yakimapolice.org · 2020. 9. 10. · chief matthew murray’s office “make respect a part of...

Chief Matthew Murray’s Office

“Make respect a part of every interaction.”

200 S 3rd Street | Yakima, WA 98901 Telephone: (509) 575-6211

September 10, 2020

Dear Yakima Community,

As your Chief of Police, I continually work to advance the relationship between the Yakima Police

Department and the community. As in any relationship, open and honest communication is the

hallmark of the trust the community bestows upon its police. I am writing this letter to explain a

recent incident that garnered significant public interest, namely, the death of Ms. Tiffany Eubanks

after being transported to the hospital by Yakima Police.

In the interest of transparency, I believe it is my duty to fully explain the details of the incident,

and the actions taken by the parties associated with the death of Ms. Eubanks. This letter will

explain the procedures taken by me to investigate this incident and report back to you, our

community. This letter is the first in a practice I intend to continue in my effort to communicate

with you.

Factsi

• On June 2, 2020, at approximately 4:28 P.M., Yakima Police Officers were dispatched to the area of Staff Sergeant Pendleton Way and North 1st Street regarding a traffic hazard. Details from the 911-call indicated that a black female kept walking out on the street and appeared “very hot” and to be foaming at the mouth. Officers located the female as she was walking on the sidewalk near 22 North 1st Street. Officers checked on her welfare, noticing signs which indicated possible drug use. The female was identified as Tiffany Eubanks. She told officers that she had used illicit drugs three days earlier. Officers asked Ms. Eubanks if she wanted to be medically checked by an ambulance, which she verbally refused. Officers warned her to stay out of the street and cleared from the call (left the scene).

• As result of this first encounter with Ms. Eubanks, officers did not believe that she was

incapable of caring for herself or gravely disabled, which are elements to the involuntary

treatment act. With that said, they had no cause to take her into protective custody.

Additionally, they appropriately used discretion in deciding not to arrest for disorderly

conduct for the jay-walking offense (Additionally, due to current Covid-19 restrictions, this

charge would be insufficient to book her into the Yakima county Jail).

• On this same date (June 2, 2020) at approximately 5:27 P.M., SunComm 911 received a call of a “man down” in the area of Key Bank (102 East Yakima Avenue). The caller indicated that the subject was on the sidewalk in the front the bank, wearing a red hoodie and was not moving. A private ambulance was dispatched to the call. After the ambulance arrived they requested law enforcement due to the patient being a danger to self by walking into the roadway while medics were on scene.




• Officer Goulet was the first officer to arrive on scene. At 5:46 P.M., he requested additional assistance via radio.

• Several Yakima Police officers responded.

• On June 2, 2020, at 5:46 P.M., Lieutenant Chad Stephens was on-duty as the watch

commander for the Criminal Investigations Division. After hearing Officer Goulet’s call for

assistance he responded to the scene. He observed Officer Goulet on his knees next to

a female on the sidewalk. He observed that Officer Goulet was holding onto the subject’s

wrists and that the female subject appeared to be resisting efforts to handcuff her. She

was also attempting to get off the gurney. The medics who were on scene were assisting

Officer Goulet. Lieutenant Stephens assisted in securing Ms. Eubanks’ feet as she was

taken into custody.

• Due to his rank, Lieutenant Stephens was the commanding officer on scene. Officer Goulet indicated that the patient who was later identified as Tiffany Eubanks, was incapable of caring for herself and should be detained under the Involuntary Treatment Act [RCW 71.05.153].

• Discussion occurred between law enforcement and medics regarding who would transport Ms. Eubanks. The medics indicated that they would not transport the patient handcuffed without an officer in the ambulance. Lieutenant Stephens directed Officer Goulet to complete the transport by way of his police vehicle. Ms. Eubanks was placed inside Officer Goulet’s assigned patrol vehicle, properly secured with handcuffs and a seatbelt.

