LEON ANTHONY JACOBS

CUSTODIAL DEATH REPORT Agency Information CDR Number: 21-1505-CJ Version Type: AMENDED Report Date: 5/13/2022 2:35 PM Status: Submitted Agency/Facility Information 200 Taylor St., Tarrant County Agency Name: Agency Address: Plaza Bldg. 7th Sheriff's Dept. 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: LEON Middle Name: ANTHONY Last Name: JACOBS Suffix: Date of Birth: 2/22/1966 Sex: Male Black or African Race: American Age At Time Of Death: 55 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 9/14/2021 9:50 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): 10/30/2021 8:03 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: Natural Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: COVID-19 PNEUMONIA 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 Could not be condition?: determined 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: 15OO S. MAIN ST. City: FORT WORTH County: Tarrant Zip: 76196 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: 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: 9/14/2021 9:50 PM Where did the death occur? Death Location: Medical facility General Information Did any other law enforcement agencies respond to calls for service related to this incident? Other Agencies Respond?: No Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- 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: BURGLARY OF A HABITATION WITH INTENT TO COMMIT FELONY 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) Crime Against Type of Offense: Property 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?: Yes 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 No No standoff?: arrested?: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- Physically attempt/assault No Gain possession of officer's 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? Yes, mark which Under Restraint: restraint devices were used Type of restraint Type of Restraint: Leg Shackles Summary of Incident Summary of How the Death Occurred: (max. 30,000 characters) Summary: Notification of the custodial death of Leon Anthony Jacobs (B/M 02-22-1966 TCSO CID #0980989 TX. SID #19434269 SS# and DL # not known) at 08:03 Hrs. on October 30, 2021. Jacobs was booked into the Tarrant County Jail on September 14, 2021 at 22:55 Hrs. for Burglary of a Habitation with Intent to Commit Felony. Jacobs was transported to John Peter Smith Hospital (JPSH) by Medstar Ambulance on October 6, 2021 at 09:48 Hrs. for health issues related to COVID-19. Dr. N. Perisetti pronounced Jacobs deceased at 08:03 Hrs. on October 30, 2021 in room P-533 at JPSH. Jacobs had no known MHMR diagnosis. Jacobs’ known health conditions were Wolff-Parkinson-White Syndrome, COVID- 19, chest pain, shortness of breath, and a possible Pulmonary Embolism. Jacobs tested positive for COVID-19 on September 27, 2021. The Tarrant County Medical Examiner’s Office (TCME) conducted an autopsy and ruled it a natural death caused by COVID-19 Pneumonia. Fort Worth PD Major Case Unit will be the outside investigations agency. Custodial Death Report :: Page 6 of 6