OIG
November 2024 Local Inquiry Team Case Blocks
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OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
November 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
During November 2024, the OIG’s Local Inquiry Team closed 33 monitored inquiries.
Of those 33 inquiries, the OIG monitored nine inquiries contemporaneously and
monitored 24 inquiries retrospectively. The OIG rated the department’s overall
performance as poor in 21 inquiries, or 64 percent. The OIG rated the department’s
overall performance as satisfactory in 12 inquiries, or 36 percent.
33 Monitored Inquiries Closed by the Office of the Inspector General During November 2024
Retrospectively Reviewed Contemporaneously Monitored Overall
Performance Ratings Performance Ratings Performance Ratings
3
(13%)
12
(36%)
N = 24 N = 9 N = 33
21 9 21
(87%) (100%) (64%)
Legend: Satisfactory Poor
Source: Office of the Inspector General Tracking and Reporting System.
The OIG made the following noteworthy observations:
• The locally designated investigator thoroughly and appropriately conducted
the inquiry in 12 of the 33 monitored cases, or 36 percent.
• The Office of Internal Affairs adequately reviewed the draft inquiry report
and appropriately determined whether the report was sufficient, complete,
and unbiased in 14 of the 33 monitored cases, or 42 percent.
• The hiring authority made a timely determination on the allegations, within
90 days of the complaint being received by the Centralized Screening Team,
in 13 of the 33 monitored cases, or 39 percent.
• Aside from exceeding statutory, regulatory, or policy timelines, the
department unreasonably delayed completing the inquiry in 21 of the
33 monitored cases, or 64 percent.
• Of the 24 inquiries the OIG monitored retrospectively, the OIG rated the
department’s performance as poor in 21 inquiries, or 87 percent.
The summaries that follow present five notable inquiries the OIG monitored and
closed during November 2024.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827
5
Telephone: (916) 288-4233
5
www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
November 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews
OIG Case Number Rating Assessment
24-0091186-INQ Poor
Case Summary
On October 16, 2023, an officer allegedly falsely documented in a rules violation
report that an incarcerated person was on his bunk when the officer conducted a
search that resulted in the discovery of a mobile phone next to the bunk. The officer’s
false statements attributed possession of the mobile phone to the incarcerated person
when he was not present at his bunk when the mobile phone was discovered.
Case Disposition
The hiring authority conducted an inquiry and found insufficient evidence to sustain
the allegation. The OIG did not concur with the hiring authority’s determination that
the inquiry was adequate to make a finding.
Overall Inquiry Assessment
Overall, the department performed poorly. The Centralized Screening Team
routed this complaint for local inquiry even though the incarcerated person who
submitted the complaint alleged that an officer falsified an official record, which is
an allegation listed in the department’s Allegation Decision Index and designated
for investigation by the Office of Internal Affairs’ Allegation Investigation Unit. In
addition, the investigator and the hiring authority failed to identify the allegation
as staff misconduct listed in the Allegation Decision Index and failed to dispute
the Centralized Screening Team’s referral for proper assignment to the Office of
Internal Affairs’ Allegation Investigation Unit for investigation. The investigator
failed to identify and obtain the records of departmental policy and procedure
applicable to the officer’s alleged misconduct. The investigator also failed to notify
the officer in writing that she was the subject of the inquiry until 25 days after she
was interviewed. Additionally, the investigator failed to provide an officer who
was a witness the written notice of interview and advisement of rights during
the interview and alternatively issued those important rights sometime after. The
investigator also failed to document in the inquiry report whether he provided a
confidentiality admonishment during any of the interviews he conducted. Furthermore,
the investigator failed to ask an officer who was a pertinent witness questions to
reconcile the inconsistent and potentially untruthful statements the witness made
to the investigator with statements the witness previously made during a related
administrative hearing. Specifically, the witness detailed her recollection of the
dorm search to the investigator but stated she did not have any recollection about
the details of the search during the administrative hearing. The investigator also
interviewed the officer who was the subject and failed to ask any questions that
challenged the officer’s version of events from those of the incarcerated person who
submitted the complaint and the incarcerated person and officer who were witnesses.
Because the investigator’s evidence resulted in inconsistent statements by a witness
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
November 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews (continued)
and the officer who was the subject, the investigator should have documented the
inconsistent statements as additional potential misconduct in a report and referred the
allegation to the Office of Internal Affairs for an investigation with notification to the
hiring authority. The Office of Internal Affairs manager and the hiring authority failed
to identify the issues above and instead approved the inquiry report as adequate.
OIG Case Number Rating Assessment
24-0092556-INQ Poor
Case Summary
On April 9, 2023, an officer allegedly retaliated against an incarcerated person by
denying him a scheduled visit with his spouse because the incarcerated person
submitted a complaint against the officer.
Case Disposition
The hiring authority conducted an inquiry and found insufficient evidence to sustain
the allegation. The OIG concurred.
Overall Inquiry Assessment
Overall, the department performed poorly. The investigator interviewed an officer
who was a witness over the telephone rather than in-person and failed to provide
the rationale for that decision in the inquiry report. The investigator also interviewed
the incarcerated person who submitted the complaint and failed to summarize that
discussion in the inquiry report; the investigator documented only that the incarcerated
person made the same allegations submitted in his grievance. The investigator also
failed to document whether effective communication was achieved in the interview
with the incarcerated person who submitted the complaint. The investigator failed
to verify whether the incarcerated person previously submitted a staff complaint
against the officer who was the subject of the inquiry which could have corroborated
the incarcerated person’s allegation that the officer retaliated against him. The
investigator failed to attach as supporting exhibits to the inquiry report the written
notice of staff complaint served on the officer who was the subject and the advance
written notice of interview and advisement of rights addressed to an officer who was
a witness to confirm that all procedural requirements were met prior to the interview.
The investigator also failed to document whether she provided a confidentiality
admonishment during all interviews. The investigator also failed to document whether
each interview was done in a confidential setting. This is particularly concerning
regarding the incarcerated person’s interview as the inquiry reported indicated that
his interview was conducted “cell front.” The investigator failed to submit a request
for all video-recorded evidence relevant to the inquiry, thus the department deleted
the recordings pursuant to its 90-day video retention policy. The investigator failed
to identify, reference, and include in the inquiry report the records of departmental
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
November 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews (continued)
policy and procedure applicable to family visits. The investigator completed the final
interview on May 8, 2023, but unreasonably delayed 249 days to submit the draft
inquiry report to Office of Internal Affairs manager. Overall, the department untimely
completed the inquiry 282 days after the Centralized Screening Team received the
complaint and 192 beyond the department’s goal.
OIG Case Number Rating Assessment
24-0092550-INQ Poor
Case Summary
Between March 10, 2023, and March 11, 2023, a lieutenant, a sergeant, and four
officers allegedly failed to properly inventory an incarcerated person’s property
during his transport to an outside hospital, deprived the incarcerated person of his
medications, and unnecessarily withheld his durable medical equipment.
Case Disposition
The hiring authority determined that the inquiry conclusively proved the misconduct
did not occur. The OIG did not concur with the hiring authority’s determination that the
inquiry was adequate to make a finding.
Overall Inquiry Assessment
Overall, the department performed poorly. The hiring authority assigned an
investigator that was not at least one rank higher than the highest-ranking subject
who was a lieutenant. The investigator failed to serve on the lieutenant, sergeant,
and four officers an advanced written notice of staff complaint and failed to initiate
any work on the inquiry. The hiring authority then unreasonably delayed 273 days
after assigning the first investigator to reassign the inquiry to a second investigator.
The second investigator also failed to initiate any work on the inquiry, and again the
hiring authority delayed 121 days before reassigning the inquiry to a third investigator.
The first investigator failed to submit requests for video-recorded evidence relevant
to the inquiry, thus the department deleted the recordings pursuant to its 90-day
video retention policy which lapsed before the hiring authority assigned the second
and third investigators. The third investigator who completed the inquiry failed to
interview the incarcerated person who submitted the complaint. The investigator
should have interviewed the incarcerated person to confirm the allegation details
since departmental records did not show that officers transported the incarcerated
person to an outside hospital on the dates documented in his complaint. With
accurate information, the investigator could have requested date specific staff sign-
sheets and incarcerated person housing records to identify potential subjects and
witnesses, and to explore additional leads. The investigator also failed to identify,
reference, and include in the inquiry report the records of departmental policy and
procedure applicable to inventorying personal property and providing access to both
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
November 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews (continued)
medications and durable medical equipment during medical transports. The Office of
Internal Affairs and the hiring authority failed to identify the investigator’s omissions
in the inquiry report and instead approved the report as adequate. Overall, the
department untimely completed the inquiry 463 days after the Centralized Screening
Team received the complaint, 373 days beyond the department’s goal, and 98 days
beyond the deadline to impose disciplinary action if warranted.
OIG Case Number Rating Assessment
24-0092522-INQ Poor
Case Summary
On September 27, 2022, an unidentified officer allegedly issued a rules violation
report to an incarcerated person for possessing illegal drugs despite a prior
arrangement wherein unidentified officers assigned to the prison’s investigative
services unit allegedly provided the incarcerated person with illegal drugs and used
him as a confidential informant.
Case Disposition
The investigator suspended the inquiry and referred it to the Office of Internal
Affairs’ Allegation Investigation Unit for investigation after discovering evidence of
staff misconduct listed in the Allegation Decision Index. The OIG did not monitor the
investigation following the referral.
Overall Inquiry Assessment
Overall, the department performed poorly. The Centralized Screening Team failed
to properly review the complaint and identify an allegation of dishonesty against
an officer for issuing a false rules violation report to an incarcerated person. This
sort of allegation is staff misconduct listed in the Allegation Decision Index and
designated for investigation by the Office of Internal Affairs’ Allegation Investigation
Unit. Similarly, the first investigator assigned to complete in inquiry failed to identify
that the complaint included an allegation of staff misconduct listed in the Allegation
Decision Index and failed to dispute the Centralized Screening Team’s referral for
proper assignment to the Office of Internal Affairs’ Allegation Investigation Unit for
investigation. After the hiring authority assigned the first investigator to the inquiry,
the investigator failed to initiate any work on the inquiry. However, the hiring authority
unreasonably delayed 370 days after assigning the first investigator to reassign the
inquiry to a second investigator. Additionally, the first investigator failed to submit
a timely request for all video-recorded evidence relevant to the inquiry, thus the
department deleted the recordings pursuant to its 90-day video retention policy
which lapsed before the second investigator began the inquiry. During the inquiry, the
second investigator properly suspended the inquiry and referred the case to the Office
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
November 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews (continued)
of Internal Affairs for investigation after identifying evidence of staff misconduct listed
in the Allegation Decision Index.
OIG Case Number Rating Assessment
24-0092427-INQ Poor
Case Summary
On November 14, 2022, an officer allegedly discriminated against an incarcerated
person based on race by denying him a timely medically necessary shower which
caused him to catch a cold. The officer also allegedly favored incarcerated people of
another race who engaged in same sex relationships.
Case Disposition
The hiring authority conducted an inquiry and found insufficient evidence to sustain
the allegations. The OIG did not concur with the hiring authority’s determination that
the inquiry was adequate to make a finding.
Overall Inquiry Assessment
Overall, the department performed poorly. The Centralized Screening Team failed to
properly review the complaint and identify the allegations of discrimination based on
race and sexual orientation. These sorts of allegations are staff misconduct listed in
the Allegation Decision Index and designated for investigation by the Office of Internal
Affairs’ Allegation Investigation Unit.
Additionally, all four investigators and the hiring authority failed to identify that
the complaint included allegations of staff misconduct listed in the Allegation
Decision Index and failed to dispute the Centralized Screening Team’s referral for
proper assignment to the Office of Internal Affairs’ Allegation Investigation Unit
for investigation. Initially, the hiring authority delayed 30 days to assign the first
investigator, but the investigator failed to initiate any work on the inquiry. The hiring
authority then unreasonably delayed 89 days after assigning the first investigator to
reassign the inquiry to a second investigator, but the second investigator also failed
to initiate any work on the inquiry. Compounding the delays, the hiring authority
then delayed another 294 days after assigning the second investigator to reassign
the inquiry to a third investigator who also failed to initiate any work on the inquiry.
Finally, the hiring authority delayed another 22 days after assigning the third
investigator to reassign the inquiry to a fourth investigator. Consequently, the fourth
investigator did not complete the first interview until 441 days after the Centralized
Screening Team received the complaint. As of result of the investigative delays, the
incarcerated person who submitted the complaint was hesitant to cooperate during
his interview and had since disregarded the incident. The fourth investigator then
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov
OIG OFFICE of the Amarik K. Singh
Inspector General
INSPECTOR GENERAL
November 2024 Local Inquiry Team Case Blocks Independent
Prison Oversight
Published in January 2025
Retrospective Reviews (continued)
failed to document whether he provided the incarcerated person a confidentiality
admonishment during the interview. The fourth investigator also failed to interview
two officers and a sergeant whom the incarcerated person identified and the officer
who was the subject of the inquiry and failed to explain the rationale behind each
of those decisions in the inquiry report. All four investigators failed to submit timely
requests for video-recorded evidence relevant to the inquiry, thus the department
deleted the recordings pursuant to its 90-day video retention policy. Additionally,
the fourth investigator failed to identify, reference, and include in the inquiry report
the records of departmental policy and procedure applicable to the allegations.
The Office of Internal Affairs manager and the hiring authority failed to identify the
fourth investigator’s omissions in the inquiry report and instead approved the report
as adequate. Overall, the department untimely completed the inquiry 475 days
after the Centralized Screening Team received the complaint, 385 days beyond the
department’s goal, and 110 days beyond the deadline to impose disciplinary action
if warranted.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4233 5 www.oig.ca.gov