• In Officer Goulet’s statement he believed that she was under the influence of a “drug/

narcotic”. Due to that belief he requested a mental health professional assigned to YPD,

(known as a ‘Designated Crisis Responder’ (DCR)), at which time dispatch advised that

they were unavailable. Ms. Eubanks’ demeanor at the scene became elevated and

agitated according to Officer Goulet. She yelled that she wanted to “go.” Ms. Eubanks was

sweating profusely and her pupils were dilated according to Officer Goulet. He believed

these were signs and symptoms of recent drug use.

Officer Goulet indicated that Ms. Eubanks was thrashing and yelling while on the gurney.

At one point Ms. Eubanks began to fall off the gurney, requiring Officer Goulet and medics

to catch her and restrain her on the gurney until additional assistance could arrive. Officer

Goulet indicated that he made the decision to place her into protective custody under the

involuntary treatment act.

• Officer Goulet indicated that un-cuffing Ms. Eubanks was not an option due to safety

concerns. At this point, Officer Goulet indicated that Lieutenant Stephens had arrived. Lt.

Stephens directed Officer Goulet to transport Ms. Eubanks in his patrol car.




• The Yakima Police Department has COBAN (dash camera) video in its marked vehicle fleet. In addition to the video, officers may also leave on the audio recording (at a limited distance) when walking out of the view of the camera. There is video of this entire incident (including of Ms. Eubanks as she was in the rear of the police vehicle) and audio of Officer Goulet once he was inside the hospital. Investigators also obtained video of the Emergency Room at Virginia Mason while Officer Goulet was attempting to get help.

• Officer Goulet transported Ms. Eubanks to Virginia Mason Memorial Hospital. He attempted to gain assistance from multiple professionals upon his arrival at the hospital. When no one was available to assist him in escorting Ms. Eubanks inside, he entered the hospital and attempted to gain assistance from medical staff.

• While nurses attempted to find a room for Ms. Eubanks, Officer Goulet had personal

contact with a security guard whom he asked to assist him in finding a wheel chair. Officer

Goulet gave a report of the situation to the nurse’s station who attempted to free a room.

A Designated Crisis Responder (DCR) entered the emergency department and contacted

Officer Goulet. He told the DCR the circumstances surrounding his contact with Ms.

Eubanks. The DCR then went to consult with another mental health provider.

• When Officer Goulet returned to his vehicle, he found Eubanks in a state of medical

distress. He believed that she had aspirated in the back seat of his patrol car. Officer

Goulet immediately summoned emergency assistance, at which time several medical

officials from the emergency department exited and began first aid on Ms. Eubanks.

• Ms. Eubanks was admitted into the hospital where she died nine (9) hours later. Chief

Murray directed that the incident be turned over to the Yakima Valley Special

Investigations Unit (YVSIU) for an independent investigation.

• On June 3, 2020, Chief Murray ordered a subsequent internal investigation into this

matter. Lieutenant Chad Janis was directed to complete the separate but parallel

administrative investigation.

Timelineii:

June 2, 2020

4:27 P.M.

A community member called 911 to report concern about a female walking in the street.

4:32 P.M.

Two YPD officers contacted the female in the street (Tiffany Eubanks). She was able to walk and communicate. She admitted to drug use, but refused the offer of medical




assistance. Officers appropriately advised Ms. Eubanks to stay out of the street and did not arrest her for disorderly conduct.

4:40 P.M.

YPD officers cleared (left) the call.

5:27 P.M.

A business owner called 911 to report a person “down” on the sidewalk. The person did not appear to be moving.

5:29 P.M.

An ambulance crew was dispatched to 102 E. Yakima Ave on a medical call.

5:30 P.M.

The ambulance arrived and called for YPD assistance within three minutes. The crew related that the subject, Ms. Eubanks, was a danger to herself and that she had been walking in the roadway.

5:46 P.M.

YPD Officer Goulet arrived on scene and was told (by the ambulance crew) that “she is absolutely unable to take care of herself” and cannot be left on street. They further indicate that she was wandering into the street. They identify her as “Tiffany”. Officer Goulet requested a DCR via dispatch (Designated Crisis Responder – a mental health professional assigned to YPD) and was told there are none available.

