates who either
witnessed the misconduct or were victims of his attacks. We
provided a copy of the inmate’s complaint to the institution’s
investigative services unit, which conducted an inquiry into
the staff complaint.
Although the inmate named 46 inmates who might have
relevant information, the reviewer interviewed only three
of the named inmates, noting that he attempted to interview
several others who refused to speak with him. Of these
three inmates, one did not support the complaining inmate’s
allegations at all. The second inmate interviewed stated
that although he did not know the complaining inmate, he
did know that the subject officer ordered another inmate
to attack others. The final inmate interviewed indicated he
had never witnessed any inmates attacking others at the
officer’s request, but noted the subject officer confiscated
canteen items from inmates’ cells and provided them to
other inmates.
Although the complaining inmate’s credibility was
appropriately called into question after he was unable to
identify the names of any of the 30 to 40 inmates he allegedly
attacked, two of the three inmates interviewed provided
corroborating information that the officer used inmates to
attack others, and improperly confiscated and redistributed
inmates’ canteen items. The reviewer did not interview
either of the two relevant staff members identified by name
during the inquiry, nor did he collect any documentation that
could have corroborated or refuted the complaining inmate’s
allegations, such as the number of appeals filed against the
subject officer, how many of those appeals were withdrawn,
and the number of inmate-on-inmate assaults that occurred
in the complaining inmate’s housing unit.
○ In the second case, discussed earlier (pages 41–43), the
inquiry into an inmate’s complaint that staff failed to protect
him from harm did not include an interview of mental
health staff to whom an inmate alleged he reported safety
concerns. After we notified the hiring authority of its failure
to interview these staff, the hiring authority interviewed the
mental health staff. One of the staff members corroborated
the inmate’s allegations that he notified staff of his safety
concerns. The inquiry also did not include an interview of
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48 Complaint Intake and Field Inquiries
the inmate’s cellmate who was allegedly with him at the
time of the attack. It also did not include a review of records
that would have identified other staff and inmates to be
interviewed, such as time-sheet records identifying staff who
were on duty when the incidents occurred, medical records
from the attack, records generated by the mental health staff
member to whom the inmate raised his safety concerns, or
a memorandum authored by a captain who interviewed the
inmate regarding his safety concerns more than two weeks
before the attack.
Departmental hiring authorities also failed to perform essential
investigative steps that could have led to evidence corroborating the
allegations of staff misconduct. Below are two examples in which the
department failed to perform essential investigative steps:
○ In response to a complaint of excessive force, a sergeant
interviewed the complaining inmate and five officers, and
reviewed one medical report that was generated on the
date of the incident. The sergeant concluded the inmate’s
allegations could not be substantiated. Two weeks later,
at the request of an inmate advocacy group, a lieutenant
reviewed the sergeant’s inquiry and performed additional
investigative steps, re-interviewing the inmate and reviewing
multiple records, including staff sign-in sheets and staff
rosters; the use-of-force incident package, which included
incident reports from involved staff and witnesses, and
medical records for the inmate and staff injured during the
incident; the inmate’s appeal history; and the rules violation
report the inmate received as a result of the incident.
During this review, the lieutenant discovered the existence
of a medical report generated on the date of the incident
indicating the inmate suffered injuries inconsistent with the
use of force reported by staff. The lieutenant also obtained
additional information from staff that appeared to support
the inmate’s version of the events. The lieutenant concluded,
and the warden agreed, there were sufficient inconsistencies
in the records he reviewed to warrant making a request
that the department’s Office of Internal Affairs open an
investigation into the matter.
○ An inmate alleged that officers were disclosing to inmates the
names of other inmates who were convicted sex offenders
and child molesters. Although the hiring authority did
not document the steps it took during its inquiry into this
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Complaint Intake and Field Inquiries 49
complaint, the investigating officer informed us that he
spoke to two inmates in the housing unit who were alleged
to have learned other inmates’ commitment offenses from
officers in the housing unit. They denied learning of the
commitment offenses from the officers and claimed the
information was common knowledge. They also denied any
knowledge of officers asking inmates to harm other inmates.
After performing these two interviews, the investigator
concluded that the allegations could not be substantiated.
We believe a thorough inquiry into this matter would have
included interviews of other inmates and staff in the housing
unit to determine if anyone else witnessed the alleged
conduct and how inmates’ commitment offenses became
common knowledge.
Lack of Independence
During the field inquiries we performed during this reporting period,
we also found that inquiries were sometimes flawed due to bias
or a lack of independence by the reviewer. In one complaint, the
reviewer showed outward signs of bias in his report. And, in two
other complaints, hiring authorities assigned potential subjects of the
complaints to perform investigations into the allegations against them.
In one case, the reviewer displayed bias in his inquiry report when he
concluded that the inmate who filed the complaint was “misleading”
because he could not provide physical descriptions of inmates involved
in an assault or the officers who allegedly failed to intervene to stop
the attack. During the course of his inquiry, the reviewer received
information indicating that on the day of the alleged attack, strong
winds were blowing dust and dirt around, which limited visibility on
the yard where the attack occurred. The reviewer used this information
to justify officers’ failure to come to the aid of an inmate who was being
attacked, surmising that they probably could not have seen the attack.
However, the reviewer ignored the same environmental conditions
when assessing the inmate’s credibility. As shown in the excerpt on the
following page, the reviewer concluded the inmate was “misleading”
because he could not provide physical descriptions of the involved
individuals even though the limited visibility on the day of the attack
provided a reasonable explanation for the inmate’s inability to provide
this information.
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50 Complaint Intake and Field Inquiries
Source: The California Department of Corrections and Rehabilitation.
The reviewer also failed to consider that the inmate’s memory
of the incident was not fresh, considering the incident he was
investigating had occurred in June 2018. We informed the warden of
the allegation in September 2018. But the interview did not occur until
January 28, 2019—seven months after the incident occurred and nearly
five months after we brought the complaint to the warden’s attention.
The investigator chose to conclude that the inmate was misleading,
even though it was at least equally likely that the inmate’s memory
was not as clear at the time of the interview as it had been seven
months earlier.
In the following two cases, the department assigned the subjects
of misconduct allegations to perform the official inquiries into the
complaints against them:
○ In one case, we received a complaint alleging a chief and a
deputy chief at departmental headquarters permitted two
of their subordinate employees to operate their personal
businesses on State time. The department assigned one of
the subjects—the chief who was accused of allowing his
subordinate to engage in personal business on State time—to
perform the inquiry. We believe that given the chief’s alleged
involvement in the wrongdoing, he should not have been
assigned to perform the inquiry. The department cannot
guarantee an independent and unbiased investigation when
a subject of alleged misconduct is asked to perform an
inquiry into the allegations against himself or herself. This
conflict should have been apparent to both the headquarters
executive who assigned the inquiry to the chief and to
the chief as well, especially since the report begins by
acknowledging the clear conflict:
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Complaint Intake and Field Inquiries 51
Source: The California Department of Corrections and Rehabilitation.
The report also incorporated as evidence personal
observations and personal knowledge the reviewer obtained
over the previous few years while managing and supervising
the subject employee. The report included the following
statements:
Source: The California Department of Corrections and Rehabilitation.
Given the reviewer’s degree of alleged involvement in and
personal knowledge of the activity that formed the basis of
the allegations of staff misconduct, the reviewer should have
been interviewed as part of the inquiry.
○ In another case, we received a complaint from an employee
at a prison alleging she informed her supervisor that officers
had filed false rules violation reports against inmates and that
a lieutenant was involved in an intimate relationship with
a subordinate employee. The employee further alleged that
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52 Complaint Intake and Field Inquiries
when she spoke to a sergeant assigned to the institution’s
investigative services unit (ISU) about these allegations of
staff misconduct, the ISU sergeant threatened her by stating
that she would be placed under investigation and that he
later improperly disclosed her confidential communications
with him to the lieutenant and other officers working in her
area, who subjected her to ridicule.
We provided the complaint to the Office of Internal Affairs,
which assigned a special agent to perform an inquiry into the
allegations. However, during the course of the inquiry, rather
than perform all the interviews himself, the special agent
only performed the interview of the complaining employee.
The warden tasked the ISU sergeant, who was one of the
subjects of the alleged misconduct, to perform interviews
of one inmate and three correctional officers. The special
agent then incorporated the sergeant’s interviews into the
investigative report. The warden should have recognized the
clear conflict of interest posed by having the subject of an
allegation of misconduct perform interviews in connection
with the investigation and should have assigned a different
staff member to perform the interviews.
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Complaint Intake and Field Inquiries 53
Departmental Staff Improperly Punished
an Inmate and His Spouse for Violating Visiting
Rules, Despite the Existence of Video Footage
Demonstrating They Complied with Visiting
Policies and Staff Directives
We received a complaint that an officer terminated an inmate’s visit
with his spouse because the inmate allegedly disobeyed the officer’s
orders to comply with proper departmental seating positions and
contact procedures with his visitor (his spouse). The officer also issued
the inmate a rules violation report, causing him to lose visitation
privileges for 30 days, which the prison rescinded 12 days early after
receiving a complaint from the inmate’s spouse. We reviewed the
complaint and the surveillance video from the date of the visit, and
believe the officer’s termination of the visit and issuance of a rules
violation to the inmate were not warranted. We also had concerns that
the officer dishonestly reported the events he witnessed during the
inmate’s visit.
The visit, which occurred in June 2018, was one of approximately
720 visits in which the inmate and his spouse engaged between
2006 and 2018. During their previous visits, they had never been
punished for violating the department’s visitation policies. However,
approximately 30 minutes into this June 2018 visit, the officer warned
the inmate and his spouse that their seating position violated policy
and that they needed to adjust their seating position (Photo 1, below).
