PROGRESS REPORT CR#: 2013-69531 CASE TYPE: Criminally Negligent Homicide INVESTIGATOR ASSIGNED: Det. Angela Spezzano #9830 The following is the review of the HBHS video footage supplied to me by Attorney John Voorhees: 071813 HBHS1- Cam2 Carson enters Intake #3 at 7:44 pm, his mother is in the room and leaves at 7:46 pm. Vitals are taken and a male staff member is dealing with Carson. Staff takes Carson's suitcase and then all leave at 9:36 pm. 071913 072013 072113 HBHS1-Cam5 Dining 8:11 am arrives at dining hall for breakfast 8:45 am leaves dining hall 12:15 pm arrives at dining hall for lunch 12:48 pm leaves dining hall 5:35 pm arrives at dining hall for dinner 6:04 pm leaves dining hall HBHS Cam 5-2 Second Floor 8:50 pm Carson is escorted by three staff 8:51 pm Three staff leave < EXHIBIT as 072213 ( HBHS1-Cam5 Dining No breakfast No lunch No video past 1600 082313 HBHS1-Cam5 Dining 9:47 am arrives at dining hall for breakfast? No lunch No video past 1600 072413 072513 072613 1 July 27, 2013 Observation Rounds In Carson's Quiet Room-HBHS2-Cameral Overflow Seclusion Camera Carson is laying on the fixed bed facing the wall with the blanket over his face and head area. He does not move throughout the entire night and no person breaks the plane of the door way until 9:07 am. Entry into Carson's room in this case is needed to fufill the riquirements set forth in HBHS policy as he was on his side, facing the wall not the door and you are not able to see his chest or face and it is dark in his room with the need of the use of a flashlight which are supplied by HBHS. HBHS policy on a observation room is to observe patients on bed rest or when sleeping by: • Looking for the rise and fall of the chest, • Counting at least three respirations • Making sure that the patient has moved from his/her previous sleeping position, • Making sure that the patients face and head are visible for signs of physical and/or respiratory distress In a nine hours span of 15 minute checks, 8:30 minutes went by with no activity in side Carson's room, 9:00 went by with no one breaking the plane of the door. ( 1202 Midnight - Video Starts, Carson is laying on the bed. 12:15 No Activity 12:29:24-12:29:28 Light flashes for 4 seconds, no person enters the threshold 12:45 No Activity 1 : 00 No Activity 1:15 No Activity 1:30 No Activity 1 :45 total time of no activity 01:43:49-01:43:51 Light flashes for 2 seconds, no person enters the threshold 2:01:18-2:01:20 Light flashes for 2 seconds, no person enters the threshold 2:15 No Activity 2:30 No Activity 2:45 No Activity 3:00 No Activity 3:15 No Activity 3:30 No Activity 3:45 No Activity 4:00 No Activity 4:15 No Activity 4:30 No Activity 2:45 total time of no activity 4:44:47-4:44:48 Light flashes for 1 seconds, no person enters the threshold 5:00 No Activity 5 : 1 5 No Activity 45 minutes total time of no activity 5:32:40-5:32:42 Light flashes for 2 seconds, no person enters the threshold 5:45 No Activity 6:00 No Activity ( 6:15 No Activity 6:30 No Activity 6:45 No Activity 7:00 No Activity 7:15 No Activity 7:30 No Activity 7:45 No Activity 8:00 No Activity 8:15 No Activity 8:30 No Activity 8:45 No Activity 3:30 total time of no activity 9:07:32-9:08:20 Jill Oit comes into the room walks over to near Carson's head and looks, Carson's head is covered. She walk around his bed and stands in his room. She checks on him for 48 seconds total and leaves. 9:16:38-9:17:15 Jill On comes in the room and checks on him, touches his feet area and moves to his head and moves the sheet and finds Carson deceased. She checks on him for 37 seconds total. 09:17:40-9:17:48 Female staff member comes in and checks on Carson for 8 seconds. 09:17:56-09:23:16 Jill Orr brings in the vitals tree, tires to roll Carson over, another female staff member comes in and they can't get him flat so they do compressions on his side and then get him turned over. Crash cart comes in and more staff enter. Carson is in full rigor. 