OIG
Discipline Monitoring Report, January – June 2023
Read the report at CDCR ↗
Amarik K. Singh, Inspector General Neil Robertson, Chief Deputy Inspector General
of the
OFFICE
OIG
INSPECTOR GENERAL
Independent Prison Oversight September 2023
Monitoring Internal Investigations and
the Employee Disciplinary Process
of the California Department
of Corrections and
Rehabilitation
Semiannual Report
January – June 2023
Electronic copies of reports published by the Office of the Inspector General
are available free in portable document format (PDF) on our website.
We also offer an online subscription service.
For information on how to subscribe,
visit www.oig.ca.gov.
For questions concerning the contents of this report,
please contact Shaun Spillane, Public Information Officer,
at 916-288-4233.
Connect with us on social media
STATE of CALIFORNIA
OIG OFFICE of the Amarik K. Singh, Inspector General
INSPECTOR GENERAL Neil Robertson, Chief Deputy Inspector General
Independent Prison Oversight
Regional Offices
Sacramento
Bakersfield
Rancho Cucamonga
September 29, 2023
The Governor of California
President pro Tempore of the Senate
Speaker of the Assembly
State Capitol
Sacramento, California
Dear Governor and Legislative Leaders:
Enclosed find the Office of the Inspector General’s report titled Monitoring Internal
Investigations and the Employee Disciplinary Process of the California Department of Corrections and
Rehabilitation. This 37th semiannual report, which is pursuant to California Penal Code section
6126 (a) et seq., summarizes the department’s performance in conducting internal investigations
and handling employee discipline cases that we monitored and closed from January 1, 2023,
through June 30, 2023.
We assessed the overall performance of the three entities within the department that are
responsible for conducting internal investigations and managing the employee disciplinary
process: hiring authorities (such as prison wardens), the Office of Internal Affairs, and
department attorneys. We used three performance indicators, one for each entity, to
determine the department’s overall performance rating. The OIG’s assessment is based on the
department’s adherence to laws, its own policies, and the OIG’s considered opinion concerning
what we believe constituted sound investigative practice and appropriate disciplinary processes
and outcomes.
During this reporting period, we introduced a new ratings system. Instead of rating each
entity’s performance superior, satisfactory, or poor, we rated each entity sufficient, sufficient with
recommendations, or insufficient. Overall, the department performed sufficiently in 23 percent
of cases and sufficiently with recommendations in 49 percent of the cases we monitored. The
department performed insufficiently in 28 percent of cases we monitored. Of the 192 cases
we monitored and closed, we rated 45 cases sufficient, 94 sufficient with recommendations, and
53 insufficient. Hiring authorities failed to conduct an inquiry into alleged misconduct and refer
matters to the Office of Internal Affairs without undue delay in 26 percent of cases and timely
referred matters in 74 percent of cases. We found hiring authorities’ overall performance to
be either sufficient or sufficient with recommendations in 82 percent of cases. In this reporting
period, we rated the Office of Internal Affairs’ performance in administrative cases sufficient in
93 cases, sufficient with recommendations in 50 cases, and insufficient in 26 cases. We found the
Office of Internal Affairs’ performance in investigating criminal allegations of misconduct to
be insufficient or sufficient with recommendations in 10 of 23 criminal investigations during this
reporting period.
Gavin Newsom, Governor
10111 Old Placerville Road, Suite 110
Sacramento, California 95827
Telephone: (916) 288-4212
www.oig.ca.gov
Governor and Legislative Leaders
September 29, 2023
Monitoring Internal Investigations and the Employee Disciplinary Process
Page 2
We assigned the department’s Employment Advocacy and Prosecution Team (EAPT) a sufficient
rating in 128 cases, a sufficient with recommendations rating in 45 cases, and an insufficient rating
in 19 cases. The single most common criticism of department attorneys was failure to handle
the disciplinary process without undue delay. We identified only 12 cases in which department
attorneys provided inadequate recommendations to hiring authorities. During this reporting
period, we monitored nine cases that were submitted to the State Personnel Board after a full
evidentiary hearing, which is one case fewer than the number of cases we monitored in the last
reporting period. Of those nine, the State Personnel Board modified the penalty in only two
cases. Department attorneys were able to secure dismissals in four of the five dismissal cases
taken to hearing.
During this reporting period, administrative misconduct was alleged in 165 cases, including
cases in which a full investigation was conducted, the subject of the investigation was
interviewed, and the department determined there was enough evidence to take direct action
without an investigation. The remaining 27 cases involved alleged criminal misconduct,
including criminal investigations into the use of deadly force.
We encourage feedback from our readers and strive to publish reports that not only meet
our statutory mandates, but also offer concerned parties a tool for improvement. For more
information about the Office of the Inspector General, including all our published reports,
please visit our website at www.oig.ca.gov.
Sincerely,
Amarik K. Singh
Inspector General
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | iii
Contents
Illustrations iv
The Discipline Monitoring Unit 1
The Discipline Monitoring Report 1
The Department’s Investigative and Disciplinary Process 2
Assessing Departmental Stakeholders 2
The Hiring Authority 5
The Hiring Authorities’ Performance in Discovering and Referring
Allegations of Employee Misconduct Worsened 5
Hiring Authorities Did Not Improve Their Performance in Making
Investigative and Disciplinary Findings and Continued to Perform
Below the Standard in Too Many Cases 9
The Office of Internal Affairs 15
Central Intake Panel 15
The Office of Internal Affairs Sufficiently Investigated Deadly
Use-of-Force Incidents in Most Cases 19
The Office of Internal Affairs Often Delayed
Criminal Investigations 22
The Office of Internal Affairs Generally Performed Well in
Conducting Administrative Investigations 24
The Employment Advocacy and Prosecution Team 27
Vertical Advocates Could Improve Their Performance by
Avoiding Delays and by Making Appropriate Recommendations
to Hiring Authorities 27
Vertical Advocates Can Improve Their Performance When Providing
Recommendations to the Central Intake Panel and Making Timely
Entries in the Case Management System 30
Vertical Advocates Continue to Secure Favorable Decisions From
the State Personnel Board in Most Cases 33
Critical Incidents 35
The OIG Makes Recommendations in Several Ways 39
The Department Should Draft Disciplinary Actions That Plead
Alternative Theories of Misconduct to Avoid Adverse State
Personnel Board Decisions 41
Recommendations 43
Office of the Inspector General, State of California
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iv | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
Illustrations
Figures
1. Ratings for Cases the OIG Monitored During the Period
From January 1, 2023, Through June 30, 2023 4
2. Distribution of Case Types Resulting From the Office of Internal
Affairs’ Decisions During the Central Intake Process
From January 1, 2023, Through June 30, 2023 17
3. The OIG’s Criteria for Responding to Critical Incidents During
the Reporting Period From January Through June 2023 35
4. Distribution of Incidents That Occurred During the Reporting
Period From January 1, 2023, Through June 30, 2023 36
Table
1. Monitoring Criteria Used by the Office of
the Inspector General 16
Photographs
1. Makeshift Weapon (View 1) 38
2. Makeshift Weapon (View 2) 38
Graphics
The OIG’s Mandates v
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | v
T
he Inspector General
shall be responsible for contemporaneous
oversight of internal affairs investigations and
the disciplinary process of the Department of
Corrections and Rehabilitation, pursuant to
Section 6133 under policies to be developed by
the Inspector General.
(California Penal Code section 6126 (a))
The Office of the Inspector General shall
be responsible for contemporaneous public
oversight of the Department of Corrections and
Rehabilitation investigations conducted by the
Department of Corrections and Rehabilitation’s
Office of Internal Affairs. . . . The Office of the
Inspector General shall also be responsible for
advising the public regarding the adequacy of
each investigation, and whether discipline of the
subject of the investigation is warranted.
(California Penal Code section 6133 (a))
The Office of the Inspector General shall also
issue regular reports, no less than semiannually,
summarizing its oversight of Office of Internal
Lady Justice
Affairs investigations pursuant to subdivision (a).
(California Penal Code section 6133 (b) (1))
— State of California
Excerpted from Penal Code sections
Office of the Inspector General, State of California
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vi | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
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Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 1
The Discipline Monitoring Unit
California Penal Code sections 6126 and 6133 mandate that the Office
of the Inspector General (the OIG) provide oversight to the California
Department of Corrections and Rehabilitation (the department). Our
office monitors internal affairs investigations, both criminal and
administrative, as well as the disciplinary process conducted by the
department. The OIG’s Discipline Monitoring Unit (DMU) is responsible
for monitoring these processes, and this unit is staffed by attorneys
who hold the classifications of Special Assistant Inspector General
(SAIG) or of Senior Assistant Inspector General (SrAIG). SAIGs in DMU
have a minimum of eight years of experience practicing law, and these
attorneys come from diverse legal backgrounds including but not limited
to criminal prosecution and defense, administrative law, prosecution
and defense of peace officer disciplinary actions, and civil litigation in
State and federal courts. DMU attorneys have a wealth of experience and
can provide valuable, real-time feedback and recommendations to the
department regarding the investigative and the disciplinary processes.
The Discipline Monitoring Report
California Penal Code section 6133 (a) requires that our office advise
the public regarding the adequacy of the department’s internal affairs
investigations that we monitor and whether discipline in those cases
was warranted. The mandate requires that we issue regular reports, no
less than semiannually, summarizing our oversight of the department’s
Office of Internal Affairs’ investigations. We satisfy these statutory
requirements by publishing our discipline monitoring reports twice a
year. Per our mandate, we report on the following:
1. A synopsis of each matter we review
2. An assessment of the quality of the investigation
3. The appropriateness of the disciplinary charges
4. Our recommendations regarding the disposition and level
of discipline in each case and the extent to which the
department agreed with us
5. A report of any settlement in a case and whether we agreed
6. The extent to which discipline was modified after it
was imposed
Each month, we publish our findings on our website as they pertain
to individual cases. These findings and assessments can be found
at www.oig.ca.gov by accessing the Data Explorer tab, followed by
Case Summaries.
Office of the Inspector General, State of California
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2 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
The Department’s Investigative and
Disciplinary Process
The department’s investigative process begins when the department
discovers allegations of misconduct. If the hiring authority discovers
an allegation of misconduct and determines there is a reasonable belief
that misconduct occurred, he or she must refer the allegations to the
Office of Internal Affairs’ Central Intake Panel for review. The Central
Intake Panel includes representatives of the Office of Internal Affairs, a
department attorney from the department’s Employment Advocacy and
Prosecution Team (EAPT), and an attorney from the OIG. The Office
of Internal Affairs processes the allegations and determines whether
to open an investigation. If the Office of Internal Affairs does not open
an investigation or approve an interview of the employee accused of
misconduct, it returns the case to the hiring authority either to reject
because no misconduct was found or to take direct action in the form of
discipline or corrective action.
If the Office of Internal Affairs approves an investigation, the case is
referred to a regional office, where it is assigned to a special agent who
conducts interviews and gathers evidence. The special agent consults
with an OIG attorney on cases that the OIG monitors and with a
department attorney on cases EAPT designates for assignment. The
special agent completes a report when the investigation concludes and
forwards it to the hiring authority for review. The hiring authority meets
with both the OIG attorney and the department attorney to discuss the
disciplinary findings. The hiring authority makes a finding of sustained,
not sustained, exonerated, or unfounded for each allegation.
When the hiring authority sustains at least one allegation, he or she
determines the appropriate discipline by referring to guidelines listed
in the department’s disciplinary matrix. The department attorney drafts
a disciplinary action, and the department serves the disciplinary action
on the employee who committed misconduct. The employee can then
request a predeprivation hearing, otherwise known as a Skelly hearing,
which provides the employee with the opportunity to present facts or
arguments in favor of reducing or revoking the discipline. After the
disciplinary action takes effect, the employee can file an appeal with the
State Personnel Board, through which an evidentiary hearing is later
conducted. At the hearing, the department has the burden of proving the
allegations in the disciplinary action by a preponderance of the evidence.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 3
Assessing Departmental Stakeholders
As noted in our previous report issued in June 2023, the OIG revamped
our performance indicators, questions, and ratings for the January
through June 2023 reporting period. There are now three indicators,
one for each stakeholder. Previously, there were six performance
indicators, two for each stakeholder. Under the previous rubric, we used
one performance indicator to rate the stakeholder’s performance at
the investigative and disciplinary phases and one indicator to rate the
stakeholder’s performance during the preliminary stage of processing
cases for the Office of Internal Affairs’ Central Intake Panel. The OIG
continues to use standardized assessment questions to assess the
three departmental stakeholders. Beginning in this reporting period, we
summarize our findings for each stakeholder holistically as opposed to
using the six performance indicators based on the stakeholder and the
phase of the case. The three indicators we use are listed below:
Indicator 1: Hiring Authority
Indicator 2: Office of Internal Affairs
Indicator 3: Employment Advocacy and Prosecution Team
The OIG also changed its assessment ratings this reporting period
by assigning each stakeholder a rating of sufficient, sufficient with
recommendations, or insufficient to each applicable indicator, and an
overall rating to the case.
In general, a sufficient rating means that the OIG did not identify any
significant deficiencies. A sufficient with recommendations rating means
that the OIG found significant deficiencies, but the deficiencies did not
appear to cause a negative outcome for the department or for the cases.
An insufficient rating means that the OIG found significant deficiencies
that caused a negative outcome for either the department or the cases.
Examples of a negative outcome might be that the department allowed
the deadline to take disciplinary action to expire before disciplinary
action could be taken; failed to dismiss an employee who should have
been dismissed; or delayed an investigation or service of a disciplinary
action, thereby causing an employee who had committed serious
misconduct to spend an excessive amount of time on administrative time
off or to be redirected from a post within the secure perimeter of a prison
to the mailroom.
Office of the Inspector General, State of California
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4 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
The OIG determines an overall rating for each case we monitor after
considering the ratings for each indicator. The overall rating of a case
is equal to the worst performance indicator. For example, if any of the
three performance indicators is rated insufficient, we rate the entire
case insufficient. Likewise, if the lowest rated performance indicator
is sufficient with recommendations, we rate the entire case sufficient
with recommendations.
In this reporting period we monitored and closed 192 cases. Of these,
165 involved administrative allegations, and 27 involved criminal
allegations. We rated 23 percent of the cases (45 cases) sufficient,
49 percent (94 cases) sufficient with recommendations, and 28 percent
(53 cases) insufficient. This means approximately three of four cases were
not insufficient. On the other hand, it also means about three of four cases
had significant deficiencies.
Figure 1. Ratings for Cases the OIG Monitored During the Period
From January 1, 2023, Through June 30, 2023
Sufficient
45
(23%)
N = 192
Sufficient With
Cases 94
Recommendations
(49%)
53
Insufficient (28%)
Source: The Office of the Inspector General Tracking and Reporting System.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 5
The Hiring Authority
Hiring authorities are individuals within the department who are
authorized to hire, dismiss, and discipline employees. Wardens are the
hiring authorities in most of the cases we monitor. Hiring authorities are
responsible for timely referring discovered allegations to the Office of
Internal Affairs when they have a reasonable belief misconduct occurred.
Hiring authorities are also responsible for reviewing the investigation
and evidence gathered by the Office of Internal Affairs, making findings
regarding the allegations of misconduct, determining the appropriate
level of discipline, and deciding whether to enter into a settlement with
the disciplined employee. The OIG assesses the performance of hiring
authorities throughout this process.
Hiring Authorities’ Performance in Discovering
and Referring Allegations of Employee
Misconduct Worsened
Whenever hiring authorities reasonably believe employee misconduct
occurred, they are responsible for conducting a preliminary inquiry
into the matter and timely requesting an investigation or approval for
direct action from the Office of Internal Affairs’ Central Intake Unit.
The Central Intake Unit determines whether to assign the case to an
investigator, return it to the hiring authority without any investigation,
or reject the case entirely.
The hiring authority is required to review each case and conduct initial
inquiries to ensure that enough information exists to determine whether
there is a reasonable belief that the alleged misconduct occurred. Staff
misconduct means an allegation that departmental staff violated a law,
regulation, policy, or procedure, or acted contrarily to an ethical or a
professional standard, which, if true, would likely subject a staff member
to adverse disciplinary action. Reasonable belief is established when facts
and circumstances are known that make a reasonable person of average
caution believe staff misconduct occurred.
As previously mentioned, the OIG now assesses hiring authorities’
performance overall, rather than separately assessing their performance
in referring misconduct or their performance in determining and
investigating disciplinary findings. Therefore, there is no rating
comparing how hiring authorities performed in this area during this
period. However, in the last reporting period, we found that hiring
authorities handled the discovery and referral of employee misconduct
allegations satisfactorily in 78 percent of cases.
Office of the Inspector General, State of California
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6 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
Hiring Authorities Did Not Improve Their Performance in
Referring Allegations Without Undue Delay
The OIG monitors both the thoroughness of a hiring authority’s inquiry
of alleged misconduct and the timeliness of referrals sent to the Office
of Internal Affairs. Departmental policy requires that hiring authorities
refer matters of suspected misconduct to the Office of Internal Affairs
within 45 days of discovering the alleged misconduct.
From January through June 2023, we found that hiring authorities failed
to conduct an inquiry into alleged misconduct and refer matters to the
Office of Internal Affairs without undue delay in 26 percent of cases, and
timely referred matters in 74 percent of cases. This was a slight decline
from the last reporting period, when we found that hiring authorities
timely referred allegations in 76 percent of cases. Hiring authorities
continued a pattern of referring allegations late in approximately one
of every four cases. Of the 53 cases we rated insufficient, 15 had untimely
referrals of allegations. The following three case examples demonstrate
this issue:
OIG Case No. 22-0043718-DM
The OIG provides
interactive features An officer engaged in an overly familiar relationship with an
in this report. Click
incarcerated person, and the officer turned off her body-worn camera
on the small blue
boxes labeled with before talking to the incarcerated person. The hiring authority learned
the OIG Case No., of the alleged misconduct on November 16, 2021, when the Office of
and you can access
Internal Affairs provided a memorandum detailing the allegations.
the complete case
summary text on However, the warden significantly delayed referring the matter back to
our website. The the Office of Internal Affairs for an investigation and did not do so until
first occurrence is
June 17, 2022, 168 days after policy required. In July 2022, the officer
seen on this page,
right. submitted a letter of resignation. After an investigation, the hiring
authority sustained the allegations and determined dismissal was the
appropriate penalty. However, because the officer resigned before the
disciplinary action could be served, the hiring authority placed a letter in
the officer’s official personnel file indicating she had resigned pending
disciplinary action.
OIG Case No. 22-0044341-DM
An incarcerated person submitted a complaint that an officer had made
disparaging remarks directed toward an incarcerated person. The officer
referred to the incarcerated person as a “weirdo.” Although the term
may seem innocuous to the uninitiated, it is commonly understood in
prison to refer to persons who had engaged in sexually deviant behavior.
The hiring authority learned of the allegation upon reviewing the
incarcerated person’s complaint on October 20, 2021. The incarcerated
person initially identified a different officer as having committed the
misconduct. However, on November 14, 2021, the department secured
body-worn camera footage revealing that the misconduct had been
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 7
committed by the officer who had received counseling related to the
incident. The hiring authority referred the matter to the Office of
Internal Affairs on August 8, 2022. The department did not identify the
correct officer until August 25, 2022, more than nine months later and
after the case had been referred to the Office of Internal Affairs. The
department could have identified the correct officer earlier by more
diligently reviewing the evidence. By the time the hiring authority
conducted the investigative and disciplinary findings conference, the
deadline to take disciplinary action had already expired by 46 days.
An officer allegedly failed to close a shower gate and failed to contact
a supervisor to initiate controlled use-of-force protocols after an
incarcerated person had refused to submit to an unclothed body search,
which led to a use of force. The department learned of the alleged
misconduct on May 6, 2022, and the Office of Internal Affairs’ Allegation
Inquiry Management Section began an inquiry on May 13, 2022.1 The
Allegation Inquiry Management Section returned the matter to the
hiring authority on October 21, 2022, 161 days after initiating the inquiry,
and the hiring authority did not refer the matter to the Office of Internal
Affairs until April 25, 2023, 186 days after the matter had been returned
and just 11 days before the deadline to take disciplinary action. The
hiring authority found insufficient evidence to sustain the allegations.
The OIG concurred.
The Allegation Inquiry Management Section and Departmental
Hiring Authorities Significantly Delayed Processing 17 Cases,
Which Caused the Statute of Limitations to Expire Prior to or
While the Central Intake Panel Was Processing the Cases
In this reporting period, we continue to observe a trend of cases being
referred to the Office of Internal Affairs after the statute of limitations
had expired. State law limits the time in which an employer can initiate a
disciplinary action against an employee. Government Code section 19635
provides, in part, that no adverse action shall be valid against any State
employee for any cause for discipline based on any civil service law
unless a notice of the adverse action is served within three years of the
cause for discipline upon which the notice is based. The time frame
narrows for employees who are peace officers. In general, in those
cases, Government Code section 3304(d) provides that no disciplinary
action shall be undertaken against a peace officer for any act, omission,
or other allegation of misconduct if the investigation of the allegation
is not completed within one year of the agency’s discovery by a person
authorized to initiate an investigation of the allegation.
1. The Office of Internal Affairs’ Allegation Inquiry Management Section was responsible
for conducting inquiries into allegations of staff misconduct made by incarcerated persons.
During the inquiry, if the assigned investigator determined there was a reasonable belief of
misconduct, the investigator was required to end the inquiry and issue a report to the hiring
authority with a summary of the evidence gathered and a finding that a reasonable belief of
misconduct had occurred.
Office of the Inspector General, State of California
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8 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
In the last reporting period, we identified 16 cases in which hiring
authorities identified allegations before the deadline to take disciplinary
action expired, but referred them to the Office of Internal Affairs’
Central Intake Panel after the statute of limitations period had expired
or was rapidly approaching expiration. In this reporting period, that
number has more than doubled to 37. In 17 cases, the time in which
the deadline to serve disciplinary actions had already passed, and in
20 cases, the limitations period was set to expire in fewer than 30 days.
The OIG observed that, once again, delays in referrals to the Central
Intake Panel were most often caused by delays from the Office of
Internal Affairs’ Allegation Inquiry Management Section in reviewing
or investigating matters before referring them back to the hiring
authority. Of the 17 cases that were referred after the deadline had
passed for at least one allegation, the Allegation Inquiry Management
Section had conducted an inquiry in 12 of them. While the shortest
inquiry conducted, of those 12, lasted just one day, five of the inquiries
took at least 300 days to complete. The hiring authority in turn often
delayed referring the case after receiving the report from the Allegation
Inquiry Management Section. Of the 12 cases with inquiries referenced
above, the hiring authority took at least a month after the completion
of the inquiry to refer the allegations to the Office of Internal Affairs
in nine cases. While the Allegation Inquiry Management Section must
conduct inquiries with greater urgency, hiring authorities should also
implement safeguards to ensure that they are able to refer allegations
of misconduct as soon as possible to preserve their ability to impose
discipline when appropriate.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 9
Hiring Authorities Did Not Improve Their
Performance in Making Investigative and
Disciplinary Findings and Continued to Perform
Below the Standard in Too Many Cases
After the Office of Internal Affairs completes an administrative
investigation or an interview of an employee suspected of misconduct
or returns a case to the hiring authority to address the misconduct
allegation or allegations without an investigation or interview of the
employee, the hiring authority must make findings concerning the
allegations, identify the appropriate penalty, and serve the disciplinary
action if discipline was taken.
Before holding the investigative and disciplinary findings conference,
a hiring authority is required to review available evidence regarding
the misconduct allegations. At the conference, the hiring authority
consults with the department attorney and the OIG attorney, if one is
assigned. The hiring authority then determines whether there is enough
evidence to make decisions regarding the allegations and, if the Office
of Internal Affairs submitted a report, whether the report is sufficient or
additional investigation is necessary. If the hiring authority determines
there is sufficient evidence or the investigative report is sufficient, the
hiring authority makes findings pertaining to the allegations. If the
hiring authority sustains any allegation, the hiring authority determines
whether to impose corrective action or discipline and, if so, the specific
action to be taken.
We found hiring authorities’ overall performance to be either sufficient
or sufficient with recommendations in 158 of 192 cases, or 82 percent of
cases. Compared with the last reporting period, hiring authorities’
performance in discovering and referring allegations was satisfactory or
better in 144 of 184 cases, or 84 percent of cases, and hiring authorities’
performance in determining their findings and processing cases was
satisfactory or better in 101 of 152 cases or 66 percent. As explained
below, delays in making disciplinary decisions are a persistent and
recurring deficiency in hiring authority performance.
Hiring Authorities Frequently Held Untimely Investigative and
Disciplinary Findings Conferences
Departmental policy requires that the hiring authority conduct the
investigative and disciplinary findings conference no more than
14 calendar days after receipt of the final investigative report.2 If the
hiring authority made reasonable attempts to schedule the conference
within 14 days and held the conference within 30 days of receipt of the
case, we did not negatively assess a hiring authority for a late conference.
2. Cited in the department’s operations manual, Section 33030.13.
Office of the Inspector General, State of California
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10 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
If the hiring authority sustained any allegations, the hiring authority also
determined whether to impose discipline and, if so, determined the type
of discipline to impose.3
In this reporting period, hiring authorities failed to handle the
investigative and disciplinary process without undue delay in 83 of
192 cases. One of the most common types of delay we observed was
hiring authorities failing to timely conduct the investigative and
disciplinary findings conference. The following are examples of cases in
which the department delayed holding these conferences.
OIG Case No. 22-0043297-DM
Outside law enforcement arrested an officer for allegedly crashing his
personal vehicle into a building while under the influence of alcohol.
The Office of Internal Affairs approved a direct action4 and referred
the matter back to the hiring authority to impose discipline. Although
the officer’s blood alcohol concentration was below the legal limit, the
officer told outside law enforcement that he made a mistake and could
feel the effects of the alcohol. The OIG recommended obtaining a copy
of the criminal complaint prior to conducting the investigative and
disciplinary findings conference. Despite multiple recommendations
to conduct the conference, the conference did not occur until almost
seven months after the Office of Internal Affairs had referred the matter
back to the hiring authority.
OIG Case No. 22-0044884-DM
An officer abandoned his assigned post and left the prison without
permission, failed to ensure that his departure time was accurately
documented, and left his assigned post with his ammunition still
within the secured perimeter. The Office of Internal Affairs approved a
direct action and returned the matter to the hiring authority to impose
discipline. The hiring authority did not conduct the investigative and
disciplinary findings conference until 111 days later and 97 days after
policy required.
OIG Case No. 19-0028905-DM
An officer allegedly sexually molested a 15-year-old minor and sent
inappropriate and sexual text messages to the minor. The Office of
Internal Affairs approved a direct action and returned the matter to the
hiring authority to impose discipline. The hiring authority unnecessarily
3. Discipline includes a letter of instruction, letter of reprimand, salary reduction,
suspension, demotion, or dismissal.
4. A direct action authorizes the hiring authority to take direct action against the employee
regarding the alleged misconduct without an investigation or an interview of the employee
(or employees) suspected of misconduct.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 11
delayed concluding the investigative and disciplinary findings conference
to wait for the criminal case to be resolved. The Office of Internal
Affairs completed its investigation and referred the matter to the hiring
authority on December 1, 2020. The hiring authority conducted an initial
investigative and disciplinary findings conference on December 15,
2020, but decided to wait until the criminal case had concluded before
making any findings. The hiring authority later reconsidered, and
held the investigative and disciplinary findings conference on June 15,
2021, 182 days after the initial investigative and disciplinary findings
conference and 196 days after the Office of Internal Affairs had referred
the matter. The hiring authority decided to dismiss the officer. The
hiring authority did not serve the disciplinary action until July 19, 2021,
34 days after the decision to dismiss the officer, and four days after policy
required. The officer was finally separated from employment on July 27,
2021, more than two and a half years after the allegations against the
officer had been discovered. The officer was working in the mailroom
between July 14, 2020, and July 19, 2021, and was on paid administrative
leave from July 19, 2021, until his dismissal.
The OIG Invoked Executive Review in Two Cases This
Reporting Period
When any stakeholder has a significant disagreement with the hiring
authority’s findings regarding allegations, penalties, or a proposed
settlement, the stakeholder can elevate the hiring authority’s decision
to the hiring authority’s supervisor. Any stakeholder can continue to
elevate the matter to an even higher level if desired. This process is
referred to as executive review. If executive review is invoked, the hiring
authority’s supervisor is asked to review all the investigative materials.
The stakeholders then meet to discuss the disagreement, and the hiring
authority’s supervisor makes his or her own determinations. The OIG
invoked executive review in two cases we monitored and closed during
this reporting period. EAPT invoked executive review once as well.
Below are summaries of those cases and the issues in dispute.
OIG Case No. 21-0037756-DM
In one case we elevated, an officer allegedly struck his girlfriend with a
vehicle, threatened to shoot her with a firearm, and caused injuries to
her hands and wrist by pulling her purse away from her. The officer also
lied during an interview with the Office of Internal Affairs by denying
that his girlfriend had been trying to get away from him, that he had cut
her off in his vehicle and caused her to pull over, that he had caused her
injuries, and that he had been the aggressor in the incident. The officer
was also convicted of false imprisonment. The hiring authority sustained
the allegations, except for poorly worded allegations, and dismissed the
officer. The OIG concurred.