5:47 P.M.

Officer Goulet attempted to communicate with Ms. Eubanks, this was largely unsuccessful, but after being asked when she last ate she responded, “I ate today”.

5:48 P.M.

Medics and Officer Goulet struggled to keep Ms. Eubanks on stretcher. She yelled indecipherable words, repeating “no I don’t”. Officer Goulet told her to “calm down” in non-stressful voice. He also said, “you’re okay” multiple times. Officer Goulet then requested back up.

5:49 P.M.

YPD Lieutenant Chad Stephens and other YPD officers arrived on scene to assist. Ms. Eubanks was handcuffed with minimal force and no injury.

5:50 P.M.

Medics indicated that an officer would need to ride in the ambulance if Ms. Eubanks was handcuffed, “being cuffed we have to have an officer with her”. The medics and Officer Goulet discussed handcuffing in the front, at which time Goulet explained that handcuffing in the front is not a good option because Ms. Eubanks will “kick out” of restraints. The medic said, “then I can’t transport”. Lieutenant. Stephens directed Officer Goulet to transport Ms. Eubanks to the hospital in his police vehicle.

5:54 – 6:03 P.M.

Officer Goulet transported Ms. Eubanks to Virginia Mason Memorial Hospital (2.8 miles by the most direct route). Ms. Eubanks was conscious and alert throughout the transport. Officer Goulet rolled down her window to make her more comfortable. He was reassuring and repeatedly called her by her first name.

6:03 P.M.

Officer Goulet arrived at the hospital and parked near the emergency entrance. Goulet asked Ms. Eubanks if she was doing okay. Ms. Eubanks replied “come on”. She repeated that phrase multiple times. She appeared to panic. Her eyes were wide open and she began to thrust away from the seat while seat belted. Officer Goulet responded “okay”. Goulet said, “give me one second, you’re doing okay”.




6:03 – 6:06 P.M.

Officer Goulet called two other officers who were in the hospital seeking assistance. He was unable to reach the DCR by phone and neither officer was able to come out to assist.

6:06 P.M.

Officer Goulet went into the hospital to seek assistance – leaving Ms. Eubanks secured in the back of his patrol vehicle. Officer Goulet then made numerous attempts to get assistance for Ms. Eubanks. He asked hospital security for a wheelchair – there was not one immediately available so the security officer went looking for one. Medical staff told him they didn’t have a room immediately available and spent several minutes trying to determine where to place Ms. Eubanks.

6:17 P.M.

Although Officer Goulet first attempted to leave the ER at 6:07 P.M. (the security officer stopped him and asked him to go to the nurses station), at 6:17 P.M. he was finally able to leave the ER to go back to his car. When he arrived at his patrol car, Officer Goulet found Ms. Eubanks in obvious medical distress. He checked her pulse and immediately went back into the hospital to seek emergency assistance.

7:00 P.M.

Chief Murray requested that the Yakima Valley Special Investigations Unit investigate this incident (20SIU001)

6/3/20 3:27 A.M.

Ms. Eubanks passed away in the care of Virginia Mason Memorial staff.

9:00 A.M.

Chief Murray directed that an internal investigation be initiated by the YPD Professional Standards Unit. (2020INT-009)

6/4/20 Forensic Pathologist Dr. Jeffery Reynolds of the Yakima County Coroner’s Office determined Ms. Eubanks’ cause of death to be Methamphetamine toxicity and the manner of death accidental. He determined the mechanism of death to be agitated delirium, malignant hyperthermia, and intra-alveolar hemorrhage.

The total time Officer Goulet was away from Ms. Eubanks at the hospital was 12 minutes and 10

seconds.