09:23:16 EMT's arrive 09:27:35 Fire Department arrives 09:28:22 Carson is moved out of the quiet room and into the hallway. July 27, 2013 Observation Rounds From The Hallway: HBHS0O9854 UHS1-Cameral5 I note that observations rounds include staff entering all other rooms except Carsons. Witnesses and I note that no way can you see Carson's chest or face from the door. 11:57:37 12:10:20 Carson enters the Quiet Room Cole walks down the center of the hallway turns his head, does not enter the threshold 12:24:45 Cole walks down the center of the hallway turns his head for 1 second, does not enter the threshold 12:25:30-12:25:55 Cole walks down the center of the hallway looks at room while walking, does not enter the threshold 12:42 Cole walks down the center of the hallway does not look, does not enter the threshold 12:57:34-12:57:38 Cole walks down the center of the hallway, looks at room while walking for four seconds, does not enter the threshold 1:13:41-1:13:49 Cole walks down the center of the hallway looks at room while walking for 8 seconds, does not enter the threshold 1:27:24-1:27:25 Loera walks by and moves closer to the door for 1 second, 1:40:14-1:40:17 Loera walks by and moves closer to the door for 3 seconds, does not enter the threshold does not enter the threshold 1:57:42-1:57:46 Loera walks by and moves closer to the door for 4 seconds, 2:11:52-2:11:53 Loera walks by turns head for 1 second, does not enter the does not enter the threshold threshold 2:28:35 Loera walks by and does not turn her head, does not enter the threshold 2:42:57-2:42:58 Loera walks by and moves closer to the door for 1 second, does not enter the threshold 2:53:02 3:08:59-3:09:00 Loera walks by does not look, does not enter the threshold Schaefer walks by and moves closer to the door for 1 second, does not enter the threshold 3:26:04 Schaefer walks by does not look, does not enter the threshold 3:44:39-3:44:40 Schaefer waks by and moves to ward the door and looks in room for 1 second, does not enter the threshold 3:56:56 Schaefer walks by and does not look, does not enter the threshold 4:14:57-4:14:58 Schaefer walks by and moves slightly closer to the door 4:27:50-4:27:51 Loera walks by and moves closer to the door for 1 second, and looks for 1 second, does not enter the threshold does not enter the threshold 4:41:11-4:41:13 Loera walks by and moves closer to the door for 1 second, 5:00:37 Loera walks by turns head for 1 second, does not enter the does not enter the threshold threshold 5:13:42-5:14:01 Schaefer walsk by and moves closer to the door, (Video 5:29:03-5:29:04 Loera walks by and moves closer to the door for 1 second, Skips) does not enter the threshold 5:41:25-5:41:27 Cole walks down the center of the hallway turns his head for 1 second, does not enter the threshold 5:54:55-5:54:57 Cole walks down the center of the hallway moves closer to 6:08:07-6:08:08 the door for 2 seconds, does not enter the threshold Cole walks down the center of the hallway moves closer to the door for 1 second, does not enter the threshold 6:23:23 Cole walks down the center of the hallway and does not look, does not enter the threshold 6:40:58 Cole walks down the center of the hallway and does not look, does not enter the threshold 6:55:16 Cole walks down the center of the hallway and turns his head, does not enter the threshold 7:11:53 Cole walks down the center of the hallway and does not look, does not enter the threshold 7:23:39 7:37:13-7:37:17 Cole and Roybal walk down the center of the hallway and do not look, does not enter the threshold Orr walks to door and looks for 4 seconds, does not enter the threshold 7:41:28 Roybal walks down the center of the hallway and turns her head, does not enter the threshold 7:54:09 Roybal walks down the center of the hallway and turns her head, does not enter the threshold 8:09:18 Roybal walks down the center of the hallway and turns her head, does not enter the threshold 8:25:11 Roybal walks down the center of the hallway and turns her head, does not enter the threshold 8:38:58 Roybal walks down the center of the hallway and turns her head, she moves closer to the door to go aropund a nother patient, does not enter the threshold 9:03:56-9:04:46 Orr breaks the plane of the door and enters the room for 50 seconds and comes out of the room. 9:12:59-9:13:38 Orr breaks the plane of the door and enters the foom for 29 seconds and comes out of the room. ( 9:14:01 Female staff goes into the room 9:14:17 Orr brings the vital tree into the room 9:14:45 More staff enter the room 9:15:32 Dr. Vertrees holds door does not enter 9:20:18 EMT's arrive and enter the room 9:21:54-9:22:24 Dr. Vertrees stands outside door and then leaves 9:24:05 Dr. Vertrees conies back and paramedics enter the room 9:24:48 Carson is moved from his room to the hallway 11:58:41 Det. Spezzano finds Fentanyl patches in hallway.