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12 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
After a Skelly hearing, the hiring authority decided to remove the
dishonesty allegation and reduce the penalty to a 75-working-day
suspension. The OIG did not concur. The OIG invoked executive
review five times in this case. Four executives agreed with the decision
to remove the dishonesty allegation and reduce the penalty. At the
fifth level of review, the Secretary sustained all the allegations and
dismissed the officer. The OIG concurred. The officer filed an appeal
with the State Personnel Board. Before a hearing could be conducted, the
department entered into a settlement agreement with the officer after
the officer’s girlfriend told the department attorney that she did not want
to testify and that she had put the incident behind her. The settlement
reduced the penalty to a five-month suspension. The OIG did not concur
with the settlement.
The hiring authority, the Office of Internal Affairs, and department
attorneys performed insufficiently during the investigative and
disciplinary processes. Initially, the Office of Internal Affairs did not
want to perform any investigation into the matter. The OIG elevated
the matter to an Office of Internal Affairs manager who concurred with
our recommendation to open a full investigation. However, the Office
of Internal Affairs significantly delayed conducting the investigation
into this case. The department redirected the officer to work in the
mailroom shortly after his arrest, but the Office of Internal Affairs did
not interview him until six months after the district attorney’s office
made it clear that it did not object to an interview, and 14 months after
the incident. The officer received full pay during the delay.
The department attorney recommended modifying the allegations
and penalty despite a preponderance of evidence including video
evidence supporting dishonesty. During the executive review process,
departmental executives and the department attorney argued they could
not sustain the allegation that the officer lied to the Office of Internal
Affairs because the interview of the officer had occurred too long after
the incident. The department attorney argued this point, but had not
made any meaningful effort to recommend that the Office of Internal
Affairs interview the officer without undue delay.
The department attorney made other inadequate arguments supporting
the modification. The department attorney argued that the special agent
conducted a poor interview of the officer. However, the department
attorney had been present to make recommendations to the special agent
during the interview, and the department attorney had confirmed in a
memorandum to the hiring authority prior to the initial investigative and
disciplinary findings conference that the investigation was sufficient.
The department attorney had not made any reference to the quality of the
interview in the memorandum or to its effect on the evidence.
The department attorney also argued to departmental executives that
the OIG had been attempting to add a new allegation after the Skelly
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 13
hearing and that this was outside the customary process. To the contrary,
the OIG argued that the department should not remove the dishonesty
allegation that the department attorney had already included in the
disciplinary action she had drafted.
OIG Case No. 20-0036415-DM
In the other case we elevated, outside law enforcement arrested an officer
after he allegedly drove a vehicle while under the influence of alcoholic
beverages and collided with a restaurant sign. The officer then fled the
scene of the collision and discharged several rounds from a firearm in a
residential neighborhood. The hiring authority sustained the allegations
and imposed a 10 percent salary reduction for 45 months. The OIG
recommended adding an allegation that the officer lied to outside law
enforcement by denying he had discharged the firearm. The OIG also
recommended the hiring authority dismiss the officer. The OIG elevated
the matter to two departmental executives who upheld the hiring
authority’s decisions. The OIG elevated the matter a third time to the
acting secretary of the department who agreed with the OIG to dismiss
the officer based on the severity of the misconduct, but did not add the
recommended dishonesty allegation. The officer filed an appeal with the
State Personnel Board. Prior to the hearing, the department entered into
a settlement agreement with the officer in which he resigned in lieu of
dismissal and agreed to never seek employment with the department in
the future. The OIG concurred with the settlement agreement.
The hiring authority and department attorneys performed insufficiently
during the disciplinary process. The hiring authority refused to add
an allegation of dishonesty despite the body-worn camera evidence
capturing the officer lying to outside law enforcement. The department
attorney also recommended against adding the allegation, arguing that
the officer did not remember firing several rounds from his firearm in a
residential neighborhood because he was drunk. The hiring authority and
department attorney also did not believe that the sustained allegations
involving a hit and run collision and recklessly discharging a firearm in
a residential neighborhood warranted dismissal. The department also
significantly delayed serving the dismissal action.
OIG Case No. 20-0032973-DM
In the case that EAPT elevated, an officer allegedly lowered a bucket
from an observation tower and allowed an incarcerated person to retrieve
candy from the bucket. A sergeant attempted to prevent a second officer
from reporting the incident, and failed to document and report that the
second officer had informed him that the first officer was being overly
familiar with the incarcerated person. The sergeant submitted false
documentation about the information the second officer had provided
to him, and the first officer lied during an Office of Internal Affairs’
interview. The sergeant also lied during an Office of Internal Affairs’
Office of the Inspector General, State of California
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14 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
interview. The hiring authority sustained the allegations against the
sergeant, except the allegation that he had attempted to prevent a second
officer from reporting the incident and a poorly worded allegation, and
dismissed the sergeant. Furthermore, the hiring authority sustained the
allegations against the officer, except for the poorly worded allegations,
and dismissed the officer. The OIG concurred. The department attorney
disagreed with the hiring authority’s findings because EAPT argued
it could not prove dishonesty and elevated the matter to the hiring
authority’s supervisor. At the higher level of review, the hiring authority’s
supervisor agreed with the hiring authority’s findings and dismissed
the officer. The officer and the sergeant filed appeals with the State
Personnel Board. The department entered into a settlement with the
officer and reduced the penalty to a 90-working-day suspension. The
OIG did not concur. The State Personnel Board upheld the dismissal of
the sergeant. The sergeant filed a writ petition with the Superior Court,
which the court denied.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 15
The Office of Internal Affairs
The Office of Internal Affairs is a unit within the department responsible
for investigating allegations of staff misconduct. When hiring authorities
discover allegations of staff misconduct and have a reasonable belief
misconduct occurred, the hiring authority is required to refer the matter
to the Office of Internal Affairs. When the Office of Internal Affairs
approves an investigation, it will assign a special agent to conduct
the investigation, interview witnesses and the employee accused of
misconduct, and submit a report to the hiring authority summarizing
the evidence and statements gathered during the investigation. The
OIG monitors this process contemporaneously, provides real-time
feedback to the special agent, and assesses the Office of Internal
Affairs’ performance.
Central Intake Panel
Whenever the department has a reasonable belief that an employee
committed administrative or criminal misconduct, the hiring authority
must timely request an investigation or approval of a direct action from
the Office of Internal Affairs. The hiring authority refers these matters
to the Office of Internal Affairs’ Central Intake Unit. Pursuant to
departmental policy, Office of Internal Affairs special agents, department
attorneys from EAPT, and OIG attorneys comprise a Central Intake
Panel, which meets weekly to review the misconduct referrals from
hiring authorities. The Office of Internal Affairs leads the meetings to
ensure that the evaluation of referrals is consistent, and department
attorneys provide legal advice to the Office of Internal Affairs. The OIG
monitors the process on a weekly basis, provides recommendations
to the Office of Internal Affairs regarding decisions on referrals, and
determines which cases the OIG will monitor.5 The Office of Internal
Affairs special-agent-in-charge—not the panel—makes the final decision
regarding the action the Office of Internal Affairs will take on each
hiring authority referral. The options are as follows:
• To conduct an administrative investigation;
• To conduct a criminal investigation;
• To conduct only an interview of the employee (or employees)
suspected of misconduct and no other investigative activity;
5. During this reporting period, the Office of Internal Affairs and EAPT assembled a
working group to consider changes to the Central Intake process. Although we requested to
monitor the working group, the department indicated it would only provide us with notes
of the progress. We will report on changes the working group makes to the Central Intake
process once implemented.
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16 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
• To authorize the hiring authority to take direct action against
the employee regarding the alleged misconduct without an
investigation or interview of the employee (or employees)
suspected of misconduct;
• To reject the referral without further action concerning the
allegation or allegations because there is no reasonable belief
misconduct occurred; or
• To reject the referral and return it to the hiring authority to
conduct further inquiry.
The following table is the OIG’s guide for determining which cases to
accept for monitoring:
Table 1. Monitoring Criteria Used by the Office of the Inspector General
Madrid-Related Criteria * OIG Monitoring Threshold
Unorthodox punishment or discipline of an incarcerated
person, ward, or parolee; or purposely or negligently creating
Abuse of Position
an opportunity or motive for an incarcerated person, ward, or
or Authority
parolee to harm another incarcerated person, ward, parolee, staff,
or self, i.e., suicide.
Trafficking of items prohibited by the California Penal Code or
criminal activity that would prohibit a peace officer, if convicted,
Criminal Conduct from carrying a firearm (all felonies and certain misdemeanors
or “wobblers“ such as those involving domestic violence,
brandishing a firearm, and assault with a firearm).
Perjury; material misrepresentation in an official law enforcement
report; failure to report a use of force resulting in, or which
Dishonesty
could have resulted in, serious injury or death; or material
misrepresentation during an internal investigation.
Cases involving alleged misconduct by high-ranking departmental
officials; misconduct by any employee causing significant
risk to institutional safety and security, or for which there is
High Profile
heightened public interest, or resulting in significant injury or
death to an incarcerated person, ward, or parolee (excluding
medical negligence).
Intimidating, dissuading, or threatening witnesses; retaliation
against an incarcerated person or against another person
Obstruction
for reporting misconduct; or the destruction or fabrication
of evidence.
Sexual misconduct prohibited by California Penal Code,
Sexual Misconduct
section 289.6.
Use of force resulting in, or which could have resulted in, serious
Use of Force
injury or death or discharge of a deadly weapon.
* Madrid v. (Gomez) Cate (N.D. Cal. 1995) 889 F.Supp. 1146) (citation (URL) accessed on 8-29-23).
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 17
In this reporting period, the OIG monitored 90 percent of cases that had
been opened by the Office of Internal Affairs that we identified as falling
within these criteria. Because the above-listed seven categories typically
constitute the most serious cases, the OIG strives to monitor as many of
such cases as possible while taking into account staffing and attorney
caseloads. On occasion, we monitor cases that fall outside these criteria.
