First Amended Complaint (U.S.C. § 1983) — Daniel Verduzco v. B. Jao, et al., No. 2:22-cv-00569-TLN-DMC (Dkt. 16, E.D. Cal.)
Summary
Daniel Verduzco, T45537, filed this first amended complaint on February 22, 2023 as Document 16 in Case 2:22-cv-00569-TLN-DMC; with its exhibits it runs to 86 pages. It alleges failures of suicide watch and retaliation by CDCR staff at CHCF. One exhibit is a letter, Re: Coleman v. Newsom, setting out the plaintiffs' concerns regarding suicide watch in the inpatient program at CHCF-Stockton after they learned that Daniel Verduzco was able to amputate a portion of his left ring finger while on one-to-one suicide watch in the CHCF PIP on October 1, 2019. Other exhibits include CDCR suicide prevention and training policy pages, health care grievance forms, a letter from the Office of the Inspector General saying grievance 22001253 was due for a response by September 15, 2022, and emails alleging that CDCR employees concealed reports of criminal sexual abuse.
Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used
- Date
- 2023-02-22
Cite this document
“First Amended Complaint (U.S.C. § 1983) — Daniel Verduzco v. B. Jao, et al., No. 2:22-cv-00569-TLN-DMC (Dkt. 16, E.D. Cal.).”
Original at www.courtlistener.com, dated 2023-02-22. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2023-02-22-kyc-company-litigation/
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ssness, hopelessness of guilt; ‘fxating on past failutes or sett: blame, rouble inking,
ritability,: poor impulse contrdl. Frequent-or recurrent thoughts of death and suicidal thoughts.
é with treatme:
Reached
See shronainoteés
LastName: Verdilaco
FiistName: _Daiiel
Dob: sin
ct Brotected haath inaatn mey ale Tas ay tinder wpa fe federal and Stole laws.
Exiniait A- OOl
leep and ‘alsoc: can n reduce petted to self harm,
this patient and in the chart, Ki
as an élévated chronic risk,
teipon what basis you believe the threatis credible. =
Signature:
COCR#: T4587
: Daniel
Filed 02/22/23 Page 21 of 86:
“DEPARTMENT: OF CORRECTIONS AND REHABIL TION
Instructions: Page?
Hearing Institution: CHCF
“ATTORNEY
i attorney’ havé two business:days from the date YOu were § o file & a response with the
an attorney Who has been given: z a Copy'ot this ‘pal erwork. The atto informationis as follows:
Attomey Address 40824 Olson Drive '$ _ _
Rancho Cordova, 6395670.
"SERVICE
1-€ copy of this notice, a copy of the'form CDCR MH-7366 “Inmate Righis to No
above and. fo the inmate named | in this document on the dat le shown. below.
lice « TnVelunt ntary Medication’,
n the even, of an ‘emergency
the:
Signature; hy Dates
02/14/2023
a Patient asked g ns SDCRe 148597"
td “| Patient Sunimed infomiation LastName: VERDUZCO Mk.
ibe -Bisase check one! oan Per one
{FINot Reached __ ‘[ARéechea FirstName: DANIEL
"See chronolnoles DOB: o7/2571880
syste Exner A> Gy
folscied healfi Wionialion tay Subject Indidvals to Gi Nebity indar épplcable federal arid stale laws.
"Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 22 of 86
Suicide Prevention and Response Mental Health Services Delivery System
Response training shall be part of the new employee orientation provided by mental health
staff in collaboration with the IST unit at each local institution. New correctional officers
shall receive this training at the Basic Correctional Officer Academy.
The suicide prevention and response training shall include the following elements:
e Suicide risk assessment
e Suicide methods awareness
e Interventions for suicidal ideation, threats, gestures, and attempts
e Suicide reporting and reviews
e Mental health evaluations for rules violation reports
Clinical and custody staff shall receive specialized training with respect to their particular
roles in responding to self-injurious behaviors, suicide attempts, and suicides.
See,
D. CLINICAL CARE SERVICES
This subsection addresses the various clinical care services for inmates regarding suicide
prevention and response. Included are the assessment of risk for suicide, the utilization of a
form for documenting the risk factors, and clinical interventions such as procedures for
Suicide Precaution and Suicide Watch, and responses to suicide attempts and to suicide.
Education regarding the methods utilized by inmates when attempting suicide shall be taught
as part of the suicide prevention and response training.
Employee strategies for maintaining a safe environment, and for ensuring that other policies
and procedures relative to suicide prevention and response, such as regarding medication
distribution and inmate-patient compliance, are detailed in the relevant chapters and sections
of the complete Inmate Medical Services Program Policies & Procedures.
Any CDCR employee who becomes aware of an inmate’s current suicidal ideation,
threats, gestures, self-injurious behaviors or suicide attempts shall immediately notify a
member of the health care staff. The inmate shall be placed under direct observation, “
per local custody operating procedure, until a clinician trained to perform a suicide risk
assessment (psychiatrist, psychologist, clinical social worker, primary care physician,
nurse practitioner, or RN) conducts a face-to-face evaluation.
1. Suicide Risk Assessment
All inmates are observed for suicide risk. Suicide risk assessment is critical to successful
suicide prevention. Inmate-patients enrolled in the MHSDS shall be regularly monitored
2009 REVISION . 12-10-7
ExWk/T A- 005
Operatidasmaeu® :22-Cv-00569-T L NEPARIMENDorocoMeEotidts ARDREHABIZAHGN Page.23 of 86
Fire Captains shall be trained in accordance with DOM 52090. 6. Training
shall include:
« The requirements of PC 832 and chemical agents training as provided
at the Academy within 90 days of appointment and prior to performing
peace Officer duties.
¢ The CPOAP (3600 work process hours and 24 qualifying months).
Medical Technical Assistant (MTA)
MTAs shall complete: ;
¢ The requirements of PC 832 and chemical agents training as provided
at the Academy within 90 days of appointment and prior to performing
peace officer duties.
* The CPOAP (3600 work process hours and 24 qualifying months).
Officers
Officers shall complete:
« The Basic Correctional Officer Academy Prior to assignment as an
- Officer. :
¢ The CPOAP (3600 work p process hours and 24 qualifying months).
Youth Correctional Officer, Youth Correctional Counselor, Parole
Agent I/Casework Specialist (CWS) shall complete:
e Basic Correctional Juvenile Academy.
e The CPOAP (3600 work process hours and 24 qualifying months).
32010.14 Non-Custody Staff Required Annual Training
Anstitutional/Facility Non-Custody Employees ;
All institution non.custody_emmploxeosr-ai-a-minientm-shell-reeetre-mnmeat
Chapter 3
e California Public Records Act (CPRA)
e Chemical Agents
e Communicable Discase Prevention
«Court Compliance Training
® — EEO/Sexual Harassment Prevention
e — Emergency Operations
« — Escape Prevention
© Expandable Baton Annual Training (not mandatory for CCl, Fire
Chief‘Captain, or MTA)
e Fire and Life Safety
e Firearms Requalification (see Section 32010.19.3. Requalification
Chart)
e ——- Heat Related Pathologies
° Information Practices Act (IPA)
° information Security Awareness (ISA) _
¢ Injury Illness Prevention Program (IPP)
¢ — Lethal Electrified Fence (if applicable)
¢ Prison Rape Elimination Act (PREA)
« — Suicide Prevention
¢ — Tuberculosis Testing/Quiz (TB)
e —-Use of Force
° Other subjects as deemed _a
training as follows:
¢ California Public Records Act (CPRA)
e Communicable Disease Prevention
¢ Court Compliance Training
¢ EEO/Sexual Harassment Prevention
° Emergency Operations
e — Escape Prevention
e Fire and Life Safety
e Information Practices Act (IPA)
‘@ — Information Security Awareness (ISA)
e Injury Illness Prevention Program (IIPP)
e - Prison Rape Elimination Act ot (PREA)
¢ Use of Force
« Other subjects as deemed appropriate by the Associate Director, hiring
authority or designee, or any other legal mandates.
All Headquarters Non-Custody Employees
All headquarters non-custody employees, at a minimum, shall receive annual
training as follows:
« California Public Records Act (CPRA)
¢ —EEO/Sexual Harassment Prevention
e Emergency Operations
e Information Practices Act (IPA)
¢ ‘Information Security Awareness (ISA)
° Injury Illness Prevention Program (1IPP)
¢ Other subjects as deemed appropriate by the Associate Director, hiring
authority or designee, or any other legal mandates.
32010.15 Officer, Sergeant, Lieutenant, CCl, Fire Chief, Fire
Captain a and MTA Required Annual Training :
For the purpose of this section, peace officers include the following
classifications: Officer, Sergeant, Lieutenant, CCl, Fire Chief, Fire Captain
and MTA.
Peace officer employees shall be provided a minimum of 52 hours of annual
training pursuant to the current annual training schedule, approved by the
Associate Director, POSED, or designee.
Annual training shall be the primary delivery system for peace officers to
maintain compliance with PC 832 and other mandated training or applicable
contract language,
Peace officer classifications shall receive annual training as follows:
e Alarm response EyHr8iT A- 0OB
209
or designee, or any other legal mandates.
DAPO
All DAPO peace officer classifications, at a minimum, shall receive annual
training as follows:
¢ California Public Records Act (CPRA)
¢ Cardiopulmonary Resuscitation & First Aid Recertification (CPRF A)
e Chemical Agents
e¢ Communicable Disease Prevention
¢ — EEO/Sexual Harassment Prevention
« — Emergency Operations
¢ Expandable Baton Annual Training
e Fire and Life Safety
¢ Firearms Requalification
® Information Practices Act (IPA)
« Information Security Awareness (ISA)
e Injury Illness Prevention Program (IPP)
e — Tuberculosis Testing/Quiz (TB)
« Use of Force
¢ Other subjects as deemed appropriate by the Director, hiring authority
or designee, or any other legal mandates.
All Parole agents assigned to DAPO shall comply . with weapons
requalification as stated in current DAPO firearms policy. In addition, those
who are armed shall fire a diminished light course annually for
familiarization and training (not qualification).
All Parole agents assigned to DAPO shall receive training in Parole Agent
Safety and Tactics (PAST), in accordance with Bargaining Unit 6, MOU.
DJJ
All DJJ peace officer classifications, at a minimum, shall receive annual
training as follows:
* Alarm Response
¢ = California Public Records Act (CPRA)
¢ Cardiopulmonary Resuscitation & First Aid Recertification (CPR/FA)
e Chemical Agents
e Communicable Disease Prevention
¢ Court Compliance Training
¢ — EEO/Sexual Harassment Prevention
e Emergency Operations
e —_ Escape Prevention
e¢ Expandable Baton Annual Training
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 24 of 86
Suicide Prevention. and Response Mental Health Services Delivery System
— WOWME 12 CHAPTER 10
involuntary overtime of the medical classifications on the list above, prior to filling
these positions with a Correctional Officer.
DEF. cp ube employee assigned. to provide direct observation shall be appropriately trained
CORD ANARONK WAS wR ~” regarding this post and the performance of duties related to Suicide Watch.
Observation Documentation _. .
The custody and/or health care. staff. employee assigned to provide continuous
observation during Suicide Watch shall document such observation every 15 minutes
on a log sheet.
\ Custody and health care staff shall document behaviors and activities on a- \
CDCR 114A, Detention/Segregation Record. \
__Nursing staff shall document behavioral checks and the inmate-patients’affact at
SHALL MEAN MANDATORY —H least every 15 minutes during both Suicide Precaution and Suicide Watch. Nursing
checks -shall “always mclude visual-observation and, when the inmate-patient is
awake, :shall-also include :verbal ‘interaction: = Nursing “staff shall" document using
CDCR 7212, Nursing Care Record (for non-acute care settings), or CDCR 7212A,
Nursing Care Record-Acute Hospital, (for acute care settings) in the UHR.
Leaving a Post Assignment
cc)
The observer assigned to Suicide Watch shall only vacate the post if immediate
attention or assistance is needed in a life-threatening situation, and no other
alternative exists.-
6 A life-threatening situation is defined as a situation in which staff’s failure to
immediately respond will likely result in serious morbidity or mortality.
e Inthe event ofa life-threatening situation, the staff shall activate a personal alarm
in order to summon additional staff to the MHCB area.
e Ifit becomes necessary for staff assigned to Suicide Watch to leave their post due
‘to a life-threatening situation, they shall request other staff in the vicinity,
whenever possible, to provide direct observation coverage of the inmate-patients
while away. If no other staff is available, and there is sufficient time, the officer
shall contact the Watch Office before responding to the life-threatening situation.
e Any vacating of the post under these circumstances shall be for the minimal time
necessary. Once the life-threatening situation has been contained, or there is
sufficient staff at the scene to handle the situation, the officer shall immediately
retum to the Suicide Watch post.
2009 REVISION EXHIBIT A- 00+ O18
“Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 25of86
: [Suicide Prevention and, Resp mse. Yi
Guidelines for clinician. ordered Suicide Watch:
STATUS
Safety (no-tear) |
WATCH smock/gown, no
Some i institutions ‘have been approved via ia memoranda signed by the Directors of the
Division of Adult Institutions (DAT) and the PCHCS, to provide one-on-two direct
cell-front observation of inmate-patients on-Suicide ' Watch, when the staff member
can ‘maintain direct line: ~of-sight obs: n of both inmate-patients, unless oné-on-
/one; monitoring is ordered by - the -psyel or psychologist All other institutions
shall provide 0 one-on-one direct céll- figat observation. : Be
oo Thé assigned ( bserver shall a assume a ‘a position where continudus direct visual contact
“with the’ inmale-paltent ‘can be ‘maintained, inchiding ¥ when © the" inmate uses the
- shower,’ sink, or toilet. eas ayes Bows :
2
Suicide Watch posts will be filled using the following order ¢ of job p Glassifications:
“Hospital / Aide - :
Certified Nu ing Assistant
d Psychiatric Technician a
Licensed Vocational Nurse pe
Correctional Officer
coh he
It is the , responsibility of the Health, Care , Manager and Warden t to ensure that all
hiring efforts be exhausted, including offering voluntary overtime and assigning
2009 REVISION oy ay “os 12-10-17
EXHIBIT 4-008
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 26 of 86
Suicide Prevention and Response Mental Health Services Delivery System
after a second evaluation, mental health clinical staff feel additional hourly checks
are required, the inmate shall be readmitted to the MHCB for further stabilization.
Custody staff shall maintain a log on CDCR 114A, Detention/Segregation
Record, of rounds on inmate-patients.
e The'local SPR FIT shall regularly audit compliance with the 45-day clinical
follow-up and custody wellness check procedure. Audit findings shall be
forwarded monthly to the Local MHP Subcommittee.
c. Response to Self-Injurious Behaviors and Suicide Attempts
Self-injurious behaviors cause, or are likely to cause, physical self-injury. A suicide
attempt is an intentional act that 1s deliberately designed to end one’s own life. Both
are medical emergencies that require immediate and appropriate responses.
Custody Protocol
In medical emergencies, the primary objective is to preserve life. All peace
officers who respond to a medical emergency are mandated, pursuant to court order,
to provide immediate life support, if trained to do so, until medical staff arrives to
continue life support measures. All peace officers must carry a personal CPR mouth
shield at all times.
The officer must assess and ensure it is reasonably safe to perform life support by
effecting the following actions:
e Sound an alarm (a personal alarm or, if one is not issued, an alarm based on local
‘procedures --must -be- used) to summon -necessary - personnel and/or additional
custody personnel.
e Determine and respond appropriately to any exposed bloodborne pathogens.
e Determine and neutralize any significant security threats to self or others
including any circumstances causing harm to the involved inmate.
6 Initiate life saving measures consistent with training.
The responding peace officer will be required to articulate the decision made
regarding immediate life support and actions taken or not taken, including cases
where life support is not initiated consistent with training and/or situations which
pose a significant threat to the officer or others.
2009 REVISION 12-10-21]
” Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 27 of 86
aa Li) ROSEN BIEN
GALVAN & GRUNFELD LLP San Francisco, California 94105-1738
T: (415) 433-6830 * F: (415) 433-7104
www.rbgeg.com
Jessica Winter
Email:
January 29, 2020
PRIVILEGED AND
CONFIDENTIAL
SUBJECT TO
PROTECTIVE ORDERS
VIA ELECTRONIC MAIL ONLY
CDCR Office of Legal Affairs
~
~~
Re: Coleman v. Newsom: Plaintiffs’ Concerns Regarding Suicide Watch in the”
Inpatient Program at CHCF-Stockton
Our File No. 0489-03
Dear All:
Plaintiffs have ongoing concerns regarding the performance of suicide watch at
the inpatient program at CHCF-Stockton. Recently, Plaintiffs learned that Daniel
Verduzco, T45537, was able to amputate a portion of his left ring finger while on suicide
watch.
"On October 1, 2019, Mr. Verduzco, then a patient at the acute level of care, was
on one-to-one suicide watch in the CHCF PIP. See Exhibit A, Progress Note-Nurse dated
October 2, 2019. During his IDTT earlier that day, Mr. Verduzco informed staff that he
“felt like cutting off his finger” and requested that he be placed on suicide watch. See
Exhibit B, Acute ICF Master Treatment Plan dated October 1, 2019. In response, staff
immediately terminated the IDTT, noting that his risk of self-harm was high. See id.;
Exhibit C, MHPC Inpatient Progress Note dated October 2, 2019. Despite this, Mr.
Verduzco states that he was able to, over the course of two hours, cut away the soft tissue
of his fingertip with a piece of stapler and snap the bone to remove the digit. His efforts
EXHIBIT A- 010
13492666.)
| Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 28 of 86
PRIVILEGED AND CONFIDENTIAL
, etal.
January 29, 2020
Page 2
caused him to moan in pain and went unnoticed by his assigned observer who was
reportedly browsing on the computer instead of maintaining a proper line of sight.
This incident represents a continuation of deficiencies with suicide watch at the
CHCF PIP. During the Special Masters’ tour of the facility in September 2019, a nurse
was found asleep while on suicide watch. During the same tour, class members reported,
and staff acknowledged, that suicide watch was often performed at a distance from the
PIP cells that created a blind spot; class members could take advantage of the blind spot
to self-harm undetected. Mr. Verduzco’s successful auto-amputation indicates that
suicide watch failures continue to be a serious issue at the CHCF PIP. Accordingly,
Plaintiffs request an update regarding Defendants’ efforts to improve suicide watch at the
CHCF PIP.
