Mecklenburg1C0,u nty

G!!irTY L. IMii;.F i;f,d;;n
5ltleli '

1

Sheriff's Office, -

Fi!odl'19Y M , Col s,
Chi!! Dl!!ill"Jlllf Sne "Fr

700 - t FouFtt; st~t
Cha lqtte, NC 2:8202

1

T

n·!Ml 336--2543 ~ F !.7041t 336--e:m1s

MEDIA ADVISORY
February 10, 2022
CONTACT: Janet Parker
Public Informa on Manager
Janet.Parker@mecklenburgcountync.gov
O: (980) 314-5170

MCSO Response to NCDHHS Supplemental Biannual Inspec on and Complaint Inves ga on
of the Mecklenburg County Deten on Center
(CHARLOTTE, NC) –The Mecklenburg County Sheriff’s Office con nues to take correc ve ac ons to maintain the safety
and security of staff and residents at the Mecklenburg County Deten on Center Central (MCDCC). Prior to the North
Carolina Department of Health and Human Services inspec on, MCSO began addressing staffing shortages at MCDCC by
reducing the juvenile popula on and realloca ng personnel from the Mecklenburg County Juvenile Deten on Center to
the MCDCC.
MCSO created a new specialized Tac cal Response Unit (TRU) to address troublesome areas within the deten on center
and to enhance the safety and security of personnel and residents. This team of specially trained officers are tasked
with mass searches, cell extrac ons, and deal with uncoopera ve and violent offenders. As a result of their efforts,
contraband including homemade weapons have been found and confiscated within the facility and assaults have
decreased.
MCSO has also implemented a new over me policy to ensure adequate staff is inside the deten on center to respond to
requests or calls for assistance. Since the implementa on of this policy, we have not had personnel working extended
hours and have been able to operate much more efficiently because we have an adequate number of personnel.
Sheriff McFadden said, “We are con nuing to proac vely address all of the issues in the deten on center and I’m really
proud of the efforts being made by my staff and the collabora ve approach by other key criminal jus ce stakeholders as
we work through our staffing challenges.”
On December 21, 2021, the North Carolina Department of Health and Human Services Division of Health Service
Regula on (DHSR) Construc on Sec on Jails and Deten on Unit conducted a bi-annual inspec on and a complaint
inves ga on to determine compliance. In response to the inspec on and inves ga on, the Mecklenburg County
Sheriff’s Office will con nue taking correc ve ac ons and will submit a plan of correc on on each deficiency noted
in DHSR report received on February 9th by the March 11, 2022, deadline as specified in their correspondence.

*Please see NCDHHS findings a ached
ROY COOPER • Governor
ncA1-1 n

"',...,

KODY H. KINSLEY • Secretary

HUMAN SERVICES

MARK PAYNE • Director, Division of Health Service Regulation

February 9, 2022
Gary McFadden, Sheriff (garry.mcfadden@mecklenburgcountync.gov)
Mecklenburg County
801 East 4th Street
Charlotte, NC 28202
Re: Supplemental Biannual Inspection
and Complaint Investigation
Dear Sheriff McFadden:
On December 21, 2021, the Division of Health Service Regulation (DHSR) Construction Section
Jails and Detention Unit, conducted a bi-annual inspection and a complaint investigation to
determine compliance with 10A NCAC Subchapter 14J Jails, Local Confinement Facilities. This
supplemental biannual inspection and complaint investigation found deficiencies whereby
corrections are required. A copy of the report is enclosed for your attention. Please submit you
plan of correction on each deficiency in this report to the office by March 11, 2022.
Your Plan of Correction must contain the following:
What corrective action(s) will be accomplished in those areas of the facility found to have
been affected by the deficient practice.
How you will identify other areas of the facility having the potential to be affected by the
same deficient practice and what corrective action will be taken.
What measures will be put into place or what systemic changes you will make to ensure
that the deficient practice does not recur.
How the corrective action(s) will be monitored to ensure the deficient practice will not
recur, ie., what quality assurance program will be put into place.
Include dates when correction action will be completed. The corrective action dates must
be acceptable to the State.
1. Corrective action must begin immediately.
2. Any completion date greater than 60 days from date of survey requires written
justification from the Sheriff.
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF HEALTH SERVICE REGULATION
CONSTRUCTION SECTION

LOCATION: 1800

Umstead Drive, Williams Building, Raleigh, NC 27603
Mail Service Center, Raleigh, NC 27699-2705
info.ncdhhs.gov/dhsr/ • TEL: 919-855-3893 • FAX: 919-733-6592

MAILING ADDRESS: 2705

AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

Your Plan of Correction can be:
Mailed to: DHSR Construction Section
2705 Mail Service Center
Raleigh NC 27699-2705
Fax to: (919)-733-6592
Email to: DHSR.Construction.Admin@dhhs.nc.gov
If you have any questions, please do not hesitate to call me at (919) 855-3893
Sincerely,
Chief Jail Inspector
DHSR-Construction Section
919-855-3893
Enclosure
cc: Mr. George Dunlap, Chairman, Mecklenburg Board of Commissioner
(george.dunlap@mecklenburgcountync.gov)
Ms. Dena Diorio, County Manager, Mecklenburg County
(dena.diorio@mecklenburgcountync.gov)
Chief Telisa White, Detention Commander, Mecklenburg County
(Telisa.white@mecklenburgcountync.gov)

2
PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 00 Initial Comments J 00

Chris Wood, Chief Jail Inspector, conducted the
supplemental biannual inspection and complaint
investigation.
This supplemental biannual jail inspection and
complaint inspection was conducted as per 10A
NCAC 14J JAILS, LOCAL CONFINEMENT
FACILITIES Rules. This building was approved
for use in 1994 under North Carolina State
Building Code 1991 Edition with an occupancy
classification of Group I-3. The jail design
capacity is 1642 male beds and 262 female beds
with a total design capacity of 1904 beds.
As referenced in the December 23, 2021 letter,

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

the survey and investigation included review of
the documents and records that were provided
during the December 21, 2021 on-site visit and
additional documents and records provided
through February 2, 2022 for review. The
supplemental biannual and complaint inspections
were concluded on February 2, 2022 and the
deficiencies noted are as follows:
rounds shall be documented and
maintained as written or
J 36 10A NCAC 14J .0601 (a)
electronic records.
Supervision
These records shall be made
available to the Construction
(a) A jail shall have an officer
Section during an inspection upon
make supervision rounds and
observe each inmate at least two request. The supplemental
methods of
times within a 60 minute time
supervision specified in
period on an
irregular basis with not more than Paragraph (b) of this
Rule shall not substitute for
40 minutes between rounds.
supervision rounds. Division of
Supervision rounds shall be
conducted 24 hours a day, 7 days Health Service Regulation
per week. The supervision
J 36

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM

6899

ODCJ11

If continuation sheet 1 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

J 36 Continued From page 1 J 36

History Note: Authority G.S. 153A 221;
Eff. October 1, 1990;
Amended Eff. June 1, 1992;
Readopted Eff. September 4, 2020.

ID
PREFIX TAG
PROVIDER'S PLAN OF

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

This Rule is not met as evidenced by:
Based on staff interview and records review on
the morning of December 21, 2021, and
subsequent review since that date, the
supervision rounds are not being conducted as
required by this Rule.
Findings include: Records review indicated the
following:
-The documented supervision rounds records
were selected by the inspector;
-The documented electronic supervision rounds
record for several dates and areas were
reviewed;
-The documented supervision rounds record for
November 25, 2021, November 26, 2021,
November 27, 2021, November 28, 2021,
November 29, 2021, December 3, 2021,
December 4, 2021, December 5, 2021,
December 6, 2021, December 10, 2021,
December 11, 2021, December 12, 2021, and
December 13, 2021; and
-The documented electronic supervision rounds
records were reviewed for compliance with the
two times per hour direct observation watch
requirement of the Rule.
For November 25, 2021 for Pod 3600 checkpoint
3640d:
-There was only one documented supervision
round conducted during the 8:00 am and 11:00
am hours; and
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 2 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 2 J 36

-There were no documented supervision rounds
conducted during the 9:00 am and the 10:00 am
hours.
For November 25, 2021 for Pod 3600 checkpoint
3630d:
-There was only one documented supervision

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

round conducted during the 8:00 am and 11:00
am hours; and
-There were no documented supervision rounds
conducted during the 9:00 am and the 10:00 am
hours.
For 7:00 am on November 26, 2021 through 6:00
am on November 27, 2021 Pod 6100 checkpoint
6120a:
For November 26, 2021:
-There was only one documented supervision
round conducted during the 8:00 am, 9:00 am,
10:00 am, 11:00 am, 3:00 pm, 4:00 pm, 5:00 pm,
7:00 pm, 8:00 pm, 10:00 pm, and the 11:00 pm
hours.
-There were no documented supervision rounds
conducted during the 12:00 pm and the 2:00 pm
hours.
For November 27, 2021 for Pod 6100 checkpoint
6120a:
-There was only one documented supervision
round conducted during the 1:00 am, 2:00 am,
4:00 am, and the 6:00 am hours.
For 7:00 am on November 26, 2021 through 6:00
am on November 27, 2021 Pod 6100 checkpoint
6130a:
For November 26, 2021:
-There was only one documented supervision
round conducted during the 8:00 am, 9:00 am,
10:00 am, 11:00 am, 12:00 pm, 2:00 pm, 3:00
pm, 4:00 pm, 5:00 pm, 7:00 pm, 9:00 pm, 10:00
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 3 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 3 J 36

pm, and the 11:00 pm hours.
-There were no documented supervision rounds
conducted during the 1:00 pm and the 8:00 pm
hours.
For November 27, 2021 for Pod 6100 checkpoint
6130a:
-There was only one documented supervision
round conducted during the 1:00 am, 2:00 am,