The surveillance video confirmed that the inmate’s spouse adjusted
her chair and seating position in response to the officer’s directive
(Photo 2, below) and rested her hands on her stomach (Photo 3,
below). She maintained this position for the next eight minutes, when
the inmate left the table to obtain his medications from a nurse.
Photo 1. Correctional officer issues verbal Photo 2. Visitor stands and relocates Photo 3. Visitor primarily has both hands
command for visitor to adjust seating position. further away from her spouse. folded over her stomach during visit and
is facing the inmate.
Source for photographs: The California Department of Corrections and Rehabilitation.
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54 Complaint Intake and Field Inquiries
The officer again notified the inmate at the officer’s podium, as the
inmate was leaving to pick up his medication, that he would terminate
the visit if the inmate and his visitor did not comply with orders to
adjust their seating positions. As the inmate returned to the visiting
area, the officer repeated his warning to the inmate. Two minutes later,
approximately 50 minutes into the visit, the officer notified the inmate
and his spouse that he was terminating the visit. After the visit, the
officer issued the inmate a rules violation that resulted in a 30-day
suspension of visitation privileges.
The inmate’s spouse submitted complaints to the institution, the
department’s Office of the Ombudsman, and the OIG regarding the
terminated visit, the rules violation, and the decision to suspend the
inmate’s visiting privileges for 30 days. According to the inmate’s
spouse, the officer told her that the visit was being terminated because
she was sitting sideways, and the officer could not see her hands
because they were positioned between her legs. However, upon
review of the surveillance video (Photos 1–3, previous page), the
inmate’s spouse had clearly adjusted her hands and seating position,
as instructed. Furthermore, the video shows the visitor’s hands were
primarily folded over her stomach.
According to the department’s visiting policy, when a verbal warning
or a restriction fails to achieve compliance, or fails to correct the
conduct by a visitor, the visit shall be terminated for the day.22 The
institution’s visiting policy states, in part:
Inmates shall sit at the tables facing the
correctional officer at the Visiting Podium. All
visitors shall sit facing the inmate. Sitting side-
by-side shall be prohibited. Inmates and visitors
shall not intertwine any portion of their body
(legs, arms, or feet).23
We reviewed the officer’s report and the corresponding rules violation
report he wrote to understand the reasons the officer articulated for
terminating the visit and issuing the inmate a rules violation. The
officer’s report indicated the inmate and his spouse did not adjust
their seating positions, and they only feigned adjusting their seating
positions. The officer’s report also stated that the spouse’s hands were
obstructed from view, which contradicts what the surveillance video
showed. After receiving the spouse’s complaints, the department
22. Department Operations Manual, Section 54020.29.1.
23. The institution’s Department Operations Manual Supplement, Section 54020.7.
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Complaint Intake and Field Inquiries 55
rescinded the rules violation, reducing it to a counseling chrono,24 and
re-instated the inmate’s visitation privileges, but not until 23 days after
the initial rules violation report was issued. The counseling chrono
stated the officer terminated the visit due to excessive contact with the
visitor, but did not clearly describe the nature of the excessive contact.
Although the department reduced the rules violation to a counseling
chrono and withdrew the penalties that remained from the initial
imposition of the rules violation, we believe the more appropriate
response would have been to rescind all records of the incident
from the inmate’s file, considering the video footage demonstrated
the inmate and his spouse did not violate any policy or directive.
Even though the associated rule violation was rescinded, because a
counseling chrono documents an inmate’s actions the department
considers misconduct, it can still reflect poorly on the inmate’s
suitability for parole during future parole hearings.
Visits from friends, family, and loved ones are an important part of the
rehabilitation process for many inmates, and maintaining ties to family
and loved ones can have a positive effect on an inmate’s time in prison.
In the case of this inmate, he lost his visitation privileges even though
he and his visitor clearly followed the officer’s orders to maintain
proper sitting positions. Perhaps even more troubling is the officer’s
dishonesty in describing the series of events in the reports he wrote
after the visit. We believe the video footage of the incident clearly
demonstrates the officer’s account of the visit is inaccurate.
The Inspector General met with the department’s executive staff to
discuss his concerns with this inmate losing visiting privileges for a
period of time as a result of the officer’s inaccurate reporting of events
from the visit and requested the department refer this matter to its
Office of Internal Affairs. The department declined the Inspector
General’s recommendation, stating that while it found discrepancies
in the officer’s report, it would not be referring the matter to the
Office of Internal Affairs because it did not believe the officer was
“blatantly dishonest” when reporting the facts of the visit. Instead,
the department provided the officer remedial training for report
writing. We believe the department failed to comply with its policy,
which requires it to refer allegations of dishonesty for an internal
investigation for the purpose of confirming or clearing the officer
of misconduct.
24. A counseling chrono refers to a Counseling Only Rules Violation Report, which is a
form of discipline the department issues to inmates “when similar minor misconduct
reoccurs after verbal counseling or if documentation of minor misconduct is needed.”
The report is intended to document an event or misconduct for an inmate and contains a
description of the misconduct and counseling provided. Source: Title 15, California Code
of Regulations, Section 3312, subdivision (a)(2).
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56 Complaint Intake and Field Inquiries
Staff Inactions and Indifference Caused an
Inmate to Languish in Administrative Segregation
for Two-and-One-Half Months
We received a complaint from the mother of an
“Release from administrative
inmate, alleging a lieutenant was mistreating her
segregation shall occur at the
son because her son had been convicted of an
earliest possible time in keeping
offense involving an assault on a peace officer and
with the inmate’s case factors and
because she had previously complained about the
reasons for the inmate’s placement
lieutenant’s treatment of her son. She alleged her
in administrative segregation.”
son was falsely accused of writing a kite (an
Source: Title 15, California Code of Regulations, inmate-written note, below) that contained a threat
Section 3339, subdivision (a).
of harm to the lieutenant, and was handcuffed and
escorted to the lieutenant’s office where the
lieutenant questioned him about the kite. The lieutenant then allegedly
placed the inmate in a holding cell for five-and-one-half hours, where
he interrogated the inmate and told him, “Where did this get your
family writing complaints against me? Tell your family to back off.” The
inmate’s mother had submitted two other complaints in the two
months prior regarding her son’s treatment by the lieutenant, and the
treatment she and her son experienced during a recent visit to see him
at the institution.
Source: The Office of the Inspector General Tracking and Reporting System.
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Complaint Intake and Field Inquiries 57
We reviewed the records that staff generated related to the discovery
of the kite, which confirmed that on August 12, 2017, the lieutenant
ordered staff to place the inmate in a holding cell, where he remained
for four hours—the maximum amount of time permitted without
obtaining approval from a manager. The inmate was then placed in
administrative segregation due to the suspicion that the inmate wrote
the threatening note. On August 14, 2017, the lieutenant wrote a report
about his discovery of the kite and the steps he took after reading it,
including having the inmate placed in a holding cell and rehoused in
administrative segregation. At the conclusion of the memo, the
lieutenant wrote:
Source: The California Department of Corrections and Rehabilitation.
The lieutenant’s captain reviewed the memo and approved its
placement in the inmate’s central file. On August 15, 2017, the
institution’s investigative services unit (ISU) completed its
investigation into the threat. The ISU investigator issued a written
report on August 16, 2017, determining the handwriting
samples “revealed multiple similarities, indicating that [the
inmate] may have been the author of the note” and then
concluding, without further analysis or evidence that he
INSTITUTIONAL
CLASSIFICATION COMMITTEE
“discovered circumstantial evidence to believe [the inmate]
(ICC)
is the author of the inmate note threatening [the lieutenant].
The Institutional Classification
Therefore, the [Investigative Services Unit] no longer has
Committee at each institution
any interest in [the inmate] and recommends [he] be makes decisions affecting
referred to the Institutional Classification Committee where transfer, program participation,
supervision, security, housing,
his case factors can be reviewed by the committee members
and safety of persons. Among
for appropriate housing and program needs” (text box, the members of the committee
are the institution’s warden or
right).
chief deputy warden, an asso-
ciate warden, a psychiatrist or
On August 16, 2017, not knowing the ISU had already
physician, a captain, a correc-
completed its investigation into the threat against staff, the tional counselor, a lieutenant,
ICC reviewed the inmate’s placement into administrative and a representative of educa-
tional or vocational programs.
segregation, electing to retain the inmate in administrative
Source: Department Opera-
segregation pending closure of the investigation into
tions Manual, Sections 62010.8.,
the threat against staff. The committee decided to hold 62020.8.2.
the inmate in administrative segregation for 45 days to
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58 Complaint Intake and Field Inquiries
allow staff to complete the investigation, setting his next committee
hearing for September 30, 2017. On August 22, 2017, six days after
the ICC hearing, the institution approved the inmate’s transfer to
another institution. On August 23, 2017, the inmate arrived at the new
institution, where he was placed in administrative segregation housing
pursuant to the former institution’s decision and the new institution’s
lack of appropriate housing for the inmate, who was designated as
requiring housing for a sensitive needs yard.
On September 11, 2017, a staff member in the new institution’s
administrative segregation housing unit contacted the lieutenant and
captain at the former institution asking whether the investigation
into the inmate’s threat against staff had been completed and
informing them that there was no information in the inmate’s
central file indicating whether he had received a rule violation for
the threat or whether a staff separation notice25 had been issued. On
September 18, 2017, after getting an incomplete response from the
captain and the lieutenant, the staff member sent a request to his
counterpart at the former institution, requesting formal documentation
setting forth the results of the investigation and whether a staff
separation alert would be issued.
On October 2, 2017, we received a phone call from the inmate’s mother
informing us that the inmate was still in administrative segregation,
had not received a decision regarding the results of the investigation,
had not been issued a rules violation report, and had not had an ICC
hearing. He appeared to be languishing in administrative segregation
with no end in sight. We contacted the new institution the same day,
at which point the lieutenant’s captain immediately issued a closure
memorandum indicating the inmate would not receive a rules violation
report and that a staff separation order would not be placed in the
inmate’s file. On October 5, 2017, the new institution held an ICC
hearing, during which it approved the inmate’s transfer to another
prison that had appropriate housing for sensitive needs inmates. On
November 1, 2017, the inmate was finally released from administrative
segregation and housed on a sensitive needs yard at another
institution.