However, about 25 years ago, in the class-action lawsuit, Madrid v. Gomez,
the federal court found, among other things, that department officials
had failed to investigate and discipline employees who committed
serious misconduct. As a result, we focus our efforts and resources on
monitoring cases that meet the above-listed criteria instead of ordinary
or low-level misconduct. The OIG is committed to monitoring such cases
at a very high level.
In the six-month reporting period of January through June 2023, the
Office of Internal Affairs made decisions concerning 1,181 referrals
involving potential staff misconduct, which the OIG also reviewed
during the central intake process (see Figure 2 below). In reviewing those
cases, the OIG disagreed with the Office of Internal Affairs’ initial review
in 179 cases. Of those 179 cases, the OIG found that the Office of Internal
Affairs made the wrong decision in 132 of those cases, a significant figure
of 74 percent.
Figure 2. Distribution of Case Types Resulting From the Office of Internal Affairs’ Decisions
During the Central Intake Process From January 1, 2023, Through June 30, 2023
Direct Action Cases
464
Without Subject Interview
Direct Action
With Subject Interview 225
Administrative Investigations 218
N = 1,057
Cases
Criminal Investigations 80
Rejections of Referral Because
There Was No Reasonable Belief 62
Misconduct Occurred
Rejections of Referral to
Return to Hiring Authority 8
for Further Inquiry
0 100 200 300 400 500
Source: The Office of the Inspector General.
Office of the Inspector General, State of California
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18 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
The Office of Internal Affairs’ Central Intake Panel Processed
Cases Timely and Appropriately in Most Cases
In this reporting period, the OIG found fault with the Office of Internal
Affairs’ performance during the Central Intake process in 46 of the
192 cases we monitored and closed. In 10 of the cases, we found that the
Office of Internal Affairs delayed processing cases. In 36 cases, we found
that the Office of Internal Affairs made inappropriate determinations.
We do not always agree with the Office of Internal Affairs regarding
decisions concerning hiring authority referrals. The OIG disagreed with
the Office of Internal Affairs’ initial determination in 19 percent of cases
that our office monitored during this reporting period. This was an
improvement from the last period in which we disagreed in 23 percent
of cases. Disagreements were often due to the OIG’s position that the
Office of Internal Affairs conducted a faulty, speculative, or ill-informed
analysis. Examples included the Office of Internal Affairs’ failure to add
appropriate allegations or identify all appropriate subjects. Disputes also
included our disagreement with the department’s decisions to not open
full investigations and to instead return matters to hiring authorities
for addressing misconduct allegations without an interview or an
investigation. Of the 19 percent of cases with which the OIG disagreed,
one of the most common causes of disagreement was the Office of
Internal Affairs’ decision not to add all appropriate allegations supported
by a reasonable belief that misconduct occurred.
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 19
The Office of Internal Affairs Sufficiently
Investigated Deadly Use-of-Force Incidents in
Most Cases
The Office of Internal Affairs opens a deadly force investigation when an
employee fires a deadly weapon with the intent to strike a person or, in
some cases, an animal, or when an officer uses a tool such as a baton or a
less-lethal round to intentionally strike a person in the head. The Office
of Internal Affairs also occasionally opens a deadly force investigation
when an employee fires a warning shot or unintentionally discharges a
deadly weapon. The Office of Internal Affairs assigns special agents from
the Deadly Force Investigation Team to conduct these investigations.
One special agent is responsible for conducting a criminal investigation,
and another special agent is responsible for conducting an administrative
investigation. The OIG monitors all deadly force investigations.
The department defines deadly force as any force that is likely to result
in death. Any discharge of a firearm other than a lawful discharge during
weapons qualification, firearms training, or other legal recreational use
of a firearm is considered deadly force. Employees are only authorized to
use deadly force when it is necessary to do one of the following: 1) defend
the employee or other people from an imminent threat of death or great
bodily injury; 2) prevent an escape from custody; 3) stop acts such as riots
or arson that constitute an immediate threat to institutional security and,
because of their magnitude, are likely to result in escapes, great bodily
injury, or the death of other people; and 4) dispose of seriously injured
or dangerous animals when no other disposition is practical. Officers
are not to discharge a firearm if there is a reason to believe someone
other than the intended target would be injured. Warning shots are only
permitted in an institutional setting.
Between January and June 2023, the OIG monitored and closed
six administrative cases and four criminal cases that the Office of
Internal Affairs investigated regarding the use of deadly force. We
rated the Office of Internal Affairs’ performance in investigating deadly
force incidents in the current reporting period as either sufficient or
sufficient with recommendations in every one of the 10 cases. In the July
through December 2022 reporting period, we rated one of 18 deadly force
investigations poor.6 However, the Office of Internal Affairs’ performance
was not perfect. Below is a summary of a case in which we rated the
Office of Internal Affairs’ performance as sufficient with recommendations.
6. As discussed, in the July through December 2022 reporting period, we used the ratings
of superior, satisfactory, and poor.
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20 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
OIG Case No. 22-0044883-DM
On October 14, 2022, two incarcerated people attacked a third
incarcerated person with makeshift weapons on an exercise yard. An
officer fired one warning shot and one shot for effect from a Mini-
14 rifle. The shot for effect struck the first incarcerated person in the
shoulder, stopping the attack. The third incarcerated person died from
the injuries inflicted on him during the attack. The Deadly Force Review
Board found that the officer’s use of deadly force complied with policy.
The hiring authority determined the investigation revealed the officer’s
actions were justified, lawful, and proper. The OIG concurred with
the hiring authority’s determination. Although we found the Office of
Internal Affairs’ performance in investigating the incident was sufficient,
we found room for improvement. First, although the special agent asked
witnesses questions about their estimated distance from the incident, we
felt that more questions should have been asked to determine whether
the witnesses were near the line of fire. This is important information
in determining whether the shots were fired safely. Second, and perhaps
as a result of not asking the questions, we found the final investigative
report lacked a description of where officers were standing in relation to
the line of fire.
In January 2023, the Office of Internal Affairs changed its policy
regarding the time frame to complete deadly force investigations.
The department requires special agents to complete criminal and
administrative deadly force investigations for incidents occurring in a
prison within 120 days. Investigations occurring outside a prison should
be completed within 180 days. During the current reporting period, the
Office of Internal Affairs did not complete deadly force investigations
within 120 days in three of the 10 cases monitored and closed by the
OIG. The Office of Internal Affairs’ Chief of Field Operations granted
extensions in all three of these cases.
Employees Violated the Deadly Use-of-Force Policy in
Two Cases
The department found that employees violated the department’s deadly
use-of-force policy in two of the six administrative cases we monitored
and closed. We concurred with the department’s findings that the use-
of-force policy had been violated in both cases. One of the cases involved
an officer who fled the scene of a collision while under the influence of
alcohol, which was discussed earlier in this report. In the other case, the
hiring authority demoted a lieutenant, and the OIG disagreed. However,
there was also a case in which the department found the employee did
not violate the deadly use-of-force policy and the OIG disagreed. These
last two cases are discussed below:
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OIG Case No. 22-0044439-DM
An off-duty lieutenant unintentionally discharged a round from a
handgun, which caused injures to himself, his spouse, and another
person. The Deadly Force Review Board found that the officer’s use of
deadly force did not comply with policy. The hiring authority sustained
the allegation and determined a demotion was the appropriate penalty.
The OIG did not concur with the penalty and recommended the officer
be dismissed because the lieutenant was intoxicated at the time of the
incident, and the officer’s spouse suffered a concussion, which was a
serious injury.
OIG Case No. 22-0043588-DM
Three incarcerated people attacked a fourth incarcerated person on
an exercise yard. An officer fired one round from a Mini-14 rifle that
did not strike the intended target, but stopped the attack. The Deadly
Force Review Board found the officer’s use of deadly force complied
with policy. The hiring authority determined the conduct did occur,
but the investigation revealed the officer’s actions were justified,
lawful, and proper. The OIG did not concur with the finding that the
officer had complied with policy. The officer did not fire the Mini-14
rifle in a safe manner because the officer fired the round in a direction
where incarcerated people other than the intended target could have
been injured.
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22 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
The Office of Internal Affairs Often Delayed
Criminal Investigations
We found the Office of Internal Affairs’ performance in investigating
criminal allegations of misconduct to be insufficient or sufficient
with recommendations in 10 of 23 criminal investigations during this
reporting period. In all but one of those cases, the deficiencies we
identified pertained to a lack of due diligence, failure to act in a timely
fashion, or delays of some sort. For example, we found delays in
requesting administrative investigations, in conducting and completing
investigations, and in referring matters to a district attorney. The Office
of Internal Affairs could significantly improve in its handling of criminal
cases without undue delay. Below are two cases in which we rated the
Office of Internal Affairs’ performance insufficient, which illustrate
the issue.
OIG Case No. 22-0042909-CM
A dental assistant allegedly engaged in a sexual relationship with an
incarcerated person and conspired with the incarcerated person to
bring heroin and SIM cards into the prison. SIM cards are considered
contraband because they can be used with mobile phones to facilitate
illicit communications. The dental assistant also allegedly engaged
in a sexual relationship with a second incarcerated person while the
person was incarcerated and after he was released on parole. The
alleged criminal misconduct occurred between November 1, 2021,
and April 22, 2022. The Office of Internal Affairs conducted an
investigation and referred the matter to a district attorney. We rated
the case insufficient because the special agent did not refer the matter
to the district attorney’s office until after the deadline to file criminal
charges had expired for two allegations of criminal misconduct that
occurred in November and December of 2021, and did not complete the
investigation until 262 days after the investigation had been opened.
We also found that the special agent did not perform any investigative
work for almost four months during the investigation. The special agent
collected mobile phones from the cell of an incarcerated person as part of
the investigation. However, the special agent delayed approximately six
months before requesting the mobile phones be examined to determine
their evidentiary value (i.e., whether they could be connected with alleged
criminal acts). The special agent did not complete the investigation
within 90 days of the date the subject was placed on administrative time
off pursuant to the department’s guideline. Moreover, the special agent
did not timely request that an administrative case be opened even though
the dental assistant had been on paid administrative leave for serious
allegations which, if sustained, were likely to result in a dismissal. The
dental assistant was eventually dismissed, but not until more than three
months had passed since the Office of Internal Affairs had approved an
administrative case.
