Santa Barbara County Bill Brown Stations Sheriff-Coroner Buellton

Wellpath staff failed to comply with existing policy requiring a 1105 Santa Barbara Street P O Box 690 psychiatric assessment while housed in a safety cell. 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 Sheriff’s Office Response: Disagree with an explanation. Isla Vista 6504 Trigo Road Isla Vista, CA 93117 This process is not necessary, because Sheriff’s Office and Wellpath policies Phone (805) 681-4179 require a mental health evaluation by a qualified mental health professional Lompoc (rather than a psychiatric evaluation conducted by a psychiatrist) within four 3500 Harris Grade Road Lompoc, CA 93436 hours of placement, with the exception of 11pm to 7am, when mental health Phone (805) 737-7737 staff are not on-site. If needed, mobile crisis would be called to conduct a New Cuyama mental health evaluation after hours. Newsome Street New Cuyama, CA 93254 Phone (661) 766-2310 CC had two separate placements within a safety cell, during which she was evaluated by Wellpath MHP’s who utilized an evidenced-based suicide risk Santa Maria 812-A W. Foster Road assessment. CC’s mental health condition was variable and she was removed Santa Maria, CA 93455 from a safety cell for both placements following the successful completion of Phone (805) 934-6150 collaborative safety plans. She was referred to a psychiatrist with a scheduled Solvang appointment on November 13, 2024, but she refused the visit. 1745 Mission Drive Solvang, CA 93463 Phone (805) 686-5000

A Jail psychiatrist failed to evaluate, diagnose, or treat CC’s severe Lompoc psychiatric illnesses, which were serious shortcomings. 3500 Harris Grade Road Lompoc, CA 93436 Phone (805) 737-7737 Sheriff’s Office Response: Disagree partially with an explanation. New Cuyama 70 Newsome Street Although the psychiatrist was unable to complete their evaluation due to CC New Cuyama, CA 93254 Phone (661) 766-2310 refusing to participate, the psychiatrist did prescribe mental health medication and rescheduled CC’s appointment for an evaluation. Diagnoses and treatment Santa Maria 812-A W. Foster Road require thorough assessments of the individual’s symptoms over time, as Santa Maria, CA 93455 outlined in the Diagnostic Statistical Manual (DSM-5). This was impossible due Phone (805) 934-6150 to CC’s refusal to meet with the psychiatrist. Solvang 1745 Mission Drive Solvang, CA 93463 Recommendation 3a: The Grand Jury recommends that if the on-duty Phone (805) 686-5000 psychiatrist is not available to conduct what Jail medical and mental health staff Sheriff – Coroner Office deem to be an urgent evaluation of an inmate, the Sheriff’s Office require 66 S. San Antonio Road Wellpath to designate another backup on-call psychiatrist to conduct such an Santa Barbara, CA 93110 Phone (805) 681-4146 evaluation. To be implemented no later than January 1, 2026. Main Jail 4436 Calle Real Sheriff’s Office Response: Has been implemented, with a summary of the Santa Barbara, CA 93110 implementation actions taken. Phone (805) 681-4260 Northern Branch Jail 2301 Black Road The Sheriff’s Office incorporated this requirement into the scope of work Santa Maria, CA 93455 (Section 15.4.B) of the Agreement with Wellpath that was approved by the (805) 554-3100 Board of Supervisor’s on April 1, 2025. COURT SERVICES CIVIL OFFICES Recommendation 3b: The Grand Jury recommends to the Sheriff’s Office that if a stepdown inmate refuses to participate in a psychiatric evaluation, the on- Santa Barbara Division duty Jail psychiatrist be required to obtain and review the inmate’s mental 1105 Santa Barbara Street P O Box 690 health history. To be implemented no later than January 1, 2026. 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 Sheriff’s Office Response: Has been implemented, with a summary of the Isla Vista 6504 Trigo Road implementation actions taken. Isla Vista, CA 93117 Phone (805) 681-4179 Wellpath psychiatrists review the clinical records of patients prior to their Lompoc scheduled visit with a patient, regardless of whether they were stepped down 3500 Harris Grade Road Lompoc, CA 93436 from a safety cell and regardless of the patient’s decision to participate in the Phone (805) 737-7737 visit or not. New Cuyama 70 Newsome Street Finding 4: During CC’s first approximately 23-hour stay in Safey Cell 3, the New Cuyama, CA 93254 Phone (661) 766-2310 Sheriff’s Office failed to ensure that Wellpath staff comply with policy requiring that the Mobile Crisis Unit be called after 12 hours in a safety cell. Santa Maria 812-A W. Foster Road Santa Maria, CA 93455 Sheriff’s Office Response: Agree Phone (805) 934-6150 Solvang The Sheriff’s Office, in partnership with County Health and BWell, monitor 1745 Mission Drive Solvang, CA 93463 compliance of this requirement in the contract with Wellpath. In this instance, Phone (805) 686-5000 notification did not occur as specified in the contract. Sheriff – Coroner Office 66 S. San Antonio Road

