Sutter County Grand Jury • 2012-2013

Final Report of the 2012-2013 Sutter County Grand Jury*

Published: July 12, 2013 146 pages Consolidated Report
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Findings 7 findings

F1
alcohol, and do not include symptoms of drug intoxication, only symptoms of alcohol intoxication. The P&P manual, as written, is difficult to determine when each individual policy has
F2
been revised and/or reviewed. There are inconsistent practices among jail shifts during the 30 minute checks on inmates
F3
in the sobering cell who appear to be sleeping or cannot be verbally aroused. There is a lack of comprehensive training on the P&P of the sobering cell. Some of the
F4
jail staff are not thoroughly familiar with the policies regarding the sobering cell and state they do not receive annual training on sobering cell procedures. Determination that the inmate had died was made without consulting with or
F5
confirmation by a qualified health professional as per the P&P. Although the P&P allow Sutter County detectives to perform an in-custody death
F6
investigation, a perception of a conflict of interest is inherent. An In Custody Death Team was not arranged after the incident; therefore, no weaknesses
F7
or failures were identified and no final review was completed.

Recommendations 16

* This report's PDF did not contain easily extractable text and required Optical Character Recognition (OCR) for analysis. There may be minor errors in the extracted findings and recommendations due to OCR limitations with scanned documents.