Blas Raul Hernandez

CUSTODIAL DEATH REPORT Agency Information CDR Number: 19-112-PF Version Type: AMENDED 10/18/2019 11:34 Report Date: Status: Submitted AM Agency/Facility Information Lavaca County Agency Name: Agency Address: PO BOX 373 Sheriff's Dept. Agency City: Hallettsville Agency State: TX Agency Zip: 77964 Director Information Director Salutation: Sheriff Director First Name: Micah Director Middle Name: C Director Last Name: Harmon Reporter Name: Micah Harmon Reporter Email: [email protected] Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: Blas Middle Name: Raul Last Name: Hernandez Suffix: Date of Birth: 12/24/1987 Sex: Male Race: Hispanic or Latino Age At Time Of Death: 31 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 1/4/2019 7:24 AM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 2/8/2019 3:20 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: Natural Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Complications of Chronic Alcoholism 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?: Not applicable 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 Not Applicable death?: Was the cause of death the result of a pre-existing medical condition or did the decedent develop the condition after admission? Pre existing medical Pre-existing medical condition?: condition If death was an accident, homicide or suicide, what was the means of death? Not applicable, cause of death was Means of Death: illness/natural cause Location / Custody Information Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Where did the event causing the death occur? Street Address: 919 E 32nd City: Austin County: Travis Zip: 78711 What location category best describes where the event causing the death occurred? Location Category: Other, specify Other Location Category: Hospital What type of custody/facility was the Decedent in at the time of death: Type of Custody: Private Facility Specific type of custody/facility: Specific Type of Custody/Facility: Hospital/Infirmary 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: Entry Date Time N/A: 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: Agg. Assault W/ Deadly Weapon Offense 2: Unlawful Carrying Weapon on Licensed Premise Offense 3: Theft of Firearms Were the Charges:: Filed What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Violent Crime Type of Offense: Against Persons 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?: No drugs): Exhibit any mental health No Exhibit any medical problems?: No problems?: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- 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: Cause of death was Natural due to complications of Chronic Alcoholism. Custodial Death Report :: Page 6 of 6