As a result of the discovery of the kite containing the threat against
staff, the inmate spent 81 days in administrative segregation, despite the
investigation into the threat lasting less than five days. In line with the
department’s policy regarding placement in administrative segregation,
which notes that “release from segregation status shall occur at the
25. A separation alert is a record placed in an inmate’s central file that identifies an
inmate’s enemy concerns. These alerts typically restrict an inmate from being housed
at the same institution as any of the individuals identified in the record. In this inmate’s
case, the staff separation alert would have precluded the inmate from being housed at the
institution where the lieutenant worked.
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Complaint Intake and Field Inquiries 59
earliest possible time in keeping with the circumstances and reasons
for the inmate’s initial placement in administrative segregation,”26 we
believe the duration of the inmate’s stay was unnecessarily prolonged
by staff inaction at the original institution.
Although we could not determine from our limited review of the
records generated what time of day on August 16, 2017, that ISU
completed its investigative report and delivered it to the captain, it
is reasonable to presume that the captain had not yet received the
report before the ICC hearing at 10:19 a.m. that day. At that hearing, the
committee decided to extend the inmate’s assignment to administrative
segregation housing for 45 days pending the completion of the ISU
investigation. However, the lieutenant’s captain was identified as
a recipient of the ISU investigative memorandum and presumably
received it within a few days of the hearing. The same captain was
identified as having been present at the ICC hearing during which
the inmate was assigned to an additional 45 days in administrative
segregation. When the captain received the ISU report after the
hearing, he should have acted on it promptly and requested that the
inmate’s housing status be reconsidered, since the investigation had
been completed. Instead, the captain did nothing with the results for
47 days, after being asked four times27 to create an official record that
would permit the new institution to consider releasing the inmate from
administrative segregation.
At the time of this incident, the department did not have a formal
policy regarding the investigation of threats against staff. However,
the department’s Secretary previously disseminated a memorandum
setting forth its initial policy in this area as required by legislation
enacted in 2015, requiring the department to create such a policy. The
memorandum required, among other things, that upon becoming aware
of a threat made against staff by an inmate:
○ The subject of the threat immediately report the threat to his
or her supervisor;
○ The supervisor report the threat to the hiring authority;
○ The hiring authority assign a staff member to investigate the
threat;
○ The hiring authority create a threat assessment response
team (TART);
26. Title 15, California Code of Regulations, Section 3339, subdivision (a).
27. The captain received email messages on September 11, 2017, September 18, 2017,
September 22, 2017, and October 2, 2017, requesting creation of an investigative
closure notice.
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60 Complaint Intake and Field Inquiries
○ The TART assess the validity of the threat, determine
whether any further investigative steps are warranted, and
make recommendations to ensure the threat is adequately
addressed; and
○ The hiring authority ensure all appropriate documentation is
placed in the inmate’s central file.
Had staff complied with the Secretary’s directives, there
would have been numerous opportunities for institutional
PRIVILEGE RESTRICTIONS IN staff to realize that the investigation into the threat had been
SEGREGATED HOUSING completed and that the inmate remained in administrative
While in administrative segregation at another prison because no one placed a
segregation, inmates also
record in the inmate’s file indicating the investigation had
have restrictions placed on
their ability to participate in been closed.
the general contact visiting
process, purchase items from
The prolonged stay in administrative segregation had
the canteen, possess reading
materials and appliances, make several negative impacts on this inmate (text box, left),
telephone calls, communicate
who has been a consistent participant in the department’s
with other inmates, participate
in programs, classes, and ser- family visiting process (text box, page 68) and had been
vices, and receive packages.
engaging in family visits every three months before the
Inmates in administrative seg-
regation are also required to August 2017 incident. The inmate’s prolonged stay in
spend their one hour of daily administrative segregation appeared to have prevented him
exercise time in a cage mea-
suring approximately 10 feet from participating in the family visiting program between
by 15 feet rather than in the
August 2017 and February 2018. Since March 2018, he has had
general exercise yard. Inmates
who have a cellmate exercise family visits every other month.
together, whereas inmates in
single cells exercise alone.
Our review of the institution’s handling of the threat against
staff also revealed another area of concern regarding the
involvement of staff who have threats made against them.
In this case, the lieutenant who was the subject of the
threat—the same lieutenant about whom the inmate’s mother
complained—was heavily involved in the processing of the threat
and the inmate’s housing decisions. This lieutenant authorized the
inmate’s four-hour placement in the temporary holding cell, personally
interrogated the inmate about the note, authorized the inmate’s
placement in administrative segregation, performed a handwriting
analysis of the note using the inmate’s prior appeals as writing samples,
and authored a memorandum that was placed in the inmate’s central
file that concluded the inmate “may have been the author of the note”
and recommended the inmate’s transfer to another institution.
We believe the involvement of the lieutenant, who had a personal
conflict in making decisions with regard to an inmate who was
suspected of making a threat against him, unnecessarily subjected
staff and inmates to harm. This situation provided the inmate with an
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Complaint Intake and Field Inquiries 61
opportunity to carry out the threatened violence against the lieutenant.
It also gave the lieutenant the opportunity to retaliate against the
inmate for making the threat, and at the very least, provided the inmate
with an opportunity to allege retaliation, even if staff acted in complete
accordance with policy.
Although the department formalized its policy governing the
assessment of threats against staff in its January 2018 Department
Operations Manual, the policy does not include an instruction that staff
members who are the targets of threats by inmates remove themselves
from the investigation process and refrain from making or influencing
decisions that impact the inmate suspected of issuing the threat. We
believe the lack of a conflict-of-interest provision constitutes a critical
gap in the department’s policy governing threats against staff. As long
as staff who are the targets of threats continue to involve themselves
in investigating the threats and in decisions regarding the inmate’s
housing assignments and privileges, the department unnecessarily
exposes inmates to retaliation by the targeted staff and subjects staff to
claims of retaliation.
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62 Complaint Intake and Field Inquiries
The Department Placed an Inmate’s Safety at
Risk by Entering Inaccurate Information in His
Disciplinary Records Indicating He Was Convicted
of a Sex Offense Involving a Minor
We received complaints from an inmate, as well as from the inmate’s
mother and grandfather, alleging staff placed inaccurate information in
the inmate’s records indicating he had been convicted of a sex offense
involving a minor under Penal Code section 288. The inmate had not
been convicted of such an offense, but had been convicted of an offense
under Penal Code section 314, for indecent exposure. Earlier in the
inmate’s incarceration, inmates at another institution stole a box of
confidential documents, which contained inaccurate information
stating the inmate had been convicted of an offense under Penal Code
section 288. Because other inmates had learned of this false
information, the inmate believed his safety was in danger due to a
belief held by some inmates that they have an obligation to attack other
inmates who have been convicted of sex offenses, particularly when
those offenses involve minors. The inmate told staff that “other inmates
are putting out hits on me because they think I’m a child molester due
to false documents that inmates got a hold of.” After the department
discovered which inmates stole the records, staff placed a separation alert
in the inmate’s central file identifying them as enemies and precluding
them from being housed at the same institution.
Source: The California Department of Corrections and Rehabilitation.
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Complaint Intake and Field Inquiries 63
The inmate alleged in his complaint that his records still contained
inaccurate information indicating he had been convicted of a sex
offense involving a minor under Penal Code section 288. When we
reviewed the inmate’s disciplinary history, we discovered his records
contained the following information (Table 5, below):
Table 5. Entries in an Inmate’s Rules Violation Report History When We First
Reviewed the Inmate’s Records on February 9, 2018
Date Log Number Rules Violation Description Finding
02/06/2018 000000000533626 (R2) Indecent Exposure Without Prior Convictions for PC 314 —
10/03/2017 000000003490626 Indecent Exposure With Prior Convictions for PC 314 —
05/11/2017 000000002751324 Indecent Exposure Without Prior Convictions for PC 314 Guilty as Charged
04/11/2017 000000000533626 (R1) Indecent Exposure With Prior Convictions for PC 288 Guilty as Charged
01/22/2017 000000002068326 Indecent Exposure Without Prior Convictions for PC 314 Guilty as Charged
12/22/2016 000000001778628 Indecent Exposure With Prior Convictions for PC 314 Guilty as Charged
11/13/2016 000000001450424 Indecent Exposure Without Prior Convictions for PC 314 Guilty as Charged
07/22/2016 000000000533626 Indecent Exposure Without Prior Convictions for PC 288 Guilty as Charged
07/01/2016 000000000437135 Indecent Exposure Without Prior Convictions for PC 288 Guilty as Charged
Source: The California Department of Corrections and Rehabilitation’s Strategic Offender Management System.
Although the inmate’s conviction history is clear—he had a prior
conviction under Penal Code section 314 and did not have a prior
conviction under Penal Code section 288—institutional staff identified
the same type of rule violation in four different manners in his
disciplinary history, as color-coded in Tables 5, 6, and 7 (pages 62, 63,
and 64, respectively):
1. as an indecent exposure with a prior conviction under Penal
Code section 288,
2. as an indecent exposure without a prior conviction under
Penal Code section 288,
3. as an indecent exposure with a prior conviction under Penal
Code section 314, and
4. as an indecent exposure without a prior conviction under
Penal Code section 314.
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64 Complaint Intake and Field Inquiries
With regard to one rule violation in particular (Log Number
000000000533626, Table 6, below), institutional staff changed the
identification of that violation on two different occasions. However,
each time the department attempted to correct its description
of the rule violation, it left the inaccurate records in the inmate’s
disciplinary history, albeit with a suffix of “(R1)” (Revision 1) after the
first correction and a suffix of “(R2)” (Revision 2) after the second
correction.
