Review of an in-custody death that occurred in February 2023, it was determined that while medical noted the inmate was suffering from psychosis and MHMR would be notified, no such notification was made.
After a review of documentation and video evidence of an in-custody death that occurred in October 2022, it was determined that nine (9) face-to-face observations did not occur due to the inmate obstructing the view of the jailer by placing a sheet over the cell door. While the jailers made rounds within the mandated timeframe, the jailers did not view the inmate face-to-face as required by minimum jail standards.