Was this matter reviewed as a sentinel event? If not, why not? If so, what were
the results of the review? Was corrective action taken? If so, what was it? If not, why
not? Mr. Verduzco reports that his injury was documented by a member of the
Investigative Services Unit (SU). Have Defendants launched any formal or informal
investigations of this incident? Has a root cause analysis been performed? If so, please
provide any findings once complete. Was the failure in one-on-one observation
otherwise formally or informally addressed? If so, how? If not, why not?
Further, what remedial measures were implemented to improve suicide watch
following the incidents described above? Have staff as a whole been formally informed
of these incidents and as to why they are unacceptable and inadequate? Were any staff
retrained following this incident? Have there been any additional instances of patients
self-harming while on suicide watch? If so, please provide a description of the
incident(s) and any steps taken to remediate the(ir) cause(s).
//1
///
//1
///
EXHIRIT A-oll
///
///
13492666.1]
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 29 of 86
PRIVILEGED AND CONFIDENTIAL
, et al.
January 29, 2020
Page 3
We appreciate and look forward to your anticipated prompt response.
Sincerely,
ROSEN BIEN
GALVAN & GRUNFELD LLP
/s/ Jessica Winter
By: Jessica Winter
JLVWLMVL
Attachments: Exhibits A-C
CC: Coleman Special Master Team
CDCR OLA Mailbox
Coleman Co-counsel
EXHIBIT A-O12
(3492666. 1]
‘ Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 30 of 86
STATE OF CALIFORNIA ro, DEPARTMENT OF CORRECTIONS AND REHABILITATION
HEALTH CARE GRIEVANCE sal | bs Page 1 of 2
CDCR 602 HC (Rev. 10/18) DEEMED WOR URCENT ON) 05/19/2090 » 1 MND Out Tile FIRST "DigiT DN DS hs 2020 .
STAFF USE ONLY "Expedited? _ [7] Yes Aw Tracking #: eu IDE ur 2 A G o1 ' 25 z
M. LOWE, RN 7 ~ gfe
iStaff Name and Title (Prin) Stanatwe 7 Date.
If you think you have a medical, mental health or dental emergency, notify staff immediately. if additional space is needed, use oe A of the
CDCR 602 HC A Health Care Grievance Attachmerit. Only one CDCR 602 HC A will be accepted. You must submit this health care grievance to the Health Care
Grievance Office for processing. Refer to California Code of Regulations (CCR), Title 15, Chapter 2, Subchapter 2, Article 5 for further guidance with the health
care grievance process.
Do not exceed more than one row of text per line. WRITE, PRINT, or TYPE CLEARLY in biack or dlue ink.
Name (Last, First, Ml): CDCR #: Unit/Cell #:
VERDUZED «db T-4S534 A2n 105
SECTION A Explain the applied health care policy, decision, action, condition, or omission that has had a material adverse effect upon your health or
™ |welfare for which you seek administrative remedy:
IM LNTE FEBRUARY 1020 > BaN DERESS\ oN BEGAN Td DECUNE AVA FT ATED MYSELE . DT storres
PARTICIPATING Wy THERAPY G¥ésiews ANd aLl Activity usibe MY CELL. on MARCH G4: 2efo, T
RECEIVER Slime UNSETILING NEWS BEGARDING fh STAFF comfininté ¥ HAD PEVDING AT PRP. E Was
WATIFIED THAT NY AULEGATIONS AZAWST THE EmPLeYEE in THAT ComPiAinT coULA Net BE svastamriared
ulticit DEVASTATED ME BECAUSE iv FELT linE X bib wor MATTER. my DEPRESSioN ShZALED AND T gest
STOPPED CARING » THIS MANIFESTED INT6 LOR SEIF- ESTEEM AND NO GELE-weoeRTH . X BEGAN To
EXPERIENCE INTENSE DEHTS GF SEIF- HARM UwicH DT LAS ABLE To gupPRESS oN Most Days 5 T FELT
INVEST RIE Gi SONDRA _APRIL 72) 2D20 1 EB FINAUY CObib NaT TAKE IF NO Moke AND D COT THE TIP
QE WN FINGER GFF Below THE WAIL: SuinpPiné THE BONE mY¥ctic. FT mAbE NO EFFORT To HIRE IWYSEIF ,
)
© pib NCT CARE WHO
. %
—«. ~—raitt , . és ours “* ‘ed a oY s aa te ALD ITT eo. hi -—
uns IASTER SUNBAY . THE Dain Was Se INTENSE THAT Irs Al D REAUY REmemMGE FRom Tal
EEN ME. DT AcTWAUN PONT EVEN PEmMEmMBER THE Pxacr Time » 2b JOST Kuew IT
a Oi A
Supporting Documents Attached. Refer to cgR 3999. 227 [] Yes [ie No
Grievant Signature: ( y oh [i Date Submitted: payin , 2020
- ete ' ' recs |
BY PLACING MY INITIALS IN THIS BOX, | REQUEST TO RECEIVE AN INTERVIEW AT THE INSTITUTIONAL LEVEL. |
SECTION B: |HEALTH CARE GRIEVANCE REVIEW INSTITUTIONAL LEVEL: Staff Use Only is a CDCR 602 HC A attached? Aves L] No
This grievance has been:
(1 Rejected (See attached letter for instruction); Date: ‘Date:
_] Withdrawn (see section E)
IA, nocepted Assigned To: Vee Title: Ch MA Date Assigned: qtol2029 Date Due: 1 Ww 202
Interview ee Gade? \ Zi ves (I No SiNchilanee \\ol2020 interview Location: (Y\ Wt Uw(+
Qn Peycholaaist ,
interviewer Name and Title (print): kK. Peavion Pay “uparinate Signature: OLUA_ Date: ms | ES
Reviewing Authority
Name and Title (print): W. pret WD MPR COMP, RES Signature: UU An 4 . (Qo Date: 7 his /ap
‘te fOr CES
Disposition: See attached letter —Ficaaasian gor Ave Intervention
HCGO Use Only: Date closed and mailed/delivered to grievant: JUL i 6 L020
: ei ely fe fe <p
1. Disability Code: 2. Accommodation: 3. Effective Communication: Feeney RNAS |
(1 TABE score $4.0 {_] Additional time (] Patient asked questions ce” Sia = { VE 2 4s, “
CJ DPHE] DPVE]LD [J Equipment] St! Patient summed information ~ Oy Ge ce cA ¥ ieti
( DPS] DNH {} Louder{_] Slower Please check one: NCR ate 2 ae aa
DDP (_] Basic[] Transcribe [[] Not reached*([] Reached AY 13 vA J an ;- F* “WSeh ONLY we ees im
Not Applicable (J Other* “See chrono/notes #4 Ut j 42 aN 2, °F S
5 }
4.Corments: Ly, Q Zz AUG oP
CGY Cag
Exwibit A- O14
STATE = of GaseA22- -cv-00569-TLN-DMC Document 16 Filed 02/22/26-arReyenrDRBEGBENS AND REHABILITATION
HEALTH CARE GRIEVANCE ATTACHMENT Page 1 of 2
CDCR 602 HC A (10/18)
STAFF USE ONLY
:
Sit
Tracking #: ar He ina
aOg Sa
Attach this form to the CDCR 602 HC, Health Care Grievance, only if more space is needed. Only one CDCR 602 HC A may be used.
Do not exceed more than one row of text per line. WRITE, PRINT, or TYPE CLEARLY in black or blue ink.
Name (Last, First, Ml): CDCR Number: Unit/Celt Number:
VEKPUZCO 1D T-45537 [A24 16S
Continuation of CDCR 602 HC, Health Care Grievance, Section A only (Explain the applied health care policy, decision, action,
SECTION A condition, or omission that has had a material adverse effect upon your health or welfare for which you seek administrative remedy):
DAM. “THIS Was A FORESEEABIE WabENT BECAUSE THAD CamPlLETEL SuvT down. © sreerep
SHAVING » D WAS NOT MED COMPLIANT GN AND oer, AND VERY DEPRESSED . ALL THE Signs WERE
ARVICLS . WOW CAN Someone Jus? FADE inyvo THE BackGRound IN AW ACUTE SETTING ~ THE System
.
IS FUMED Aub NEERS TO CHANGES . THE FAURE To HoLb @rTare ACCOUNTABLE, SETS THE TONE, And
STAFF_FEEL BEVOND ZEPROACH - SUPERVIS@CRS Dbo'T CARE EITHER 3 ON may | O2, Ifo. To
ADDRESSED This ineipenr_wirnlsenw) c. <cAL AUP TL Tob WER wow pees SHIT Like THis
y--"
NS CVO GC Nn.
ee Oe Oe Sars nes oT os oe a oe aap fin \
ROTO REWESTED 7 FOR PUL COMPOANCE GE CGR SFU taG 3241-7 -So0t CB}
PALES “3, it. 21,18. & JOY TIAL SHOULD THis NeT GE RESOWEN ADMINISTRATIVELY .
T S266 7 TANS DS VOLiTL CH iG
f
Grievant Signature: ii) AL. Date Submitted: MAN LG. 2026
SECTION Bi Staff Use Only: Grievants do not write in this area. Grievance Interview Clarification. Document issue(s) clarified during interview.
name TS SPEE * Signature: Date :
o 9
CHCF SO CHCF xa) -@VEL
vay Td oF
unt 1? JUL 16 2020p es cSt ABFURE ONLY Exsiert A-Ols
Oe Wl Crna a
Hoge 4cGO we v3 a eee
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 32 of 86
EXHIRIT B
OL. mor. FOR PRELIMINARY \WavNCTION
Case. 422-cv-00569-TLN-DMC Document 16 ; Filed 02/22/23 Page 33 of 86
TED StATES DISTRICT COUR
FDRTNE EASTERN DISTRICT OF CALIFORNIA
my
TDAMHELVERDUZCBs (NSE We: 2:17-CV- DSL THN DNF
PLALIUTIFE
Ne. PL. SEEKS A 1-DAY EXTENIGIDOG OF TIME 10 FE THE FIRGT AMEND. COMMPL
B.JAD.. e-Al., “FRC”. PL. SEES A PRELIMIRUARY INJUNCTION To CEASE UNeonletiToTioNAL
RETALIATION THM PSYCHOIDIOAL TORTURE AIMED AT DRIVING PL.tD sUiCl
Oo tO lap je fin
“ORSELF- WARM To GHENICE PL.
RULE 65 G5, F.B.0.P. 5 LOCAL RULE [44
JUDLE! DENIS M. COTA, 1). MAGISTRATE JUDCE
SIEMENS OF FATS
l. Qf) MOU. 18.2022 THE pisterer COURT SUA SPORTE CRANTED LEAVE TO FILE PLS FIRST AMENDED ComPLAMT “FAC”. OS DEC.15, 2022
PL. MOVED FOR A (40) DAY EXTENSION OF TIME ECE We. 13- THE REQUEST WAG GRANTED IN PART AMD THE ORDER WAS GICNED DEC.02, 2022, ECF
(Uo... MOVING THE DEADLINE 1D FER. 21,2022 . PL. INTENDS TD MEET THAT DEADLIME BY CiviNNG PL.S “FAC TO PRleDn STAFF Op
FER.20, 9029 FOR MAILING IN “LEGAL MIL” BUT DUE 70 UMFORESEEN CIROUMSTANNCES iM ARCUMEWT IIL PL. HA ASKED \1_8E EXTENDED To
FEB.9% 2093 .
2. "ORO SE flEMMine@ DEEMED FLED OW THE DATE PinceD In“ LEGAL tno” Not DATE OF RECEIPT GY cr. eRKS Vins v. Simm go
2)
F.3d. 4941 (4 Cig. ano). PRIQONL MALLRON RULE APPLIES 10 PROSE 81992 Cunime” QUIK V. TANEYCOUNTY, 31b £31913 (a cig 9003) .
CERTAIN CIROUMSTARSCES ARE BEYOND PLS ConTRDL. (CHer) mnniL Room STAFF D. POTTS DRSTRUCT WITH THE DELIVERY DF PL'S “Ieent mail”
)
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DOCURED QUER Six Times. CCUCE) IS ACAMERA FACILITY. Pt. HAS RECIEPTS AND LECAL mnit {e SHEETS SICASED BY OFFICERS, ANd THE LECRL Mai
ig ELECTRDACAILY REEDRDED TU PLS CDC 114 LE@AL Mit HISTORY toc DESTAWCTTON OF LEBAL Maid 1M) US. MAIL THAT CONTAINS ppPEALS 14
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POTENTIAL FOULPLAY PL. SEEKS A 2-DAY EXTENGION OF Up TO And MNCUUDING FEG.28, 2023 To FILE PLS “ERC”.
4|22-cv-00569-TLN-DMC_Dd8tiN@hi 16° Filed 02/22/23 Page 34 of 86
|_-PL9_ AINENDED-ComPLAINuF-Wit-RRISE CONITINIDED CONSTITOTTOWAL EATIONIS AY COHee) THAT REMAN GOINIG AND ARE nvRTMED _
WITH CRIMINAL CONDUCT To DEPRIVE PL. DE CONST {TUT WAL Rucuits AND CONCEAL THE DEPRI
CONDUCT AS REPENTIY AS JAN.23, 9093 (ie) DAYS RO _
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mos2-(a™eip-ano2). na) JUNE 10.2002 tL. ACQUIRED IRREFOTABIE EVIDENCE THAT cveR crace ar (oyer) an (rest) ceiminwty FaLsiriea inuesti¢aTion
RECORDS IN} VIOLATIONS UF CAL-PEN.COD. 118.1 Ca): £199 5 $1945 AND GOS (C0 To DEPRIVE PL. EQUAL PROTECTION OF LAW AUD CONCEAL.
MOONSITUTIONAL Jonimipa, Sexuet ABUSE DF PL. BY. A OCR PSYCHOIDGIST . ciminind VIOLATIONS DF CAL-PEN. COD. § 161 (8)5 $134 5 $122 CAN
———
BE PROSECUTED WHEN) DISCOVERED CAL.PEN. COD. $ 903 (© (2). THUS, THE STATE AND STATE AGENTS AT HEADQUARTERS ANUD' A (ono) ARE RETALIATING
INST PL. TO SIIEICE Pr.
UDI TUNE 98,9020 L. FILED A STAFF COMPLAINT Avni TO BE INTERULEWED BY THE DEFICE OF iNTERNAL QFFRIRG Coin) To Repber
THE UNCONSTHRUTED IAL AHOLATIONS Tua MORPHED (nsTO FELONIOUS CONDUCT UNDER COLDR DF LAU, THE APPEAL WAG AEgienED HEALTH CARE L064
CHOE- We- 12001253, SEE EX. A-DDYs A-DOS. UDG + CHEF-He-22001253 WAS PROCESSED AS RDUTIIVE, CONVERTED 10 HEALTH CARE , AnD REJECTED
TO RETALIATE AGAINST PL. AND CHILEL'S 1S AMEND RIGHTS. THEN, BRI UNDEAD EMPLOYEE FPISIFIED MNSTEUTIOWAL RE OO8NS THAY Ct) BE MHEWED
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PL. REQUEST SEWT Ini “eh MAIL” IMOUIRING ABOUT We # OHEF-He-29001953 . DESTROCTION OF LEGAL MAL w/ enicunees ig UniconsTituTiONAL
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Case 2j22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 35 of 86
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AOHIEVE THIS CRIMINAL FEAT TO DEPRIVE PL.DF ConsctinuTionvAL RIGHTS WITHOUT P_COORDiRUATED EFFORT WHTH OTHER STATE AAENITS . “To.
STATE A CLAIM FOR CORISPIRACY, PLANNTIFF MUST PLEAD ANS AGREEMENT TO PARTICIPATE INU ANS UMLAWEDL DVERT ACT THAT ig PERFORMED in)
FURTIERANUGE DF AN AGREEMENT” FACEROOK, inc. V. dink BdUANY, INC» 201 WL USHLSIN CAD. CAL.2011). “Nigeor EUIDENCE DFA ~
CONSPIRACY." MUST RE EVIDENCE THATS EXPLICIT ANID REDUIRES TWO IUFERETUCES To ESTARLIGH THE PROPOSITION DR CuncUIeioN BEING
ASSERTED’, CITY DF TUOLUMIVE ¥. SONDRA COMM. HOSP. 296 F. 34. 1148, 155, (a Gig. 200H)..
3. A SunTARUT cI | CRIMINAL CONSPIRACY IS AT PLAY To DEPRIUE PL. OF CONSTITUTIONAL RIGHTS AMD concen TWE DEPRIVATION!
DF THOSE RIGHTS THRU UIULAWFUL coMDUCT . (0vCR) SECRETARY JEFF (MACOMBER AND ATIDRNEY GENERAL QOB BOTA HAUE ABSOLUTE
AUDWLEDCE WIAA MULTITUDE OF E-MAILS ERbM PLS PRIMABY WEXT OF Kin, AD MACOMBER DR BONTA TAKEN AcTiON it WOLD
HAUE BEEN) IMPOSSIBLE FoR WARDEN R. BELL 10 Commir YercomTiTUTIONUAL WioLaTiong (tp) DAYS ALO ON IAN.23, 2023 . PL.