Table 6. Three Different Descriptions the Department Entered in an Inmate’s Rules
Violation Report History Attempting to Classify a Single Disciplinary Action for
Indecent Exposure
Date Log Number Rules Violation Description Finding
02/06/2018 000000000533626 (R2) Indecent Exposure Without Prior Convictions for PC 314 —
04/11/2017 000000000533626 (R1) Indecent Exposure With Prior Convictions for PC 288 Guilty as Charged
07/22/2016 000000000533626 Indecent Exposure Without Prior Convictions for PC 288 Guilty as Charged
Source: The California Department of Corrections and Rehabilitation’s Strategic Offender Management System.
We found these measures to be ineffective considering the
(R1) and (R2) notations do not stand out when reviewing all of
the information contained in the disciplinary history records,
which are reproduced in the exhibit on page 66. The entries
are made even more confusing by the fact that the incorrect
charge issued on April 11, 2017, with a notation of (R1) still
indicates the inmate was found to be guilty as charged.
Anyone reading this record would be given the impression
that the inmate had been found guilty of an indecent
exposure and had a prior conviction under Penal Code 288.
This practice of leaving the prior incorrect rules violation
information in the inmate’s disciplinary history is particularly
troublesome if the information falls into the wrong hands or
is improperly disclosed to other inmates. Sex offenders are a
particularly vulnerable subset of the inmate population and
are frequently targeted by other inmates. Months after we first
sent this information to the warden, we reviewed the inmate’s
disciplinary history to determine whether the department
had made any changes to the inaccurate records. During this
follow-up review, we discovered the department had not
corrected any of the prior records and that the inmate had the
following new rules violations added to his record (Table 7,
next page ):
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 65
Table 7. Additional Rules Violations the Department Entered Into the Inmate’s
Rules Violation Report History Between March 2018 and October 2018
for Additional Indecent Exposures
Date Log Number Rules Violation Description
10/16/2018 000000005890546 Indecent Exposure With Prior Convictions for PC 288
08/13/2018 000000005475652 Indecent Exposure Without Prior Convictions for PC 288
08/13/2018 000000005474760 Indecent Exposure Without Prior Convictions for PC 288
07/14/2018 000000005288144 Indecent Exposure With Prior Convictions for PC 314
04/21/2018 000000004906762 Indecent Exposure With Prior Convictions for PC 314
04/16/2018 000000004887930 Indecent Exposure With Prior Convictions for PC 314
03/31/2018 000000004792531 Indecent Exposure Without Prior Convictions for PC 314
Source: The California Department of Corrections and Rehabilitation.
After discovering that the department had again placed an incorrect
entry in his disciplinary history on October 16, 2018, which stated
the inmate had a prior conviction under Penal Code section 288
(Log Number 000000005890546, Table 7, above), we contacted the
inmate’s assigned institution and requested it correct the information
to protect the inmate from further harm, which the false information
could cause. This time, the new institution created a new entry and
deleted the prior entry, leaving only one entry related to this rule
violation. The entry now states: “Indecent Exposure Without Prior
Convictions for PC 314.”
Although the information is still incorrect, as the inmate does
have a prior conviction under Penal Code 314, this particular
entry no longer places the inmate at risk of harm. However, the
inmate’s complete disciplinary record still contains one reference
to a conviction under Penal Code section 288 from April 11, 2017
(Log Number 000000000533626 (R1), seen in the exhibit on the next
page ) that indicates the inmate was found guilty of “Indecent Exposure
With Prior Conviction for PC 288.” As long as this entry remains in the
inmate’s disciplinary records, the inmate remains at risk of harm.
Office of the Inspector General, State of California
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66 Complaint Intake and Field Inquiries
Exhibit. Summary Reproduction of the Inmate’s Rules Violation Report History Related to
Indecent Exposure Incidents
ISSS003A - Rules Violation Reports
(1 - 17 of 34)
Classification
Date Time Facility Log # Rules Violation # Inmate Found Status
Number
3007-[05]-Indecent Exposure Without Prior Awaiting Additional
08/24/19 18:04:00 SAC-Facility B 000000006894964 Serious
Convictions for PC 314 Information
3007-[03]-Indecent Exposure With Prior
05/10/19 15:05:00 LAC-Facility D 000000006844105 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
3007-[03]-Indecent Exposure With Prior
01/25/19 13:55:00 LAC-Facility D 000000006393954 Serious Postponed Hearing
Convictions for PC 314
3007-[04]-Indecent Exposure Without Prior
08/13/18 12:55:00 CHCF-Facility A 000000005475652 Serious Guilty as Charged Final/Concluded
Convictions for PC 288
3007-[03]-Indecent Exposure With Prior
07/14/18 13:00:00 CHCF-Facility E 000000005288144 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
3007-[03]-Indecent Exposure With Prior
04/21/18 07:23:00 CHCF-Facility A 000000004906762 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
3007-[03]-Indecent Exposure With Prior
04/16/18 06:30:00 CHCF-Facility A 000000004887930 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
3007-[05]-Indecent Exposure Without Prior
03/31/18 07:24:00 LAC-Facility D 000000004792531 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
000000000533626(R 3007-[05]-Indecent Exposure Without Prior
02/06/18 10:00:00 LAC-Central Service Serious Guilty as Charged Final/Concluded
2) Convictions for PC 314
3007-[03]-Indecent Exposure With Prior
10/03/17 18:45:00 LAC-Facility D 000000003490626 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
3007-[05]-Indecent Exposure Without Prior
05/11/17 17:15:00 CHCF-Facility B 000000002751324 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
000000000533626(R 3007-[02]-Indecent Exposure With Prior
04/11/17 08:25:00 LAC-Central Service Serious Guilty as Charged Final/Concluded
1) Convictions for PC 288
3007-[05]-Indecent Exposure Without Prior
01/22/17 17:05:00 CHCF-Facility B 000000002068326 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
3007-[03]-Indecent Exposure With Prior Guilty of Included
12/22/16 22:30:00 LAC-Facility D 000000001778628 Serious Final/Concluded
Convictions for PC 314 Charge
3007-[05]-Indecent Exposure Without Prior
11/13/16 18:20:00 LAC-Facility D 000000001450424 Serious Guilty as Charged Final/Concluded
Convictions for PC 314
3007-[04]-Indecent Exposure Without Prior
07/22/16 15:55:00 LAC-Central Service 000000000533626 Serious Guilty as Charged Final/Concluded
Convictions for PC 288
3007-[04]-Indecent Exposure Without Prior
07/01/16 11:15:00 SVSP-Facility I 000000000437135 Serious Guilty as Charged Final/Concluded
Convictions for PC 288
Source: The California Department of Corrections and Rehabilitation’s Strategic Offender Management System.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 67
The Department’s Hiring Authorities Made
Policy Changes, Rescinded Earlier Actions,
and Provided Training to Staff as a Result of
Complaints We Forwarded for Their Review
During this reporting period, the department made several changes
after reviewing three of the complaints we forwarded to its hiring
authorities. In two cases, hiring authorities amended local policies
and procedures, and in another case, the Board of Parole Hearings
reconsidered a prior decision and issued an amended decision. We
believe the department should be commended for identifying problem
areas and implementing sound measures to prevent future recurrences.
An Institution’s Chief Executive Officer Revised the Institution’s
Policies and Training Modules to Ensure Medical Staff Inform
Custody Staff When Inmates Allege That Excessive Force Caused
Their Injuries
In a case described earlier in this report, on page 48, although we
criticized the hiring authority for performing an inadequate inquiry
into the complaint we referred, the institution’s review of the
complaint ultimately led to positive changes at the institution. The
inmate’s complaint in this case alerted the institution’s warden and
chief executive officer (CEO) in charge of health care to a gap in the
institution’s policies and practices when inmates inform medical staff
that custody staff used excessive force.
After being escorted to the institution’s medical facility, an inmate
notified medical staff that he sustained the injuries they were
evaluating after being assaulted by custody staff. However, medical
staff never informed custody staff of these allegations. Because custody
staff were not made aware of the inmate’s allegations, they did not
perform an immediate inquiry into the allegations. The institution
did not perform its inquiry until we alerted the hiring authority of the
inmate’s allegations four months after the incident. Medical staff also
failed to inform custody staff that physicians at the outside hospital
diagnosed the inmate with a concussion. Had this notification been
made, custody staff would have been under an obligation to notify
us of this significant bodily injury, and we would have monitored the
department’s investigation into how the inmate suffered a concussion.
Furthermore, because custody staff were unaware of the inmate’s
concussion and his allegations of excessive force, the institution’s
executive review committee, which reviews every use-of-force incident
that occurs at the institution, did not have this information available to
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68 Complaint Intake and Field Inquiries
it when it reviewed the officers’ use of force to determine compliance
with departmental policy.
After the institution considered the inmate’s allegations and completed
these internal review processes, the warden ordered custody staff to
receive additional training regarding incidents that require notification
to the OIG. The institution’s CEO also developed new training
materials that instructed medical staff that they must inform custody
staff when an inmate reports excessive force. The CEO subsequently
trained health care staff regarding these revised use-of-force reporting
policies. This new training should lead to timely inquiries into
allegations of excessive force inmates raise during their interactions
with medical staff, who are often the first ones to ask inmates how they
received their injuries after they are involved in an altercation.