Office of the Inspector General, State of California
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A youth counselor allegedly smuggled marijuana into a juvenile
facility. The Office of Internal Affairs opened a criminal investigation
into the allegations and eventually referred the matter to a district
attorney’s office for prosecution. However, the Office of Internal
Affairs significantly delayed opening an administrative case after the
youth counselor had been found in possession of marijuana on facility
grounds. The department placed him on paid leave the same day he was
found in possession of the contraband substance. However, the special
agent assigned to the criminal investigation did not attempt to have the
marijuana tested and did not interview two critical witnesses until more
than four months after the counselor had been caught with marijuana.
One witness refused to cooperate, and the other did not return the
special agent’s phone calls. The special agent submitted the criminal
investigative report to the district attorney almost six months after the
start of the criminal investigation. Finally, the Office of Internal Affairs
did not approve an administrative interview of the counselor until after
the counselor had been on paid leave for seven months.
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24 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
The Office of Internal Affairs Generally
Performed Well in Conducting Administrative
Investigations
In the last reporting period, we rated the Office of Internal Affairs’
performance as satisfactory in 86 percent of administrative cases we
monitored. In this reporting period we rated the Office of Internal
Affairs’ performance in administrative cases as sufficient in 89 cases,
sufficient with recommendations in 50 cases, and insufficient in 26 cases.
The most common reason we rated a case insufficient was due to excessive
delays in completing the investigation or other delays, including those
caused by the Allegation Inquiry Management Section of the Office of
Internal Affairs.
Below are two cases that involved insufficient performance by the Office
of Internal Affairs. In one case, the lack of due diligence by the Office
of Internal Affairs prevented that office from securing a compelled
interview.7 That case is summarized below.
OIG Case No. 22-0042989-DM
An officer allegedly put his hand on the leg of a counselor, put his arm
around the counselor, and stood within inches of the counselor and
would not move when asked to do so. The Office of Internal Affairs
approved an interview of the officer. However, the special agent
rescheduled the interview more than once. By the time the interview
of the officer was completed, nearly four months had passed since
the interview had been approved. Immediately upon completing the
interview of the officer, the Office of Internal Affairs determined more
interviews were necessary, including an interview of the counselor. After
the Office of Internal Affairs approved a full investigation, the special
agent learned that the counselor had resigned from the department
56 days before the officer was interviewed, which meant the department
could no longer compel the counselor to participate. The Office of
Internal Affairs attempted to interview the counselor three months after
she resigned, but she declined to participate in an interview. The hiring
authority found insufficient evidence to sustain the allegations, in part,
because the counselor had not been interviewed.
OIG Case No. 21-0041513-DM
Two officers allegedly failed to continuously monitor an incarcerated
person who was being treated at an outside hospital, thereby allowing
him to escape; failed to ensure that the incarcerated person’s hospital
room was secure at the beginning of their shifts; and failed to ensure
7. Department employees may be compelled to answer questions related to their
employment or face discipline up to and including dismissal, but only as long as they
remain employed by the department.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 25
that the incarcerated person was securely restrained while at the outside
hospital. Two additional officers allegedly kicked and punched the
incarcerated person after they located him, and a fifth officer failed to
report that the third and fourth officers had kicked and punched the
incarcerated person.
During the interview of one of the officers, the special agent presented
reports of the incident authored by two of the other involved officers
for the first officer to review. It was unnecessary for the officer to
review reports he did not write. However, having done so, the special
agent needlessly informed the officer that the reports were inconsistent
before questioning him about the reports. The special agent downplayed
the inconsistencies by telling the officer the inconsistencies could be
explained. Instead of immediately questioning the officer about the
reports, the special agent offered the officer an opportunity to first
consult with his representative. This practice provided an opportunity
for the officer’s representative to coach the officer regarding potential
answers to questions. Better practice would have been to allow the
officer to review the reports (if at all) with the officer’s representative
without first telling him 1) there were inconsistencies, and 2) the
inconsistencies could be explained. Moreover, the special agent asked
leading questions during the interviews. As a result, it was unclear
whether the officers truly recalled the details of the incident or answered
based on information the special agent had included in his questions.
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The Employment Advocacy and
Prosecution Team
The Employment Advocacy and Prosecution Team (EAPT) is the third
stakeholder that DMU monitors during the investigative and disciplinary
processes. EAPT attorneys, known as vertical advocates, provide legal
recommendations to both the Office of Internal Affairs and to hiring
authorities. Generally, the same vertical advocate represents the
department throughout the entire investigative and disciplinary process.
The OIG monitors the vertical advocate’s performance, performs real-
time feedback during the investigation and litigation process, and
assesses the vertical advocate’s performance.
Vertical Advocates Could Improve Their
Performance by Avoiding Delays and by
Making Appropriate Recommendations to
Hiring Authorities
During this reporting period, we assigned EAPT a sufficient rating in
128 cases, a sufficient with recommendations rating in 45 cases, and an
insufficient rating in 19 cases. Our single most common criticism of
department attorneys was their failure to handle the disciplinary process
without undue delay. We found department attorneys had failed to
handle the disciplinary process without undue delay in 26 percent of
cases in which a hiring authority imposed discipline. Our second most
common criticism was that department attorneys had failed to make
timely entries in the case management system. Department attorneys’
poor recommendations to hiring authorities during investigative and
disciplinary findings conferences had a significantly negative impact
on cases we rated insufficient. Cases illustrating some of the above
deficiencies are detailed below
Failure to Handle the Disciplinary Process Without Undue Delay
The most common deficiency in this reporting period was department
attorneys’ failure to handle the disciplinary process without undue delay.
The disciplinary process includes consulting at the investigative and
disciplinary findings conference, drafting the disciplinary action for
service, and attending Skelly hearings. Even though it is of the utmost
importance to complete these steps, department attorneys delayed the
disciplinary process, often by taking too long to draft and provide the
disciplinary action to the hiring authority. We found 31 cases in which
the department attorney did not handle the disciplinary process without
undue delay. Below are two examples:
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28 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
An officer allegedly sexually harassed a medical technician and subjected
employees in a medical clinic to cursing, throwing items, hitting
keyboards, and disrupting medical provider lines. The officer allegedly
told the medical technician that he did not trust people with red hair,
did not believe the medical technician’s red hair was real, asked to see
her hair roots, threw objects, cursed at her, and showed her photos of his
girlfriend in a bathtub. The hiring authority sustained allegations and
imposed a 90-working-day suspension. However, the department did not
serve the disciplinary action until 114 days after the decision to suspend
the hiring authority, even though policy required service of disciplinary
actions 30 days after the decision. Even more egregious, the department
attorney did not provide the OIG with a copy of the draft disciplinary
action for review before providing it to the hiring authority. When the
final disciplinary action was served, it contained a material drafting
error that significantly misstated the penalty that the hiring authority
had intended to impose. As a result, the hiring authority entered into a
settlement agreement with the officer modifying the penalty.
OIG Case No. 22-0044804-DM
An off-duty officer allegedly reported for duty while under the influence
of alcohol, assumed an armed post, and failed to sign orders for the
armed post. Because of the severity of the misconduct, the hiring
authority sustained the allegations and dismissed the officer. The
department attorney did not provide a draft disciplinary action to either
the OIG or the hiring authority until 49 days after the decision to dismiss
the officer and, by the time it was finalized, about two months had passed
since the hiring authority had made the decision. The officer filed an
appeal, but ultimately withdrew it, and the officer was reassigned to the
mailroom outside the secure perimeter during the delay. The department
should have expedited service of the dismissal action because the
allegations against the officer were serious, and he had been reassigned
to the mailroom. The department should have expedited service of the
dismissal action, especially considering the case involved an officer
who had been assigned to handle firearms, but was under the influence
of alcohol.
Inappropriate Recommendations to the Hiring Authority
In addition to delaying the disciplinary process, we also found
that department attorneys sometimes did not provide appropriate
recommendations or legal advice to hiring authorities during
investigative and disciplinary findings conferences. Hiring authorities
depend on department attorneys to counsel them about crucial
disciplinary decisions concerning employees who work under them.
Nevertheless, there were 12 cases in which department attorneys made
inadequate recommendations. Those inadequate recommendations were
impactful because in seven of those cases (more than half), we rated the
case as insufficient. Below are two examples:
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 29
OIG Case No. 22-0045604-DM
An officer allegedly committed acts of domestic violence against his wife,
resulting in his arrest by an outside law enforcement agency. The officer
allegedly kicked a security guard, used rude and offensive language
toward outside law enforcement, was intoxicated in public, and resisted
outside law enforcement officers during his arrest. The department
attorney failed to recommend that the hiring authority sustain the
domestic violence allegation, even though several witnesses confirmed
that the officer had pushed or struck his wife. The department attorney
also failed to recommend dismissing the officer and inappropriately
advised the hiring authority that the officer’s prior disciplinary action
was too old to be considered by the State Personnel Board. In addition,
the department attorney advised against dismissing the officer because
the officer was intoxicated, as if that somehow mitigated the officer’s
misconduct. As a result, the hiring authority did not dismiss the officer.
The OIG disagreed because the officer endangered the safety of others by
becoming publicly intoxicated to the point that outside law enforcement
placed him in a body restraint.
OIG Case No. 22-0044656-DM
A counselor allegedly lied to a lieutenant about meeting with an
incarcerated person and failed to confirm that an officer had met with
the incarcerated person prior to a classification committee meeting.
On July 21, 2021, the counselor also allegedly falsely documented that
she had met with the incarcerated person. At the investigative and
disciplinary findings conference, the department attorney recommended
the hiring authority add and sustain an allegation that the counselor had
neglected her duties. The recommendation was unreasonable because the
investigation failed to establish that the counselor violated a known duty
or that there was a relevant policy which was violated.
Office of the Inspector General, State of California
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30 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
Vertical Advocates Can Improve Their
Performance When Providing Recommendations
to the Central Intake Panel and Making Timely
Entries in the Case Management System
Department attorneys generally performed well in providing
recommendations to the Central Intake Panel and making timely entries
in the department’s case management system, but could improve their
performance by giving thoughtful and well-considered advice at the
Central Intake Panel meeting, and ensuring that the deadline to take
disciplinary action is promptly recorded in the case management system.
Although these aspects of department attorney work occur relatively
early, they are still important because they may have ramifications for the
investigation and the hiring authorities’ decisions as cases progress.
Vertical Advocates Could Improve in Making Timely Entries in
the Case Management System
It is critical that department attorneys immediately assess the statute
of limitations and any tolling exceptions so that they can provide
appropriate advice to special agents about how much time they have
to complete their investigation. However, despite the critical nature of
this assessment, department attorneys failed to make entries in the case
management system that included this analysis in 13 cases we monitored.
Although this is an improvement over the 20 monitored cases in the
last reporting period that lacked timely entries, there is still room for
improvement. In four of the 13 cases, the assessment was late, but in
nine of the 13 cases, the assessment was not entered at all. Below are
two such cases:
OIG Case No. 22-0045614-DM
A sergeant and three officers allegedly threw an incarcerated person
on a bench, grabbed him by his hair, and struck his face and neck.
The department assigned a department attorney to the case almost
seven months after the incident allegedly occurred, yet the department
attorney did not make any entry into the case management system
confirming the date of the reported incident, the date of discovery, or the
deadline for taking disciplinary action. The department attorney forgot
to attend one of the investigative interviews and recommended that the
special agent remove a relevant exhibit from the report. Ultimately, the
hiring authority did not sustain the allegations.
OIG Case No. 22-0046640-DM
An officer allegedly used unnecessary physical force when taking
a noncompliant incarcerated person to the ground, and a sergeant
allegedly refused to cooperate with an Allegation Inquiry Management
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 31
Section investigator. The Office of Internal Affairs approved an
investigation. A department attorney was assigned to the case, but the
department attorney did not make an entry into the case management
system regarding the deadline for taking disciplinary action. The Office
of Internal Affairs, EAPT, and the OIG conducted status conferences
at 120- and 60-day intervals before the deadline to take disciplinary
action. Throughout the life of the case, all stakeholders appeared to be
in general agreement about the deadline. However, at the investigative
and disciplinary findings conference, the department attorney opined
that the deadline was much later than previously thought, but did not
elaborate. Timely and consistent case management system entries may
have alleviated any confusion.
Vertical Advocates Could Improve in Making Recommendations
to the Office of Internal Affairs’ Central Intake Panel
One of the more frequent criticisms of EAPT in this reporting period
occurred at the inception of the disciplinary process. Department
attorneys are tasked with reviewing cases referred by hiring authorities
to the Office of Internal Affairs’ Central Intake Unit. The Central
Intake Unit makes decisions about which cases will be opened and the
allegations and the subjects that will be approved. As such, it behooves
department attorneys to identify issues that shape the scope of the
investigation, to be prepared for the Central Intake Meeting, and to
identify appropriate subjects and allegations. We found 12 instances
in this reporting period in which department attorneys did not make
appropriate recommendations during this process. The following
two cases are examples:
OIG Case No. 22-0043200-CM
An officer allegedly engaged in illegal communications with an
incarcerated person, had a sexual relationship with the incarcerated
person, conspired with the incarcerated person to introduce mobile
phones into the prison, and introduced mobile phones into the prison.
By the time the matter was considered by the Central Intake Panel, the
officer had been redirected to work in the mailroom for one month,
and appropriately so. The Office of Internal Affairs approved a criminal
investigation, which was also appropriate. However, the department
attorney failed to recommend that the Office of Internal Affairs approve
an administrative investigation. The OIG recommended that the Office
of Internal Affairs open an administrative investigation at the same time
as the criminal investigation. Instead, the Office of Internal Affairs only
approved a criminal investigation and left an administrative investigation
to be approved later, even though the evidence supported a reasonable
belief that the administrative allegations were true. The administrative
investigation was approved more than seven months later. The officer
resigned thereafter.
Office of the Inspector General, State of California
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32 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
A parole agent allegedly fled the scene of an accident without
immediately contacting outside law enforcement and subsequently had
lied to outside law enforcement. At the Central Intake Panel meeting,
the OIG recommended the Office of Internal Affairs approve an
allegation that the parole agent lied to outside law enforcement because
the parole agent allegedly had provided a false name and occupation to
investigating officers. Therefore, the OIG believed there was enough
evidence to support a reasonable belief that the allegation was true.
The department attorney at the Central Intake Panel meeting expressed
EAPT’s position that the case had been appropriately scoped without
adding a dishonesty allegation. The Office of Internal Affairs declined
to approve the allegation. However, to EAPT’s credit, the department
attorney who was later assigned to the investigation identified the
dishonesty allegation, and the allegation was added for the hiring
authority’s consideration. Thereafter, the hiring authority considered but
did not sustain the allegation.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 33
Vertical Advocates Continue to Secure Favorable
Decisions From the State Personnel Board in
Most Cases
In general, we found that EAPT continued to perform well when a
settlement agreement was not reached requiring the department attorney
to litigate the case before an administrative law judge at the State
Personnel Board. During this reporting period, we monitored nine cases
that had been submitted to the State Personnel Board for a decision after
a full evidentiary hearing had taken place, which is one fewer than the
number of cases in the last reporting period. Of those nine, the State
Personnel Board revoked the penalty in only two cases. In one case,
discussed previously in this report, EAPT had opined the case could
not be proven but nevertheless prevailed at the State Personnel Board
hearing. Department attorneys were able to secure dismissals in four of
the five dismissal cases taken to hearing. Below are two examples:
OIG Case No. 21-0040165-DM
An officer allegedly failed to immediately respond to incarcerated people
yelling and kicking their cell doors to get the officer’s attention during
a medical emergency of an incarcerated person, lied in a report and in
a logbook that he had observed a second officer perform incarcerated
person counts, and allowed multiple section doors to remain unsecured
and open overnight. The officer allegedly lied during an interview with
the Office of Internal Affairs when he said he was always alert. The
incarcerated person with the medical emergency was pronounced dead.
The hiring authority sustained the allegations and dismissed the officer.
The OIG concurred. The officer filed an appeal with the State Personnel
Board. After a hearing, the State Personnel Board upheld the dismissal.
The State Personnel Board determined that the department did not
prove that the officer had falsified his report and the logbook because
the officer had documented that a second officer had performed a count
of incarcerated people, so his entries reflected what had occurred.
However, the Board still upheld the penalty. The administrative law
judge found that the department had proved that the officer had slept
during his shift even though incarcerated people had been yelling for
help. The department attorney elicited a response from the officer that
showed the officer did not accept responsibility or express remorse for
his misconduct.
OIG Case No. 21-0040925-DM
An officer allegedly lied in a rules violation report and falsified a logbook
about an incarcerated person’s conduct. The first officer and a second
officer allegedly failed to ensure that their body-worn cameras had been
activated during their entire shifts, and a sergeant allegedly instructed
the first officer to wear his body-worn camera even though the first
Office of the Inspector General, State of California
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34 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
officer had told him it was inoperable. The first officer allegedly lied
during an Office of Internal Affairs’ interview. The hiring authority
sustained the allegations against the first officer, except for the allegation
that he had failed to ensure that his body-worn camera was activated
during his shift, and dismissed the officer. The hiring authority found
insufficient evidence to sustain the allegations against the second
officer and the sergeant. The OIG concurred. The first officer filed an
appeal with the State Personnel Board. Following a hearing, the State
Personnel Board upheld the dismissal, citing issues with the first officer’s
credibility, in part because the department had impeached the officer’s
testimony multiple times.
Office of the Inspector General, State of California
STATE of CALIFORNIA
Amarik K. Singh, Inspector General
OIG OFFICE of the Neil Robertson, Chief Deputy Inspector General
INSPECTOR GENERAL
Independent Prison Oversight
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 35
OIG CRITICAL INCIDENT NOTIFICATION
Pursuant to CDCR and OIG protocols, CDCR dent or leave a message briefly describing the
hiring authorities or designees must notify the incident and a direct telephone number to reach
OIG of any Ccrirtiictail cinacild eInnt icmimdeedinatetlsy, but no the reporting party. We will return your call as
later than one hour, after establishing control soon as possible if we cannot respond immedi-
of an incident. The notification should occur ately to your initial contact.
The OIG also assesses the department’s response to critical incidents
regardless of the time of day when the critical
such as uses of deadly force, unexpected deatNhos,t iafnydin hgu nthgeer O stIrGik eosf. the incident via email is
incident takes place.
In the six-month reporting period of Januaryn tohtr osuugffih cJiuennet 2n0o2t3i,fi thcea tion.
following critical incidents required OIG notification:
The OIG expects the hiring authority or desig- Critical incidents that require departmental
nated representative to either provide our staff staff to immediately notify the OIG include all
with a briefing of the facts regarding the inci- of the following incidents:
Figure 3. The OIG’s Criteria for Responding to Critical Incidents During the
Reporting Period From January Through June 2023
• Any staff use of deadly force (any use of force that is likely to result in death, includ-
ing any discharge of a firearm, including warning shots and unintended discharges)
or if an inmate is struck in the head with a baton or impact munitions regardless of
the extent of injury.
• Death of an inmate or any serious injury to an inmate which creates a substantial
risk of death or results in a loss of consciousness, concussion, or protracted loss or
impairment of function of any bodily member or organ. (Note: The OIG does not re-
quire that the department report to us inmate injuries—apart from death—resulting
from or connected with inmates engaging in athletic activities.)
• Death or great bodily injury to any departmental staff member if the death or injury
occurs in the performance of his or her duties or if the death or great bodily injury
has a connection to his or her duties.
• Suicide by any individual in the legal custody or physical control of the department.
• All allegations of sexual misconduct or sexual harassment an individual in the legal
custody or physical control of the department makes against a departmental staff
member.
• Any time the department places or extends an inmate on, or removes from, contra-
band surveillance watch, or any time the department transports an inmate who is on
contraband surveillance watch to an outside hospital.
• Any riot or disturbance within an institution that requires assistance from multiple
facilities or yards or from anyone designated as a “Code 3” responder or any riot
or disturbance within an institution that requires the assistance of off-duty staff,
neighboring institutions, or mutual aid.
• Any time the department determines an inmate to be on hunger strike, any time an
inmate concludes a hunger strike, or when the department transports an inmate on
hunger strike to an outside hospital.
• Incidents of notoriety or significant interest to the public, including inmate escapes.
• Any other significant incident the Inspector General or the Chief Deputy Inspector
General identify.
Please see reverse side for critical incident telephone numbers.
Source: The Office of the Inspector General.
; ; ; ;
Fairness Integrity Respect Service Transparency
Office of the Inspector General, State of California
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36 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
The OIG does not monitor every critical incident the department reports
to us, but we do monitor serious incidents that are more likely to give
rise to allegations of misconduct. The OIG reviews critical incidents
by evaluating potential causes, assessing the department’s response,
and determining whether the incidents involved potential employee
misconduct. The OIG may recommend that a hiring authority refer
allegations from the incidents to the Office of Internal Affairs for
investigation. If a hiring authority identifies potential misconduct and
refers the matter to the Office of Internal Affairs, the OIG typically
monitors the case.
During the current reporting period, the OIG monitored and closed
55 critical incident cases. Hiring authorities identified potential
employee misconduct in 14 of those incidents and made referrals to the
Office of Internal Affairs in 10 of them and corrective action, such as a
Figure 4. Distribution of Incidents That Occurred During the Reporting Period
From January 1, 2023, Through June 30, 2023
16
(29%)
11
(20%)
8
N = 55
(15%)
8
(15%)
7 3 2
(13%) (5%) (4%)
Drug Overdoses: 16 Homicides: 7
Unexpected Death of Great or Serious Bodily Injury of
Incarcerated Person: 11 Incarcerated Person or Staff: 3
Head Strikes: 8 Warning Shots: 2
Suicides: 8
Note: Percentage may not sum to 100% due to rounding.
Source: The Office of the Inspector General Tracking and Reporting System.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 37
letter of instruction or on-the-job training, in the remaining four cases.
Four of the 10 incidents involved homicides. The other incidents
concerned three overdoses or suspected overdoses, two suicides, and a
use-of-force case that resulted in serious bodily injury to an incarcerated
person. The Office of Internal Affairs opened disciplinary cases for all
10 incidents, and the OIG is monitoring seven of them.
The hiring authority made timely referrals in seven of the 10 referrals.
In four of the 10 referrals, video-recorded evidence assisted the hiring
authorities in identifying potential misconduct. The hiring authority
referred potential misconduct to the Office of Internal Affairs within
45 days in three of those four cases. In the other case, the hiring authority
was able to complete the referral to the Office of Internal Affairs shortly
after departmental time frames require. Video-recorded evidence
assisted hiring authorities in identifying and ruling out allegations of
misconduct and expedited the referral for potential misconduct to the
Office of Internal Affairs.
One noteworthy incident we monitored occurred in June 2022. An officer
saw an incarcerated person attack a second incarcerated person in a
housing unit with makeshift weapons (see Photos 1 and 2, next page).
The officer fired two less-lethal rounds, which stopped the attack. Five
officers and four nurses began life-saving measures for the second
incarcerated person, and transported him to a triage and treatment area
where paramedics continued life-saving measures until a physician
pronounced the second incarcerated person dead. The prison completed
an investigation and referred the matter to a district attorney’s office
for criminal charges. The department’s Mortality Review Committee
determined that the cause of death was traumatic shock due to assault by
sharp object and the manner of death was homicide. The hiring authority
did not identify any staff misconduct.
When the incident occurred, there were more than 20 incarcerated
people in the dayroom. According to the autopsy report, the attacked
incarcerated person was stabbed 82 times. Therefore, it was clear that
this was an intense and prolonged attack. The OIG identified potential
policy violations because the control-booth officer had not been at his
post to provide coverage of the area where the attack occurred. Instead,
a floor officer assumed the duties of the control-booth officer. However,
no other officer replaced the floor officer’s position while he was in the
control booth. Another floor officer had been working, but that officer
was in the program office rather than providing coverage to the housing
unit. Instead of having two officers on the dayroom floor and one in the
control booth, one officer was in the control booth, and no officers were
on the floor. The OIG recommended that the hiring authority refer the
matter to the Office of Internal Affairs for an investigation. We rated the
department’s handling of the case as insufficient because there were not
enough officers to prevent and adequately respond to an extended and
intense attack that led to the killing of an incarcerated person.
Office of the Inspector General, State of California
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38 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
In addition, the
department failed
to refer the matter
to the Office of
Internal Affairs for
an investigation
into potential policy
violations such as
the control-booth
officer leaving his
post, the floor officer
relieving the control-
booth officer, and the
absence of officers in
the dayroom during
the attack.
Photo 1. Makeshift weapon (view 1).
The OIG recommends,
for the sake of security
and safety, that the
department ensure
there is sufficient staff
coverage to prevent
these types of incidents.
Photo 2. Makeshift weapon (view 2).
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 39
The OIG Makes Recommendations
in Several Ways
As demonstrated throughout this report, the OIG provides
recommendations to the department in real time as we monitor
cases from their inception to their conclusion. For example, in any
given case, SAIGs may recommend that the Office of Internal Affairs
approve certain allegations and interview certain witnesses. SAIGs
may also recommend that the department attorneys include or exclude
certain language in a disciplinary action or in documents filed with
the State Personnel Board. Finally, SAIGs may recommend the hiring
authority sustain or not sustain certain allegations and impose certain
penalties. These examples constitute only a sampling of the types of
contemporaneous recommendations and feedback we offer as any case
progresses through the investigative and disciplinary phases. Moreover,
as mentioned earlier, as part of our new rating method, we have included
a rating of sufficient with recommendations. When a case merits that
rating, we articulate recommendations to the department as part of our
rating and assessment that we publish on our website. Doing so allows
us to provide contemporaneous recommendations on a monthly basis
throughout the reporting period.
We also make recommendations in reports when we identify a systemic
problem or serious issue that we believe merits additional attention
or scrutiny. As we observe trends across several cases or relating to a
specific stakeholder, the OIG may provide recommendations for the
department to consider in addressing the issue. We may also provide
recommendations pertaining to a single case that may cause issues in the
future. In this reporting period, we identified one such issue discussed in
the following section.
Office of the Inspector General, State of California
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40 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
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Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 41
The Department Should Draft
Disciplinary Actions That Plead
Alternative Theories of Misconduct
to Avoid Adverse State Personnel
Board Decisions
Another issue that arose during this reporting period involved only
one case, but may have further-reaching ramifications. A sergeant
allegedly instructed two officers to falsify contraband surveillance watch
documentation, failed to complete restraint inspections as required,
confronted the officers regarding their reporting of the sergeant’s failure
to complete the restraint inspection, and used a derogatory term directed
toward the officers. The hiring authority sustained the allegations,
except for a poorly worded allegation, and imposed a 10 percent salary
reduction for 24 months. The OIG concurred. The sergeant filed an
appeal with the State Personnel Board. Following a hearing, the State
Personnel Board dismissed several allegations, but upheld the salary
reduction. The sergeant filed a petition for writ with the Superior Court,
which the court denied. The sergeant filed an appeal with the Court
of Appeal, Fourth District. The Court of Appeal reversed the State
Personnel Board’s decision on the grounds that the sergeant was denied
due process. The Court of Appeal ruled that the department had failed to
include the allegations in the disciplinary action that had been sustained
by the State Personnel Board.
The Court of Appeal found the disciplinary action did not put the
sergeant on adequate notice for the allegation sustained by the State
Personnel Board. The sergeant argued that the factual findings which the
State Personnel Board adopted after the hearing were not supported by
substantial evidence and were significantly different from those alleged
in the disciplinary action. The Court of Appeal agreed and concluded
that the State Personnel Board had violated the sergeant’s due-process
rights when it found the sergeant had engaged in different conduct
than the department had alleged. Although the department alleged that
the sergeant had engaged in discourteous treatment when the sergeant
allegedly confronted the officers about reporting misconduct he had
committed, the State Personnel Board found that the sergeant had been
discourteous under a different factual scenario—that he had confronted
the officers because he was upset they had erroneously reported he had
committed misconduct.
Whether or not one agrees with the court’s analysis and findings, it
would behoove the department to anticipate a similar situation arising
again in the future, as long as the court’s decision remains law. We
recommend the department consider drafting disciplinary actions that
would allow an administrative law judge to consider multiple theories
Office of the Inspector General, State of California
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42 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
and explicitly argue that the alleged misconduct occurred, regardless
of the alternative scenario. For example, in the case discussed above, it
may be useful to incorporate qualifying language such as “even if (he)
had completed the restraint inspection” or “whether or not (he) had
completed the restraint inspection,” the conduct against the officers was
discourteous, and so forth.
Office of the Inspector General, State of California
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Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023 | 43
Recommendations
For this reporting period, we offer one recommendation to
the department:
• We recommend that the department plead alternative theories in
disciplinary actions when appropriate.
Office of the Inspector General, State of California
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44 | Monitoring Internal Investigations and the Employee Disciplinary Process, January – June 2023
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Office of the Inspector General, State of California
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Monitoring
Internal Investigations and
the Employee Disciplinary Process of
the California Department of
Corrections and Rehabilitation
Semiannual Report
January – June 2023
OFFICE of the INSPECTOR GENERAL
Amarik K. Singh
Inspector General
Neil Robertson
Chief Deputy Inspector General
STATE of CALIFORNIA
September 2023
OIG