Wellpath staff did not obtain critical health-related documentation Sheriff – Coroner Office from Cottage Hospital or Behavioral Wellness and therefore CC did not receive 66 S. San Antonio Road proper treatment in jail. Santa Barbara, CA 93110 Phone (805) 681-4146 Sheriff’s Office Response: Disagree partially with an explanation. Main Jail 4436 Calle Real Santa Barbara, CA 93110 In this instance, discharge documentation was provided by Cottage Hospital. Phone (805) 681-4260 However, it did not contain the type of critical health-related information to Northern Branch Jail 2301 Black Road which the Grand Jury refers. Such information can only be obtained via the use Santa Maria, CA 93455 of a release of information that is signed by the patient. Since this incident, the (805) 554-3100 Sheriff’s Office has implemented a process to request discharge documentation COURT SERVICES from any hospital from which an incarcerated person has been treated, and to CIVIL OFFICES facilitate the transfer of health-related information when BWell has been called to evaluate an incarcerated person. Santa Barbara Division 1105 Santa Barbara Street P O Box 690 Recommendation 6a: The Grand Jury recommends that the Sheriff’s Office Santa Barbara, CA 93102 Phone (805) 568-2900 require Wellpath staff to contact outside healthcare providers, such as 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 hospitals, physicians, and clinics, to obtain inmates’ health records in a timely Isla Vista 6504 Trigo Road manner following intake. To be implemented by January 1, 2026. Isla Vista, CA 93117 Phone (805) 681-4179 Sheriff’s Office Response: Has been implemented, with a summary of Lompoc implementation actions taken. 3500 Harris Grade Road Lompoc, CA 93436 Phone (805) 737-7737 The Sheriff’s Office incorporated this requirement into the scope of work New Cuyama (Section 1.1.C.8) of the Agreement with Wellpath that was approved by the 70 Newsome Street Board of Supervisor’s on April 1, 2025. The sharing of health records is New Cuyama, CA 93254 Phone (661) 766-2310 contingent upon an incarcerated person authorizing the release of records through the use of the universal ROI. Santa Maria 812-A W. Foster Road Santa Maria, CA 93455

The Sheriff’s Office did not comply with the Remedial Plan outlined Santa Barbara Division in Murray v. Santa Barbara County because it did not provide enough beds at 1105 Santa Barbara Street P O Box 690 all necessary levels of clinical care and security to meet the needs of inmates Santa Barbara, CA 93102 Phone (805) 568-2900 with serious mental illnesses, as in CC’s case. 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 Sheriff’s Office Response: Disagree with an explanation. Isla Vista 6504 Trigo Road Isla Vista, CA 93117 The Sheriff’s Office disagrees with this finding because the section of the Phone (805) 681-4179 Remedial Plan in the Murray v. Santa Barbara County the Grand Jury is Lompoc referencing (section 3.d.3.a) is specific to specialized mental health units. CC 3500 Harris Grade Road Lompoc, CA 93436 was not placed in a specialized mental health unit at that time because she was Phone (805) 737-7737 on mental health observation. Had she not been under observation, she would New Cuyama have been eligible to be placed into an available specialized mental health unit. Newsome Street New Cuyama, CA 93254 Phone (661) 766-2310 Recommendation 7a: The Grand Jury recommends that the Sheriff’s Office provide and maintain safety and observation cells sufficient in number to meet Santa Maria 812-A W. Foster Road ongoing demands. Santa Maria, CA 93455 Phone (805) 934-6150 Sheriff’s Office Response: Has been implemented, with a summary of the Solvang implementation actions taken. 1745 Mission Drive Solvang, CA 93463 Phone (805) 686-5000 Since the telephone cords have been removed from cells intended to be utilized Sheriff – Coroner Office for observation (3 additional locations), the Sheriff’s Office affirms that there are 66 S. San Antonio Road a sufficient number of safety and observation cells. Santa Barbara, CA 93110 Phone (805) 681-4146