A Warden Revised the Institution’s Family Visiting Process to
Ensure Appropriate Food Options Were Available to Inmates and
Their Families
We received a complaint from the wife of an inmate
alleging she was having difficulties communicating with the
FAMILY VISITING correctional officer responsible for coordinating the family
Some inmates are eligible for visiting process at one of the department’s adult institutions.
family visits with immediate
She also alleged the officer required her husband to pre-order
family members. These visits
occur in private quarters on food up to two months in advance of the visit, causing some
institutional grounds, usually food to grow moldy or expire by the time of the visit. The
in a small trailer, and last ap-
proximately 30 to 40 hours. wife also alleged the staff member refused to accommodate
At most institutions, inmates the dietary restrictions her doctor ordered and would not
can apply for a family visit
allow her to bring her own food with her into the institution
every three to five months.
The inmate and the visitors during her family visits, even though the institution did
are responsible for purchas-
not provide her the option to purchase food that met her
ing food they would like to
eat during family visits by doctor’s orders. The inmate’s wife also alleged the officer
ordering from a list of items
confronted her after she called the department’s Office of
the institution provides for
purchase from a vendor. the Ombudsman regarding her complaints and told the
Source: https://www.cdcr. inmate, “We’re going to have some problems” if his wife kept
ca.gov/visitors/visitors/in-
mate-visiting-guidelines/ (URL complaining about her. The correctional officer also allegedly
accessed September 6, 2019). refused to answer the wife’s calls regarding her visits.
In response to the complaint, the warden amended the
institution’s family visiting policy to allow inmates to schedule visits
before food is ordered, as long as the food is received at the institution
two weeks prior to the visit. The warden also tasked the family
visiting officer with the responsibility to monitor the food for signs of
spoilage after it is delivered to the institution. To bring the institution
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 69
into compliance with departmental policy,28 the warden added a new
section to the institution’s family visiting policy instructing staff to
allow visitors to bring in special food items if they provide medical
certification of a dietary restriction, as long as the food is purchased
from a vendor and is sealed in its original packaging. To remedy the
communication problems the inmate’s wife was experiencing, the
officer received training related to communicating with inmates’
families, which stressed the importance of returning families’
phone calls.
The Board of Parole Hearings Revised a Previously Issued
Decision Based on Inaccurate Information the Institution Had
Provided to the Board
In the third case, we received a complaint from the wife of an inmate
alleging the Board of Parole Hearings had recently denied her
husband’s parole during his recent Prop 57 Nonviolent Parole Review
hearing, based on inaccurate information provided by his assigned
institution. She alleged departmental staff provided the Board with
inaccurate information regarding her husband’s in-prison behavior,
including rules violations that were not sustained and omitting
rehabilitative programs he had completed, both of which could have
caused the Board to look more favorably at her husband’s suitability for
parole if the information had been accurately represented.
We reviewed the inmate’s records and determined both departmental
staff and the Board made several errors that affected the inmate’s
suitability for parole. Among those errors, the Board improperly
considered the inmate’s 1986 conviction for robbery, which should
not have been considered as an aggravating factor under State
regulations prohibiting consideration of a violent felony conviction
as an aggravating factor if it occurred more than 15 years earlier. The
Board also improperly considered as an aggravating factor (based on
inaccurate information the institution provided) two rules violations
that were not sustained and a third rules violation that was reduced to
an administrative charge, and failed to consider as mitigating factors
the inmate’s completion of a substance use disorder treatment program
and a transition program the inmate completed before his parole
review (because the institution did not provide this information to
the Board).
We notified the Board’s Executive Director of the concerns we identified
during our inquiry. Within seven weeks, the Board issued an updated
28. Department Operations Manual, Section 54020.33.16.
Office of the Inspector General, State of California
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70 Complaint Intake and Field Inquiries
decision that factored in the corrected information, removed the
inmate’s 1986 conviction from its analysis, and considered the inmate’s
in-prison behavior as a mitigating factor, rather than an aggravating
factor. Although the Board did not alter its ultimate decision to deny
the inmate parole, it ensured the inmate received his due process rights
by considering information pertinent to the inmate’s suitability for
parole that was both complete and accurate.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 71
Recommendations
Between July 1, 2017, and June 30, 2019, we processed 6,009 complaints,
5,612 of which raised allegations of improper activity within the
department. While in many instances we assisted complainants
by providing advice on how to address their concerns with the
department, in other cases, we resolved the complainants’ issues
informally. Additionally, we elevated 49 complaints to field inquiries in
which our regional inspectors contacted departmental administrators,
such as a warden, to bring the matters to their attention. In many cases,
the department was receptive and took appropriate action. However,
our inquiries highlighted several areas in which the department can
improve its processes. Below, we offer the following recommendations
for consideration at the departmental level:
To address the issues that cause inmates to forfeit sentence
reduction credits and ensure inmates are released appropriately, the
department should:
○ Amend its policies to require that case records staff perform
prerelease audits of inmates’ files at least 180 days prior to an
inmate’s estimated release.
○ Amend its policies to ensure inmates receive immediate
notice of any changes to their release dates and to provide
a system for documenting the date on which inmates
receive notice.
○ Treat all decisions to rescind credits as proposed decisions
rather than as final decisions. Specifically, we recommend
the department provide inmates with notice of all proposed
decisions to rescind credits and adequate time to challenge
the rescission of credits before the rescission becomes final.
○ Amend its regulations to create a separate process that
allows inmates to challenge release date calculations and
credit rescissions according to expedited time frames.
○ Consider setting classification committee hearings to occur
on the first date inmates become eligible to have credits
restored by an institutional classification committee, at least
with respect to inmates who are within 180 days of their
earliest possible release date.
To ensure the department takes consistent and adequate action in
response to allegations of staff misconduct, the department should:
○ Amend its regulations to require that all allegations of staff
misconduct, regardless of their source, be subjected to the
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72 Complaint Intake and Field Inquiries
same process the department provides for inmate allegations
of staff misconduct. The process should set forth deadlines
for inquiries to be performed, require the inquiries involve a
thorough review of all relevant records and interviews of all
staff likely to have information related to the allegations, and
ensure that the steps the reviewer took during the inquiry are
documented in a report.
To address the conflicts of interest we identified, the department
should:
○ Amend its policy to prohibit staff who are the subject
of inmate threats from participating in any processes or
decisions taken in response to discovering an inmate threat
against staff.
○ Review its policies to determine whether there are adequate
policies in place that instruct staff how to recognize and
handle conflicts of interest.
○ Review its training curriculum to determine whether it
provides sufficient ongoing training regarding conflicts
of interest.
To ensure that inmates’ disciplinary records contain only accurate
information, the department should:
○ Consider amending its regulations and policies regarding
records of disciplinary matters to include a requirement that
any inaccurate entries that are later corrected be removed
from the inmate’s record.
○ Perform an audit of its rules violation records to locate rules
violations that have been revised and determine whether
there is an operational need to maintain those records in the
inmate’s disciplinary history.
To streamline our access to inmate appeals information and reduce
the amount of time the department’s public information officers spend
responding to our requests for records, the department should:
○ Provide our office with direct, electronic access to its Inmate
Appeals Tracking System.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 73
Appendices
Office of the Inspector General, State of California
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74 Complaint Intake and Field Inquiries
Appendix A. Number of Complaints Received, by Institution
Total Total
Fiscal Year Fiscal Year Complaints Fiscal Year Fiscal Year Complaints
Institution 2017–18 2018–19 Received Institution 2017–18 2018–19 Received
High Security 1,195 1,302 2,497 Reception Center 646 608 1,254
CAC 21 17 38 CBU 41 21 62
CCI 97 104 201 CCC 8 20 28
COR 175 255 430 CIM 76 93 169
HDSP 99 135 234 CMC 84 77 161
KVSP 143 170 313 CRC 31 24 55
LAC 191 178 369 DVI 40 19 59
PBSP 69 52 121 NKSP 54 33 87
SAC 119 156 275 RJD 195 195 390
SATF 143 118 261 SCC 24 45 69
SVSP 138 117 255 SQ 46 41 87
General Population 559 557 1,116 WSP 47 40 87
ASP 47 37 84 Female Offender
Programs and Services 302 415 717
CAL 27 27 54 and Special Housing
CEN 30 37 67 CCWF 35 52 87
CTF 81 123 204 CHCF 137 198 335
CVSP 23 35 58 CIW 37 29 66
ISP 36 16 52 CMF 70 93 163
MCSP 171 205 376 FSP 19 34 53
PVSP 17 19 36 FWF 4 9 13
SOL 68 39 107 Other Entities 199 226 425
VSP 59 19 78 DAPO 25 29 54
DJJ 4 12 16
Continued next column.
Other 170 185 355
Total 2,901 3,108 6,009
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 75
Appendix B. Summary of Field Inquiry Outcomes for Cases
Containing Allegations of Staff Misconduct, as Determined
by the OIG
Assessment of the Department’s Performance in Conducting Staff Misconduct Inquiries
Referred by the OIG
Investigation Sufficient /
Overall Ordered by Adequate Sufficient Relevant Free From
Case Rating HA Report Interviews Evidence Timely Bias
1 Inadequate Yes Yes No No Yes Yes
2 Inadequate Yes Yes Yes No No Yes
3 Inadequate No N/A N/A N/A N/A N/A
4 Adequate Yes Yes Yes Yes Yes Yes
5 Adequate Yes Yes Yes Yes No Yes
6 Adequate Yes Yes Yes Yes Yes Yes
7 Adequate Yes Yes Yes Yes Yes Yes
8 Inadequate Yes No No No No Yes
9 Adequate Yes Yes Yes Yes No Yes
10 Inadequate No N/A N/A N/A N/A N/A
11 Adequate Yes Yes Yes Yes Yes Yes
12 Inadequate Yes No Unknown Unknown Yes Unknown
13 Inadequate Yes Yes Yes Yes No No
14 Inadequate Yes Yes No Yes Yes Yes
15 Inadequate Yes Yes Yes Yes No No
16 Adequate Yes Yes Yes Yes Yes Yes
17 Inadequate No N/A N/A N/A N/A N/A
18 Adequate Yes Yes Yes Yes Yes Yes
19 Inadequate Yes No Unknown Unknown Yes Unknown
20 Adequate Yes Yes Yes Yes Yes Yes
21 Adequate Yes Yes Yes Yes Yes Yes
22 Inadequate Yes Yes Yes Yes No Yes
23 Inadequate Yes Yes Yes Yes No Yes
24 Adequate Yes Yes N/A Yes Yes Yes
25 Inadequate Yes Yes No No No Yes
26 Adequate Yes Yes Yes Yes Yes Yes
27 Inadequate Yes Yes Yes Yes No No
28 Inadequate Yes Yes No Yes No Yes
29 Inadequate Yes Yes Yes Yes No Yes
30 Adequate Yes Yes Yes Yes Yes Yes
31 Inadequate Yes Yes No No Yes Yes
32 Adequate Yes Yes Yes Yes Yes Yes
33 Inadequate Yes Yes No No Yes Yes
34 Inadequate No N/A N/A N/A N/A N/A
35 Inadequate Yes Yes No Yes No Yes
36 Adequate Yes Yes Yes Yes Yes Yes
Note: This appendix only identifies complaints that involved allegations of staff misconduct that could be assessed based on
a standard set of objective criteria. The remaining 13 complaints, which are summarized in Appendix D, pertained to various
issues that could not be assessed using these same criteria.
