OIG
February 2025 Centralized Screening Monitoring Team Case Blocks
During February 2025, the OIG’s Centralized Screening Monitoring Team randomly selected 1,082 grievances for monitoring. This document presents seven notable cases monitored and closed by the OIG…
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Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
February 2025 Centralized Screening Monitoring Team Case Blocks
Independent
Published in April 2025 Prison Oversight
During February 2025, the OIG’s Centralized
The OIG’s Assessment of
Screening Monitoring Team monitored and
1,082 Grievances for February 2025
closed 1,082 grievances. The OIG assessed
Rating No. of Grievances
the 1,082 grievances as follows:
Adequate 982
Improvement Needed 49
The OIG disputed 50 screening decisions,
and the Centralized Screening Team agreed Inadequate 51
with the OIG in 47 of those cases. This Note: 4.5% of the grievances our office monitored
received an improvement needed rating, and 4.5%
resulted in the Centralized Screening Team received an inadequate rating.
referring an additional 30 allegations to Source: Analysis prepared by staff of the Office of the
Inspector General.
the Office of Internal Affairs’ Allegation
Investigation Unit and an additional seven allegations for review as
allegations of staff misconduct not on the Allegation Decision Index, for
a total of 37 additional staff misconduct investigations or reviews.
The OIG found the Centralized Screening Team made an incorrect
decision in 48 cases, failed to identify every allegation within a complaint
70 times, failed to identify the need for a clarification interview six times,
and opened 23 new grievances solely to correct a mistake they made in a
prior screening decision.
This document presents seven notable cases monitored and closed by
the OIG during January 2025.
OIG Case Number Rating Assessment
Inadequate
25-0102016-CSMT
Incident Summary
On November 21, 2024, officers allegedly dragged an incarcerated person out of his cell
and repeatedly hit him.
Disposition
The Centralized Screening Team determined the complaint did not contain an allegation
of staff misconduct. The OIG did not concur. Following the OIG’s elevation, the
Centralized Screening Team referred the unreasonable force allegation to the Office of
Internal Affairs’ Allegation Investigation Unit for investigation.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827
5
Telephone: (916) 288-4233
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www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
February 2025 Centralized Screening Monitoring Team Case Blocks
Independent
Published in April 2025 Prison Oversight
Case Rating
The department’s performance was inadequate. The Centralized Screening Team failed
to identify the allegation that officers dragged an incarcerated person out of his cell and
repeatedly struck him as an allegation of unreasonable force. After the OIG’s elevation,
the Centralized Screening Team amended their decision and appropriately referred the
allegation to the Office of Internal Affairs’ Allegation Investigation Unit for investigation.
OIG Case Number Rating Assessment
Inadequate
25-0102279-CSMT
Incident Summary
On December 20, 2024, an officer allegedly used physical force to take an incarcerated
person, who posed no imminent threat to the officer, to the ground.
Disposition
The Centralized Screening Team determined the complaint did not contain an allegation
of staff misconduct. The OIG did not concur. Following the OIG’s elevation, the
Centralized Screening Team referred the unreasonable force allegation to the Office of
Internal Affairs’ Allegation Investigation Unit for investigation.
Case Rating
The department’s performance was inadequate. Initially, the Centralized Screening
Team failed to identify the allegation that an officer used unreasonable force on an
incarcerated person who posed no threat as an allegation of staff misconduct on the
Allegation Decision Index. Following the OIG’s elevation, the Centralized Screening
Team appropriately referred the unreasonable force allegation to the Office of Internal
Affairs’ Allegation Investigation Unit for investigation.
OIG Case Number Rating Assessment
Adequate
25-0102733-CSMT
Incident Summary
On January 22, 2025, a physician allegedly confiscated an incarcerated person’s crutches
during an examination of his injured knee. After the incarcerated person told an officer
he needed to go “man down” because he could not walk, the physician allegedly made
the incarcerated person hop down a hall on one leg to retrieve his crutches.
Disposition
The Centralized Screening Team referred the allegation against the physician back to the
prison as a routine allegation of staff misconduct. The OIG concurred.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
February 2025 Centralized Screening Monitoring Team Case Blocks
Independent
Published in April 2025 Prison Oversight
Case Rating
The department’s performance was adequate. However, while the Centralized Screening
Team made the appropriate screening decision, this case shed light on serious concerns
with recent regulatory changes related to health care complaint decisions. Specifically,
the OIG discovered the health care Allegation of Staff Misconduct Screening Team
disagreed with the Centralized Screening Team’s decision, inappropriately determining
“the concerns to be conjecture/perception of the [incarcerated person]; therefore, is not
being addressed as [staff misconduct]…” However, instead of disputing the decision
with the Centralized Screening Team, the Allegation of Staff Misconduct Screening
Team simply proceeded with the claim as a routine health care claim. Following
multiple correspondences with managers of the Centralized Screening Team and the
health care Allegation of Staff Misconduct Screening Team – including one wherein
health care staff informed the OIG they did not have to dispute decisions made by the
Centralized Screening Team even if they chose not to process the claims in the manner
the Centralized Screening Team determined – the health care management noted they
believed the allegation to be “deliberate endangerment of an incarcerated person.”
However, the same health care manager ultimately referred the allegation as a routine
allegation of staff misconduct – as originally determined by the Centralized Screening
Team – despite suggesting the allegation met the criteria on the Allegation Decision
Index warranting a referral to the Office of Internal Affairs’ Allegation Investigation Unit.
The health care management informed the OIG they would dispute allegations the
Centralized Screening Team missed or considered routine, which health care found to be
staff misconduct. However, they failed to respond to the OIG’s question as to whether
they would also dispute allegations the Centralized Screening Team determined to be
staff misconduct, but which health care found to be routine.
OIG Case Number Rating Assessment
Inadequate
25-0103883-CSMT
Incident Summary
On January 28, 2025, and February 4, 2025, staff allegedly racially discriminated
against an incarcerated person by refusing to provide his soft food diet despite him
having no upper teeth to chew solid food with. The incarcerated person requested
dental implants or dentures.
Disposition
The Centralized Screening Team routed the allegations of discrimination and dental
implants request back to the prison as routine policy claims. While the OIG concurred
with the routing of the dental implants request, the Centralized Screening Team failed
to identify allegations of discrimination based on their face-value screening criteria.
Following the OIG’s elevation, the Centralized Screening Team elected to route the
allegation of discrimination as noncompliance with a soft food diet back to the prison
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
February 2025 Centralized Screening Monitoring Team Case Blocks
Independent
Published in April 2025 Prison Oversight
as a routine allegation of staff misconduct, noting the case could be suspended and
elevated through the routine fact-finding process.
Case Rating
The department’s performance was inadequate. Initially, the Centralized Screening Team
failed to identify an allegation of racial discrimination in accordance with their face-value
screening criteria. Following the OIG’s elevation, the Centralized Screening Team failed
to appropriately refer the alleged racial discrimination to the Office of Internal Affairs’
Allegation Investigation Unit, where allegations of discrimination are supposed to be
routed, and elected to route the allegation as noncompliance with the soft food diet back
to the prison as a routine allegation of staff misconduct. The Centralized Screening Team
noted prison staff could suspend and elevate the case through the routine fact-finding
process if they identified racial discrimination may have occurred.
OIG Case Number Rating Assessment
Inadequate
25-0103912-CSMT
Incident Summary
Between January 24, 2025, and January 27, 2025, three officers and two nurses
allegedly failed to respond and provide medical assistance when an incarcerated person
attempted to commit suicide by cutting himself. On January 27, 2025, one of the officers
allegedly instructed staff to clean the incarcerated person’s cell before taking evidentiary
photographs of the scene. The same officer allegedly made a sexual comment about
the incarcerated person’s genitals after he provided the incarcerated person a smock
to wear.
Disposition
The Centralized Screening Team referred the alleged staff sexual misconduct to the
Office of Internal Affairs’ Allegation Investigation Unit for investigation and routed the
allegation that officers failed to respond when an incarcerated person tried to take his
own life as a routine allegation of staff misconduct. The OIG concurred only with the
decision regarding the sexual misconduct allegation. Following the OIG’s elevation, the
Centralized Screening Team referred the allegation against the officers and nurses for
failing to respond and provide medical assistance to an incarcerated person actively
engaged in self-harm to the Office of Internal Affairs’ Allegation Investigation Unit.
Case Rating
The department’s performance was inadequate. Specifically, the Centralized Screening
Team failed to identify the allegation that officers and two nurses failed to respond
and provide medical assistance to an incarcerated person actively engaged in self-
injurious behavior as an allegation of staff misconduct on the Allegation Decision
Index, consistent with past screening decisions. Subsequent to the OIG’s elevation, the
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
February 2025 Centralized Screening Monitoring Team Case Blocks
Independent
Published in April 2025 Prison Oversight
Centralized Screening Team appropriately referred the allegation against the officers
and nurses to the Office of Internal Affairs’ Allegation Investigation Unit.
OIG Case Number Rating Assessment
Adequate
25-0103983-CSMT
Incident Summary
Between July 3, 2021, and February 5, 2025, a psychiatric technician allegedly
threatened to rape an incarcerated person in his sleep, watched him while he showered,
and made numerous inappropriate sexually harassing statements. On April 9, 2023,
officers allegedly called the incarcerated person a pedophile. Between January 4, 2025,
and February 5, 2025, two sergeants and multiple officers allegedly made inappropriate
comments to the incarcerated person about his crimes and his personal information,
attempted to extort money from the incarcerated person, and made sexually explicit
remarks about raping the incarcerated person. On January 11, 2025, a second psychiatric
technician allegedly made a statement about raping the incarcerated person. On
January 13, 2025, the second psychiatric technician allegedly tried to discourage a
sergeant from providing assistance to the incarcerated person based on his prior actions
and commitment crimes. On January 17, 2025, a counselor allegedly stated, “he hasn’t
got raped in days”, referring to the incarcerated person. Between January 22, 2025,
and January 29, 2025, a physician allegedly commented to the incarcerated person
about killing someone and made a sexually explicit statement towards the incarcerated
person. On January 22, 2025, and February 4, 2025, two incarcerated people allegedly
stated the incarcerated person had raped a child. On February 1, 2025, another officer
allegedly insinuated the incarcerated person identified as a security threat group
member and would be subject to an unclothed-body search.
Disposition
The Centralized Screening Team referred 39 allegations against custody and health care
staff for staff sexual misconduct, making threats, extortion, and integrity to the Office
of Internal Affairs’ Allegation Investigation Unit, routed one routine allegation of staff
misconduct against an officer for indicating the incarcerated person was in a security
threat group, and routed two allegations against other incarcerated people back to the
prison as routine policy claims. The OIG concurred.
Case Rating
The department’s performance was adequate. The Centralized Screening Team
identified 42 claims within the complaint and the screener appropriately separated
each claim for referral based on dates and subjects identified. The OIG commends
the screener for their due diligence in identifying all the claims and referring them
appropriately for what was a very a complex grievance involving multiple custody and
health care staff.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
February 2025 Centralized Screening Monitoring Team Case Blocks
Independent
Published in April 2025 Prison Oversight
OIG Case Number Rating Assessment
Inadequate
25-0104441-CSMT
Incident Summary
On February 9, 2025, three officers allegedly tackled an incarcerated person after the
incarcerated person was told he could not use the restroom. On February 11, 2025,
another officer allegedly used unreasonable force and dislocated the incarcerated
person’s shoulder. On February 12, 2025, a sergeant and four more officers allegedly
grabbed an incarcerated person’s injured arm and the back of his waist restraints
to prevent him from sitting down, and one of the officers allegedly slammed the
incarcerated person’s face to the ground. Two nurses allegedly refused to assist the
incarcerated person with his injuries, sending him to a hospital instead. On February
13, 2025, the incarcerated person requested staff investigate his prior complaint and
provide video and audio recordings of the three unreasonable force incidents.
Disposition
The Centralized Screening Team referred two of three unreasonable force allegations to
the Office of Internal Affairs’ Allegation Investigation Unit for investigation and routed
the medical allegation and requests for an investigation and video recordings back to
the prison as routine healthcare and policy claims. While the OIG concurred with the
decisions, the Centralized Screening Team failed to identify the third unreasonable force
allegation. Following the OIG’s elevation, the Centralized Screening Team referred the
additional allegation to the Office of Internal Affairs’ Allegation Investigation Unit.
Case Rating
The department’s performance was inadequate. Specifically, the Centralized Screening
Team failed to identify one of three distinct unreasonable force allegations and grouped
the two they did identify into a single claim. After the OIG’s elevation, the Centralized
Screening Team amended their decision and referred the three unreasonable force
allegations to the Office of Internal Affairs’ Allegation Investigation Unit.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov