OIG
Special Review – The California Department of Corrections and Rehabilitation’s Response to Incarcerated-Person-on-Incarcerated-Person Allegations Under the Prison Rape Elimination Act Fact Sheet
Read the report at CDCR ↗
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
Summary Fact Sheet
Independent
August 21, 2025 Prison Oversight
Special Review of the California Department of Corrections and Rehabilitation’s Response to
Incarcerated-Person-on-Incarcerated-Person Allegations Under the Prison Rape Elimination Act
In this review, we assessed the Department of Corrections policy. Nonconsensual sexual acts are generally defined as
and Rehabilitation’s (the department) responses to 74 alleged unwilling or forced sexual contact or penetration, such as
violations of the Prison Rape Elimination Act (PREA) rape. Abusive sexual contact is generally defined as unwanted
that were reviewed by prison Institutional PREA Review touching directly or through the clothing of the genitalia or
Committees (review committee) from March 1, 2024, other intimate parts of a person in a sexual manner. Finally,
through August 31, 2024. While violations of PREA may sexual harassment is generally defined as unwelcome conduct
be alleged against prison employees, this review assessed that does not involve physical contact, such as unwanted
only the department’s response to allegations made against sexual advances. Collectively, we refer to any claims of sexual
incarcerated people in State prisons. misconduct as PREA allegations in our report.
Background Of the 74 incidents we reviewed, investigators substantiated
seven PREA allegations, meaning they determined the
To combat rape in prisons nationwide, Congress enacted the
allegations likely occurred based on a preponderance of the
Prison Rape Elimination Act (PREA) in 2003. This historic
evidence. However, investigators overwhelmingly determined
legislation established a “zero tolerance” standard for rape
there was insufficient evidence to support the majority
in federal, state, and local correctional facilities. Subsequent
of PREA allegations made, finding 65 allegations to be
PREA standards required the department to have written
unsubstantiated, and two allegations to be unfounded.
policies mandating zero tolerance toward all forms of sexual
abuse and harassment, outlining its approach to preventing, The figure below provides the reporting times after alleged
detecting, and responding to such conduct. PREA incidents in the 74 cases we reviewed. In general,
it is more difficult for the department to thoroughly
Sexual misconduct can include different forms of abuse
which are specifically defined by law and departmental
PREA Allegation Reporting Times After Incidents
35
1
Allegation Type
30
Harassment
Abusive Sexual Contact
13
25 Nonconsensual Sexual Acts
13
PREA 20
Allegations
(N = 74)
15
19
10
16
5 1
8
1
2
0
Within After 72 Hours Within Within After
72 Hours but Within 1–2 Years 2–3 Years 3 Years
(n = 32) One Year (n = 1) (n = 3) (n = 8)
(n = 30)
Source: The OIG’s analysis of PREA allegations made against incarcerated people reviewed by the PREA Review Committee from
March 1, 2024, through August 31, 2024.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827
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Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
Summary Fact Sheet
Independent
August 21, 2025 Prison Oversight
investigate and reach supportable determinations on allegations were reported weeks, months, or years after the
PREA allegations made more than 72 hours after the incident, investigators did not consult with a specialized
incident reportedly occurred. nurse. However, the responsibility of making those
determinations rests with trained medical professionals
Prison Staff Did Not Always Perform Required under departmental policy.
Procedures When Notified of PREA Allegations
Furthermore, custody staff offered a victim support person
We found that prison staff generally recognized and
or advocate in only 43 of the 74 PREA incidents (58 percent)
responded when an incarcerated person or third party
we reviewed. In three cases, investigators did not offer
reported PREA allegations. However, in two of the
alleged victims the services of a support person or advocate
74 incidents we reviewed, the alleged victims stated
until after they were interviewed, even though one of the
they had previously reported their PREA allegations to
purposes of a victim support person and advocate is to
departmental mental health or medical staff. Prison staff
assist and support victims during the interview process.