STATED INS Loe #.2835G4 Tn WARDEN R. BELLAS PL. nevenis ssi ei TORBEN Tb £0 DBs DE PLS Givi ONS,
£X.8-013. A SHAM anor MeTem WAS GRANTED eninst WARDEN &. BELL + EX. B-004 B-DIS. THE ALLEGED woest mesmieation AenInst —
ns a
Case 4
}
1-22-cv-00569-TLN-DMC. Document 16° Filed 02/22/23 Page 36 of 86
. \ en . a
HWARDEN-P_ BEN IWNS-ASCHAMED- ROUTINE the 4237490 FD TUT REFERED FOR EXAMIMATION WHICH IS THE PROCEDURE FOR STAFF. (MgcOnDUCT
iw if
VAIN, COL-CUD. BEC. TIT. 1S € 2483(4) (3), WARHEN B-REUL HAD IDE + 323999 ASICHED W WINSELF AS REUIEDINNG AUT DRITY AND DEnieD IT
pa wd
HEARING HIMNCELE, EX. B-D1G' 8-017. THE PRECISE UnieonsTiTUTIONIAL sngpartive retaninng CONDUCT 11:3 13 ADAMANT ig DeCURING To VIOLAT
vig civit Rent —THEDISTRICT Cour CARINIOT T RIMIWAL VIOLATIONS. THiS 1S 17 AMEND. RETALIATION . Wg A
FELD 10 FRIGIFY A IMUESTIGATIONS RECORD /DOCUMDENT, CAL. PEN.CUD. $118.1 (5192 58184. GEE man; Tit. 1g U.0.$ 1001 (ACD (eonseen men):
* APPLIES TO ANYOIE WHO FRISIFIES, CONCERLS DR CWVERS UP ANY TRICK SCREME. OR DEVICE, A MATERIALERCT® “TO PROUE CONCEALMENT UNDER GUR.S fb! Ca)CI) THE
PROSECUTOR MUST PROUE TRE EYISTENICE OF equ epitenrin) ror Yoeuieenu” US, Ue WHE EAGLE, ONE. 24. Ne. U-NS (@roiRt0%8). > pRrsaueRs
joo lp je fur
RETATTATIONY cunim SHeRED WHEN DEFIeiRLS EEFECTIUELY “@WNWED’ wig 1°” AMEND RIGHT To FILE PRISON ORiEUANICES 5 GUFFIEIEDT WWURER £1982",
BRUCE VW. VIST.35) F. 21.128 (4 052.2002). “te AMEND. PROTECTS THE PURSUANCE DF CRIEUAMLES'S DAVIS V. COORD, 990 F.2). 3b (™oiR. 2953).
ti
_%. PL. DES NOT Rnise GEXWAL ABURE INN THE PRESENT CASE RUT THERE 19 A NNEXUIS To THE SEXDAL ABUSE Aub CLAIMS RRIgED HEREIN . (ener)
NCHDIDGIST HANNAH E. RUSH SEXUALLY ABUSED PL. wun TREATING PLS uveIDALITY. GySH ADINITS To UAEDNSTITUTLOMAL SEXUAL ABUSE THAT coULD
HAVE ONLY DOCURED AT THERAPY-SESSIONG EXE-DIG. RUSH MANIPULATED PL.10 CUT NEF Wis FINGER WHILE TREATING WIS guveipnuty Busy ADMITS THI
IRL TWO LETTERS EX. ¢-014 3 0-00 . GUSH ADMITS PL. WAS SUICIDAL, THEY WERE IN) AN ILE@AL CINCONSTITUTIOWAL RELATIDALSHIP AMD GUSH DID NOT WANT f.
Th TRANISEER TO CONTINUE THE UNCORIGTITUTT ONAL SEXUAL VICTIEMZATIOG DF PL BUGHS MENTAL WERLTH PATIENT, EX.C-00. "paysient Eumenee WUOLUDES f
PERGONS HANDWRITING’, U.S. Ve. VELARDE- COMER, 244 F. 34.1023 "cig. 2001).
EROOMED: EX.C-024..
“4. _w Magen! t9, 2090 ot, wns merrien ar (ONeR) THA GUSH WASPIEARED OF BL CLAUS AGAINST RUSH RY PL. THM TRigeeReD Twn CLAIMS —_
Tiled LMMEDIATELY FOUOWED THAT MEWS. PL. ENTERED PQYCNDLOGI@AL DECLINE an DECOMPEAISAIED WHILE IN) ANMENITAL NEALTY ERCIUTY, Cur OFF THE
Ti OF Hig FINGER AND SIIAPPED THE BONE HIMSELF EWHILE IRI A STATE OF DECDMPEAUSATLON . PL. WR QUOT Of SUICIDE WATCH BUT At Some TIME AL.
QUDUED Hig HAND WITH THE MISSHRUL DISTT TO WURSE K. GILL WHOM WALKED ALURY. pL. THEM FILED A HEALTH CARE APPEAL Gnari ase PL. 1S Wy1gidue
AMD DESCRIBED IN) DETRIL HOW HE CUT OFF RIG FIMCER StuARPED THE QOWE AND Tow K.SIL WHO SHOWED No CONCERN . F1.$ APPEAL WAS
ASSICNED We # CHCE-He- 2000134 AnD REVIEWED By (QHOF) WUE M. LOWE WHOM DETERMINED {WAS NOT URGENT r.e., wor nom EMERGENCY,
GEE IDG 4 CHOE- He- 2001234, EX.D-D255 D-DIG- THs, fo F214 INIUDY AOGESSMEMUT WAS PERFORMED. PL. WAS EFT 10 HIS DUIN DETRIMENT
ie) PSYCHOLDELCAL DECDNNPENSATION AosD CUT OF A SECORUD FINGER TIP (12) DAYS LATER. PL. MAILER Bor DieITS OUT In LECAL male ony
SEPARATE DATES BEGCTIUG FOR HELP. OnICE THE DECOMPOSED HACER THPs ARAWEDTO THE (oie), A 3214 ANLTURY BSBESOMENT LAE DONE AND PL.
a
wad (2) Miggine FiNeeR Tes .
5 ee
Case .4j22-cv-00569-TLN-DMC Document 16 "Filed 02/22/23 Page 37 of 86
t 10 1 P81, 2080 oHer dc F-AQUNER-EORSE se MUTMON OE P-ANTHO-: Maire og
n_|IYOURFIMeERS DEF”, “x DONT CUE A FOK iF YOO Cor YOUR WERD DEF AND MAIL iT DUT. MULTiPIE GTAFF WITRESSED \T AUD SeT. 3. BRMNIER
© |i newigy it. PL.FIUE APPEAL we 4 950024 QUER iT DW APRIL 24,2092 SEE EX.E-DIFs E-D2B. DURING THE INWUIRY STATE DiD NNot WANT TO ADMIT’
4 uieseinitci ome brfwee win twteoeT¢ wom wore an THE IRONY Ue gpgeraninTE-wE RUECRINO'—peoe Tene at
5 _ {lel HAD NEUER WWTERACTED WITH Ger... BRUNER , RUNNERS IMMEDIATE CIRTEMENI CUBCUEST THE BEORER IEW PL. cur OFF FinlgeRs WHILE A
ce_||(cuer) an mweD TEM DUT. THe DEFICERTHAT Dip ur COmPROMIgE Wis IKTEERIY WAG ERLED GRE . PL. WAS WH EEN PRONinED THE Fim
F_|wuten wile Stare * suBst | 1 ALLOWING THE OWE YEAR
S_| oar Te oe timiraibwy To amedes EMUNet DigeipLiae To EXPIRE $O_(Cunee) ger. J, BRUNER CANIUOT RE DISCHPLIMIED nveu 18 RETALITORY TH DERRIUE:
IPL. ANY EFFECTIVE APPEAL REMEDY. A QUAD INFORINED PL. THOT SCT. 3. GRUNER WAS ASKING GUARDS To LIE FOR NiM ABOUT THE APRIL 1@. Mbe2
10 _|/NDOUDENT . oL. FED n CoMpUAiWT WHIM 14 HOURS AGAiNIGT QRUNNER FoR ASKING QUANG TO iE THE QEIEUANCE WRe DESTROYED . gypmisinic THis,
[1 |[PL. RECUBMITTED A IDEAITICAL COPY WITHIW TIME CONSTRAINS. if WAG DESTROYED WOO WHEN THERE 1¢ VIDED FDOTABE DF eL. DEPOSITING IT snuTO THE
12 [/WOeKED hn APPEMLS BOX. PL.THEN SrARreD FilimMe APPEALS I) “1g8Al Maik” Couce) APPEALS SIREF SIMPLY DESTROYED THE LEGAL Ina SENT
re ARCUMENT 1}
iS PL. 19 hor REOUIRED TO DEMONSTRATE ALINE HOOD OF SUCCESS ONL EACH CLAIM FOR IRS JUMrON RELIEF ONS. LKELIGeD ony
iG oINE UNUCONSHTUTIONUAL CLAIMS AND IRREPRRABIE INJURY WMDUT VOJUNCTION RELEE
13 _
i.
18 || "}= pmen. DEPRIVATIONS , REENBDLESS DF HOW Sune THe DURATION, ConsTiTUTE IRREPRRABIE (JURY ” ELROD V. BURNG.YY7 U.S, 343,94 8.07.9693,04 L.Ed.
Fe |lo (ard) 7a PL ie Revived 10 Ghd AND IRRERARABLE ihuTuRY AS A eREREGUIEITE FAR OBTAINING IMIUCTIVE RELIEF" AUREL MeDRANUD, WIL” -
a6 {hs 902,94 9.¢r. Nal HO LEd.24 Sib (1994). pf. upg peowiDed Ce |
Qi |IDESTRUYED, ENIDENCE THAT WEADDUARTERS SIAEE FALSIFIED (DeCiweS THAT CAA\ BE VIEWED &Y THE i) w 1p DBLIEUE THE (oie) tno comeeat DePsivaTion
42. lint 013 coucirwrouAl RIGHTS . WIFPR CONFMERTALY RESTRVCS RECESS Th WERLTH CARE RECORDS cp Syme. DF BLS APPEALS RERORTINNG CORRUPTION
73 _|IARE CONUERTED TO HERUTI CARE DIRECTED TD MEDICAL SOTHEY ARE HIDDEN UNDER DISCDISE OF MipPA AND REJECTED THESE ARE DUERT ACTS TO
24_|/DEPRIVE pL.OF conistivuTiONAL RIGHTS. CORICEAL THO DEPRIVATIONS THROUGH UNLAWFUL ACTS IN) THE FURTHERANUCE OF A Civ @RimimnL conusriRney
95 ||AS RECENT AS Int. 2.2023 WARDEN R.BELL HED A wiwiby AULESWNe FEIMUIDUS CONDUCT BY R. RELL» ASSIGNED TD HIMSELF, RerED Ag THE
2 {|REVIEWINIE AUTHORITY AaniniT HimseLE. Ansd cLEnRED Himetur (R.GEL), EX.8-012 THRU B-OFF. DEF's CANUUT pROLIDE ENIDENOE To REFUTE
23 ||THESE cLMIMS ._DEF'S CANNOT DISPUTE THAT PL. CUT DFF A FINGER TIP. FIIED A CRIEVONCE DESCRIBING IT to nerion WASTAKEM
48
PL. CUT OFF ANOTHER FinER, MAINED BOTH DUT, AnD Me Cove) too (ower) THEY RECIEVED THE FINGERS. CeNce) NURSE M-LDWE STATED THAT
Case 2
22-cv-00569-TLN-DMC Document 16 ‘Filed 02/22/23 Page 38 of 86
16 NOT URGENT, EX.D-025 5D-D2G . TH DL ADDRESS TE ToTAUrT’ OF PLS tEeAL MAL
mw fF
DESTROYED AT (euc#) THM winiL BE RAISED JU THE FIRST AMENDED COMPLANBT .
at
THE BOMBARDMENT OF CORDINATED RETALIATION 18 DESIGNED A fie 1S OF SUICIDE PD
SELF HARM . Li HAVING THE DESIRED EFFECT. @t. CHAS SUPPRESS THE URGES DN (DST DAYS BUT IS RENONINE His e¢¥eHDINe) CAL THRESHOLD
AND CANNOT CONTROLDR PREDICT wHery THOUGHTS WILLODAMVIFEST Ind SELE- WARM BEHAVIOR. PL.’ EUDENICE WILL SEND MULTIPLE STAFF 10 PRIS
NEM 1UCDRRUPTABLE FEDERAL PROSECUTORS GET INVOLVED THiS WILL Rus REMAND HIDDERN FOREVER . THE (UOTIOAY THAT PL. WILL (NOT BE MURDERED
OR SET UPTO BE MURDERED i wot FAR FETCHED SEE EX. F-024>F-D2D. Pt. PLEADS WITH THIS COURT FOR INIUMCTIVE RELEF To PREVENT
Woe se oY
COATED RETALITORY HARM ASD CONSHUTIONIAL YJOLATIONS THAT OANININ BE REVERSED ONCE Committed BUT CAn ge PREVENTED tF
oO
REVEE [8 GRANTED pnd (eneR) Knwbws THE COURT 1g WATCHING . THE REALITY OF 9. PLIGHT HAR DEPRIVED Him OF CiiL URERTIES
13. _ PL 19 A CATIEAT ADMITTED MAsTO A MENTAL WEALTH FREVLTY AT THE PSYeHIATRICT \ivpATiENT PROGRAM (Pip) LEUEL DF CARE . “ust
AG A SERIOUS-FHEDICAL WEED Ay EXIGE FOR-A-PHYG) COL CHNDITION» $0 TAY A SERIOUS TUEED EXIST FORPSYCHOIDEICAL OR PSYCHIATRIC, TREATMENT 3
‘Dow Ove V. TEXAS DEPT. OF CRIMNAIAL TUSTICE, 957 F.3d. 702 (cr oid. 2001) . SEE ALSD 5 U.S.Vs. EX REL SCHUSTER Ve, HEROD» Ut0 F. 24. 100
1os4_(2>07R.194a) :” HOWDING THAT BEFARE A PRISONER MAY BE TRANISHERED TO A MENTAL HEALTH FACUITY, HE mgt SHOWN THAT HE SUFFERS £Rg _
EROMLA MENTAL DIGEAGY THAT RERLIBES CORE oop termment. “prey
IDEAUTAL HEAUTH LEVEL OF CARE » CAL.COD.REC.THT. 5 $ set (A(t). “GTATE REAWNATIDNKS LRUCLIDINIE PRISON REGULATIONS RADETHE FOROE
DE LAW” MADRID V. GOMES, 389 F. SUPP. 146,197 AT Pn. 04 (W.d.CAL. 1995). PL.HAG COT DFE THREE FineeR Ties Ar (ONCE) SnUnPPintto
_[ITWEBDE OM) THREE DOCA@SiONS HIMSELF.
THERES LIGATION WHERE THE PIITIONUER I ROSE» PARTICULARLY i int RMT CABES TO CDNSTRDE THE PERDIIceLBERRLY Ayo arF0RD
TE PETITIONER THE BENEFIT OF AMY DOUBT’ BYRD V. PHDENTY. paLice DEFT. 895 F.3d. 634, GH} (4 Qik .2018)
ARGUMENT II}
ON FEBRUARY 14.2023 PL. Was SERVED nuoTce DFA CAL. PED. 2 PETIT NG 1 omen DETERS
2b
FROM A SERIDUS IMENTAL ILENESS »1$ A DANCER TO HIMSELF. Quy 1g SCHEDULED TO APPEAR REFORE ISTRATIVE LAN
JUDE OM MARCH 93, 9023 .
Lt
18
cd
1H, THE DECLARATION IN) SUPPORT OF THE CAL PEN.COD.¢ 260 PETITION) it DECLARES TWAL PL.WBS SERIOUS IEITALILLEGAL AND. Ig
; Pa ubBscrLs
Case 4t22-cv-00569-TLN-DMC Document 16° Filed 02/22/23 Page 39 of 86
-—
A-DANCER TOHIMSELES SEE Wo 5 VEX.6-033. THE PETITION HOWEVER, bmITS THAT PL. WAS REPEATEDIY SEXUALLY ABUSED ey (eer)
PSYCHOWELST HANNAH E RUSH WHICH MNLTLPLE MENTAL HEALTH STAFF ar (oer) HAUE pBSOLNTE KNOULEDCE THe iT OCCURED, SEE EX .
wf
P= 001 THRU. A- D3 . THE eefirioy omnns 1H BUSH MAN 1PULATED PL. 10 CUTOFF A FINGER ‘muLtiete (once) IMENTAL HERG WAVE GEER).
A
VIRECT EVIDENCE | i RUSH PERUIIANS uP THA PROVE iLBevoND ANY DOURT SEE EX. Coa - HE AUTAOR iE ThE PHTIOW rm SEEN EX. t bi
HERETO. THE PEIITIONN DINITS THE FRET THAT ALL THE UNVCDMSTITDTIONUNL RETALIATION BY (cHOF), (PRGA), AND HEADOUARTER'S Stner ig Q
Slensirienn eungiguTiNG FAeTORTH PL'S nECiNe Ap NETERIORATIING IMENTAL HEALTH. DN) SAN.25, 2022 AT 4-80 P.M. PL. AVE
PSYCHDLDCIST “D. HARRISON A_GA-22 ‘lm REQUEST FOR INTERUIEW FORM EXPRESSING HOw #25 cliwicians AND SUPERUIGDRS ARE
ELECTING 10 REMAIN GHENT BY-STANDERS .SEE EX.0-D305 6-37. PL. WAD THE GA-2 FORM NORTARIZED O1U FEB.03,2023 EX.6-D35-
ee ee OT ( (
ii
(5. WHATS Most TROUBLMG 13 THA TIT Ing MISREPRESENITS maTERIAL EnoTS Ie E10 lS CASE IM ARS ENDEAYOR To DOWNY
PLAY BLATANT 9" AMENDMENT CONSTITUTIONAL WIDLATIOMS . TNE PETITION AOKNJOWLEDEES THAT PL. CUT DFE A FINGER TIP In) APRIL 2000 AT
(ouor),S€E SECTION (OD LINE G» EX.6-D92. THats Ag) ANMI8¢iDW THAT LeHes) HAD ABSOLUTE KMDWLEDEE THAT PL. CUT OFF THE-Tip OF HIS
FIVER WHIEK-WSAS DUER-AALINUCI-IN ERT {9s RPRHL 2020 YET_EL. WAS (UOT ELEVATED TO SUICIDE WATCH, RO tNUUeY ResEssmenT we
COMPLETED 1i_APRNL2020 DOCUMENTING THE MBSIHE DIGIT, TWO CEU SEARCH WAS CONDUCTED TD RETRIEVE AMPUIATED Tat AWD Wo 3229
APRIL2020
EXIST AR US ine OH SUPPORT PLS Claim Then SIAEF KIVELN BUN TODK WWD ACTIOW - THE PELTON. AULECES. PL. IReERAIED Wig LEFT mE
BECAUSE PL ULDULD HALE QEEN RECEIVING WOUID CARE IN) MAY 202 NEL OA) MAY 10» 2020 PL. FIED We 4 CNEE-He- IDOOINSH SAYING
WE QUT DFF Wig FINJGER IW) AERIL-2090 AND ig \NUIBIBLE YET DNV MAY 13,2070 RW LOWE. A DEEMED THE CRY FOR HELP AS nUOT URCEUT
~{AOURSE Mh. LOWE CHECKED TWO TD. EXPEDITE Le. (WOT A EMERGENCY EX D-025. THERE 19 WO 7219 fk TAY 20% OCHMENTINE A a
WOUND TO PL'S LEFT MIDDIE FINGER wHiew THE petirioni CLAIMS PL. REOPENED Ag CUT OFF JUNE 2020 THATS Im impossible
RECRUGE IED WT THE DEC FIMEER Qu Cnt 95,2000 PL. Ma DELTAE MNDLE FINGER may 26.2000. THE yey rime
ARRIWED 10 (vie) SUE O1, 2026 AND (oie) WwoFIED loner) TO CONDUCTA 7219 Th DOCUMENT THE missing FINGER , PL. WAL &
MSSinsG. (CCE) HAD KRIDWLEDGE, TOOK 15 ACTION , REFUSED TO DOCUMENT THE INVTURIES , NUD ARE FALSELY CLALMIME UNDER CATH
THEY DiD TD CONICEDL THE CONETiTDTIOWAL Viot»TiOMS OF DELIBERATE INDIFFEREMCE BEINse ALLECED IN WIS CASE. (Chor) FlieD A
PRISE PETITION ,THATS A FELONY.CAL.PEW.CUd. 81323 € 194. COACH) WARDEN CEWA TOMES TLb PLS PRIMARY WEXT OF KIN tHar quegaTiows
LE.
Qt
ARE BEING LDOKED Ini ON Ae. 21, 2022. IETRUE » You) CAN GEWA JONES EXPLATIY THE UNLAWFUL CDNDVCT Since AUL. 31, EX.-0Ol .
TO.DEMNY PL. OF CONSTITUTIONAL RIGHTS , SINE AeGUST 21, 1022 LEGAL MAIL WAS BEEN) DESTROYED (s) TIMES Tat CONTAINED
23
APPEALS .
Case 4
22-cv-00569-TLN-DMC Documeniyséioni Filed 02/22/23 Page 40 of 86
PLBECHS IMUIUGITION RELIEF 10 CEARE ANY AND ALL RETALIATION AND UNooNGTiTUTIONAL ViouNtion’s at: COuCE) .
(ONCE) {S PETAL ATING FOR THIS SUIT AND BECAUSE PL. DISCOUERED THAT COHCF) contepiRED ulin CPBSE) 10 ConcEAL THE
Dm tf
QEXUALUNCON)STITUTIOWAL CRIMINAL ABUSE. 0L.'S FIRST AMENDED COMPLAINT Wilk INCLUDE ALL INE RETALIATION THAT’
Az
HAS EMGVED AT LCHCE) SiMce FLINGTNIS SUIT SUIT WAS E-FIED May 30,9022 PL. HAD TO SvRMT IN inentUTO:
MIL AVAWPRBLE To STAFF. (IZ) DAYS LATER Ser. J. BEVNMER Tid PL. HE DOES WoT GWE h PHOK IF pL. curs
WIS FINGERS OFF OR CUIS WIS HERD OFF AND MAILS It ODT. E¥.£-0975 E-023. OW MAY 24, 2022 PL. PUT A
CRIEVAMOE I) THE LOCK APPEALS POX Ir VANIGHED. IT WAS AGAINST BRUNER AFTER A GUARD TOLD PL. BenMNER
1S AGKING STAFF 10 LE ABovt APRIL 1S, 2022 . ANDTHER ABR APPEAL PUT IM THE APPEAL Bor I) JUNE 2092
Oo i jt ie jt
oO
VAMISHED el. MAILED APPEALS Iw LEGAL MA;L COMMENCING IONE 20.2092 THEY WERE DESTROYED. pL. ng BEEN 1
CCF Ye YEARS YET APPEALS Dib MOT START REIS DESTROYED YOMIL E- FiLimG THI CAGE tancH 30, 2022 .
ul
ON JUN ol, 2092 THERE (2 VIDE OF PL. AT THE OFFICER STATION), THE VIDEO WIL DEPICT A GUARD AT 12:45 Pm.
., Havd .
READ A CDCR 22 FORM ATIACH To A APPEAL, SIGN Ir. HAD IT BACK TO PL, PL. REMOVE HIS CARBON Copy.
WAL TO THE-APPENL BOX-THATS 19CKED ANd DROP Ir IVSIDE . it UAMISHED PL. FILE A APPEAL OVER IT amy LegAL MAIL
TWAS DESTROYED . enicieer® tum PL. MAINED A COPY Th ANOTER PRISON So Ir Cot A LOG 4. Put WHEN (oner)
DESTINED THE LEGAL MAIL, CHE Wed Qo IDEA 9L. MAILED A COM TO ANCTHER PRISON - HOWWBLER WHEN THe APPEAL
WAC RERCQIED
4 f\ 1 DAC A DA te ate \wane pla TES PSD font pot nad L hf
Io>tetitt is Ficct play baa . OF f
BRIEURMICE {W THE AREAL Box at Cent) ON dULtok, 20 9e WHEN iTS ON DED AD A QoAR-SiENED A Opee 22 FLRM.THAT PROVES A.
Set. R. QiNGH fr CONOR) eommMATED AFEDWY AND CommnTTEd 1S" NNEND ConsTrmmbNRL WiOLATIONS To OONGEAL consTrTsTIONRE Vi0LATIONS..
ol: Suouid BE GRANTED (RIL RELIEF ineWDine AC) Dav penesisiof GF Tine OF UP 7 AND CUUbIWG FER. 2%, 2002" FUE THE
FIRGT AMEWDED COMPLAINT UNDER THE MAILBIX RULE. pL. i¢ ON THE VERCE OF A MENIAL CRigie hrerpoun WO OWE SHOULD BE
TREATED LIVE A ANvIMAL . eL. 1S AT immimensT RICK SEE EX. @-034
VERIFICATION
T DECIARE DRDER PENALTY OF PERIUDY TNAt THE FOREGOING fe TRUE AN CORRECT. IF CAULED UPON TO DO 80s T Ops)
THTTAL To TWS MarTeRS. Tule DECLARATION WAS EXECUTED ON THE Ieee me BPWERLA 15 DAT OF FeepuAld
At STOCKTON CA.
af)
JA
pe
10/13/22, 6:20 PM Mail - Alma pineda - Outlook
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 41 of 86
_ RE-Criminal-activit
Jones, Gena@CDCR <GenaJones@cdcr.ca.gov>
Wed 2022-08-31 6:15 PM
To: Alma pineda <alma_pineda@hotmail.com>
Good afternoon Ms, Pineda,
i take all allegations very seriously, your concerns are being looked into.
Gena Jones
Warden (A)
California Health Care Facility
Cell: 209.623.3146
Office: 209.467.2511
CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential
and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized
interception, review, use or disclosure is prohibited and may violate applicable laws including the
Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender
and destroy all copies of the communication.
From: Alma pineda <alma_pineda@hotmail.com>
Sent: Wednesday, August 31, 2022 2:46 PM
To: Jones, Gena@CDCR <GenaJones@cder.ca.gov>
Subject: Fw: Criminal activity
CAUTION: This email originated from outside of CDCR/CCHCS. Do not click links or open attachments unless you recognize
the sender and know the content is safe.
Good Afternoon Gena,
Thank you for getting back to me.
oS at CHCF-are promoting a criminal conspiracy. During IDT 1, on August 1 0t3022-Verdtizco gave
Martincek, E. Edgar, D. Minor, Ben Bessee and Todd Lieberg a 24 page packet of direct evidence of
criminal sexual abuse and criminal activity by CDCR employees. Dom chapter 5 article 44 section
54040.7 states: “each employee that is provided a report by the victim must complete required
reports." ISU told these employees not to file reports. That's a violation of CDCR policy and criminal.
ISU told staff that Verduzco claims were already raised. That was half true because ISU at PBSP at CHCF
committed felonies to cover it up.
Obstruction of justice can be prosecuted on date of discovery. California penal code section 803 (e) (1)
(2). Assuming for the sake of argument that there was no criminal cover up, DOM chapter 3 article 22
section 33030.12.1 states: " an investigation can be reopened if significant new evidence is discovered
that is likely to affect the outcome of the investigation."
The 24 page packet is direct evidence that will change the outcome but ISU does not want it reported to
conceal their own criminal activity. That's why Verduzco's grievances submitted at CHCF are vanishing
—-_-_despite being sent-ategal mail-and-put-into the B6A locked-appeal-box.
EXHIBIT A- 00!
Libba in tle Ee Bern male TUR in bn APA ARAL ADDY Rac TOV oR Acad CREE RAD ATE ARIETTOINAL TAs AiR AAD AA ARATVCOCW YE INO aAK bh Avian ah 416
*
10/13/22, 6:20 PM Mail - Alma pineda - Outlook
vor BS fe FESSEIR Oe Tak GH Ne SRLS 24 ABE 42 ef direct
To —cidence-on August 10!" 2029--to prepare officiet PREA-reports--Regardiess of classification, each ———
employee has to report misconduct. Chapter 3 article 14 section 31140.5 states: "any act or coordinated
effort to prevent the reporting of misconduct is grounds for dismissal. DOM chapter 3 article 22 section
33030.19 (b) (3) (4) (5). The email that follows was sent on August 15th 2022 to CDCR headquarters.
Thank you,
Alma
From: Alma pineda <alma pineda@hotmail.com>
Sent: August 15, 2022 10:19 PM
To: Neill, Jennifer@CDCR <Jennifer.Neill@cdcr.ca.gov>
Subject: Re: Criminal activity
Dear Jennifer,
A criminal sexual abuse investigation is a lawful investigation, California penal code section 2639 (e) it’s a felony to
falsify any record or report during a lawful investigation California penal code section 118.1 (a) penal code section
132, penal code section 134, it’s a felony to conceal criminal activity, California penal code section 32 title 18
U.S.C. section 1.0.0.1. (a) CDCR have to investigate criminal activity by CDCR employees DOM chapter 3 article 14
section 31140.20. All CDCR employees receive the employee discipline matrix (California Penal code section
5038.4 {a) (d) through 1-5. All CDCR employees receive PREA training.
You have access to Daniel Verduzco’s central file. Review appeal log number PBSP-0-19-0-1532 and read side two
of the CDCR 602 form section E. K. ~ Royal and R. Bell criminally falsified section E documenting that K. Royal
PREA interview was on July rot 2019. During the July 10° interview, Verduzco named ISU lieutenant R. Basso
and hiring authority DOE as concealing criminal sexual abuse and criminal negligence to cause great bodily harm
by CDCR psychologist H. Bush. Verduzco, can prove the actual PREA interview was conducted on July aot 2019.
Read memo dated July asth, 2019, appeal log number CHCF-A-19-02880 first level review. ISU lieutenant B.
Pinneo was involved in log number CHCF -A-19-02880, but he has not disclosed that to Internal Affairs to protect
corrupt ISU members.
Review grievance decision log number 243046 dated May 24th, 2022. R. Bell would not provide the name of the
second warden because it’s the same warden “J.Roberston”. R. bell was concealing a criminal conspiracy by J.
Robertson, R.Bell, R. Basso, K. Royal and others. Look at grievance decision 243046. Review grievance decision log
number 226790. R. Bell rendered that decision to and was evasive to conceal criminal activity and further a
criminal conspiracy by multiple CDCR employees including R. Bell. You can review these appeals.
Criminal activity by CDCR employees remain actively in progress and no one will interview Verduzco or collect his
evidence because CDCR as a whole want to conceal criminal activity by its employees.
on June 30%, 2022, Verduzco submitted a staff complaint that was filed within 60 days of learning of the criminal
conspiracy that is still in progress. CST staff at headquarters issued it a routine healthcare log number CHCF-HC-
22001252 to conceal criminal activity and prevent an Internal Affairs investigation.
On July-19"",-2022, Ombudsman Eric Joe interviewed -Verduzco-for over one-hour. Verduzeo-gave Erie Joe-a-copy of ~~
the staff complaint dated June 30th 2022, but Eric Joe refused to take 138 pages of evidence, although he read
EX GIT A-002
bttansHnwitinanl Brn namimniliinhknwlAdlAANBRAL AT Aw A TICOVOR Mal TAT RADIA UINAITIF ONAL TA Mia MAAR ADAAA RA TF OCWY Bin MAIL ELIA KU Lia OO Me
«
40/13/22, 6:20 PM Mal: - Alma pineda - Outlook
somes Cd Gring Ae TRE RMS 1229 tee yng de eprese Fsee HEL be inka 496,47, 04/8ed criminal
____etivity hy CDCR employees to actively remain in progress in violation of DOM chapter 3.article 14-section
31140.5. DOM chapter 5 article 44 section 54040.7 DOM chapter 3 article 14 section 33030.19 (d) (3) (4) ((5). I’m
Daniel Verduzco’s (T-44537) primary next of kin. | want to know why no immediate action has been taken within 5
business days under PREA policy.
The objective of grievance decision log number 243046 and log number 226790 by R.Bell was to conceal criminal
activity . That it’s a crime- Penal code section 32 title 18 U.S.C section 1001 (a) (1).
The crimes committed cannot be undone. However, the crimes actively in progress can be stopped and you must
accept that this cannot be covered up further. CDCR employees that continue to engage in criminal activity to
obstruct justice and conceal criminal activity by CDCR employees are choosing to go down with a sinking ship.
Criminal activity has zero immunity protections and there is no life vest for the guilty. Staff misconduct is any
violation of law or policy CCR. Title 15 section {:48.; (a) (14). Employees at CST have violated CCR title 15 section
3084 (a) (4) in an effort to conceal criminal sexual abuse, criminal activity by various CDCR employees and to
further an active criminal conspiracy by CDCR employees. ISU at CHCF is informing staff not to write official PREA
reports. This violates DOM chapter 5 article 44 section 54040.7 which states: “Each employee that is provided a
report by the victim must complete required report.” Not only is this staff misconduct, witness tampering is
criminal- California penal code section 136.1. This constitutes as witness tampering because during Verduzco’s
IDTT on August 10, 2022, at 12pm, Verduzco gave five CHCF employees a 24-page packet of direct evidence of
criminal} sexual abuse, criminal negligence to cause great bodily harm, criminal correspondence and a criminal
coverup by CDCR employees. This direct evidence requires these employees to prepare official PREA reports. Ben
Bessee took this evidence to CHCF ISU, ISU rejected this evidence and told Ben Bessee to tell Verduzco to put it in
a 602. ISU already knows that headquarters CST will not issue Verduzco a staff complaint log number as is the case
with log number CHCF-HC-22001252. Besides, how can ISU discourage staff from writing official PREA reports
when provided with direct evidence by the victim? The base penalty for preventing the reporting of misconduct is
dismissal DOM chapter 3 article 22 section 33030.19 {b) (3} (4) (5S). The crimes actively in progress is continued
criminal and constitutional violation which makes you liable and culpable for refusing to take reasonable action to
stopit.
Verduzco is in a camera facility.On May 25" 2022 at 12:45pm, he put a staff complaint into the B6A appeal box
dated May 24" 2022- it vanished. Only the office technician for the captain had access to that locked appeal box.
That’s the depth of retaliation and corruption being incorporated to silence Verduzco.
Alma
From: Neill, Jennifer@CDCR Jennifer. Neill@cdcr.ca.gov>
Sent: July 25, 2022 10:48 PM
To: Alma pineda <alma_pineda@hotmail.com>
Subject: RE: Criminal activity
| write to let you know that | received your message and will look into this matter.
Respectfully, EXHIBIT A-DO3
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Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 46 of 86
TATE or CALIPEX
STATE oF FORNIA Amarik K, Singh, Inspector Genera
OIG OFFICE of the oO Refi & Robertsan, Chief Deputy Inspector Gener
INSPECTOR GENERAL
Regional GFice.
2 RRL ETS
Sacrament:
Sskersfieh
August 9, 2022 Rancho Cucamong:
Daniel Verduzco, T45537
California Health Care Facility
P.O. Box 213040
Stockton, CA 95213
Dear Daniel Verduzco,
The Office of f the Inspector G General has received your correspondences. —
According to institutional records, you have a grievance*(22001253) regarding disagreement
with treatment / nursing staff within the California Correctional Health Care Services unit. This
grievance is due for a response by September 15, 2022.
If you would like to file a staff complaint through the Office of Grievances (OUG), please filea--——-——
CDCR Form 602-1 (Grievance) or CDCR Form 1824 (Request for Reasonable Accommodation)
with your institution's OOG. Please contact your correctional counselor for advice and assistance
regarding the process or the status of your complaint.
Please submit a CDCR Form 7362 GHeal th 1 Care Services 's Request Form) if ‘your have a medical
-----==-or mental-health request = = an Bo ie teenie chart nae
Thank you for bringing your concers to our attention.
INTAKE AND REVIEW UNIT
Office ofthe Inspector General =
BL: 22-0044046-PI
FRE ne ee AT TE PPS SE EE TE ANG OL ee EL Te Ua ae Ea ee EL OTE OR ETE Bsr Tone oe 5. <I> OER ia eS Pt a
Gavin Newsom, Governor EXHIBIT A- 006
10144-Old Piacentile Read Sule 44
: Sacramento, California 9582.
Telephone: (918) 255-1102
|
i
|
il
:
|
Legal log sheet will be piace
ao a fehl
sqvith the legal mail. Accopting correctional officer will sign the: -
| | | |letters on the se: all) deal mail be placed in the/bag without being logged in. de .
: . iy C/O signature S& date:, . ~ Sfas /2 {uf}
. Pigase cir rele proper facility: Legal mail clerk & date: AUG 2 6 RECO S
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AECBAIC' D E.* | ~
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SDATE) | INMATE NAME | CD “Tt - : ourconer | BRING SENT TO: _ ; & DATE g
. Taianan, | RRAIMMELL CHEN T (HEY CRIEUNPPOEDTCE| CnuFORIIA NEAL “CARE: FACILIT = Pp .
sloslonan. VERDEZLD, Dd: PUGS? - ents - | A
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ee pan h | VERDU ZC) dF Ho _STCCETOW: CA. | 45202
NY Bo to
‘AlN PUNT S MONEY ORDER #
i OR COORDINATED REPORT TEAT PREVENTS THE Rieeminie oF miscowOUCT Is GRouMeS
‘Digsseb akbosers. Arar rei cated Gal 2APPu rage crap of 8 86 —
nut Fe
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STATE OF CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
INMATE/PARGLEE REQUEST FOR INTERVIEW, ITEM e SERVICE ;
CDCR 22 (1009) Peguent Th ANeWER FOE ' inet heim Fmareh wane
REPUSAL TO BNGWER CHCE 42 Foes 1s CREONDS Fak DiscibLin€ Leen) Sued ue
SECTION A: INMATE/PAROLEE REQUEST . ~ FOR Ot a E Ae i oHETD. LS.
NAME (Print): (LAST NAME} (FIRST NAME) . COC RUMSER: SIGNATUI EF Z
teanesiten. Pb T.. URGES i
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HOUSING/BED NUMBER: ASSIGNMENT: . TOPIC (1.E. MAIL, CONDITION OF CONFINEMENT/PAROLE, ETC,):
& 4 Bs 44 fi. HOURS FROM TO. aH
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CLEARLY STATE THE SERVICE CR ITEM REQUESTED OR REASON FOR INTERVIEW: f fe lire } Be
L@ CHEF He 2266152. TE ApreaLens NSIST OF vn taaes S_ get
B io aTy Pate
c faa + Form ACK OLI Eng live THAT YO Ou REreive hb THe apoe ea are
= AiR) PNE BEEN) PROCESSER AS 0 Srare ch nein T Aah sear + Loin).
ENG 1 ORE ca LL Come Cust EVES oe > s0Allep D
METHOD OF DELIVERY (CHECK APPROPRIATE PHO) 9 iN G.
JEST ES MAILED ** fis
CI SENT THROUGH MAIL: ADDRESSED TO; _£,. LEGAL BEBE
DATEMAILED:44 #4) 2 ©
FORWARDED TO ANCTHER STAFF?
(CIRCLE ONE) (res NO
METHOD OF DELIVERY: ean
Pies 2 (CIRCLE ONE] WRERSON? BYUsMAL {2
; \ A
SECTION B: STAFF RESPONSE.
RESPONDING STAFF NAME: GATE: SIGNATURE: DATE RETURNED:
SECTION C: REQUEST FOR SUPERVISOR REVIEW
PROVIDE REASON WHY YOU DISAGREE WITH STAFF RESPONSE AND FORWARD TO RESPONDENT'S SUPERVISOR IN PERSON OR BY US MAIL. KEEP FINAL CANARY
COPY. _
SIGNATURE: DATE SUEMITTED:
SECTION D: SUPERVISOR’S REVIEW
RECEIVED BY SUPERVISOR (NAME): DATE: SIGNATURE: DATE RETURNED:
EXHIBIT A- 008
8/5/2022
OUTGOING CONFIDENTIAL/SPECIAL PURPOSE MAIL LOG
VERDUZCO
T45537
a
o oo
SUPERIOR COURT
fee
STOCKTON, CA
8/5/2022
VERDUZCO
INSPECTOR GENERAL
SACRAMENTO, CA
PUBLIC DEFENDER
_|EUREKA, CA
8/5/2022 |VERDUZCO
8/5/2022 |VERDUZCO
T45537 |
T45537
|
_ {145537
_ LEGAL AFFAIRS
SACRAMENTO, CA
8/5/2022
8/5/2022
VERDUZCO
VERDUZCO
T45537_
745537
8/5/2022
VERDUZCO
8/11/2022
VERDUZCO
CDCR ASSISTANT SECRETARY
CDCR SECRETARY
[SACRAMENTO, CA
SACRAMENTO, CA
T45537
STATE BAR OF CA
SAN FRANCISCO, CA
T45537
8/11/2022
VERDUZCO
|ROSEN BIEN GALVAAN & GRUNFIELD LLP
SAN FRANCISCO, CA
RANCHO CUCAMONGA, CA
8/11/2022
8/12/2022
VERDUZCO
745537 | JINTERNAL AFFAIRS
T45537_:_ [INTERNAL AFFAIRS
VERDUZCO
{145537
ROSEN BIEN GALVIN & GRUNFI
RANCHO CUCAMONGA, CA
8/12/2022
8/12/2022
VERDUZCO
VERDUZCO
8/12/2022
VERDUZCO
T45537
T45537
OFFICE OF APPEALS
INTERNAL AFFAIRS
ELD LLP SAN FRANCISCO, CA
SACRAMENTO, CA
SACRAMENTO, CA
!
745537
_|_ [INTERNAL AFFAIRS
SACRAMENTO, CA
8/18/2022
VERDUZCO
T45537
INTERNAL AFFAIRS
RANCHO CUCAMONGA, CA
8/18/2022
VERDUZCO
T45537
INSPECTOR GENERAL
SACRAMENTO, CA
8/18/2022
8/18/2022
VERDUZCO
VERDUZCO
T45537
INTERNAL AFFAIRS
SACRAMENTO, CA
ROSEN BIEN GALV ; N & GRUNFIELD LLP
SAN FRANCISCO, CA
SUPERIOR COURT
8/19/2022 |VERDUZCO
T45537
T45537
ATTORNEY GENERAL
CRESENT CITY, CA
SAN FRANCISCO, CA
8/18/2022 |VERDUZCO
8/19/2022 }VERDUZCO
{
i
{
Il
T45537__|
|
+
!
I
T45537
US DISTRICT COUR}
OAKLAND, CA
8/19/2022
ee! EY
8/24/2022
OFFICE OF APPEALB
8/25/2022
{VERDUZCO
CHCF GRIEVANCE COORDINATOR
SACRAMENTO, CA
STOCKTON, CA
T45537
VERDUZCO T45537
_ VERDUZCO 745537!
VERDUZCO T45537__ |
T45537
SUPERIOR COURT
INTERNAL AFFAIRS
STOCKTON, CA
RANCHO CUCAMONGA, CA
PBSP GRIEVANCE COORDINATOR
|=
CRESENT CITY, CA
8/25/2022 |VERDUZCO
8/26/2022 _|VERDUZCO
i
i
|
i
T45537
PBSP GRIEVANCE
CRESENT CITY, CA
8/26/2022
VERDUZCO
T45537
INSPECTOR GENERAL
SACRAMENTO, CA
8/26/2022
8/26/2022
VERDUZCO
VERDUZCO
T45537
T45537
INTERNAL AFFAIRS
RANCHO CUCAMONGA, CA
SUPERIOR COURT
STOCKTON, CA
¥1 3/26/2022 |VERDUZCO
Page 3 0f5
EXHIBIT A-004
T45537
CHCF GRIEVANCE
STOCKTON, CA
98 $0 6 B6ed E2/ZZ/ZO Pall4 QT jUsWND0q DWA-N1L-69S00-A9-Z2:z eased
10/12/2022
Legal log sheet will be pia 10 the locked legal b:
: eters on the seal! “At no time will outgoin
gstwith the legal mail. Accepting correctional officer wil sign . the _ ,
g legal mail be placed in the bag without being loggedin. . a '
i
toys 1
i I. f:
if
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| . | C/O signature & dates, see —| sep
ple. ase cir rele proper my /gra Ws: ateh , Legal mail clerk & date: o
et} DSEG S
| | iP)
> lb epons | TGA CONFIDENTIAL ADDRESS OUTGOING MAIL ATESIGNATURY &
| | ia | OUTGOING TO: BEING SENT TO: a
Mats USS CRPTIAL MAILS BD NT SOL
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PEMSSSF .___ (SneRnnesTD On. SBN
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BY: DE DER AND PAPERWORK (CDC FORM 401). mo
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STATE OF CALIFORNIA BEPARTMENT-OF-GORREGTHONS ANB REHABILITATION
INMATE/PAROLEE REQUEST FOR INTERVIEW, ITEM OR SERVICE
CDCR 22 (10/09) fY
SECTION A: INMATE/PAROLEE REQUEST ‘a u zi
NAME (Piint): {LAST NAME) (FIRST NAME} CDC NUMBER: ; ah i
VERBUZEO iP {- E535 ota’ bi.
HOUSING/BED NUMBER: ASSIGNMENT: TOPIC (I.E. MAIL, CONDITION OF CONFINEMENT/PAROLE, ETC.}:
‘| HOUR: OM. TO. fs gz
BOAR 186 : we UNG # CHCE HC 2200125
CLEARLY STATE THE SERVICE OR ITEM REQUESTED OR REASON FOR INTERVIEW: f ap og) Bé Gin ra mai RES) iF vo HTD 106 & > CRcE | He On gp!
Fee Se E $B ES Wel iF 4) pay i
THAT CONSIST OF OF ff) PAGES . I RESUAM iTTeD Wis APPEAL ON O 62/25/4020 1 LEGAL mall -
i NOU Le ind ‘ARLOWED DGED te. SO T os SUEMA Tie fl AGPiN SO You canner
éb ;
BLES Ror fee pute iT rae 20) A ba re Os! nie / 1022. PLEASE PROCE
Ls Pes ee £3
(i EEA.
METHOD OF DELIVERY (CHECK APPROPRIATE BOX) * NO RE AL J EQUEST IS MAILED** ;
[1] SENT THROUGH MAIL: ADDRESSED TO: LE és FL BESS Aue gL H DATE MAiLep: Lf G4) “2EVEE?,
CYDELIVERED TO STAFF (STAFF TO COMPLETE BOX BELOW AND GIVE GOLDENROD COPY TO INMATEIPAROLEE).
RECEIVED BY: PRINT STAFF NAME: DATE: alo FORWARDED TO ANGIHER STAFF?
RAR he 4 ify (CIRCLE ONE) # Yes? No
IF FORWARDED ~TO WHOM: DATE DELIVEREDIMAILED: METHOD OF DELIVERY: _—
yy
(CIRCLE ONE) !N PERSON ( BY US MA 4
TRAVAMIELL CuShu Gelenteunnee Coet
SECTION B: STAFF RESPONSE
RESPGNDING STAFF NAME: DATE: SIGNATURE: DATE RETURNED:
Rac eR
SECTION C: REQUEST FOR SUPERVISOR REVIEW
PROVIDE REASON WHY YOU DISAGREE WITH STAFF RESPONSE AND FORWARD TO RESPONDENT'S SUPERVISOR IN PERSON OR BY US MAIL. KEEP FINAL CANARY
COPY.
SIGNATURE: DATE SUBMITTED:
SECTION D: SUPERVISOR’S REVIEW
RECEIVED BY SUPERVISOR (NAME): DATE: SIGNATURE: DATE RETURNED:
EXHIBIT A-O1F
Distribution: Original - Return to Inmate/Parolee; Canary - inmate/Parolee's 2nd Copy; Pink - Staff Members Copy; Goldenrod - inmate/Parolee's 1st Copy.
Page 4o0f5
8/30/2022 |VERDUZCO
8/30/2022 |VERDUZCO
9/2/2022 |VERDUZCO
9/9/2022 |VERDUZCO
9/9/2022 |VERDUZCO
STOCKTON, CA
CHICAGO, IL
RANCHO CUCAMONGA, CA
CRESENT CITY, CA
SACRAMENTO, CA
STOCKTON, CA
SACRAMENTO, CA
9/16/2022 |VERDUZCO
9/16/2022 |VERDUZCO T45537 OFFICE OF APPEA Is
9/16/2022 |VERDUZCO T45537 | |ATTORNEY AT LA
9/21/2022
CHICAGO, IL
SACRAMENTO, CA
ATTORNEY AT LAW
|CHICAGO, IL
i
VERDUZCO T45537 ATTORNEY AT LA
9/21/2022 |VERDUZCO T45537_ | |ATTORNEY ATLA
|
l
|
9/21/2022 |VERDUZCO
9/21/2022 |VERDUZCO
9/21/2022 |VERDUZCO
T45537
T45537
i
OFFICE OF APPEA
INTERNAL AFFAIRS
9/23/2022 |VERDUZCO
9/26/2022 |VERDUZCO
9/26/2022 |VERDUZCO
9/26/2022 |VERDUZCO
9/30/2022 |VERDUZCO
9/30/2022 |VERDUZCO
9/30/2022 |VERDUZCO
9/30/2022 |VERDUZCO
9/30/2022 |VERDUZCO
10/6/2022 |VERDUZCO
4553
T45537
ATTORNEY AT LAV
SACRAMENTO, CA
CHICAGO, IL
CHICAGO, IL
OAKLAND, CA
CRESCENT CITY, CA
SACRAMENTO, CA
STOCKTON, C.
CHICAGO, IL
T45537
T45537
| |GRIEVANCE COORDINATOR
1
GRIEVANCE coorb INATOR
| TATTORNEY AT LAW
STOCKTON, CA
CHICAGO, IL
OFFICE OF INTERNAL AFFAIRS
CRESCENT CITY, CA
SACRAMENTO, CA
US DISTRICT COURT
OAKLAND, CA
ATTORNEY GENERAL
ATTORNEY AT LA
SAN FRANCISCO, CA
CHICAGO, IL
STATE BAR OF CA
SAN FRANCISCO, CA
US DISTRICT COURT
10/6/2022 |VERDUZCO
10/7/2022 |VERDUZCO
DEPUTY ATTORNEV GENERAL
San CRAP CA
SAN FRANCISCO, CA
US DISTRICT COURT
10/11/2022 |VERDUZCO
EXHIBIT A- O12
PBSP INMATE APPEALS
OAKLAND, CA
CRESCENT CITY, CA
98 $0 7G Abed =EZ/ZZ/ZO Paid QT UaWNI0q DWA-N1L-69G00-A9-2z:z eased
10/12/2022
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 53 of 86
EXHIBIT ° BY
a Log N0°B 37999
CALIFORAROARAANNGQHEI-TLN-DMC Dodument 16 Filed o22i23 Page 54
T
ELICA\
Corrections and Rehabilitation Die DAE: ‘Qe 2e22 :
ASA AA AR TI TAREE ORR ONDE ES, ro koe ume
OFFICE OF APPEALS DECISION
GRIEVANCE OFFICE
Offender Name: VERDUZCO, DANIEL Date: 11/10/2022
CDC#: 145537
Current Location: CHCf-Facility B Current Area/Bed: B 306A1 - 1260011
g #: 000000283564
aim # G61
aceived at Institution/Parole Region: Pelican Bay State Prison
ibmitted to Facility/Parole District: Pelican Bay State Prison
ousing Area/Parole Unit:
ategory: Offender Resources Sub-Category: Other Resources - NOS
, ISSUE ON APPEAL
: is the appellant's position that this claim was inappropriately rejected as grieving the grievance and appeal process itself.
I, RULES AND REFERENCES
A. CONTROLLING AUTHORITY
California Code of Regulations, Title 15, section 3487
B. DOCUMENTS CONSIDERED
CDCR Form 602, Log #283564
II, REASONING AND DECISION
ppellant asserts in this claim that appellant's previous grievance was assigned to an inappropriate person that conceals criminal activity. This claim is not
isputing the regulatory framework of the grievance process but rather disputing how a previous grievance was handled. Therefore, this claim is granted.
V. REMEDY
elican Bay State Prison shall open a new grievance log number, gather and preserve all relevant evidence, and answer this claim on the merits,
lecision: Granted
fter a thorough review of all documents and evidence available at the time of this written decision, it is the order of the Office of Appeals that this claim is
ranted. This decision exhausts the administrative remedies available to the claimant within CDCR.
C. Rojas [ROCY016] Reviewing Authority 11/09/2022
EXHIBIT 8-015
ee ———
ae
; , : . “SI Gu &
} CALIFORNIA DEPARTMENT of S
’ Corrections and Rehabilitation So G =
OFFICE OF GRIEVANCES DECISION
Offender Name: VERDUZCO, DANIEL
Date: 01/28/2023
CDC#: 145537
Current Location: CHCF-Facility B Current Area/Bed: B 306Ai - 126001L
Log #: 000000337999
Claim #: 001
Received at Institution/Parole Region: Pelican Bay State Prison
Submitted to Facility/Parole District: Pelican Bay State Prison
Housing Area/Parole Unit:
Category: Offender Services
I, CLAIM
Sub-Category: Other Services - NOS
The Claimant asserts in this claim that the Claimant's previous grievance was assigned to an inappropriate person that conceals criminal activity.
TI. RULES AND REFERENCES
A. CONTROLLING AUTHORITY
Calie. He ane | Sania wee ioe ae ee od ‘ 5 reich he
CTO a CUTS OT NC Gud VEOR, TUE LI, CCU OOO (dy diy (D}.
B. DOCUMENTS CONSIDERED
Strategic Offenders Management System (SOMS), Grievance Log Number 337999;
SOMS, Grievance Log Number 283564,
|~TIT; REASONING AND DECISION- 07 tr re ee
The Office of Grievances (COG) follows CCR, Title 15, Section 3483 (a) and (b), which states in part "The Reviewing Authority over each OOG shall
designate at least one official to assess each written grievance within one business day of receipt to determine if it contains information concerning an
imminent risk to personal safety, to institutional security or of sexual abuse." It further states "The Grievance Coordinator shall ensure that the intake
process is completed and each grievance is referred to the Centralized Screening Team within three business days of receipt of the grievance."
All grievances received in the OOG are reviewed by the Correctional Counselor Il, upon initial receipt. All grievance responses are reviewed and signed off
by the Reviewing Authority, Reviewing Authority does not receive any grievances upon initial receipt in order to control information; therefore, after a
thorough review of all documents and evidence available at the time of this written decision, it is the order of the COG the claim at the Institution Level of
Review is DENIED.
TV. Comments
Decision: Denied
After a thorough review of all the documents and evidence presented to the Office of Grievances, it is the order of the Office of Grievances to DENY this
claim.
Mo 7 _ EXHIGIT B-Ole
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 56 of 86
If you are dissatisfied with this response you may appeal this decision by mailing the CDCR Form 602-2 included in this response to the California
Department of Corrections and Rehabilitation, Office of Appeals. Do not resubmit this claim to the Office of Grievances.
R. Bell [BERO007]
EXHIBIT B-013
‘as
_ Pe Se
8g CALIFORNIA DEPARTMENT of . Ge “Gs,
Corrections and Rehabilitation S&S
2 a & @ > Se
OFFICE OF GRIEVANCES DECISION
‘Offender Name: VERDUZCO, DANIEL
Date: 08/12/2022
CDC#: 145537
Current Location: CHCF-Facility 8 Current Area/Bed: B 306At - 126001L
Log #: 000000283564
Claim #: 001
Received at Institution/Parole Region: Pelican Bay State Prison
Submitted to Facility/Parole District: Pelican Bay State Prison
Housing Area/Parole Unit:
Category: Offender Resources Sub-Category: Other Resources - NOS
The California Department of Corrections and Rehabilitation received your grievance on 07/22/2022 which you submitted on 07/18/2022, This claim has not
been assigned for review or response because it is being handled as specified below.
Claim # 001:
Your claim concerning Offender Resources;Other Resources - NOS is rejected for the reason or reasons indicated below:
Your claim disputes or contravenes the regulatory framework for the grievance and appeal process itself which is not permitted under the California Code of
Raaiiotianc tth 4 ce
Lj eg CTT Lm ogee wre x
If you are dissatisfied with this response you may appeal this decision by mailing the CDCR Form 602-2 included in this response to the California
Department of Corrections and Rehabilitation, Office of Appeals. Do not resubmit this claim to the Office of Grievances.
Decision: Rejected
AREY AOT OR COORDINATED EFFORT THAT PREVENTS OR IMTERFERS WHTH THE REPORTING OF misceRDwET 1S GROUNDS FoR
DISMISSAL CHMICH. AR. 22 8 3303.14 ey L3) C4) 15). _
R. Beli Ch wnnnew At PESP) cRimuMMLLY FhisiFiED THe CpRER) RECORD DUANE A LRWIFLL INVESTIGATION in We 4 PESP-C- -
DiS32. LOC 4# 24204 Wns ASSICMED TD R.BEUL> R. BELL WAS EUNSiVE th) CRIEUNNCE DERISION # 24904L TO
QOICERL THOSE CRIMES. APPENL IDE 4B 226FMD WAG AASICNEDTA R. BELL» R.BEL WAS iEDIRECT/EURSIUE In) CRIEUATECE
DECISION # TAG TO CONCEAL CRIMES BY (iSw) iT. R. BASSE wiied Q. BELL HELPED To CONCENL WW LB@ 4
PRSP-B-19- 61532 , THESE APPEALS WERE ASSicNeD Td R. BEL BY ‘pEsicn And Wer BY CHANCE . THiS ARPEAL DECISION
(4 993564) MiSCHARNCTERIZES THY CLAIM TO CDRCENL THE CWii AND eRimiNAL CONSPIRACY . 1ibut 1 17 POSSIBLE THAT ihis
CTAEF COMPLAIRT WAg REIECTED BY Tit (esi) a io MILLION DOLLAR WRIT SPECIFIENLLY CREATED, ‘FO ReoT QUT CoRRLPT STAFF.
1 RUREADY maiieD SrecifL ACENT GLibe PETITE oF (RUIER ERRAL AFFAIRS A COMPETE cory AF THIS MARE TD PROVE
@PIMINIAL CORRUPTION ALREADY EXigT AT (CGT) (ener) ) HEADBUNRIERS . REDE PEnIiiE FORWARDED ia GRIEVANCE DIRECTLY ‘To
COIN) HEADQWARTERG AND BY-PRSGED THE MORIHERD REGIDION Wiel HAS TRISDICTION OVER CPBSA) ANd (CuicF) -
EXHIBIT 8-013
~ Case 2:22-cv-00569-TLN-DMC renner REOBY DOA 58 of 86
re ____ stareorcaurorsia — DEPARTMENT OF CORRECTIONS AND REHABIL
APPEAL OF GRIEVANCE
CDCR 602-2 (03/20) Page 4
; Appeal #: oe Date Received:
STAFF USE ONLY | Pate Due: ,
Categories:
* Grievance #LRASOW
____.Claimant Name: NERD} : ——— ener tt 45537-——
Current Housing/Parole Unit:_Clct Institution/Facllity/Parole Region: cuer
(J There are no claims that can be appealed.
[J] The following claims cannot be appealed:
Claim #s: .
This is the process to appeal the decision made regarding a claim that is not listed above.
Claim #: |
THES GRIEVANCE SiELD BE REWRNED To COST) Nita PRERESSED AS A STNFE Com PLANT ;
Explain the reason for your appeal of any claims not listed above. Be as Specifi ic as you can.
| am dissatisfied with the response | was given because Sintt MIScanDweT i ANY WELTON OF iow wR (ener) pOLiCY. O88 ii
== ssn meer rECiDENn d ERSPIRACY MUST Be EVIBENCE TUN 16 an And REQUIRES To IBEERENECES WD ESIRBUSH THE
PRIRLSITICR iB, ONDE BEING ASSERTED”, City RE THLEMBNE Vk. CoMDRA COMMUNITY HESPITML, 236 F. 3.199.153 (Ge eiR 20
CODER) RSTO (ucesiianié CRimit Hi hatin ey (cbek) EMPiOYERS tobe Ci BRI. 4 & Sivi0.20. this GRERAIE CENRIY HULESES esi)
fotiuiry. R. BELL CRIMINALLY ‘yausirie pas ABUEST iannons PECCRD W wee PESP- - ia: 1532. « CRIEVANCE 244 Sasbtt REGUESTED THe
IDENTITY BF TE WRI uiORITY HIT FANALITED Tha HF PREP-D-14-21532, & BELL REFLSED’ id PROVIDE THOT UVEERMATION, Sek GRIEVANCE Det
~~ ~~ ~4eQugcee dined os [gilenta — @ Belt REFUSED Wo PRIVIbE IETERMATINNY PRON ONE ESESTICOTAON TUT BEL TNS NDAD ws. Site R. fel
(NS AVOWED IDS Whe + PRSP-2-14-0152 R_BEUL WAS BORRED FREMANY INUOWEMENMT a Wee si 2420UL., COR THiS 32094-9 (Aurea). U0 ite
FACE THATS A vibuntibee bE GDR Priicys.e., "cin MISCOMDICT”, WRG FERMDBRE CRIURONE bea! BACHE WS ASSIGNED te WinNTIEM OF (ener? Pitfey
To BREW EY DESi¢N ConeEni coin RaTuAY iM THE TURTHER ANTE EFA CoUSIRACY.. fu cee comtiusions CAN EE REACIIED . REI RELSEATO
IDENUTIEY TWE TRIG NUTERITY Ted TAWAMizED Ve PBSP.b-14-L1532 Te CoMeEAL € CkuRES TNT A ORME Wel FTSELE COL PENG. COD. $42. iF SINIF WRLATE CRIBANEE
POLES TO FORTNERA CRIIAL CONSHRACY TAT 1S APPEALLABLE. THiS CRIEUANRE UNG RETECT EDD CALENL CRIMES AND TO PROMOTE IE CODELT SHEN
Are there documents that would be helpful to support your position? Attach copies of those documents, if you don’t he
the documents, identify them as best you cate Pre i
toe 62 FoR SUBMITED Ws! THIS GRIEUANLE 019/22 TM CENRIY ALLEGES CRIMINAL NCHIUITY . BOG DEALSIONS DATED ralolnne 4
B3SiA 4 ChOL 22 FECT SENT ID LEGAL MAIL T.CONMIE CYPSOM om OPliu/2 + CNERDD FORM SENT Te OMBDNEMAN ERC INE OW onligiae
core DECISIS M4SDYb WITT MOTATIONS BY APPEALLANT. 5 norENL wwe} 4304. DE CER GOO Nn ONE GO2-A bred buloslen
WYRE LETTER To C13} Lv. J. ANDERSON DATED Oa /o2/ 9069 > CDOR TERD WLERNICE RELRODE OF SHEWAE .— tETHER tMnitED 7 co
Gipson Ord eHia/2002, EXAY. Ceper) 22 FoR isin (19) #89 oF BUIDENNCE malled tp (nyn) speci AGENT F. ABREWANO Cb pall 82 py
*B", - E-MNIL SERT OS aaitsl 22 TO KATILEEN. pilison Qeoee, C).Q0U TEARIFER. nen) CACO; CONDE. tiPSIMI@eDee ON GOL 5 Phun.
LHDIBERBO CDR. EN.COV. + AND KRISTA DUNWENER@ OCR LA.COV., EXC” AOR 22 FORM MED TO GIA SPECIAL AGENT Qehe
_— PEHTTE-68)- 13/2:1!2029- FROviRAG-T-TONED HHS CRIEURIUCE 3 2935GH 1D Coin) =D" a
DISTRIBUTION Original: Claimant's File Copies: DAI, DAPO, and Claimant EXHIBIT B-b)4
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 59 of 86
EXHIBIT“ C"
=e 2: 24. cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 60 of 86
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EXHIBIT C-D14
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Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 61 of 86
wut aah wik leo Sa lanps Buse
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Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 62 of 86
ee
7 Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 63 of 86
Metro by T-Mobile @ BS
|
. om
Is he suicidal now?
Is he wanting me to testify? What does
he want me to do exactly?
| remember that Mickey Price didn't
want him to go to the clinic because he
would cut his tongue there. And it was
a way for him to stay at Pelican Bay.
They did want him to go EOP but
honestly, he did need to go because he
was saying he was suicidal. | didn't
want him to go because we were in a
relationship at the time and | wanted
him to stay at Pelican Bay.
So | tried to advocate for him to stay at
2
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 64 of 86
THERAPY
NEVER INCLUDES.
SEXUAL BEHAVIOR
California's lawmakers and licensing boards want the
public to know that professional therapy never includes
sexual contact between a therapist and a client. It also ~
never includes inappropriate sexual suggestions, or
any other kind of sexual behavior between a therapist
and_a client. Sexual contact of any kind between a
therapist and a client is unethical and illegal in the
State of California, Additionally, with regard to former
clients, sexual contact within two years after termination
of therapy is also illegal and unethical. It is always the
responsibility of the therapist to ensure that sexual contact
with a client, whether consensual or not, does not occur.
EXHIBIT ¢-022
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 65 of 86
_ TO SEXUAL MISCONDUCT
BY A THERAPIST
Ifa therapist has engaged in any sexual behavior or contact with you, you may
experience some or all of the following feelings or reactions:
oe
¢ Intimidated or threatened.
* Guilt and responsibility—even
though it is the therapist's
responsibility to keep sexual
behavior out of therapy.
° Mixed feelings about
the therapist—e.g.,
protectiveness, anger,
love, betrayal,
* Isolation and emptiness.
* Distrust of others’ feelings
or intentions, or your own
feelings.
¢ Fearful that no one will
believe you.
° Feeling victimized or violated.
¢ Experiencing traumatic
symptoms, e.g., anxiety,
nightmares, obsessive
thoughts, depression,
or suicidal or homicidal
thoughts.
ExiBiT C-0%
Come ee ee EE
Ghislaine Maa@sht4ae2-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 66 of 86
Dec. 2, 2021
Grooming is not codified in law as a crime, but it is at the center of the sex-trafficking charges against Ghislaine Maxwell:
“Grooming,” “groom” and “groomed” appear nine times in the federal indictment charging her of conspiring with her
longtime companion, Jeffrey Epstein, to sexually exploit vulnerable girls.
Grooming, legal experts say, is a gradual process whereby an abuser wins the trust and cooperation of a potential victim,
Starting with interactions that seem normal and benign, like paying special attention or offering compliments and gifts.
Next the abuser acclimates the victim to physical touching and sexual references, breaking down ordinary boundaries,
Gradually, the predator exposes the victim to sexual behaviors, like light touching, to desensitize them. The process is
aimed at breaking down resistance and making the victim feel complicit or responsible when the activities escalate to
sexual abuse or assault, so the victim is less likely to recognize the abuse or report it.
“A predator grooms their victims in order to earn their trust,” William FE Sweeney Jr., the head of the FB.I’s New York
office, said in September after charging Robert A. Hadden, a former Manhattan gynecologist, in the sexual abuse of six
fernale patients, including one minor.
The former film producer Harvey Weinstein and the former gymnastics doctor Larry Nassar were also accused of
grooming their victims as a way to coerce sexual acts without necessarily using physical force: Mr. Weinstein dangled
hopes for movie stardom and Dr. Nassar suggested to young gymnasts that his assaults were part of routine exams,
The concept of grooming in sexual abuse cases is only the word’s latest meaning, giving a dark, duplicitous connotation to
a word whose usual meaning is tending to one’s personal appearance or hygiene.
In the 13th century, grooms were male servants who helped their employers with dressing and daily activities. By the
1600s, the word came to mean a worker who takes care of horses. In 1887, according to the Oxiord English Dictionary, the
word was first used to mean coaching someone, as in “grooming a successor.”
The first published use of the term in a sexual abuse context was in 1985, when the Chicago Tribune described “friendly
molesters” who gained trust while “secretly grooming the child as .a sexual partner”
That use of the word has become more widespread in recent years with high-profile cases of Catholic priests who
approached vulnerable families as helpers or mentors before sexually abusing children, and with the wave of #MeToo
accusations of sexual assault, harassment and abuse in the workplace.
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 67 of 86
EXHIBIT “ D"
+
par
/* . Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 68 of 86
STATE OF CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
HEALTH CARE GRIEVANCE Page 1 of 2
CDCR 602 HC (Rev. 10/18) .
STAFF USE ONLY "Expedited? LI Yes No Tracking #: Ps ;
aL Lier z
CHCF HO 20001234
M. LOWE, RN rane | s/ / 3) Zoz~0
Staff Name and Title (Print Signatwe_ 7 = Date _
If you think you have a medicai, mental health or dental emergency, notify staff immediately. !f additional space is needed, use < A of the
CDCR 602 HC A Health Care Grievance Attachment. Only one CDCR 602 HC A will be accepied. You must submit this health care grievance to the Health Care
Grievance Office for processing. Refer to California Code of Regulations (CCR), Title 15, Chapter 2, Subchapter 2, Article 5 for further guidance with the health
care grievance process.
Do not exceed more than one row of text per line. WRITE, PRINT, or TYPE CLEARLY in biack or blue ink.
Name (Last, First, Ml): CDCR #: Unit/Ceil #:
VERDUZED db T- 45534 ALA 105
Explain the applied health care policy, decision, action, condition, or omission that has had a material adverse effect upon your health or
SECTION A: welfare for which you seek administrative remedy:
as
iM LNVE FEBRUARY 2020 5 BAN DERZSSICN BEGAN Te DEctINE ADS DF TseraTEb MyseLe . TF storred
red
PARTICIPATING ww THERAPY Srgésiens AND ALL ACTIVITY Ours DE MY CELL. en MAC OY. 2e%o, T
RECEIVED S0me VRSEMLING MEWS ZEGARDING A STAFF comPLAiNT XT HAD PENANG AT PBsP. DT WAS
WOTIFIED THT MY ALLEGATIONS AGAINST THE EmPWwYEE ik) THAT COMPLAINT COULA NeT BE SUBSTANTIATED
uiHicit DEVASTATED ME BECAUSE ly FELT Live T Dip wor MATER. my DEPRESSION SPIZALED AWd T WT
STOPPED CARING » THIS MANIFESTED INTO LOD! SEIF-ECTEEMm AND ND GELE-WoeTH . X BEGAN
EXPERIENCE INTENSE THODEHTS GE SEIE~ HARM WHICH TL WAS ABLE Toe quePRess on mMosT DAYs 5 I FELT
~—
INVISIBLE , GN SuNbAY APRIL 22. 2020, TD FINALY eovim NET TAKE If NO MoRE AWD FT coT WE TIP
QE My FINGER GFF BELOW THE NAIL: SuAPPinG THE BOWE MY¥cTip. T MADE NC EFFoRT To WIPE mvstir,
t DIL WOT CORE WHO SEEN ME. T AeTUAUY Dow T EVEN REMEMBER THE ExaerTime » L o0sT Kyei it
Til
Was ITASTER SuvbDAY. THE Pain was So INTENSE THAT ifs Au D REAUY @Ememecz FRom THAT
Supporting Documents Attached. Refer to cgR 3999.227 Ci Yes (Neo
a
Grievant Signature: ( }. wi AA Lf Date Submitted: paayio , 2020
BY PLACING MY INITIALS IN THIS BOX, | REQUEST TO RECEIVE AN INTERVIEW AT THE INSTITUTIONAL LEVEL.
SECTION B: |HEALTH CARE GRIEVANCE REVIEW INSTITUTIONAL LEVEL: Staff Use Only Is a CDCR 602 HCA attached? 7 Yes L] No
This grievance has been:
[_| Rejected (See attached letter for instruction): Date: “Date:
Ch Withdrawn (see section E E)
IA ncoepted Assigned To: « W Title: Ch MA Date Assigned: ~] ol2920 Date Due: 1} (ly |2070
Interview Genducjed? 1 | Yes [J No Date of Interview: Interview Location: Wn
SOU th five Tw og. Paychologisy {02020 m™ Mut
intervisuer Name and Title (print): AL Peaion SYD, QUpUrvign C Signature: OL UK Date: -{ | | WES
Namearatie rnd: NAYES, AD —— es, serewe WIEN “Roses: 5 Ta
GOs CED
Disposition: See attached letter Fire Intervention
HCGO Use Only: Date closed and mailed/delivered to grievant: —_ a 2029
£ 17 fF
1. Disability Code: 2. Accommodation: 3. Effective Communication: wo ee) Che),
CI TABE scores 4.0 [| Additional time (] Patient asked questions . CHCF Oy oe Gel VE 2 % Ee
[J] DPHL] DPV] LD [J Equipment{_] SLI {([] Patient summed information Le A tent
(} bPs[[] DNH (] Louder] Slower Please check one: Chae Bi Ge wry +
DDP (J Basic] Transcribe [_] Not reached*[_] Reached y 1 3 1878 MR YF T A \WsEho NLY “o if
Jato Applicable (_] Other* *See chrono/notes MA 4 I “S oy S
§ . }
4. Comments: Hi Q & NG -
; CG Ceo
EXHIBIT D-025
rd
‘Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 69 of 86
"STATE OF CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
HEALTH CARE GRIEVANCE ATTACHMENT , Page 1 of 2
CDCR 602 HC A (10/18)
STAFF USE ONLY
: PLEO ies .
Tracking #. “MSE HS 2000122,
Attach this form to the CDCR 602 HC, Health Care Grievance, only if more space is needed. Only one CDCR 602 HC A may be used.
Do not exceed more than one row of text per line. WRITE, PRINT, or TYPE CLEARLY in black or blue ink.
Name (Last, First, Ml): CDCR Number: Unit/Cell Number:
VEKPUZCO 1D T-45537 [A2A 105
Continuation of CDCR 602 HC, Health Care Grievance, Section A only (Explain the applied health care policy, decision, action,
SECTION A: condition, or omission that has had a material adverse effect upon your health or welfare for which you seek administrative remedy):
DAN. THiS wacA FORESEZABIE INCIDENT BECAUSE “TL UA CamPlLETELY Suuy Down. TL sree Pep
SHAVING » FC WAS NOT MED COMPLIANT GV AND GEE, AND VERY DEPRESSEB. ALL THE Signs WERE
BVICDS . MOL CAN Someons JosT FADE WTO THE Back GRounaD iN AN NCOTE SETTING « THE SYSTEM
IS FLAWED AND NEEAS TO CHANGE. THE FAURE To WoOLb STAFeE ACCOUNTABLE) SETS THE TONE, AND
STAFF FEEL REVOND ZEPROACH - SUPERVISORS Dow care GiTHER » ON MAY G2. 2ofo. T
ADDRESSED Tis inciDENT _WiTR. (szw) c. <EAL AUD EL Tob WER How Pees SHIT Like THIS
WAPREN 1) AN 22Gb ACUTE SETTING , SHE SHOWED NO CONCERN .
ACTION REQWESTED > FoR Pui comPLANCE GE OCR. 2241 (A) 3291 > 2e0U CA) 3 3265 > musdS voLi2 CH. ic
Paces 73, 16,21,18. a SVEN TRIAL SuouLn Hic wor BE RESoWEN ADMINISTRATIVELY -
KS ee meee ee —— - — CH “Al ne ee meme ne ne eee ee ee ee cee tent ee ee ee eee ines ee ee ents se ee weet =
Grievant Signature: (7D Date Submitted: MAN 16. 2026
SECTION B:|Staff Use Only: Grievants do not write in this area. Grievance Interview Clarification. Document issue(s) clarified during interview.
Name Qe ie, ots Signature: Date :
Ter e ow Ds a 1
one" ScHCF? eve
yay 1.2 10 wy 16 200 Ceti ONLY
a wh Ong
ACG® 4cGO yw! ieee
EXHIBIT D-026
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 70 of 86
EXHIBIT
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2: 2-Ccv- -00569- e.5Me 06 Document 16 Filed 02/23/23 Page 72 of 86
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Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 73 of 86
EXHIBIT.“ R
oa asERGSONE HRP ¥
Sth GFSNra PHS
and Two Guards Reveal Rampa nt Corrupti on,
= GOVERUDS | in California Prison — an
in one of: California’s most violent
WwW Brant Dante FOUND HIMSELF
and. corrupt. prisons, the California State
--Prison (CSP).in. Sacramento, known. AS.
New.Folsom, he knew.he was in trouble.
Daniel,'a member.of the Aryan Brother-
hood. prison gang,. potentially faces the
death penalty for the October 2016 murder
of fellow prisoner Zachary Scott at the Sali-
nas Valley State prison, so he is no stranger
to trouble or violence. But Daniel’s attor-
neys, John Balazs and Timothy Warriner,
are asking a federal court.to move him to
a different prison for his protection. From .
whom? Guards employed by the California
Department of Corrections and Rehabilita-
tion (CDCR), who have allegedly harassed
him and even planted.a knife in his cell.
In filings entered on December 28,
2021, the lawyers also.claim that two
guards wrote replies to notes from Daniel,
admitting they. could hear his privileged
phone conversations with counsel. It is the
latest attempt in a year to move Daniel out
of CSP-Sacramento since ‘their. January
2021 court filings claiming that “rogue”
guards “have planted weapons and drugs
_ by Keith Sanders
mento to Bee,’ TY Jou have to be hard, You have
to know when to flip that switch and get
crazy. Because if you don't fight that « crazy
individual -with a crazy mentality, your re
and. members of. ISU. discovered that one |
of their.own was a “snitch,” they harassed |
Steele mercilessly, and even mistreated
and threatened him. Eventually, Steele was
going to lose.”. shee
_ Yet much of that “crazy “mentality” at
New Folsom by guards is also SOFTER and
illegal...
In their court t filing, Daniel S attorneys
also revealed that.a New Folsom guard
provided much of the information for their
suit. That was Sergeant Kevin Steele, who
began his career'as a prison guard in 2001
at San Quentin State Prison. In 2008, he
was promoted to sergeant and transferred to
New Folsom where he eventually joined the
Investigative Services Unit (ISU) in 2015.
As a member of ISU, a detective unit
inside the prison, the 5 6-year-old sergeant
acted as the unit’s criminal. prosecution
coordinator and facilitated investigations
involving outside agencies like the FBI,
local law enforcement, and the Sacramento
County District Attorney's office. Steele
also trained in-coming guards on how to
collect evidence and conduct investigations.
As an investigator, Steele had expertise
forced to take.a leave of absence in February _
2021 and, amazingly,on February 12,2021,
he was barred from returning to the prison.
-. CDCR’s press secretary; Dana Simas,
refuted Steele’s claims of harassment and
noted in an email that the investigator was |
1
|
|
t
i
“banned due to a misconduct investigation,” :
though she declined to clarify the nature |
of the misconduct, adding only that it was:
not the “result of whistleblower retaliation.” .
Yet Steele was the second ISU whistle- .
blower.to die after being mistreated and:
harassed. In 2020, guard Valentino Rodri- |
guez, 30, was found dead of an accidental
fentanyl overdose at his home. Relatives
and friends reported that he was‘ “throwing
up all the time at work and hyperventilat-
ing” because he was suffering from PTSD.
began seeing a therapist. Rodriguez took 7 a
leave of absence on January 28, 2020, and:
died soon after. .
and depression. He gained 45 pounds and:
‘The ‘relatives of. Rodriguez filed 2 a
in inmates’ cells in order to obtain more
overtime, have spread | false rumors. and _
relayed confidential information from in-_
mates files to other inmates in violation of
CDCR policy, and onat least two occasions
have been directly i involved i in the killing of
a CSP-Sacramento inmate.” —
With: a staff of 2,500, CSP- Sacra-*
mento houses almost 2,200 prisoners. A
and knowledge about prisoner investiga-
tions. And what he saw in the course of his _
work caused him concer, sufficiently so to
write several memos to CSP-Sacramento
Warden Jeffery Lynch + and the state ‘cor-_.
rections secretary ‘detailing how other
ISU member were falsifying’ doctiments,
plariting evidence on ’ptisoners, and-even
conspiring . to murder Prisoners. Guards
security-level 4 facility, the highest in thé
California prison classification system,
it is home to the state’s most violent and
dangerous prisoners, as. well as patients so
mentally ill that they are too dangerous to
be housed in mental hospitals.
Daniel is one of several Aryan Broth-
erhood members locked up at the prison
facing charges stemming from a June 2019.
racketeering indictment against the group.
But prisoner assaults on guards are also
rampant, where prison. staff allegedly face ©
“gassing”-—when prisoners throw feces and
- mento Bee described Steele as a “meticulous
professional.” -
In one meio, Steele -wiote that at
“every single juncture. where I discovered
something that resembled ‘corruption,
wrongdoing, exploitation, fraudulency and/
or breeches of trust, ] ALWAYS alerted su-
pervisory staff and institutional leadership, «
as that is what I thought was the desire of
both the administrative staffand [CDCR],”
and adding “it would appear that is NOT
the desire of either entity.”
complaint with the Office of Internal.
Affairs alleging 1 racial and anti-gay slurs
from his fellow guards had contributed to!
Rodriguez's decline: in mental health. After
~The « corrupt and abusive | culture ‘iiside
New Folsom reflects a larger. trend for the.
health of prison guards. In 2017, a study by
the University of California, Berkeley, found
that guards are “exposed to violence at rates
comparable to military veterans, and that
the job is linked to health problems, depres-,
sion and suicidal thoughts.” According to:
the California Correctional Peace Officers
Association, nine guards committed suicide
in 2020. .
urine on them—almost daily.
As an anonymous guard told the Sacra-
Tragically, Steele committed suicide on
August 20, 2021, Why? Once other guards
“Yerthe mentat heatth of guards shoutd
not detract from the misconduct tthey direct
be
February:2
2A.
Prison Legal News
_ ——threatenec-primaril
whistle on corrupt guards.and cover-ups”
involving two prisoner deaths where ga 7
toward prisoners at New Folsom. Steele was »
played a role.
Attorneys for one of the dead men,
Luis Giovanny Aguilar, 29, claim in a civil
rights lawsuit that prison guards “via their
willful indifference’ to prevent. and their
actual facilitation of the murder of Mr.
Aguilar conspired to cause’ * the priso oner’ =
death in December 2019.
~ Three ‘other prisoners, Dion Green,
Anthony Rodriguez and Cody Taylor, were
restrained with metal cuffs in chairs along
with Aguilar. Video of the incident shows
s that after Taylor and Rodriguez slipped free
from their restraints they went to the second
"floor to grab a weapon. When they returned,
_they attacked Aguilar, who remained cuffed
to his chair. |
Ultimately, Taylor pleaded no contest
aiid was sentenced in May 2021 to 100 years
to life, plus: two years.-Charges were still
‘pending against Rodriguez and Green on
December 10, 2021, ,when Aguilar’s mother
filed a federal lawsuit alleging that video
evidence ‘showed guards let: the prisoners
who killed him make a “practice run” week
before the murder. Although CDCR insists
that no staff was involved with Aguilar’s
murder, the incident took place in full view
of guards on the first floor. -
“to an attorney for: 29-year-old :Milton =
Beverly had hanged himself alone in his
“cell, Steele told the: lawyer, Steven’ Glick-"
man, that another prisoner had confessed,
both in writing and on video, to killing
Beverly in’a fight over the telephone: “Yet
when Glickman ‘reviewed the documents
relating tc to his client's alleged suicide the &
notified ‘Warden Lynch of the 1 missing
documents and indicatéd to Glickman that
he would publicly testify to their existence,
but his Subsequent suicide prevented that
from happening. °.
~~ In November 2020, wilirds Ashley
Marie Aurich, 32, and Arturo Pacheco,38,
were indicted after the death of an unnamed
65-year-old prisoner in 2016..Aurich' was
charged with Falsification of Records ina
Federal. Investigation (18 U:S.C.-§1519)
~ and pleaded guilty in January 2021: Pa-
checo’s indictment listed two counts under
the same charge and two more counts of
Deprivation of Rights: Under Color of
Law (18 U.S.C. §242), for which hei is still
awaiting trial.
~ The charges stemmed fiom an incident
in which Aurich, Pacheco, and at least three
other guards were escorting a handcuffed
prisoner from one cell to another: Accord-
ing to Pacheco’s indictment, he released
“Case 2:22-cv-00569- TLN- DMC ‘Docume: 16 Filed 02/22/23 Page 75 of 86
escort and then wrapped his arms around ~
ly because he blew- the: Beverly who was found dead in his celt in the prisoner's legs, causin, ghim ‘to land face
2016: ‘Disputing prison staff’s claim that
first on the floor. The | prisoner was taken to .
the hospital where he died two days later.
The indictment also alleged that Pacheco
falsely stated he used “immediate force”
because he was trying to stop the prisoner
“from ‘self ~harming’ himself ‘and: causing
serious bodily injury or death to himself.”
As for Aurich, her indictment alleged a
oaly witnesses to the assault.. -were Cor-
rectional Officer 1, Correctional Officer'3,
and Correctional Officer 4, intentionally
concealing the presence of Correctional
Officer:2,” which was Pacheco, 9°. ~
To date, the corruption and ‘mistreat-
ment of both’ staff and prisoners at‘New
Folsom continue unabated. Officials are
quick to insulate many of the guards from
‘administrative or legal consequences for
their actions by claiming no wrongdoing or
putting the blame on prisoners: Motecver,
promises of investigating misconduct by
guards are minimized by having i investiga-
tions performed by ISU, the very same unit
that saw two of its members hazed, threat-
ened and harassed to the point of death for
uncovering the misconduct of others in the
unit. This is nothing new and has been the
norm in CDCR for at least a half century
if not longer. RV
Steele had also provided information
his grip on the prisoner’s arm during the
Sources: AB Newss acramento Bee
EXHIRIT F-030
Case 2:22-cv-00569-TLN-DMC Document16 Filed 02/22/23 Page 76 of 86
EXHIBIT @
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 77 of 86
“STATE OF CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
INVOLUNTARY MEDICATION PETITION (PENAL CODE 2602) ~ Form: Page 1 of 1
“CDCR MH-7363-1 (03/17) Instructions: Page 2
| CO_ __> (Firs): DANIEL CDCR#: 145537. PIO#:
Date: February 14,2023 __ Institution: CHCF-Stockton _Bed/Cell/Dorm: CHCF B 306A1-126001L
ees 40. Gender: [x}Male [Female | Interpret ter: Caves EXINo Language: English
_ NOTICE OF INTENT TO SEEK INVOLUNTARY MEDICATION
{The Glinical staff at the. institution shown above alleges that you have:a serious mental illness and are unwilling or unable to take psychiatric medication
necessary to treat your. condition. AS a result, you are a danger to self, a danger to others, of gravely disabl led. A hearing has been scheduled in front of an
Administrative Law Judge, ‘who will decide if you must take psychiatric medication. You have a-right to attend.
HEARING TYPE (Choose one):
EXINON. EMERGENCY (Hearing ‘within 21-30 days of this notice, no interim medications:allowed)
[EMERGENCY (Hearing within 23 days of this notice, interim medications allowed)
Date and Time.Medication Started:
Hearing Date and Time: March 16, 2023@ 0900 : Hearing Institution: CHCF
Initiating Psychiatrist:
Name and Title (Print): E, sues MD:
ATTORNEY
if the Department is seeking an emergency petition, you or your atlomey have two business. days from ihe date you were served to file a response with. the
Office of Administrative Hearings. You have been appointed an attorney who has been given a copy of this paperwork. The attorney information is as follows:
Attorney Name: Rodney Simmons - Attomey Address 10824 Olson Drive, Ste. C126
Attorney Phone: #8: 591- 1784 __ Rancho Cordova, Ca 95670
SERVICE
| declare under penalty of perjury that | delivered a copy of this notice, a copy of the form CDCR 'MH-7366 "inmate Rights to Notice - Involuntary Medication”,
and any related paperwork to the atlomey listed above and to the inmate named in this document on the date shown below. In the event of an emergency
petition, { further declare that the inmate and Office of Administrative Hearings were served with this notice within 72 hours of the start of involuntary
-imedication.
Person Delivering Petition: .
| Name and Title (Print): S, Mora, MCA Signature: MS Date: 02/14/2023
) |
. Disability Code: 2. Accommodations’ 3. Effective Communication:
TABE score $4.0. Additional Time Patient asked questions COGRE 145597
DPH DPV LD Equipment SU j i i : .
bes ows CI Equip in Oe Patient summed infomation LastName: VERDUZCO Me
DNS" [-|DDP {J Basic Transcribe. Please check one: First Name: .
Not Applicable: Othes* an (CUNot Reached" (Reached irstName:. DANIEL
| : : : “See chrondinotes
° DOB: 07/25/1980
4, Comments: TABE: WA, NDD
Uneuthorized calecton -¢reation, use, disclosure, Todiieaipn OF destruction of personaly Hentifiab’e Information and/or protected health ihiniaen may subjec! individuals to divi fiability under eppiceble federal and state Jews,
DISTRIBUTION: Original: Health Records ‘Copies: ‘Patient, ‘MCA, ‘patient's attorney, OLA, OAH
-eUHR SCANNING LOCATION: MHChrorio/Misc- -Legal/Other; 7363 Notice of Certification for involuntary: Medication
EHRS LOCATION: Mental Health Documentation > Legal EXHIBIT e- 03}
Case 2: 22-¢ -CV- 00569- TLN- DMC “Document 16 Filed 02/22/23 ‘Page 78 of 86
“STATE OF CALIFORNIA... DEPARTMENT OF CORRECTIONS AND-REHABILITATION
ee COCR MEETaBt2 al) __ Instructions: Page 4
we Date Feb 03, 2023 : Institutio
3. Based on my inte
4 The basis for the above diagnosis ;
DECLARATION IN SUPPORT OF INITIAL INVOLUNTARY MEDICATION Form: Page 1.of 3
“Nerduzco_. ir CDCR #: 45537
Ch OCKTON Bed/Cell/Dorm: BBA-126
Age: 42. XMale []Female. | Interpreter: (Yes [X]No Language: English
4, lama "feansed pavehiatial ones by the State of California to treat patients sentenced to imprisonment or housed in a California state prison,
Including faciliti les operated by the De ent of State Hospitals to treat California Department of Corrections and Rehabilitation patients.
2. In my professional opi ion, t ) | isted above exhibits symptoms of a serious mental illness ‘requiring psychl atric medication.
and my review of the chart and materials gathered by the clinical team, | have made a working psychiatric
: ~ diagnosis of: Major Depressive pisoel-Aduistnent reaction with anxious mood, Adjustment diosrder with disturbance of ocnduct, Borderline (BPD)
a: What are the general (textbook) symptoms of the serious mental lliness in the diagnosis?
Major Depression is'a disorder characterized by feelings of worthlessness, hopelessness or guilt, fixating on past failures or self-blame, trouble thinking,
concentrating, making decisions and remembering things, irritability, poor impulse control. Frequent or recurrent thoughts of death and suicidal thoughts.
Sa nvnavdygu Sev
. Mr, Verduzco has been at CHCF since 11/18/2020, ever since clinical staff have observed "on and off" symptoms of Mood lability/i nstability, depression,
agitation, anxiety, impulsivity, threaths of self injurious behaviour, occasional paranoid beliefs (often about custody), impaired frustration tolerance, poor .
~b. ‘Which of these symptoms or ‘behaviors have dlinical staff observed in the patient, and when?
coping skills, non-compliance with treatment, poor insight. These symptoms have worsened since he stopped taking his meds regularly on Dec 21,2022
| finger 6/2020), On. Dec 2022 patient Teported fecurrent threats to staff that he was going to amputate another finger in the month of January 2023, he did
| not engage in'SIB however continues to port that its a matter of time-to next self-injurious behavior, Sirite Dec, 2022 he has been refusing most psych
c, Did you rely upon historical information supporting the above diagnosis for this patient? if so, please specify what you relied upon (first onset,
; historical course of mental disorder, Prior hospitalizations, prior medication history, etc.):
This.is 42 years old Hispanic Male with Psychiatric history Major Depressive Disorder, Adjustment reaction with anxious mood, Adjust ment-disorder with
disturbance of conduct, Borderline (BPO). with prior hospitalizations, Acute on 9/13/16-1 1/8/16, 7/19/19-10/7/19, 10/29/19- 4114/20, 2/13/20-14/18/20. PIP
level of care at CHCF since 7/19/19, starting at Acute and now at ICF since 11/18/2020. He was initially referred for attempting to cut off a finger, as well as
on-going threats to engage in SIB. Mr. Verduzco has long history of self-injurious behavior (self-amputation cut tongue in half 4/2016, OD on sleeping pills
4/2017, bit tongue 4/2017, lacerations X two 5/201 7 of left fifth finger, necrosis and partial amputation, pulled out sutures 5/2017, laceration to feft 4th finger
7/2019, 40/2019 over several acts cut off left 4th finger, cut off tip of left second finger 4/2020, laceration 5/2020 reopened wounds and cut tip off left middle
meds, equa fails to comely Ww with beet checks of his extremities requiring enhanced observation elther Q 11 of SW from Dec 29, 2022- Feb 04 2023,
3. Effective Communication:
; cs Tare score $ 40 q ; nal Time. “[] Patient asked questions: CDCR# 748537
[}DPH- DPV LD 4 Equipment. -[E]SL- ) Patient summed information . .
ors Hp J Louder Fe Slower LastName: Verduzco Mi:
| ]DNS He Basic |} Transctibe. Please check one: ; .