Office of the Inspector General, State of California
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76 Complaint Intake and Field Inquiries
Appendix C. Detail and Outcomes of Field Inquiry Cases Containing
Allegations of Staff Misconduct, as Determined by Staff
Overall
Assessment of the Department’s
Rating
Performance in Conducting
P
Staff Misconduct Inquiries Adequate =
Referred by the OIG Incident Summary Inadequate =
Investigation Ordered by HA Yes
Documented Yes On September 12, 2016, an inmate submitted a complaint to the
Case Sufficient Interviews No OIG alleging two officers forced inmates to pay them to access
the exercise yard and telephones, sold mobile phones to inmates,
1 Sufficient /Relevant Evidence No
and threatened to have gang members remove the inmate from
Timely Yes the exercise yard if he complained.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
Case On March 24, 2017, an inmate submitted a complaint to the OIG
Sufficient Interviews Yes
alleging officers used unreasonable physical force on him after he
2 Sufficient /Relevant Evidence No
requested medical attention.
Timely No
Free from Bias Yes
Investigation Ordered by HA No
Documented N/A
On April 10, 2017, an inmate submitted a complaint to the OIG
Case
Sufficient Interviews N/A alleging the department did not investigate his complaint that an
3 Sufficient /Relevant Evidence N/A officer retaliated against him for filing a prior complaint against
the officer.
Timely N/A
Free from Bias N/A
Investigation Ordered by HA Yes
On May 9, 2017, an anonymous departmental employee
Documented Yes
submitted a complaint to the OIG alleging another officer P
Case
Sufficient Interviews Yes engaged in sexual acts with inmates in the kitchen. On June
4 Sufficient /Relevant Evidence Yes 20, 2017, the anonymous departmental employee submitted a
second complaint to the OIG alleging continued misconduct by
Timely Yes
the other officer.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes On May 15, 2017, a disability rights advocate submitted a
Case complaint to the OIG on behalf of an inmate alleging that an P
Sufficient Interviews Yes
officer choked the inmate, and a lieutenant threatened to punish
5 Sufficient /Relevant Evidence Yes
the inmate during a video-recorded interview if he pursued a
Timely No complaint against the officer.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
On May 17, 2017, a former departmental employee submitted P
Case
Sufficient Interviews Yes a complaint to the OIG alleging officers were sleeping on duty
6 Sufficient /Relevant Evidence Yes while assigned to shifts guarding inmates who were receiving
treatment at an outside hospital.
Timely Yes
Free from Bias Yes
Continued on next page.
Note: For complaints received by mail, we consider the date we received the complaint as the date the complaint was submitted.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 77
Appendix C. Detail and Outcomes of Field Inquiry Cases Containing Allegations of Staff Misconduct,
as Determined by Staff (continued)
Overall
Assessment of the Department’s
Rating
Performance in Conducting
P
Staff Misconduct Inquiries Adequate =
Referred by the OIG Incident Summary Inadequate =
Investigation Ordered by HA Yes On June 2, 2017, an inmate submitted a complaint to the
OIG alleging he was the victim of sexual harassment when a
Documented Yes
departmental contract employee allowed another inmate to draw P
Case Sufficient Interviews Yes sexually offensive pictures, make sexually offensive comments,
7 Sufficient /Relevant Evidence Yes engage in inappropriate physical contacts, and expose himself
during group counseling sessions. The inmate also alleged the
Timely Yes
departmental contract employee and a director for the third-
Free from Bias Yes party vendor failed to take appropriate corrective action.
Investigation Ordered by HA Yes
Documented No
Case On June 28, 2017, an inmate submitted a complaint to the OIG
Sufficient Interviews No
alleging two officers revealed that an inmate was a convicted
8 Sufficient /Relevant Evidence No
child molester and asked other inmates to attack the inmate.
Timely Unknown
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
On July 21, 2017, an inmate submitted a complaint to the OIG
Case
Sufficient Interviews Yes alleging an officer provided other inmates with preferential
9 Sufficient /Relevant Evidence Yes treatment, confidential inmate information, and materials that
inmates could use as weapons.
Timely No
Free from Bias Yes
Investigation Ordered by HA No
Documented N/A
On June 16, 2017, an inmate’s mother submitted a complaint to
Case
Sufficient Interviews N/A the OIG alleging departmental staff unjustly accused her son of
10 Sufficient /Relevant Evidence N/A threatening a lieutenant and harassed him when they aggressively
questioned him about the threat.
Timely N/A
Free from Bias N/A
Investigation Ordered by HA Yes
Documented Yes
Case On August 21, 2017, an inmate submitted a complaint to the OIG P
Sufficient Interviews Yes
alleging his cellmate sexually assaulted and beat him, and three
11 Sufficient /Relevant Evidence Yes
officers were aware of the attacks, but failed to stop them.
Timely Yes
Free from Bias Yes
Investigation Ordered by HA Yes
Documented No
Case On September 20, 2017, an inmate submitted a complaint to the
Sufficient Interviews Unknown
OIG alleging a counselor had an overly familiar relationship with
12 Sufficient /Relevant Evidence Unknown
an inmate and was providing contraband to that inmate.
Timely Yes
Free from Bias Unknown
Continued on next page.
Office of the Inspector General, State of California
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78 Complaint Intake and Field Inquiries
Appendix C. Detail and Outcomes of Field Inquiry Cases Containing Allegations of Staff Misconduct,
as Determined by Staff (continued)
Overall
Assessment of the Department’s
Rating
Performance in Conducting
P
Staff Misconduct Inquiries Adequate =
Referred by the OIG Incident Summary Inadequate =
Investigation Ordered by HA Yes On October 31, 2017, a departmental employee submitted a
complaint to the OIG alleging that, based on information from
Documented Yes inmates, two officers falsified rules violation reports against
inmates regarding alcohol possession, that a lieutenant was
Case Sufficient Interviews Yes involved in an inappropriate relationship with a subordinate
13 officer and they were caught engaging in sexual activity on
Sufficient /Relevant Evidence Yes
institutional grounds, and that an investigative services unit
sergeant threatened her with being placed under investigation
Timely No
after reporting the lieutenant’s and the officers’ alleged
Free from Bias No misconduct.
Investigation Ordered by HA Yes
Documented Yes On November 7, 2017, an inmate’s fiancée submitted a complaint
Case to the OIG alleging that during a visit with her fiancée, officers
Sufficient Interviews No
detained her against her will, forced her to submit to an
14 Sufficient /Relevant Evidence Yes
unclothed body search, and repeatedly denied her requests for a
Timely Yes complaint form.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
On September 22, 2017, the OIG received an anonymous
Case
Sufficient Interviews Yes complaint alleging a chief and a deputy chief allowed a special
15 Sufficient /Relevant Evidence Yes agent-in-charge and a senior information systems analyst to
conduct personal business on state time.
Timely No
Free from Bias No
Investigation Ordered by HA Yes
Documented Yes On January 3, 2018, an attorney submitted a complaint to
Case the OIG on behalf of three inmates regarding a July 17, 2017, P
Sufficient Interviews Yes
incident alleging that officers used unreasonable force on the
16 Sufficient /Relevant Evidence Yes
three inmates, which a fourth inmate video-recorded on a mobile
Timely Yes phone.
Free from Bias Yes
Investigation Ordered by HA No
On January 29, 2018, a private citizen submitted a complaint to
Documented N/A
the OIG alleging her ex-husband, an officer, sent harassing text
Case
Sufficient Interviews N/A messages to her and to their two children, threatened to kill her
17 Sufficient /Relevant Evidence N/A and commit suicide, and made false allegations about her. She
also alleged the officer verbally abused her and her children and
Timely N/A
threatened to assault her boyfriend.
Free from Bias N/A
Investigation Ordered by HA Yes
Documented Yes On February 2, 2018, and May 10, 2018, an anonymous
Case departmental employee submitted a complaint to the P
Sufficient Interviews Yes
OIG alleging a principal committed misconduct, including
18 Sufficient /Relevant Evidence Yes
discrimination, preferential treatment, misuse of state funds, and
Timely Yes falsification of documents.
Free from Bias Yes
Continued on next page.
Office of the Inspector General, State of California
Return to Contents
Complaint Intake and Field Inquiries 79
Appendix C. Detail and Outcomes of Field Inquiry Cases Containing Allegations of Staff Misconduct,
as Determined by Staff (continued)
Overall
Assessment of the Department’s
Rating
Performance in Conducting
P
Staff Misconduct Inquiries Adequate =
Referred by the OIG Incident Summary Inadequate =
Investigation Ordered by HA Yes
Documented No On May 11, 2018, a departmental employee submitted a
Case complaint to the OIG alleging an officer used his position to
Sufficient Interviews Unknown
influence the transfer of the officer’s son, an inmate, from one
19 Sufficient /Relevant Evidence Unknown
institution to another and that unidentified managers potentially
Timely Yes circumvented policy to influence the inmate’s transfer.
Free from Bias Unknown
Investigation Ordered by HA Yes On May 29, 2018, an inmate submitted a complaint to the
OIG alleging that on January 5, 2018, when he arrived at
Documented Yes
the institution, the department refused to place him in the P
Case Sufficient Interviews Yes administrative segregation unit and, instead, placed him in
20 Sufficient /Relevant Evidence Yes nonmaximum-security housing, although the department
classified him as a maximum-custody inmate. On January 8, 2018,
Timely Yes
three other inmates attacked the inmate, causing the inmate to
Free from Bias Yes lose an eye.
Investigation Ordered by HA Yes
On June 6, 2018, an inmate’s fiancée submitted a complaint to
Documented Yes
the OIG alleging that on May 24, 2018, three officers attacked P
Case
Sufficient Interviews Yes the inmate while he was in handcuffs, injured his back while they
21 Sufficient /Relevant Evidence Yes tore off his clothing, placed him in a holding cell for more than
three hours, and refused his requests to use the restroom during
Timely Yes
that period.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
Case On June 16, 2018, a third party submitted a complaint to the OIG P
Sufficient Interviews N/A
alleging the department improperly hired an employee who did
22 Sufficient /Relevant Evidence Yes
not meet the minimum qualifications for the position.
Timely No
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes On July 16, 2018, an inmate submitted a complaint to the OIG
Case alleging that three parole agents intentionally falsified his parole
Sufficient Interviews Yes
revocation report and manipulated information in the parole
23 Sufficient /Relevant Evidence Yes
violation decision tool in order to ensure that his parole was
Timely No revoked.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
On July 24, 2018, a departmental employee submitted a P
Case
Sufficient Interviews N/A complaint to the OIG alleging a former inmate who was on
24 Sufficient /Relevant Evidence Yes probation was involved in an overly familiar relationship with a
departmental psychologist.
Timely Yes
Free from Bias Yes
Continued on next page.
Office of the Inspector General, State of California
Return to Contents
80 Complaint Intake and Field Inquiries
Appendix C. Detail and Outcomes of Field Inquiry Cases Containing Allegations of Staff Misconduct,
as Determined by Staff (continued)
Overall
Assessment of the Department’s
Rating
Performance in Conducting
P
Staff Misconduct Inquiries Adequate =
Referred by the OIG Incident Summary Inadequate =
Investigation Ordered by HA Yes
Documented Yes
On July 30, 2018, an inmate advocacy group submitted a
Case
Sufficient Interviews No complaint to the OIG on behalf of an inmate alleging custody
25 Sufficient /Relevant Evidence No staff failed to prevent the inmate from being attacked by other
inmates.
Timely No
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
Case On August 27, 2018, an inmate submitted a complaint to the OIG P
Sufficient Interviews Yes
alleging he heard officers tell inmates they would not do anything
26 Sufficient /Relevant Evidence Yes
if inmates attacked a captain.
Timely Yes
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
On September 5, 2018, an inmate advocacy group submitted a
Case
Sufficient Interviews Yes complaint to the OIG on behalf of an inmate alleging that officers
27 Sufficient /Relevant Evidence Yes and mental health staff took no action to stop an assault on an
inmate on two occasions.
Timely No
Free from Bias No
Investigation Ordered by HA Yes
Documented Yes On September 21, 2018, a departmental employee submitted a
Case complaint to the OIG alleging a youth counselor directed a ward
Sufficient Interviews No
to attack another youth counselor. The youth counselor allegedly
28 Sufficient /Relevant Evidence Yes
failed to remove the disruptive ward from the classroom and
Timely No living unit, thereby creating an unsafe work environment.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
On September 24, 2018, the department’s Office of Audits and
Case
Sufficient Interviews Yes Court Compliance provided the OIG with the names of seven
29 Sufficient /Relevant Evidence Yes inmates who made allegations of unreasonable use of force by
officers at the institution.
Timely No
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes On October 1, 2018, the OIG received an anonymous complaint
Case alleging a warden intentionally removed the price tag from P
Sufficient Interviews Yes
an item at a thrift store in order to purchase the item at a
30 Sufficient /Relevant Evidence Yes
significantly reduced price with the intent of subsequently
Timely Yes reselling the item for a profit.
Free from Bias Yes
Continued on next page.
Office of the Inspector General, State of California
Return to Contents
Complaint Intake and Field Inquiries 81
Appendix C. Detail and Outcomes of Field Inquiry Cases Containing Allegations of Staff Misconduct,
as Determined by Staff (continued)
Overall
Assessment of the Department’s
Rating
Performance in Conducting
P
Staff Misconduct Inquiries Adequate =
Referred by the OIG Incident Summary Inadequate =
Investigation Ordered by HA Yes
Documented Yes
Case
Sufficient Interviews No On October 25, 2018, an inmate submitted a complaint to the
31 Sufficient /Relevant Evidence No OIG alleging an officer directed him to assault other inmates.
Timely Yes
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
On November 2, 2018, an inmate’s wife submitted a complaint to P
Case
Sufficient Interviews Yes the OIG alleging the department denied the inmate access to a
32 Sufficient /Relevant Evidence Yes mental health crisis bed and failed to address the inmate’s safety
concerns.
Timely Yes
Free from Bias Yes
Investigation Ordered by HA Yes On December 31, 2018, an inmate submitted a complaint to
the OIG alleging that two officers used unreasonable force on
Documented Yes
an inmate when they took him to the ground and banged his
Case Sufficient Interviews No head on the floor, even after he had been subdued. The inmate
33 Sufficient /Relevant Evidence No alleged the same two officers observed two inmates fighting, but
failed to intervene to stop the fight. When one of the inmates
Timely Yes
began to walk away from the fight, the officers allegedly ordered
Free from Bias Yes the inmate to continue fighting.
Investigation Ordered by HA No
On January 29, 2019, an inmate’s spouse submitted a complaint
Documented N/A to the OIG alleging the department provided expired and moldy
Case food during a family visit and the department did not accept a
Sufficient Interviews N/A
doctor’s note to allow her to bring in outside food. Additionally,
34 Sufficient /Relevant Evidence N/A
the complainant alleged that a family visiting officer did not
Timely N/A answer telephone calls and threatened the inmate after the
complainant contacted the department’s ombudsman.
Free from Bias N/A
Investigation Ordered by HA Yes
Documented Yes On February 13, 2019, a departmental employee submitted
Case a complaint to the OIG alleging that an officer made a vulgar
Sufficient Interviews No
statement to other employees and posted an employee
35 Sufficient /Relevant Evidence Yes
counseling record on a union bulletin board, which appeared to
Timely No be stained with fecal matter.
Free from Bias Yes
Investigation Ordered by HA Yes
Documented Yes
Case On March 6, 2019, a third party submitted a complaint to the P
Sufficient Interviews Yes
OIG alleging two officers were engaged in a sexual relationship
36 Sufficient /Relevant Evidence Yes
with an inmate.
Timely Yes
Free from Bias Yes
Office of the Inspector General, State of California
Return to Contents
82 Complaint Intake and Field Inquiries
Appendix D. Detail and Outcomes of Field Inquiry Cases Not
Containing Allegations of Staff Misconduct, as Determined
by Staff
On April 7, 2017, an inmate submitted a complaint to the OIG alleging that the institution
wrongly rescinded 42 of his educational milestone credits and that he received no response
Complaint
to his efforts to correct the mistake. He also alleged that the OIG poster in his housing unit
did not display accurate contact information for the OIG.
The warden determined there was a misunderstanding about which staff were responsible
for verifying educational credits and that staff in the institution’s education office will be
Response assigned such responsibility to prevent this issue from reoccurring. The institution replaced
the outdated posters with new posters containing accurate contact information for inmates
to correspond with our office.
Within a week of contacting the warden regarding the inmate’s complaint, he met with us
to discuss the merits of this inmate’s complaint. The warden was well prepared to discuss
the issues, and demonstrated that he had examined the inmate’s concerns and spoken with
the involved staff. However, when we reviewed this inmate’s records and discussed the
Assessment inmate’s case with the department’s Office of Education, we confirmed that the institution
should not have rescinded 14 of the inmate’s 42 credits. Our review also determined that
the timing of the institution’s decision to rescind the inmate’s credits and staff members’
failure to respond to his requests for assistance deprived him of a meaningful opportunity
to challenge the decision.
On February 7, 2018, an inmate submitted a complaint to the OIG alleging that the insti-
tution wrongly rescinded 56 of his educational milestone credits and failed to expedite
Complaint
the processing of his appeal even though he alleged in his appeal that he was due to be
released from prison in only 37 days.
We raised the inmate’s complaint with the department’s executive staff on Febru-
ary 8, 2018. Within two weeks, the department explained that it could not advance the
Response inmate’s release date because of a regulation that prohibits the department from advancing
an inmate’s release from prison if doing so would cause the inmate to be released within
60 days of the change.
Although the department’s original response was accurate, when we later conferred with
the department’s Office of Education, we determined that the inmate had not completed
the required steps to earn the credits and the institution was correct to rescind his cred-
its. However, we also learned that the department failed to apply additional credit losses
Assessment that would have caused the inmate to spend additional time in prison. We determined the
department released the inmate from prison 32 days early. Our review also determined that
the timing of the institution’s decision to rescind the inmate’s credits and staff failure to re-
spond to his requests for assistance deprived him of a meaningful opportunity to challenge
the decision to rescind his credits.
