Rafael Pol-Xorxe

CUSTODIAL DEATH REPORT Agency Information ORIGINAL CDR Number: 23-1591-CJ Version Type: VERSION 11/29/2023 2:17 Report Date: Status: Submitted PM Agency/Facility Information Bailey County Agency Name: Agency Address: 405 West 2nd Sheriff's Dept. Agency City: Muleshoe Agency State: TX Agency Zip: 79347 Director Information Director Salutation: Sheriff Director First Name: Richard Director Middle Name: B Director Last Name: Wills Reporter Name: Mary Lopez Reporter Email: [email protected] Decedent Information Custodial Death Report :: Page 1 of 7 --- PAGE BREAK --- Identity of Deceased First Name: Rafael Middle Name: Last Name: Pol-Xorxe Suffix: Date of Birth: 9/2/1994 Sex: Male Race: Hispanic or Latino Age At Time Of Death: 29 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 11/17/2023 1:48 Incident: AM Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): 11/21/2023 9:30 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 No, evaluation not Evaluation?: planned What was the manner of death? (select only one) Manner of Death: Suicide Custodial Death Report :: Page 2 of 7 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: The ranger investigating has not received a report from the hospital, yet. We do not feel that an autopsy was performed, but he is trying to find that out also. 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 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? Means of Death: Other, specify Used a piece of his Means of Death Other: shirt to cut off his airway Custodial Death Report :: Page 3 of 7 --- PAGE BREAK --- Location / Custody Information Where did the event causing the death occur? Street Address: 405 W 2nd Street City: Muleshoe County: Bailey Zip: 79347 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 - holding 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): 11/12/2023 10:10 Entry Date Time: PM Where did the death occur? Death Location: Medical facility General Information Custodial Death Report :: Page 4 of 7 --- PAGE BREAK --- Did any other law enforcement agencies respond to calls for service related to this incident? Other Agencies Respond?: Yes 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: 49.04(d) DRIVING WHILE INTOXICATED BAC >= 0.15 [MA] Offense 2: Offense 3: Not filed at time of Were the Charges:: death What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Alcohol / drug Type of Offense: 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 Yes Make suicidal statements?: No drugs): Exhibit any mental health No Exhibit any medical problems?: No problems?: Custodial Death Report :: Page 5 of 7 --- 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: On 11/17/2023 at approximately 1:48 A.M Jailers on duty, Roberta Camper, Sandra Flores and Brandon Ortega, heard a scream. Looking on camera they saw that it came from Cell 141. Jailers Flores and Ortega responded to the cell. Upon entering they saw Rafael Pol-Xorxe, screaming and crying on his bunk. He slept on a top bunk. Jailers Flores and Ortega, tried to calm him down and asked him what was going on. He would not answer and kept crying. The jailers decided to take him out of the cell and give him a chance to calm down in a holding cell. He was taken out of the cell and put into holding cell 162. The jailers went back to the control room. Shift lead, Jailer Roberta Camper was on the phone with Lt. Ana Gardea about the situation. The jailers were watching him on camera when he took his shirt off and tried to stuff it in his mouth. He then tore a piece of the shirt off and stuffed it down his throat with 2 fingers, cutting off his airway. Jailers Sandra Flores and Brandon Ortega, immediately responded to the cell and Jailer Roberta Camper, called 911 and requested an ambulance at approximately 0151. When the jailers reached the cell, the inmate was on the floor. They tried to keep him to where his air way would stay open. EMS arrived at 0158 and started trying to take the piece of cloth out of his throat. They were able to clear the air way, but the inmate was not breathing very well and they began to bag him. They put him in the ambulance. While in the ambulance they started chest compressions. Jailer Juan Garcia arrived and rode in the ambulance with the inmate while Sgt. Ricardo Ruvalcaba followed in his patrol unit. He was taken to Muleshoe Area Medical Center. From there he was transported by helicopter to University Medical Center in Lubbock. On 11/17/23 at approximately 1322 hours, Inmate Pol-Xorxe was released from our custody after his charges were dismissed. Rafael Pol-Xorxe remained in the hospital on assisted breathing while tests were run to check for brain activity. His family was contacted. I left my phone number with the nurses station and asked that they call me and notify me if he died. I never received a call from them. On Monday, November 27, 2023, I was informed by Lt. Murillo, that Pol-Xorxe had passed away. I called Custodial Death Report :: Page 6 of 7 --- PAGE BREAK --- University Medical Center and spoke to Yvette in ICU to confirm this and they did confirm it saying that he had passed away on Tuesday November 21, 2023 at 9:30 PM. Custodial Death Report :: Page 7 of 7