Jail

tracking and medical record keeping, (8) staffing, (9) to work cooperatively to resolve the concerns outlined in the letter. potential litigation concerning the mental health services at the Jail, completed by a staff member only when that staff member MDCR's failure to identify and treat prisoners withdrawing from drugs or alcohol. evidence to be concerned that the Jail fails to take reasonable steps to protect prisoners • The conditions of confinement within the Jail expose prisoners to an umeasonable risk of hann from inadequate fire and life safety systems and environmental health and sanitation deficiencies, including umeasonable risk of infection from overcrowding and On June 9-13, 2008, June 16-20,2008, and April 7-8,2009, we inspected the facility corrections staff, medical and mental health care providers, prisoners, and members of the conveyed their preliminary impressions and concerns to County officials and the MDCR command staff at the conclusio measures to ensure that conditions at the Jail meet federal This letter reports on conditions identified and safety. Despite this opportunity to improve conditions conditions at the time of the second tour.

including documents provided by the County subsequent to our on-site visits. In keeping with consistent with or responsive to our critique and suggestions at the end of our onsite visit to the

In its findings letter, DOJ detailed numerous alleged tracking and medical record keeping, (8) staffing, (9) Since DOJ issued its findings letter, the parties have attempted to work cooperatively to resolve the concerns outlined in the letter. record keeping and quality assurance. Prisoners wait weeks and even months to receive inadequate laundry, housekeeping, and pest controL including documents provided by the County subsequent to our on-site visits.

concluded that mental health care at the Jail violated the inmates' constitutional deficiencies with regard to mental health care, diagnosis, (3) referral to mental health professionals, (4) treatment to work cooperatively to resolve the concerns outlined in the letter. find inadequate mental health services. potential litigation concerning the mental health services at the Jail, Agreement will ensure that reasonable and adequate mental health intended to resolve all remaining issues relating to mental health Mental Health, and the agents and employees of the Sheriff's Department and Department of Mental Health. Los Angeles County Department of Mental Health are responsible for overseeing and/or providing mental health services to the • MDCR is deliberately indifferent to the suicide risks and serious mental health needs of of prisoners have suffered from inadequate mental health crisis services.