Applicable laws and policiesiii:

RCW 71.05.153 - Emergency Detentions of Person with Mental

Disorders or Substance Use Disorders

YPD 418.3 - Emergency Detentions – Authority

YPD 906.3.1 - Individuals Who Should Not Be In Temporary

Custody

https://app.leg.wa.gov/rcw/default.aspx?Cite=71.05.153




YPD 906.3.2 - Supervision in Temporary Custody

YPD 906.4 - Initiating Temporary Custody

YPD 467.2 - Crisis Intervention Policy

YPD 467.4 - Transporting Ill and Injured Persons

Incident Review:

I first learned of this incident after Ms. Eubanks was being treated at Virginia Mason Memorial

hospital on the evening of June 2nd. I immediately requested that the Yakima Valley Special

Investigations Unit (YVSIU) conduct an independent investigation regarding the incident. The

YVSIU is a team of trained investigators from law enforcement agencies (not to include the agency

where an incident occurred) from within Yakima County. This is done to ensure a non-biased

investigation. Further, I had appointed two community members (in January of 2020) to serve as

independent community representatives on the YVSIU. One of those community members,

Pastor Phil Vargas, participated in this investigation.

The YVSIU works in conjunction, and under the jurisdiction, of Yakima County Prosecutor Joe

Brusic. The team concluded its investigation in late July and Prosecutor Brusic declined to file

criminal charges against anyone (known or unknown) in this incident. In review of the YVSIU case

investigation, no criminality could be attributed to any Yakima Police Officer. The allegations listed

in the affidavit for search warrant point to an unidentified drug manufacturer/ or drug dealer. There

is no indication who that person is, and no connection to any police officer who responded to this

call.

On June 11, 2020, Yakima Fire Chief Aaron Markham, Deputy Chief Patrick Reid, and Deputy

Chief Jeremy Rodriguez met with Yakima Police Lieutenant Janis regarding this incident. They

collectively reviewed the COBAN video to provide an expert opinion regarding the on scene

emergency medical aspects of this incident. They indicated that there were significant concerns

with the lack of emergency medical care provided to Ms. Eubanks.

Simply stated, not providing medical care, in the way of checking vital signs, determining cognitive

ability, taking a baseline EKG, was a significant misstep by the ambulance crew. Citing

combativeness is not cause for not checking the above. EMS protocols allow for physical and

chemical restraints in this situation, and they should have been used.

Additionally, turning a patient over to a lower level of care (e.g. a police officer) without taking the

above steps or obtaining a refusal would not be appropriate patient care.

All three Chiefs believed that proper Yakima County patient care protocolsiv were not followed in

this incident.

The YVSIU provided a copy of their investigation to Lieutenant Chad Janis, Commander of the

Yakima Police Professional Standards Office, and provided me a briefing of their investigation on

July 29, 2020.




As noted in the timeline, I directed an internal investigation of this incident (to determine if any

Yakima Police policies had been violated) on June 3, 2020. However, Lieutenant. Janis could not

properly complete the investigation without knowing what, if any, misconduct may have been

disclosed in the YVSIU investigation. Lieutenant. Janis completed his investigation on August

13, 2020.

The internal investigation disclosed:

• Numerous witnesses observed Ms. Eubanks behavior and described it as unusual.

• Numerous witnesses observed the interaction between both ambulance staff and

Yakima Police personnel and Ms. Eubanks. None of them indicated that they

observed inappropriate force used to detain her.

The internal investigation raised several factors to be considered by the Disciplinary Review

Board and myself when contemplating discipline:

• The private ambulance medics had care custody and control of Ms. Eubanks for approximately twenty-four minutes, and provided no medical care to her.

• Medics confirmed that in a normal circumstance they would have checked her vitals, oxygen saturation, and made note of any significant medical issue.

• Had any number of these been done officers, including Lieutenant Stephens, could have made better decisions on what was best for her continuing care.

• According to Pre-Hospital Patient Care Guidelines, a medical provider is not allowed to lower the level of care for a patient. By turning this patient over to YPD prior to a medical assessment this act can be a contributing factor in Ms. Eubanks’ rapid declinev.

• These facts are affirmed in the document provided to the Yakima Police Department by the City of Yakima Fire Departmentvi.

