Santa Barbara County Grand Jury • 2024-2025 • Agency Response
Response to: Fatal Head Injury at the Northern Branch Jail

Santa Barbara County Bill Brown Stations Sheriff-Coroner Buellton

Published: August 25, 2025 5 pages
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Findings and Recommendations 1 findings

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AAO’s known medical history at the jail provided clear indicators for (805) 554-3100 serious alcohol withdrawal risk, but no such identification occurred. COURT SERVICES CIVIL OFFICES Sheriff’s Office Response: Disagree with an explanation. Santa Barbara Division The finding, again, is misleading. With the aid of hindsight, the Grand Jury has 1105 Santa Barbara Street P O Box 690 put together a narrative of “clear indicators” that were scattered amongst Santa Barbara, CA 93102 Phone (805) 568-2900 Santa Maria Division 312 E. Cook Street, “O” Santa Maria, CA 93456 Phone (805) 346-7430 Of f ice o f t he S herif f SANTA BARBARA COUNTY BILL BROWN STATIONS Sheriff-Coroner Buellton 140 W. Highway 246 P. O. Box 6427 • 4434 Calle Real • Santa Barbara, California 93160 CRAIG BONNER Buellton, CA 93427 Phone (805) 681-4100 • Fax: (805) 681-4322 Undersheriff Phone (805) 686-8150 www.sbsheriff.org Carpinteria 5775 Carpinteria Avenue August 25, 2025 Carpinteria, CA 93013 Phone (805) 568-3399 numerous intake assessments and provider notes, and coupled them with a Isla Vista 6504 Trigo Road total discounting of the patient’s self-report of alcohol usage which, the Grand Isla Vista, CA 93117 Jury affirms in their report, was well below the threshold of ASAM Phone (805) 681-4179 guidelines. Although this patient was monitored for alcohol withdrawal Lompoc symptoms in a previous incarceration in July 2023, he had five subsequent 3500 Harris Grade Road Lompoc, CA 93436 incarcerations between July 2023 and August 2024 in which he did not meet Phone (805) 737-7737 the requirements to be placed on alcohol withdrawal protocol. New Cuyama 70 Newsome Street Finding 3: Custody staff were not aware that AAO had an alcohol withdrawal New Cuyama, CA 93254 Phone (661) 766-2310 alert or history because it was not communicated to them by medical staff or by means of an alert in the Jail Management System, though such communication Santa Maria 812-A W. Foster Road would have been valuable. Santa Maria, CA 93455 Phone (805) 934-6150 Sheriff’s Office Response: Disagree with an explanation. Solvang Although the Sheriff’s Office agrees that custody staff were not aware of AAO’s 1745 Mission Drive Solvang, CA 93463 previous medical history when he was placed into the housing unit, there were Phone (805) 686-5000 several reasons for that: Sheriff – Coroner Office • As the Grand Jury noted in its report, AAO was calm, cooperative, and 66 S. San Antonio Road seemingly sober at the time of his arrest. Santa Barbara, CA 93110 Phone (805) 681-4146 • During his medical intake assessment, AAO denied a history of seizures and significant alcohol use. Main Jail 4436 Calle Real • As noted in the Grand Jury’s report, AAO’s self-reported alcohol use Santa Barbara, CA 93110 Phone (805) 681-4260 patterns at intake during this incarceration would not meet the definition of “unhealthy alcohol use” under ASAM’s withdrawal guidelines. Northern Branch Jail 2301 Black Road • AAO was ambulatory, able to participate in the booking and body scan Santa Maria, CA 93455 (805) 554-3100 processes, and walked unassisted from the intake area to his designated housing unit. COURT SERVICES • Deputies reported that AAO appeared to be in good health, and that he CIVIL OFFICES was aware of his surroundings. Santa Barbara Division 1105 Santa Barbara Street Although the Sheriff’s Office agrees that monitoring for withdrawal would P O Box 690 Santa Barbara, CA 93102 generally be beneficial, it is highly unlikely that it would have made any Phone (805) 568-2900 Santa Maria Division 312 E. Cook Street, “O” Santa Maria, CA 93456 Phone (805) 346-7430 Of f ice o f t he S herif f SANTA BARBARA COUNTY BILL BROWN STATIONS Sheriff-Coroner Buellton 140 W. Highway 246 P. O. Box 6427 • 4434 Calle Real • Santa Barbara, California 93160 CRAIG BONNER Buellton, CA 93427 Phone (805) 681-4100 • Fax: (805) 681-4322 Undersheriff Phone (805) 686-8150 www.sbsheriff.org Carpinteria 5775 Carpinteria Avenue August 25, 2025 Carpinteria, CA 93013 Phone (805) 568-3399 difference in this case. AAO was evaluated by a Registered Nurse at intake Isla Vista 6504 Trigo Road hours prior to his escorted movement to housing, where he immediately Isla Vista, CA 93117 collapsed in the presence of a custody deputy. Phone (805) 681-4179 Lompoc Over the past several months, the Sheriff’s Office has worked with our 3500 Harris Grade Road Lompoc, CA 93436 contracted healthcare provider to refine the process in which healthcare-related Phone (805) 737-7737 information is delivered to custody staff to be inputted into the jail management New Cuyama system. The Sheriff’s Office is actively working with its contracted healthcare 70 Newsome Street provider and jail management system provider to automate this process, which New Cuyama, CA 93254 Phone (661) 766-2310 is expected to occur prior to January 1, 2026. Santa Maria 812-A W. Foster Road Recommendation 3a: The Grand Jury recommends that the Sheriff’s Office Santa Maria, CA 93455 require a standardized verbal communication process upon inmate handover Phone (805) 934-6150 from the registered nurse performing the health receiving screening to the Solvang relevant on-duty classification deputy, specifically requiring the sharing of 1745 Mission Drive Solvang, CA 93463 health-related findings or history insofar as necessary to provide for the health Phone (805) 686-5000 and safety of the inmate or others. To be implemented by January 1, 2026. Sheriff – Coroner Office 66 S. San Antonio Road Sheriff’s Office Response: It will not be implemented with an explanation of Santa Barbara, CA 93110 Phone (805) 681-4146 why. Main Jail 4436 Calle Real There is already a process in place that requires WellPath medical staff to Santa Barbara, CA 93110 inform Custody staff of health-related findings and history as it relates to alcohol Phone (805) 681-4260 withdrawal protocols and observations through the use of a medical treatment Northern Branch Jail 2301 Black Road order. Had the RN determined AAO required such protocols and observations, Santa Maria, CA 93455 there is nothing contained in the Grand Jury report, or within the numerous (805) 554-3100 investigations and inquiries conducted in this case, that would suggest COURT SERVICES appropriate notifications would not have been made. Modifications to the CIVIL OFFICES existing procedures are not necessary. Santa Barbara Division
No recommendations for this finding