OIG
December 2024 Local Inquiry Team Case Blocks
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OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
December 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
During December 2024, the OIG’s Local Inquiry Team closed 24 monitored
inquiries. Of those 24 inquiries, the OIG monitored 16 inquiries contemporaneously
and monitored eight inquiries retrospectively. The OIG rated the department’s
overall performance as poor in 11 inquiries, or 46 percent. The OIG rated the
department’s overall performance as satisfactory in 13 inquiries, or 54 percent.
24 Monitored Inquiries Closed by the Office of the Inspector General During December 2024
Retrospectively Reviewed Contemporaneously Monitored Overall
Performance Ratings Performance Ratings Performance Ratings
1
(13%) 4
(25%) 11
(46%)
N = 8 N = 16 N = 24
7 12 13
(87%) (75%) (54%)
Legend: Satisfactory Poor
Source: Office of the Inspector General Tracking and Reporting System.
The OIG made the following noteworthy observations:
• The locally designated investigator thoroughly and appropriately conducted
the inquiry in 13 of the 24 monitored cases, or 54 percent.
• The Office of Internal Affairs adequately reviewed the draft inquiry report
and appropriately determined whether the report was sufficient, complete,
and unbiased in 15 of the 24 monitored cases, or 63 percent.
• The hiring authority made a timely determination on the allegations, within
90 days of the complaint being received by the Centralized Screening Team,
in 15 of the 24 monitored cases, or 63 percent.
• Aside from exceeding statutory, regulatory, or policy timelines, the
department unreasonably delayed completing the inquiry in 10 of the
24 monitored cases, or 42 percent.
• Of the eight inquiries the OIG monitored retrospectively, the OIG rated the
department’s performance as poor in seven inquiries, or 87 percent.
The summaries that follow present three notable inquiries the OIG monitored and
closed during December 2024.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827
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Telephone: (916) 288-4233
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www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
December 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews
OIG Case Number Rating Assessment
24-0086261-INQ Poor
Case Summary
On August 11, 2023, an officer allegedly failed to call for help when an incarcerated
person experienced chest pains. The officer also allegedly failed to bring the
incarcerated person indoors after a sergeant directed her to do so.
Case Disposition
The hiring authority conducted an inquiry and sustained the allegations against the
officer. The hiring authority determined that corrective action was appropriate and
provided the officer training. The OIG concurred.
Overall Inquiry Assessment
Overall, the department performed poorly. The Centralized Screening Team
routed this complaint for a local inquiry even though the incarcerated person who
submitted the complaint alleged an officer failed to call for help after he reported
a possible medical emergency. This type of allegation is staff misconduct listed in
the department’s Allegation Decision Index and designated for investigation by the
Office of Internal Affairs’ Allegation Investigation Unit. The investigator, the Office of
Internal Affairs manager, and the hiring authority also failed to identify the allegation
as staff misconduct listed in the Allegation Decision Index and dispute the referral.
During the inquiry, the investigator discovered evidence that the officer who was
the subject failed to comply with the department’s body-worn camera activation
policy when she improperly deactivated her body- worn camera five times while
supervising incarcerated people on the yard and inappropriately cited a lack of contact
with incarcerated people as her justification. Furthermore, the officer deactivated
her camera twice more without providing an audible explanation. However, the
investigator failed to identify that this evidence supported an additional allegation
of staff misconduct listed in the Allegation Decision Index and refer the allegation
to the Office of Internal Affairs’ Allegation Investigation Unit for investigation or the
hiring authority. Additionally, the investigator failed to serve on the officer who was
the subject written notice that she was the subject of the inquiry. The investigator
then interviewed the officer who was the subject, and a nurse and a sergeant who
were witnesses, and failed to document in the inquiry report whether he provided
the required advisement of rights during the interviews and whether he provided the
officer and nurse with a written notice of interview. The investigator also failed to
document in the inquiry report whether he provided a confidentiality admonishment
during any of the interviews he conducted. The investigator also failed to follow
departmental training and best practices by failing to document the time and location
of each interview. Notwithstanding the incarcerated person who submitted the
complaint and his cellmate, the investigator also failed to independently identify and
interview any of the incarcerated people who were visible on the video recordings who
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
December 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews (continued)
could have provided potential evidence relevant to the inquiry. The Office of Internal
Affairs manager and the hiring authority failed to identify the report’s deficiencies and
instead approved the report as adequate. The department delayed 236 days after the
hiring authority determined a finding for the allegations to administratively update
and close the inquiry in its staff misconduct complaint database. The hiring authority
also delayed 371 days to provide the officer who was the subject with training as
corrective action and did so only after the OIG requested the training records.
OIG Case Number Rating Assessment
24-0079201-INQ Poor
Case Summary
On March 20, 2024, an officer allegedly left an incarcerated person naked for
30 minutes in a holding cell after performing an unclothed body search. A female
sergeant allegedly walked into the area while the naked incarcerated person occupied
the holding cell.
Case Disposition
The hiring authority determined that the inquiry conclusively proved the misconduct
did not occur. The OIG concurred.
Overall Inquiry Assessment
Overall, the department performed poorly. The Centralized Screening Team
unreasonably delayed 23 days to make a screening decision after receiving the
complaint. The Office of Grievances failed to update the department’s staff misconduct
complaint database with the identity of the locally designated investigator assigned
to the inquiry. Unaware that the hiring authority had assigned an investigator who
commenced the inquiry, the OIG initially selected the inquiry for contemporaneous
monitoring rather than for retrospective review. Additionally, the grievance coordinator
failed to respond to the OIG for 38 days after the OIG initially emailed the Office
of Grievances, and subsequently twice more, with notification that the OIG had
selected the inquiry for monitoring. The department’s lack of adequate communication
prevented the OIG from conducting contemporaneous monitoring and providing
feedback. Additionally, the Office of Grievances incorrectly documented that the
inquiry was resolved with a finding of unfounded 38 days before the grievance
coordinator sent the inquiry report to the hiring authority for a determination. The
grievance coordinator made the premature entry that the hiring authority resolved the
inquiry when the investigator had submitted the inquiry report to the Office of Internal
Affairs manager for review. The grievance coordinator also failed to timely upload the
inquiry report casefiles for the Office of Internal Affairs manager’s review. The Office of
Grievances also failed to document in the staff misconduct complaint database when
the grievance coordinator submitted the inquiry report to the Office of Internal Affairs
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
December 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews (continued)
manager, when the Office of Internal Affairs manager returned the inquiry report
to the investigator for further inquiry, when the Office of Internal Affairs manager
approved the revised inquiry report, and when the grievance coordinator submitted
the inquiry report to the hiring authority for review. Overall, the department’s lack of
adequate record keeping within its staff misconduct complaint database prevented the
OIG from determining the dates of critical inquiry junctures. Further, the investigator
failed to document in the inquiry report if she conducted interviews in a confidential
setting. The investigator also interviewed an officer and a sergeant who were subjects
and failed to document in the inquiry report whether she provided an advisement of
rights during the interviews. The investigator failed to identify, reference, and include
in the inquiry report the records of departmental policy and procedure applicable to
unclothed body searches and staff sign-in sheets. After the investigator submitted a
revised inquiry report to the Office of Internal Affairs manager, the manager delayed
59 days to approve the report. The Office of Internal Affairs manager failed to identify
the investigator’s omissions in the inquiry report and instead approved the report as
adequate. The hiring authority indicated in the inquiry report that he approved the
report as adequate based on his subsequent review; however, he never returned the
report to the investigator for additional inquiry work. Overall, the department untimely
completed the inquiry 105 days after the Centralized Screening Team received the
complaint and 15 days beyond the department’s goal.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
December 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Contemporaneously Monitored
OIG Case Number Rating Assessment
24-0085961-INQ Poor
Case Summary
On unknown dates prior to July 4, 2024, an officer allegedly harassed an incarcerated
person about wearing shower shoes to and from the shower. Then on July 4, 2024,
the officer allegedly refused to allow the incarcerated person to perform her work
duties because of her ethnicity.
Case Disposition
The hiring authority conducted an inquiry and found insufficient evidence to sustain
the allegations. The OIG concurred.
Overall Inquiry Assessment
Overall, the department performed poorly. During the inquiry, the investigator decided
to suspend the inquiry and refer the allegations to the Office of Internal Affairs’
Allegation Investigation Unit for investigation based on evidence that the officer
exhibited racial discrimination toward the incarcerated person who submitted the
complaint. However, the investigator unreasonably delayed 34 days to submit her
draft inquiry report to the Office of Internal Affairs manager with the recommendation
to elevate the inquiry for investigation. The Office of Internal Affairs manager
reviewed the inquiry report, disagreed with the investigator’s recommendation to
elevate the inquiry for investigation, and returned the report to the investigator with
directives to collect additional evidence. The investigator then delayed 31 days to
conduct additional interviews. Additionally, the investigator failed to provide the
OIG with sufficient advanced notice of one additional interview with an officer who
was a witness and thus conducted the interview without the OIG present to provide
contemporaneous monitoring and feedback. Due to the investigator’s delays to
complete the draft inquiry report, the Office of Internal Affairs manager eventually
deemed the report adequate 57 days after the investigator submitted the first draft.
Overall, the department untimely completed the inquiry 135 days after the Centralized
Screening Team received the complaint and 45 days beyond the department’s goal.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov