OIG
February–March 2024 Use-of-Force Case Blocks
Read the report at CDCR ↗
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Independent
Published in April 2024
Prison Oversight
As part of the Office of the Inspector General’s statutory authority, we
monitor the California Department of Corrections and Rehabilitation’s
performance and compliance with the use of force at its 33 prisons,
parole operations, and Office of Correctional Safety. This document
presents four notable use-of-force incidents that the Field Investigations
Monitoring Unit closed from February 6, 2024, through March 8, 2024.
Incident Number Incident Summary
24-00006-UOF On November 9, 2023, an officer completed an unclothed body search of an incarcerated
person. As the incarcerated person was getting dressed, the officer searched the incarcerated
person’s lunch box and discovered a bindle with a substance that was later determined to be
Reason for Monitoring
methamphetamine. Instead of securing the bindle of drugs out of the reach of the incarcerated
Potential misconduct person, the officer placed the bindle on a table within the reach of the incarcerated person
and continued searching the incarcerated person’s lunch box. While the officer continued the
search, the incarcerated person grabbed the bindle of drugs, while striking the officer’s hand,
pushed the table into the officer’s legs, and ran away. Two officers and a lieutenant pursued
the incarcerated person. One officer physically forced the incarcerated person to the ground
and placed him in hand restraints.
Incident Disposition
The hiring authority failed to identify any potential staff misconduct. The OIG identified that the
officer failed to properly secure the drugs he had discovered while searching the incarcerated
person’s lunch box and also failed to place the incarcerated person in hand restraints. The OIG
recommended training for the officer. The OIG also identified that a lieutenant had observed
the use of force, but failed to submit a report until five days after the incident had occurred.
The OIG recommended that the hiring authority refer the matter for investigation because the
lieutenant failed to timely report the force he had observed. The hiring authority agreed to
refer the matter for investigation regarding the lieutenant’s failure to timely report the force he
had observed.
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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 Neil Robertson
Chief Deputy
Inspector General
Published in April 2024 Independent
Prison Oversight
Incident Number Incident Summary
24-00007-UOF On November 28, 2023, an incarcerated person was being housed alone in a treatment center
cell after having been placed on suicide watch. After the incarcerated person was removed
from suicide watch and cleared to return to their assigned housing, two officers gave the
Reason for Monitoring
incarcerated person verbal commands to vacate the cell. The incarcerated person stated to the
Potential misconduct officers he was still suicidal. Health care staff members were called, and it was determined
that the incarcerated person was not a danger to himself, and the health care staff members
verified that he could return to his assigned dormitory housing. The incarcerated person then
became agitated and refused to leave the cell. An officer attempted to place hand restraints
on the incarcerated person when he began to resist, which caused the officers to use physical
force to overcome the resistance. The incarcerated person was then escorted to a therapeutic
module to be evaluated by health care staff members for his suicidal thoughts.
Incident Disposition
The department determined that the actions prior to and during the use of force were
compliant, but those that followed the use of force were out of compliance. During a review
of videos from the audio video surveillance system and body-worn cameras, the department
identified that a psychologist had observed officers use force during the incident. The
psychologist failed to submit a report by the end of the shift as required by departmental policy
and did not submit a report until 21 days thereafter. This late-reporting policy violation was
referred to the health care chief executive officer (CEO) for administrative review. The review
resulted in the department issuing a letter of instruction to the psychologist. The OIG disagreed
with the issuance of the letter of instruction and recommended that the CEO instead refer this
incident to the Office of Internal Affairs for investigation as required by departmental policy.
The CEO did not accept the OIG’s recommendation. In addition, the OIG noted that the incident
commander failed to identify the psychologist who had observed the use of force. The hiring
authority took no action against the incident commander.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Published in April 2024 Independent
Prison Oversight
Incident Number Incident Summary
24-00008-UOF On December 17, 2023, in a prison treatment center cell, an incarcerated person committed an
act of self-mutilation by repeatedly punching a concrete wall, which caused his hands to bleed.
An officer ordered the incarcerated person to stop punching the wall, but the incarcerated
Reason for Monitoring
person did not stop his actions. The officer then deployed a chemical agent into the cell, which
Potential misconduct stopped the incarcerated person’s actions. Officers then removed the incarcerated person from
the cell and offered him decontamination, a clean safety smock, and a blanket. The incarcerated
person was medically evaluated and moved to a new cell.
Incident Disposition
The Institutional Executive Review Committee identified that two health care staff members
had observed custody staff members using force, but failed to submit reports by the end of
their shift as required by departmental policy. Health care staff members did not submit a
report until 12 days later. The department determined that the actions prior to and during
the use of force were compliant, but the actions following were out of compliance because of
the late reports. The incident was referred to the health care chief executive officer (CEO) for
an administrative review. The CEO determined that a letter of instruction should be issued to
the two health care staff members who were involved in the incident. The OIG recommended
referring the matter to the Office of Internal Affairs for an investigation for the medical staff
members who failed to submit timely reports as required by departmental policy. The CEO
disagreed with the OIG’s recommendation. The OIG further noted the incident commander
failed to identify that health care staff members had observed custody staff members using
force, but failed to submit reports during their review. The hiring authority failed to take any
action against the incident commander.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Neil Robertson
Chief Deputy
Inspector General
Published in April 2024 Independent
Prison Oversight
Incident Number Incident Summary
24-00009-UOF On October 25, 2023, several officers were alerted to a fight occurring between two
incarcerated persons in a housing unit dayroom. Three officers gave orders to the incarcerated
persons to stop fighting, which the incarcerated persons ignored. As a result, one officer
Reason for Monitoring
deployed one 40mm wooden baton round,1 and another officer deployed one burst of
Potential Misconduct a chemical agent to stop the fight. Following the incident, medical staff met with both
incarcerated persons, and the incarcerated persons were offered decontamination and
fresh clothing.
Incident Disposition
Three health care staff members were identified as having observed the officers using force,
but the health care staff members failed to submit reports by the end of their shift as required
by departmental policy. The incident commander and the captain made numerous attempts to
obtain the reports from the health care staff members; however, they were unable to obtain
immediate responses. The reports were subsequently submitted 43, 102, and 106 days after
the incident had occurred. The OIG recommended referring the matter to the Office of Internal
Affairs for investigation as required by departmental policy. The hiring authority for the health
care staff members disagreed with the OIG’s recommendation and instead issued letters of
instruction to the health care staff members.
1. A 40mm wooden baton round is a less-lethal projectile. A wooden baton round fired from a
40mm weapon should never be aimed directly at an incarcerated person, but instead, should be fired
directly onto the ground in front of the incarcerated person. Moreover, this weapon should only be fired
outside on an exercise yard or in a dayroom, never into a cell. Staff should use good judgment when
deploying these weapons.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov