Charleen Deroche Carlos

CUSTODIAL DEATH REPORT Agency Information CDR Number: 20-1826-C Version Type: AMENDED Report Date: 7/23/2021 9:22 AM Status: Submitted Agency/Facility Information Harris County Agency Name: Agency Address: 1200 Baker Street Sheriff's Dept. Agency City: Houston Agency State: TX Agency Zip: 77002 Director Information Director Salutation: Sheriff Director First Name: Ed Director Middle Name: Director Last Name: Gonzalez Reporter Name: Jeffery Vickery Reporter Email: [email protected] Decedent Information Identity of Deceased Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- First Name: Charleen Middle Name: Deroche Last Name: Carlos Suffix: Date of Birth: 7/30/1959 Sex: Female Race: Anglo or White Age At Time Of Death: 61 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 12/16/2020 8:42 Incident: AM Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): 12/16/2020 10:55 Death Date and Time: AM 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: Gunshot wound of the head Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: Not Applicable 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 Handgun death?: 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? Means of Death: Firearm Location / Custody Information Where did the event causing the death occur? Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- 20406 Chapel Glen Street Address: City: Katy Ct County: Harris Zip: 77450 What location category best describes where the event causing the death occurred? Location Category: Residence/Home What type of custody/facility was the Decedent in at the time of death: Police Custody Type of Custody: (pre-booking) Specific type of custody/facility: Specific Type of Custody/Facility: Custody of Law Enforcement Personnel subsequent to arrest 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: Scene of incident General Information Did any other law enforcement agencies respond to calls for service related to this incident? Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- 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: Aggravated Assault-Family Member Offense 2: Offense 3: 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; Other, specify Type of Offense, Other: Warrant Service 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 Yes, mark all that weapons: apply Decedent Display or Use Discharged firearm Weapon Details: 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: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- Appear intoxicated (alcohol or Unknown Make suicidal statements?: Yes drugs): Exhibit any mental health Unknown Exhibit any medical problems?: Unknown problems?: 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 Yes 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: On December 16, 2020, Harris County Sheriff's Office deputies attempted to arrest the decedent at her residence on a felony warrant. Deputies announced their presence and observed the decedent inside the residence. The decedent refused to exit her residence, and deputies entered through an unlocked door. Deputies observed the decedent standing near the master bedroom door and attempted to have her exit the bedroom. The decedent refused to exit the bedroom and closed the door. A gunshot was heard from within the bedroom and SWAT personnel were called. SWAT members entered the bedroom and located the decedent with a self-inflicted gunshot wound. A paramedic was escorted in and determined the decedent had no signs of life. Custodial Death Report :: Page 6 of 6