On February 7, 2018, an inmate’s family member submitted a complaint to the OIG, alleg-
Complaint ing the department was improperly calculating the inmate’s release date, and was holding
him in prison beyond his correct release date.
The department identified an error in its calculation of the inmate’s release date and adjust-
Response
ed the inmate’s release date so that he would be released six days sooner.
The department responded to our inquiries related to this complaint in a timely manner and
thoroughly researched the inmate’s allegations and the questions we posed. Ultimately, the
department accelerated the inmate’s release date by six days, which was the earliest date
Assessment permitted by department regulation. However, had institution staff immediately restored
credits the inmate earned after being discipline-free for a 60-day period, the department’s
regulation would not have restricted the inmate from being released even sooner.
Continued on next page.
Office of the Inspector General, State of California
Return to Contents
Complaint Intake and Field Inquiries 83
Appendix D. Detail and Outcomes of Field Inquiry Cases Not Containing Allegations
of Staff Misconduct, as Determined by Staff (continued)
On February 22, 2018, an inmate’s family member submitted a complaint to the OIG,
alleging the institution mistakenly re-classified the inmate as a sex offender, which caused
Complaint
his release date to be extended. The inmate wrote to us a few days later explaining that the
reclassification would extend his release date by 97 days.
The department determined the sex offender registration requirements did not apply and
Response reversed the institution’s decision to classify the inmate as a sex offender. The institution’s
error caused the inmate to be released from prison 97 days late.
Although the department’s analysis was incorrect, at every step of our inquiry, the depart-
ment timely responded to our questions and requests for information. Ultimately, once
Assessment
we elevated to the department’s headquarters, the Office of Legal Affairs agreed that the
institution’s interpretation of the law was incorrect and reversed the institution’s decision.
On February 27, 2018, an inmate’s mother submitted a complaint to the OIG alleging the
department failed to award her son the educational achievement credits he earned after
Complaint
completing two college courses in August 2017. The credits, if applied, would advance the
inmate’s release date by 14 days.
The hiring authority determined the inmate completed the approved educational program,
Response credited the inmate with 14 days of milestone completion credits, and revised his earliest
possible release date.
The department thoroughly reviewed our concerns and took immediate action to review
the inmate’s claim. Because the department acted on the inmate’s claim immediately, it was
Assessment
able to advance the inmate’s release date before the department’s regulations precluded it
from awarding him the credits he earned.
On June 25, 2018, an inmate submitted a complaint to the OIG alleging he had information
about an alleged homicide that occurred at an institution, and alleged staff involvement in
Complaint the homicide. The inmate, who was a suspect in the criminal investigation into the homi-
cide, also claimed that the institution’s investigative services unit refused to interview him
despite his requests to be interviewed.
Response After we contacted the institution, the investigative services unit immediately interviewed
the inmate to determine what he knew about the homicide.
We recommended that the investigate services unit confer with the district attorney before
interviewing the inmate considering the inmate was a suspect in the ongoing homicide
Assessment investigation. The investigative services unit did not contact the district attorney’s office
before interviewing the inmate, but adequately informed the inmate of his Miranda rights
before interviewing him.
On June 7, 2017, an inmate’s wife submitted a complaint to the OIG alleging that, after we
visited the institution and met with members of the facility’s inmate advisory council, officers
Complaint
in the housing unit we visited removed and threw away posters that contained information
instructing inmates how to contact our office to report misconduct.
Two days later, we conducted an unannounced visit to the housing unit and confirmed that
our posters had been removed. We ensured that the posters were returned to the original
Response
location and informed the hiring authority and a sergeant working in the housing unit that
the posters should remain in that location so that inmates know how to contact our office.
We conducted a subsequent unannounced site visit five months later and found that the
Assessment
posters remained in the specified location.
Continued on next page.
Office of the Inspector General, State of California
Return to Contents
84 Complaint Intake and Field Inquiries
Appendix D. Detail and Outcomes of Field Inquiry Cases Not Containing Allegations
of Staff Misconduct, as Determined by Staff (continued)
On July 5, 2017, an inmate submitted a complaint to the OIG alleging the department
did not timely deliver his mail, and in some instances did not deliver his mail at all. He also
Complaint alleged mail room staff did not respond to his requests for assistance (Form 22s), in which
he complained that he was not receiving his mail. The lack of a response to his Form 22s
prevented the inmate from utilizing the department’s appeal process.
The mail room supervisor could not locate any documentation indicating that mail room
staff ever received or responded to the inmate’s Form 22s. Within two weeks of our first
Response
contact, the hiring authority provided training to mail room employees regarding proce-
dures for receiving and responding to inmates’ Form 22 requests for assistance.
The hiring authority responded to our questions and requests for documentation in a timely
Assessment
manner and addressed the inmate’s concerns appropriately.
On February 9, 2018, we received a complaint from an inmate’s wife alleging the analysis
Complaint the Board of Parole Hearings performed during her husband’s Nonviolent Parole Review
was inaccurate and that the Board considered information it was not permitted to consider.
Less than two months after we raised our concerns with the Board, the Board corrected its
Response decision so that it reflected accurate information and considered only information the Board
was permitted to consider, and informed the inmate of the changes.
The Board timely and thoroughly reviewed our concerns and appropriately revised its deci-
Assessment
sion to correct the inaccuracies.
On March 29, 2018, we received a complaint from an inmate alleging that the department’s
Office of Appeals unjustly denied the inmate’s appeals as untimely even though he mailed
Complaint
the appeal within the prescribed time limits, but staff members allegedly failed to timely
process his mail.
The day after we raised our concerns to the department’s Office of Appeals, it reversed its
Response
earlier determination and accepted the inmate’s appeal as timely filed.
The department timely responded to our concerns and processed the inmate’s third level
Assessment
appeal.
On February 5, 2018 and on February 16, 2018, we received complaints alleging an inmate
had concerns for his safety after confidential information from his records had been dis-
closed to other inmates. The confidential information the department placed in the inmate’s
Complaint file indicated he had been convicted of a sex offense involving a minor. The inmate alleged
the information was false and placed his safety at risk. The complaints also alleged that the
institution informed the inmate that he was going to be transferred to another institution
where the inmates who accessed his confidential information were currently housed.
The department examined our concerns that the inmate might be transferred to another
institution where he could be harmed by other inmates who posed a risk to his safety and
determined the inmate would not be transferred to the other institution because his records
indicated he had enemy concerns at that institution. The institution attempted to correct
Response the inaccurate information in the inmate’s records, but failed to remove the incorrect infor-
mation from the file. When we re-examined the inmate’s records three months later, we no-
ticed that the inmate had another new entry in his file that incorrectly indicated the inmate
had been convicted of a sex offense involving a minor. When we contacted the institution
about the incorrect entry, it removed the new entry in its entirety.
The department thoroughly reviewed the inmate’s concerns that he would be transferred
to another prison where other inmates resided who posed a threat to his safety. However,
Assessment the department did not take adequate steps to remove the inaccurate information from the
inmate’s records indicating that he had been convicted of a sex offense involving a minor.
Continued on next page.
Office of the Inspector General, State of California
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Complaint Intake and Field Inquiries 85
Appendix D. Detail and Outcomes of Field Inquiry Cases Not Containing Allegations
of Staff Misconduct, as Determined by Staff (continued)
On September 23, 2018, we received a complaint from an inmate’s mother alleging that she had
Complaint sent her son a package on September 8, 2018 containing appropriate clothing for his upcoming
release from prison on September 25, 2018, but her son had not yet received the package.
The warden received the same complaint we did, and immediately tasked his staff with
examining the concerns identified in the complaint. Two hours later, the warden informed
the complainant that her son’s clothing was at the institution and would be provided to her
son upon his release from prison. The day after her son’s release from prison, the mother
Response
contacted the warden and alleged that the institution charged her son $38 for not having
clothes to wear upon his release even though the inmate wore his own clothes at the time
of his release. The warden responded the next morning, informing the complainant that the
charge was an error and that her son would be reimbursed within five business days.
The warden was very responsive to the inmate’s mother, immediately tasking his staff with
gathering answers to her questions and providing complete responses within hours of
receiving the messages. On the other hand, our efforts to monitor the institution’s re-
sponse to the complaints were hampered because the staff member assigned to update
Assessment us about the institution’s efforts to assist the complainant did not respond to any of our
three inquiries until 14 days after the inmate had been released from prison. We then had
to make three requests for the institution’s records related to the complaint before the staff
member sent the records we needed to review the actions the warden took in response to
the complaints.
On June 16, 2018, an inmate’s wife submitted a complaint to the OIG alleging an officer in
the visiting area ended her visit with her husband, issued her a 30-day suspension of visiting
Complaint
privileges, and issued her husband a rules violation even though they were complying with
all visiting policies and staff directives.
The warden ordered his staff to perform an inquiry into the complaint, finding insufficient
Response evidence of misconduct to warrant a referral to the Office of Internal Affairs. The warden,
instead, ordered the officer to receive training in the area of report writing.
We disagreed with the warden’s decision not to refer the case to the Office of Internal
Affairs because the video footage of the inmate’s visit demonstrated that the inmate and
his wife complied with the officer’s directions and that the incident report the officer or-
dered did not accurately reflect what happened. The warden agreed that the inmate’s and
Assessment
wife’s actions did not warrant the issuance of a rules violation report, ordered the violation
reduced to a counseling chrono, and restored the wife’s visiting privileges. We elevated this
concern all the way up to the Secretary of the department, who did not believe there was
sufficient evidence to warrant an investigation.
Office of the Inspector General, State of California
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86 Complaint Intake and Field Inquiries
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Office of the Inspector General, State of California
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OFFICE of the INSPECTOR GENERAL
Roy W. Wesley
Inspector General
Bryan B. Beyer
Chief Deputy Inspector General
STATE of CALIFORNIA
June 2020
OIG