Case 2:85-cv-04544-DMG-AGR Document 420-1 Filed 04/23/18 Page 92 of 106 Page ID
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Exhibit 17
REDACTED VERSION OF DOCUMENT
FILED UNDER SEAL

Exhibit 17
Page 94

 Case 2:85-cv-04544-DMG-AGR Document 420-1 Filed 04/23/18 Page 93 of 106 Page ID
#:16513

1 I,

declare as follows:

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1.

This declaration is based on my personal knowledge. If called to testify in this

4 case, I would testify competently about these facts.
5 2.

I am 16 years old. I am from Mexico. I came to the United States when I was

6 twelve or thirteen years old with my father. He was detained when we arrived and I was
7 sent to BCFS. I am currently being held in ORR custody in the Shiloh Residential
8 Treatment Facility.
9 3.

I am not sure, but I think I came to Shiloh Residential Treatment Facility in June

10 2017. They told me I had to come here because I had tried to hurt myself.
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4.

I think I have spent approximately five months at the Shiloh Residential Treatment

12 Center.
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5.

At Shiloh I have to take pills in the morning, afternoon, and night. I take 4 or 5

14 pills in the morning, 1 pill in afternoon, and 1 pill at night. In the morning, one of the
15 pills is for anxiety. I don't know what the other pills are for. I don't like taking the
16 medicine because it makes me sleepy and dizzy. But, if I don't take the pills, they will
17 give me a report and I will have to stay at Shiloh longer. I do not know if they have
18 talked to anyone in my family about the medications.
19 6.

Sometimes they give me forced injections. The last time was a few weeks ago. I

20 have been given injections many times. When I get upset, one or two staff hold my arms
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and the nurse gives me an injection. I think the injection has trazedone and Benadryl, but

22 I am not sure. The injection makes me tired.
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7.

They told me that if I am good, I can have a phone call with my family. I haven't

24 talked to my family in a long time. I really want to talk to them.
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Exhibit 17
Page 95

 Case 2:85-cv-04544-DMG-AGR Document 420-1 Filed 04/23/18 Page 94 of 106 Page ID
#:16514

1 8.
2

I miss my Dad and want to live with hitn. He lives in Arkansas. I think my

grandmother is in Texas.

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I declare under penalty of perjury that the foregoing is true and correct. Executed on this

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1st day of December, 2017, at Manvel, Texas.

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Exhibit 17
Page 96