adrian Chavez

CUSTODIAL DEATH REPORT Agency Information CDR Number: 23-877-CJ Version Type: AMENDED Report Date: 7/19/2023 9:23 AM Status: Submitted Agency/Facility Information 200 Taylor St., Tarrant County Agency Name: Agency Address: Plaza Bldg. 7th Sheriff's Office Floor Agency City: Fort Worth Agency State: TX Agency Zip: 76196 Director Information Director Salutation: Sheriff Director First Name: Bill Director Middle Name: Director Last Name: Waybourn Reporter Name: Clifton Shelton Reporter Email: [email protected] Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: adrian Middle Name: Last Name: Chavez Suffix: Date of Birth: 12/17/1983 Sex: Male Race: Hispanic or Latino Age At Time Of Death: 39 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 6/1/2023 6:09 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): 6/24/2023 10:52 Death Date and Time: PM Manner / Cause of Death Has a medical examiner or coroner conducted an evaluation to determine a cause of death? Medical Examiner/Coroner Yes, results are Evaluation?: available What was the manner of death? (select only one) Manner of Death: Suicide Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Hanging Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: No If death was an accident, homicide or suicide, who caused the death? Who caused the death?: Decedent If a weapon caused the death, what type of weapon caused the death? (Hold CTRL to select all that apply) Type of weapon that caused Other Weapon, death?: specify: Other weapon, specify: towel for hanging Was the cause of death the result of a pre-existing medical condition or did the decedent develop the condition after admission? Not Applicable; cause of death was Pre existing medical accidental injury, condition?: intoxication, suicide or homicide If death was an accident, homicide or suicide, what was the means of death? Hanging, Means of Death: strangulation Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Location / Custody Information Where did the event causing the death occur? Street Address: 100 n lamar City: fort worth County: Tarrant Zip: 76102 What location category best describes where the event causing the death occurred? Law Enforcement Location Category: Facility What type of custody/facility was the Decedent in at the time of death: Type of Custody: County Jail Specific type of custody/facility: Specific Type of Custody/Facility: Correctional/Rehabilitation Facility What was the time and date of the deceased's entry into the law enforcement facility where the death occurred (mm/dd/yyyy hh:mm AM/PM): Entry Date Time: 6/1/2023 6:09 AM Where did the death occur? Death Location: Medical facility General Information Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- Did any other law enforcement agencies respond to calls for service related to this incident? Other Agencies Respond?: No What were the most serious offense(s) with which the deceased was (or would have been) charged with at the time of death? Offense 1: POSS CS PG 1/1-B >=4G<200G (481.115(d)) - F2 Offense 2: INTERFER W/EMERGENCY CALL (42.062) - MA Offense 3: UNLAWFUL RESTRAINT (20.02(c)) - MA Were the Charges:: Filed What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Violent Crime Against Persons; Type of Offense: Alcohol / drug offense At any time during the incident and/or entry into the law enforcement facility, did the decedent display or use a weapon? Decedent display/use of No weapons: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Attempt to Injure Others?: No At any time during the incident and/or entry into the law enforcement facility, did the decedent: Appear intoxicated (alcohol or No Make suicidal statements?: Yes drugs): Exhibit any mental health Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- problems?: No Exhibit any medical problems?: No At any time during the incident and/or entry into the law enforcement facility, did the decedent: Barricade self or initiate Resist being handcuffed or No No standoff?: arrested?: Physically attempt/assault Gain possession of officer's No No officer(s): weapon: Verbally threaten other(s) Escape or attempt to No No including law: escape/flee custody: Attempt gain possession No officer's weapon: Was the deceased under restraint in the time leading up to the death or the events causing the death? Under Restraint: No Summary of Incident Summary of How the Death Occurred: (max. 30,000 characters) Summary: in-custody death of Tarrant County Inmate Adrian Chevez, white male, DOB: 12/17/1983 CID 0730220, who had been house at the Tarrant County Correction Center Jail at 100 N Lamar St, Fort Worth, Tarrant County, Texas 76196. Inmate Chevez had been in TCSO custody since 06/01/2023 on Possession of a Controlled Substance PG1, Unlawful Restraint, and Interfere with Emergency Call. Inmate Chevez died on Saturday, June 24, 2023 at approximately 2252 hours at John Peter Smith Hospital. Inmate Chevez was transported to John Peter Smith Hospital via ambulance on June 24, 2023 after he was found hanging in his cell (59-D-13-02) on this date. A suicide note was discovered in his cell. The Tarrant County Medical Examiner’s Office was notified and took possession of Inmate Chevez. Tarrant County Sheriff’s Detective Timothy Soria at [email protected] 817-884-1271 has been assigned the death investigation (TCSO report 2023-09044). The Haltom City PD will perform an independent investigation of the case. Further documentation and reports will follow the investigation as they become available. Custodial Death Report :: Page 6 of 6