• Each police officer that was interviewed in this incident confirmed that Yakima Police Officers transport people to the hospital on a regular basis, under ITA’s, for jail clearance, and numerous other reasons.

• The DCR confirmed that all mental health related holds require medical clearance prior to an MHP evaluation or placement.

On August 19, 2020, I convened the Yakima Police Disciplinary Review Board (comprised of all

Yakima Police Division Commanders) to review the actions/orders of lieutenant Stephens, the

highest ranking officer on the scene of the incident. The board recommended that:

• Lieutenant Stephens did not violate any law.

• Lieutenant Stephens did violate Yakima Police policy, to wit:

o 341.3.2 (c) Supervisor responsibilities

o 418.5 Transports

o 467.4 Transporting Ill and Injured Persons




The board recommended that Lieutenant Stephens receive discipline amounting to a ten hour

(one day) suspension without pay.

On September 9, 2020, Lieutenant Stephens was provided an opportunity to present me “matters

of refutation, explanation, and/or mitigation.” This is an important step in providing employees

due process. Lieutenant Stephens did not accept any responsibility in this incident and stated

that he believes he did not violate policy.

Chief’s Analysis

Upon reviewing the facts, findings of the review board, and Yakima Police policy, I find that

Lieutenant Stephens’ actions:

• Were a violation of Yakima Police policies

As such, I concur with the Disciplinary Review Board’s recommendation and will impose a

suspension of one day without pay. Lieutenant Stephens may appeal this decision based on the

provisions of his union contract.

My responsibility is to be a fair arbiter of the facts, to hold police employees accountable when

necessary, and to defend actions when appropriate.

I believe that the actions of the ambulance service likely violated medical protocol. They are

appropriately the best people on the scene of a medical call to provide medical assistance and to

guide the officers in ensuring that their patient receives the best care possible. Police officers

and patrol cars are simply not equipped to provide proper medical care. This was a mitigating

factor in the discipline I imposed.

I further found that the actions and demeanor of all Yakima Police personnel was kind,

compassionate, and driven by a desire to assist Ms. Eubanks to get help. This resulted in a tragic

outcome, but was still an example of professionalism and an attempt to provide customer service.

This was a mitigating factor in the discipline I imposed.

I find Officer Goulet’s actions blameless. He was following legal orders, he was clearly attempting

to aid Ms. Eubanks, and he was professional and kind while interacting with her.

In the end, however, Lieutenant Stephens was the commanding officer on scene. It was/is his

responsibility to ensure that we provide exceptional customer service according to law and policy.

In this incident, he directed a subordinate to violate policy. He also failed to take the proper time

to determine the best alternative for the situation at hand.

I believe that as a person rises in rank they assume more responsibility and should be held to a

higher standard. This was an aggravating factor in my decision to impose a suspension.




I believe it is vital for leaders to accept responsibility and seek to improve. Lieutenant Stephens

does not believe he violated policy or direct anyone else to do so. This was an aggravating factor

in my decision to impose a suspension.

Procedural or policy changes:

The Yakima Police Department will continually look for opportunities to improve. In this case the

current policy properly addresses the need to transport people suffering from drug or alcohol

intoxication and those needing medical assistance by ambulance. We will continue to transport

persons suffering from only a mental crisis by police car.

This topic will also be added to mandatory training for all Yakima Police Officers in the fall of 2020.

Conclusion

I recognize that some will agree with my assessment and others will not. I welcome both points

of view and encourage people to communicate your thoughts to me. We work for you and your

voice is relevant to how we operate in our shared community.

Warmest regards,

Chief Matthew Murray

Yakima Police Department




i The facts in this case were largely determined by video evidence and witness statements ii Times were determined by reviewing Yakima Police Dash Cam (COBAN) video iii Laws may be accessed via hyperlink (click the blue text) copies of relevant policies are in Appendix C iv The referenced protocols are attached in Appendix B v The referenced protocols are attached in Appendix B vi This letter is attached in Appendix A

Appendix A

Appendix B

Appendix C

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