also incorrectly classified PREA allegations, to a less severe
allegation type, in two cases we reviewed. Almost All Investigations of PREA Allegations We
Reviewed Were Inadequate for One or More Reasons
The department created procedures for staff and custody
supervisors to follow upon receipt of PREA allegations to, Overall, we found one or more deficiencies in 67 of the
among other things, preserve and gather physical evidence, 74 PREA investigations (91 percent) we reviewed including
provide a timeline of events, provide medical and mental investigators failing to conduct interviews or conducting
health evaluations (including forensic examinations) to the inadequate interviews; investigators failing to secure,
affected incarcerated people, and offer a victim support collect, or consider evidence; and investigators submitting
person and advocate. poorly written investigation reports. We also found eight
PREA investigations were not conducted by an investigator
In the cases we reviewed, we found documentation that
specifically trained to conduct PREA investigations, as
staff had taken steps to request that a PREA victim not
required by law and departmental policy.
shower, use the restroom, consume liquids, or remove
clothing without custody supervision to preserve potential We found investigators did not always conduct timely
evidence for forensic medical examinations to preserve interviews, or in some cases, did not conduct interviews at
physical evidence in only 21 percent (four of 19) of incidents all. In three incidents we reviewed, investigators assigned
alleging nonconsensual sex acts that were reported within to conduct investigations at the prisons where the incidents
72 hours. We also found that custody supervisors did not allegedly occurred did not interview the alleged victims.
always document taking any measures to secure crime
In addition, investigators did not interview the PREA
scenes in 42 percent (eight of 19) of nonconsensual sex
suspects in 12 of the 74 incidents (16 percent) we reviewed.
act allegations we reviewed that were reported less than
In 26 cases (35 percent), investigators made no attempt
72 hours after the incident.
to identify witnesses and, therefore did not interview
Depending on the type of PREA allegation, and the time anyone who may have been able to corroborate or refute
frame when reported, departmental policy required staff to the PREA allegations. By not interviewing the alleged
either transport suspects and willing victims for forensic victims, those accused of violating PREA, or potential
medical examinations or consult with a specialized nurse witnesses, investigators may not have received all relevant
to determine if an examination was warranted. We found facts and detailed information necessary to support
that staff generally complied with policy but failed to do their determinations.
so in 19 percent (six of 32) of incidents alleged to have
Investigators also conducted untimely interviews in at
occurred less than 72 hours before they were reported. Staff
least seven incidents (9 percent) we reviewed. In one case
also failed to consult with a specialized nurse in 50 percent
we reviewed, the investigator did not interview the alleged
(21 of 42) of abusive sexual contact and nonconsensual
victim until 17 days after being notified of the allegation,
sex act allegations reported more than 72 hours after the
took as long as 30 days to interview identified witnesses,
incident allegedly occurred.
and took 54 days to interview a registered nurse for case
Investigators often made the decision not to contact information. Investigators in six other incidents we
a specialized nurse based on the amount of time that reviewed delayed interviewing alleged victims and suspects
had passed between the alleged incident and the date between six and 41 days.
the PREA allegation was reported. For example, when
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4212 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
Summary Fact Sheet
Independent
August 21, 2025 Prison Oversight
In addition, investigators did not either video or audio examinations. Another investigator concluded an allegation
record any interviews in 70 percent (52 of 74) of the was unfounded without reviewing the forensic examination
PREA investigations we reviewed. Investigators video results. In all five cases, the alleged victims reported the
recorded one or more interviews in only nine cases, and PREA violations either on the same day or within a day of
audio recorded interviews in 17 cases. We believe the the alleged misconduct.
department would benefit from recording all interviews,
including those with victims, suspects and witnesses based Furthermore, some investigation reports we reviewed
on some notable discrepancies we share in our report. lacked documentation of basic facts or contained errors and
We were also concerned about an investigator’s conduct inconsistencies. For example, in one case, an investigator
during one video recorded interview we reviewed. Many of reported he canvassed the facility where the PREA incident
the statements made during the interview demonstrated allegedly occurred but was unable to find witnesses with
a lack of consideration and respect toward the alleged information relevant to the investigation. However, the
PREA victim and escalated, rather than deescalated, the investigator did not describe how he canvassed the facility
already tense interview. At times, the investigator was also or document the incarcerated people or staff he spoke
unnecessarily argumentative toward the alleged victim. with. In addition, the investigation report contained errors
and inconsistencies in the alleged victim’s and suspect’s
If they are available and are reviewed, recorded interviews housing history.
enable departmental management and review committees
to better assess the quality of PREA investigations by The Prisons’ Institutional PREA Review Committees
identifying and addressing clear deficiencies in either the Did Not Provide Proper Oversight to Ensure
investigators’ conclusions or reporting. That Applicable Laws, Regulations, and Policy
Were Followed
Investigators Did Not Always Collect and Secure Potential
Physical or Documentary Evidence PREA review committees are responsible for thoroughly
reviewing allegations to ensure staff followed federal and
We found that in several incidents we reviewed,
state laws, as well as departmental policy and guidelines
investigators determined PREA allegations to be
when responding to PREA allegations. In nearly all
unsubstantiated without collecting or reviewing available
incidents we analyzed, review committees did not provide
evidence. Of the 19 nonconsensual sex act allegations
proper oversight to determine if investigators used
that victims reported less than 72 hours after occurrence,
standard investigative techniques to gather evidence and
investigators determined most to be unsubstantiated.
corroborate allegations. In many cases, review committees
However, we found no evidence that anyone secured crime
failed to identify significant shortcomings that should
scenes in eight of the incidents, six of which investigators
have required investigators to complete additional
specifically determined to be unsubstantiated without
work, or to receive training on conducting thorough and
attempting to collect evidence from the scenes.
adequate investigations.
Even when evidence was collected, investigators did not
In the cases we reviewed, we also found no evidence
always consider it before reaching their conclusions.
that review committees meaningfully discussed the
For example, investigators closed five nonconsensual act
investigations they reviewed. Lastly, review committees
investigations before the results of the alleged victim’s
did not review several PREA incidents within the time
and suspect’s forensic medical examinations were even
frame required by departmental policy. In one case, a
available. One investigator closed a case the same day
review committee finalized their incident review before the
the incident was reported, before the alleged victim
PREA investigation had been completed.
and suspect were even transported to forensic medical
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4212 5 www.oig.ca.gov
Amarik K. Singh
OIG OFFICE of the Inspector General
INSPECTOR GENERAL Shaun Spillane
Chief Deputy
Inspector General
Summary Fact Sheet
Independent
August 21, 2025 Prison Oversight
Recommendations
1. The department should require all PREA allegation 4. The department should implement monitoring
interviews to be audio or video recorded. processes to ensure:
a. The department should require a manager, a. All staff follow departmental policy and
or other designated staff to confirm training procedures when receiving and
on a sample basis that information responding to PREA allegations.
from recorded PREA interviews are
b. Staff who conduct PREA investigations
accurately and thoroughly documented in
properly apply the standard investigative
investigators’ reports.
techniques included in the departmental
2. The department should ensure all investigators specialized PREA training program
conducting PREA investigations receive for investigators.
specialized PREA investigator training as required
c. Investigation reports are complete and
by law and departmental policy.
accurate according to case documentation.
a. The department should consider requiring
d. PREA review committees fulfill all their
that all Investigative Services Unit
responsibilities under departmental policy.
investigator staff receive specialized
PREA training. 5. The department should identify and document
areas for corrective action when PREA review
3. Prison wardens or delegates should require
committee members do not fulfill all their
corrective action if staff fail to comply with law or
responsibilities under departmental policy.
departmental policy when receiving, responding to,
or investigating PREA allegations.
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10111 Old Placerville Road, Suite 110, Sacramento, California 95827 5 Telephone: (916) 288-4212 5 www.oig.ca.gov