[>] Not Applicable ‘Clother (Not Reached" Reached FirstName: Daniel
‘See chrono/notes DOB: O7/25/1980
4, Comments: Ss
Sec Unauthorized cobecton, creation, uss, disclosure, sedation or deshucton ‘of parsonaly isehabe Wk Hon and’ dhoatth information may subject individuals fo civil lability under applicable federal and state tans,
"QUHR SCANNING LOCATION: MHChronaiMise
+ Original: Heath Records Copy: MCAS
Ch C ther 73631 Notice of Certification for Involuntary Medication
EHRS LOCATION: Mental Health Documentation > h> egal EXHIBIT @-032
Case 2: 22- -CV- /-00569- TLN- DMC Document 16 Filed 02/22/23 Page 79 of 86
STATE OF CALIFORNIA DEPARTMENT OF CORRECTIONS .AND REHABILITATION
DECLARATION IN SUPPORT OF INITIAL INVOLUNTARY, MEDICATION Form: Page 2 of 3
Instructions: Page 4
= ents that he is planning to cut tof his finger sometime in January.
/“MHMD note 04/31/2023 IP. said 'mnots saying that | couldn't hurt myselfiat some point
5. ‘Based on my knowiedge ofthe valle and ther medical records, | believe that as the result of a serious mental iliness, the patient is (mark all that
apply):
[X]Danger to self {Danger to others [_]Gravely disabled and lacking capacity to, accept or refuse medications
:| 6, Please articulate how the patient's mental health history and the acts.and behaviors in questions 3, 4, and 5 (above), area result of the patient's serious
“mental illness {Le;, how the acts of behaviors align with the diagnosis, etc.), ;
: Patient has: shown symptoms “of mood lability instability, depression, agitation, anxiety, impu Isivity, threaths of self injurious behaviour (several times) he
| has strong history of SIB (self amputation), occasional paranoid beliefs (often about custody), impaired frustration tolerance, poor coping skills,
non-compliance with’ treatment, refusing medicaton for mental health, poor insight, All contributing to high. risk of danger to self,
7. On 02/03/2023 _..\ | have fecommended to the patient one or more psychiatric medications for the treatment of the patient's serious mental
iliness, have considered the risks, benefits, and treatment alternatives to involuntary medication, and have determined that the treatment alternatives to
involuntary medication are unlikely ‘ meet the needs ofthe patient,
}-g, [have advised the. patient of the risks: and benefils, and treatment alternatives to involuntary medication. The patient refused, does not have the capacity,
oF could not accept psychiatric medications.
9. The expected benefi ts of this medication to the patient ar are:
Use of psychotropics medication can be used as first line-treatment of chronic depression, and to reflief associated symptoms by reducing depressedilabile
mood, anxiety, poorself-control, paranoid thinking, promote sleep and also can reduce impulses to self harm.
COCR#H: = 145597
Declaration in Support of Initial Involuntary Medication LastName: Verduzea Mi
CDCR MH-7363-2 (03/17) FirstName: Daniel
DOB: 07/25/4980
Urehareed colocion, & creation, use, disclosure, modification, or de fon at ally idonifiable into andor protected heath information may subject individuals to civil Hablkty under. applicable fecteral and state tows,
DISTRIBUTION: Original: Heath Records Copy; MCA?
#UHR SCANNING LOCATION: : MHChrono/Misc-LegalOther; 7963 Notice of Certification for Involuntary Medication
‘EHRS LOCATION: Menial Health Documentation > Legal EXHIBIT 6-033
Case 2:22-CV- 00569- TLN- DMC Document 16 Filed 02/22/23 Page § 80 of § 86
‘ DEPARTMENT OF: CORRECTIONS AND REHABILITATION
Forti: Page 3 of 3
‘Instructions: Page 4
44, Based on the‘facts and diagnosis indicated above. as well as my review. of documents both in the treatment team profil ile of this patient and in the chart, it
is my opinion. the patient requires payehiatie medication to treat their illness. Without medication, the patient would present as an elevated chronic risk,
an imminent fisk, or both.
"2. At tis petition is based ona threat of harm t to self or rothers, please state upon what basis you believe the threat is credible.
rapulse control, poor engagement wih clinicians, ragmented seep, Isolation, poor talerane to stress.
‘Without the medication, he is kely to deieioraie further aiid possibly to engage in self injurious behavior.
13.. In my opinion ‘there is no less restrictive alternative than to seek a court order to administer psychiatric Medication.
|| 14. | am initiating this matter on the followin ng basis:
zlNon-emergency (no medications prior to Administrative Law Judge hearing) [JEmergency (ex-parte. application for medication attached)
| declare under penalty of perjury that the foregoing i is true and correct.
Date: 02/03/2023 _,in the City of Stockton a California, in the County ofSan Joaguin
Print Name and Title: Edgar Andres Chica, MD, Psychiatrist: Signature:
CDCR# 745537
Declaration In Support of Initial Involuntary Medication LastName: -Verduzco MI:
CDCR MH-7363-2 (03/17) FirstName: Daniel
DOB: 07/25/1980
Mi, USB, adisciosure, retan a OF dash of personally iia ilometon and/or protected health inommatin ) may subject lidividuais to civil iy under oppicable Tecers ‘and state laws.
EXHIBIT @- 13!
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 81 of 86 -
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California .
County of... San Joaquin... 2 eee
On February 03, 2023 before me, Chanda Hai, Notary Public
(insert name and title of the officer)
personally appeared __ Daniel Verduzco
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
| certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
CHANDA HAI -
WITNESS my hand and official seal. Notary Public - California
A
Sd Bau 2) 8 V
Commission # 2420143
My Comm. Expires Oct 9, 2026
=
Signature = (Seal)
EXHIBIT @- 035
}) 0 Tmt (cree) ig @rmenn enedninY AND On JAWUARY 25. 20
‘D. HARRISON) AT MY CEU FRONT WHICH MUCLUDED A COMPLETE ODEY DF CDCR ZERO TOLERANCE REGARDING THE ODE OF GiLENCE. SEE 86.2.0" 2 DTTRCHED .
}
1, DANIEL WERDUZCO » DECLARE THE FOLLOWING + |
. STATE OF CALIFORNIA
GA-22 (Rev, 2013-10)
INMATE RE
LATION
-
At 4:30 PM. J GAVE THE BELOW GA-22 FORT Dae 8, 15,2028 10 BCA eS Yeo WWeIST
DEPARTMENTOFC CORRECTIONS & REHABILIATION
JUEST FOR INTERVIEW :
FROM (LAST NAME)
VERDUZCO sd
CDCR NUMBER
y- 45537
i HOUSING BED NUMBER WORK ASSIGNMEN
BCA N26
OTHER ASSIGNMENT (SCHOOL, THERAPY, ETC.)
; DATE TO |
——E
FROM ; TO
ASSIGNMENT HOURS
FROM i TO
‘ou will be called in for interview in
Clearly saubon reason for requesting this interview.
e near future if the matter cannot be handled by correspondence.
H i}
THE TONE AND 1 Her CHIEF OF MENTAL REALTI SHEL
DR. HARRISON ALTHOUGH YOU ARE DUTY iain TO WRITE ANd OFFICIAL me REPORT T ACKANDULEDGE. THAT TTS DWOFOIR TD PLAGE THA ENTIRE BURDENU ON YoU SUPER UISORS SET
SEB
WOR CCEPTABIE QUOT TD REPORT SEXUAL ABUSE RECAUSE ‘In LIVES DoniT (MATTER .
ANN EMNPIDNEE THAT BECOMES AWARE OF Inis cond UCT WAS 10 REPORT IT
ti IUCLUDES PREA COUER UPS ..
EVERYOME THAT HAS SEEN THE IRREFUTABLE EVIDENCE AfSD CHOOSES 7) 30
IE0-9 LAMY
WOTHIMG DESPITE LAW AND TRAINING re. PREA TRAWING iS COITRIBITING To THOUANTS DE Mo SELF-WORTH AND THAT (IN EXISTENCE NS A HuMAN BEING WAS ZERD VALUE.
| TM BEWWE REVICTIMIZED BY CALLOUS MENTAL HEALTH PROFESS 1ONSAls, 1 fn. Not ENDEAUORIMG Th Bas ELICIT PUY DR SYMPATHY. 17 CALLING A SPADE A SPADE... 1 xniodl You
LUYS D DOWT CIE A DAMA. 1m Ay!
INMATE 3 (UUTHINNG MORE NOTHING LERS . 3.10 Os07 OBLIVIOUS De THRE WIEN) OF ME BY CHEF MENTAL We wEnUTH
Tin ASKING PEDPIE To COMPLY WITH PREA TRAINING And STOP BEING SiLEN)
TEAM AniD CHCE (My) SUPERVISORS
INCLUSSIVE DF SHELLY Minioe .
S
~_ Ti Nm ASKING ANYONE To FEEL GORRY FoR ME
BY STAWDERS - ALTHOUGH. ADDRESSED TOYOD THIS 1S EAUTENTED FOR MY ENTIRE MENTAL HEALTH
Ec/éc/cO Pella QT WUSWNI0GQ DWOG-N1L-69S00-A9-22:¢ 8sed
DISPOSITION 1 = RE x
T DECLARE THE FOREGOING 1S TRUE AND CORRECT. iF en upon 7000 $0, 1 cn eit: es
— 0023 pr SioCKTON CALIFORNIA - oshys
4 PODS
fbb & 20H /os/20,
feyokalogsT 2. Woahicon DANIEL VERDUZCO,, T- 45533 OVER H.
Q vcopm. ft\GL For |
Os Grates Ov Oifais/oa 22 -
Case 2:22-cv- 00560- TLN- DMC Document 16. Filed.02/22/23. Page 83 of 86. ..
CDCRZ ZERO TOLERANCE REGARDING THE CODE OF SILENCE
California Department of Corrections and Rehabilitation “=
Zero Tolerance Regarding the “CODE OF SILENCE”
The California Department of Corrections and Rehabilitation (CDCR) is only as strong as the
values held by each of its employees, sworn and non-swom. How we conduct: ourselves inside
ourinstitutions and in the Central Office is a reflection of those v alues. 7
The “Code of Silence” operates to conceal wrongdoing. One employee, Speriting alone, cal
foster a Code of Silence... The Code of Silence also arises because of a conspiracy among staff to
fail to report violations of policy, orto retaliate’ against those employees who report wr rongdoing.
Fostering the Code of Silence includes the failure. to act when there is an ethical and professional
_ obligation to do sO. Ooo eS
Every ‘time a coneétional employee decides not to report wrongdoing, he. or “she harms our
-Department and each one of us by violating the public? s trust. As member rs-Of law enforcement,
_ all Correct ional Officers must remain beyond reproath. The public’s. trustin this Depattment is
izi ; mining those employees.who
~ There-i is no excuse: for. ‘Fosteing a
“Code of Silence. -
ard fol ght effo st to protect ihe public deserye ‘recognition 1 and the public's trust raust be
1a f eps to ensure the. Department. exemplifies i integrity-and instills pride.
Part ‘of this effort j is the immediate. implementation of a zero tolerance policy conceming the
Code e of Sil lence. We will not ‘tolerate any. form: of silence as it pertains to misconduct, unetitcal,
or illegal behavior. We also will not tolerate any. form.of reprisal against employees who repor
misconduct or unethical behavior, In cluding their stigmatiza tion or isolation.
oY i
%
2
SOMA
NSE
Eccl
Each h employee i is responsible for seporting conduct hat iolates + Depatinent policy
. jnehiding | initiating investigations “and. i. prompily. depining all ceployess who ‘violate
Department poli icy.
“Ang etiplaves. repardléss of rank, Swoin or non-sworn, “DW ho fails to-report “violation 5, of policy
or ‘Yi ‘ho acts in a manner that fosters the. Cod € of Silence, shall be subject to 9 discipline up te to and
_ Including termination.
EXHIBIT @- 033
irae OF 1) Decuanio OF Dr VERDE ZD of 15533)
SAMUARY je 018.
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 84 of 86
~~ PROOF OF SERVICE BY MAIL
[CCP §§ 1013(a), 2015.5]
STATE OF CALIFORNIA, COUNTY.OF. SAM JOAQvIN)
[am a citizen of the County of ___SAN_JoAauIN , State of California. Iam a citizen
of the United States of America. [am over the age of eighteen (18) and not a party to this
action. Iam a resident of the County of San Joaquin, CDCR#_1:45534
My address is: DAMIEL VERDU20D + T- 45534
California Health Care Facility
P.0. BOX 32410
‘Stockton, CA 95213:
On _ FER IS , 2023, I served via United States Mail a copy of the following
document(s): PL SEEKS A 2-DAY EXTENSION OF TIME To FILE FiDST AMENDED ComeL.
\N duNCTiON
The above-noted legal document(s) was placed in a sealed envelope, with postage
thereon fully prepaid, addressed to the person at the address indicated below pursnant to_
California Code of Civil Procedure Section 1013. I placed the envelope or package in a
mailbox or other like facility addressed to: U.a.Disttien confer
501 T STREET, Quite U- 200
SACRAMENTO CA 4SS)4- 9292
I declare under penalty of perjury that the foregoing is true and correct to the
best of my knowledge. This document was executed on _ FER- 1S, 2023 in San Joaquin
County, California.
DANIEL VERDU2c0 i pp
oe VW
Type or Print Name Signature
Case 2:22-cv-00569-TLN-DMC Document 16 Filed 02/22/23 Page 85 of 86
PROOE OF SERVICE BY MAIL
[CCP §§ 1013(a), 2015.5]
ye
STATE OF CALIFORNIA, COUNTY OF y. Deis
am a citizen of the County of Gi badvin) _, State of California. I am a citizen
of the United States of America. I am over the age of eighteen (18) and not a party to this
action. Iam a resident of the County of San Joaquin, CDCR#_1-45537,
My address is: Ciel bord co # 1-558?
California Health Care Facility
LO. hy 20)0
~ Stockton, CA 95213»
On be G0 __, 2023, I served via United States Mail a copy of the following
document(s): Tt Ihab Cod
The above-noted legal document(s) was placed in a sealed envelope, with postage
thereon fully prepaid, addressed to the person at the address indicated below pursuant to
California Code of Civil Procedure Section 1013. I placed the envelope or package ina
mailbox or other like facility addressed to: i g p 7. /) 7
JD PMek Uev
56/ TI Sneed, gh % =Y- 200
Sl uamect J (| . G5 8 /4- 2222
I declare under penalty of perjury that the foregoing is true and correct to the
best of my knowledge. This document was executed on Fil, 26 , 2023 in San Joaquin
County, California.
Type or Print Name Signature
STATE OF cALIEDRRE. 2:22-CV-00569-TLN-DMC Document 16 Filed 02122 uBtAOR BOE wo REHABILITATION
” INMATEIPAROLEE REQUEST FOR INTERVIEW, ITEM OR SERVICE
CDER 22 (10/09)
SECTION A: INMATE/PAROLEE REQUEST , an /|
NAME {Print}; {LAST.NAME} . . {FIRST NAME} CBe NUMBER: me) (Lh
VYERDUZCO » D tT 45537 Lu
HOUSING/BED NUMBER: ASSIGNMENT: : oO TOPIC (LE. MAIL, CONDITION of CONFINEMENTIPAROLE, ETC):
BLA 126 (pip) HOURS FROM___T0 LEGAL MAIL
CLEARLY STATE THE SERVICE OR ITEM REQUESTED OR REASON FOR INTERVIEW:
TODM is 02/0/2028, 1 AM RELiNévISHING m4
FIRST AMENDED COMPLAMUT TOTALING B4 P69 FOR FILING CASE. Ns. 2!22- CV- O569-TIN-DINc-P.
NORTHERN DISTRICT COURT.“ PROGE PIEADINES DEEMED FILED Gu DATE PLACED IN LEGAL MAIL NOT
DATE SF RECEIPT BY COURT CLERK" DILS V. SMALL, 2G0 F. ZA. 484 (Gt CjR 2001), “WAIL ROX Rule
APPLIES TO PRO SE % 1482 Craims) suLik v. TANLEY county, ZIG F. 24. gIB (Om cik. 2603)
METHOD OF DELIVERY (CHECK APPROPRIATE BOX) **NO RECEIPT WILL BE PROVIDED IF REQUEST IS MAILED **
or cent THROUGH MAIL: ADDRESSED To: LEGAL MAIL PER COR. TIT. 1S $ 314) ©) CS) DaTEMAILED:02 720 , 2023
(CD DELIVERED TO STAFF (STAFF TO COMPLETE BOX BELOW AND GIVE GOLDENROD COPY TO INMATE/PAROLEE):
RECEIVED BY: PRINT STAFF NABE: TUE FORWARDED TS ANQIYER STAFF?
{CIRCLE ONE) YES NO
SATE:
IVES BY ut DATEe:
(, HeaAw co FEB. 20, 2023
1F FORWARDED — TO WHOM: DATE DELIVEREDIMAILED: “7 METHOD OF DELIVERY: Tr )
COURT CLERK US. DIST.CouRT- FEB. 20, 2023 (rete ove wren sre
SECTION B: STAFF RESPONSE
RESPONDING STAFF NAME: DATE: SIGNATURE: DATE RETURNED:
SECTION C: REQUEST FOR SUPERVISOR REVIEW
PROVIDE REASON WHY YOU DISAGREE WITH STAFF RESPONSE AND FORWARD TO RESPONDENT'S SUPER VISOR IN PERSON OR BY US MAIL. KEEP FINAL CANARY
COPY.
SHSNATURE: DATE SUBMITTED:
SECTION D; SUPERVISOR’S REVIEW
RECEIVED BY SUPERVISOR (NAME}: DATE: SIGNATURE: DATE RETURNED;
Distribution: Original - Return to Inmate/Parolee; Canary - inmate/Parolee's 2nd Copy; Pink - Staff Members Copy; Goldenrod - inmate/Parolee's tst Copy.
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- 6,708,127 bytes
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- Original
- www.courtlistener.com