Mason Tyler Simon

CUSTODIAL DEATH REPORT Agency Information CDR Number: 22-516-CJ Version Type: AMENDED 11/16/2022 8:54 Report Date: Status: Submitted AM Agency/Facility Information Guadalupe County Agency Name: Agency Address: 2617 N. Guadalupe Sheriff's Office Agency City: Seguin Agency State: TX Agency Zip: 78155 Director Information Director Salutation: Sheriff Director First Name: Arnold Director Middle Name: Director Last Name: Zwicke Robert Reporter Name: Reporter Email: [email protected] Hernandez Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: Mason Middle Name: Tyler Last Name: Simon Suffix: Date of Birth: 11/7/1991 Sex: Male Race: Anglo or White Age At Time Of Death: 30 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 4/1/2022 8:18 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 4/5/2022 5:35 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: Strangulation/Hanging 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 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? 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 Location / Custody Information Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Where did the event causing the death occur? 2617 N. Guadalupe Street Address: City: Seguin Street County: Guadalupe Zip: 78155 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: Jail - single cell 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: 4/1/2022 8:18 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?: Yes 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: Assault Causes Bodily Injury Family Violence Offense 2: Unlawful Restraint Offense 3: Interfere with Emergency Request for Assistance 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 Yes Make suicidal statements?: No drugs): Exhibit any mental health Unknown Exhibit any medical problems?: Yes problems?: 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 --- 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: Inmate Simon was found in his cell on April 4,2021 at 1627 hours by Detention Officer Kristie Caraway with a t-shirt around his neck and tied to cell bars in A-67.He was cut down and life safety measures were performed. Emergency Medical Services (EMS) was notified, he was transported to the hospital and pronounced deceased on April 5, 2022 at 1735 hours. Custodial Death Report :: Page 6 of 6