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

4:00 am, and the 6:00 am hours.
For November 25, 2021 for Pod 3600 checkpoint
3625a:
-There was only one documented supervision
round conducted during the 9:00 am, 11:00 am,
2:00 pm, and the 3:00 pm hours.
-There were no documented supervision rounds
conducted during the 12:00 pm and the 1:00 pm
hours.
For November 28, 2021 from 7:00 am through
6:00 am on November 29, 2021 for Pod 5800
checkpoint 5855b:
For November 28, 2021:
-There was only one documented supervision
round conducted during the 9:00 am, 11:00 am,
2:00 pm, 3:00 pm, 4:00 pm, and the 9:00 pm
hours.
-There were no documented supervision rounds
conducted during the 10:00 pm hour.
For November 29, 2021:
-There was only one documented supervision
round conducted during the 12:00 am, 2:00 am,
4:00 am, and the 6:00 am hours.
-There were no documented supervision rounds
conducted during the 5:00 am hour.
For December 3, 2021 from 8:00 am through
6:00 am on December 4, 2021 for Pod 2210:
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 4 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 4 J 36

For December 3, 2021:
-There was only one documented supervision
round conducted during the 4:00 pm, 5:00 pm,
and the 6:00 pm hours.
-There were no documented supervision rounds
conducted during the 1:00 pm hour.
For December 3, 2021 at 8:00 am through 6:00
am on December 4, 2021 for Pod 2220:
For December 3, 2021:
-There was only one documented supervision

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

round conducted during the 6:00 pm and the 7:00
pm hours.
-There were no documented supervision rounds
conducted during the 1:00 pm hour.
For December 3, 2021 at 8:00 am through 6:00
am on December 4, 2021 for Pod 2200
checkpoint 2230a:
For December 3, 2021:
-There was only one documented supervision
round conducted during the 4:00 pm and the 5:00
pm hours.
-There were no documented supervision rounds
conducted during the 1:00 pm hour.
For December 3, 2021 at 7:00 am through 6:00
am on December 4, 2021 for Pod 2200
checkpoint 2240:
For December 3, 2021:
-There was only one documented supervision
round conducted during the 7:00 am, 4:00 pm,
5:00 pm, and the 6:00 pm hours.
-There were no documented supervision rounds
conducted during the 1:00 pm hour.
For December 5, 2021 from 7:00 am through
6:00 am on December 6, 2021 for Pod 6800
checkpoint 6865c:
For December 5, 2021:
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 5 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 5 J 36

-There was only one documented supervision
round conducted during the 8:00 am, 11:00 am,
4:00 pm, 6:00 pm, and the 9:00 pm hours.
-There were no documented supervision rounds
conducted during the 3:00 pm hour.
For December 6, 2021:
-There was only one documented supervision
round conducted during the 12:00 am, 4:00 am,
and the 6:00 am hours.
For December 10, 2021 from 7:00 am through
6:00 am on December 11, 2021 for Pod 4600

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

checkpoint 4625d:
For December 10, 2021:
-There was only one documented supervision
round conducted during the 7:00 am, 4:00 pm,
5:00 pm, and the 6:00 pm hours.
-There were no documented supervision rounds
conducted during the 3:00 pm hour.
For December 11, 2021:
-There was only one documented supervision
round conducted during the 12:00 am, and the
6:00 am hours.
For December 12, 2021 from 7:00 am through
December 13, 2021 at 6:00 am for Pod 5600
checkpoint 5625d:
For December 12, 2021:
-There was only one documented supervision
round conducted during the 7:00 am, 9:00 am,
10:00 am, 11:00 am, 12:00 pm, 1:00 pm, 7:00
pm, 8:00 pm, and the 11:00 pm hours.
-There were no documented supervision rounds
conducted during the 8:00 am, 2:00 pm, 4:00 pm,
5:00 pm, 6:00 pm, 9:00 pm, and the 10:00 pm
hours.
For December 13, 2021:
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 6 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 6 J 36

-There was only one documented supervision
round conducted during the 12:00 am, 5:00 am
and the 6:00 am hours.
-There were no documented supervision rounds
conducted during the 1:00 am, 3:00 am, and the
4:00 am hours.
For December 12, 2021 from 7:00 am through
5:00 am on December 13, 2021 for Pod 5600
checkpoint 5630c:
For December 12, 2021:
-There was only one documented supervision
round conducted during the 7:00 am, 9:00 am,
10:00 am, 11:00 am, 1:00 pm, 7:00 pm, 8:00 pm,
and the 11:00 pm hours.

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

-There were no documented supervision rounds
conducted during the 8:00 am, 12:00 pm, 2:00
pm, 5:00 pm, 9:00 pm, and the 10:00 pm hours.
For December 13, 2021:
-There was only one documented supervision
round conducted during the 12:00 am, 1:00 am,
and the 5:00 am hours:
-There were no documented supervision rounds
conducted during the 3:00 am and the 4:00 am
hours.
For December 12, 2021 at 7:00 am through 6:00
am on December 13, 2021 for Pod 5600
checkpoint 5640a:
For December 12, 2021:
-There was only one documented supervision
round conducted during the 7:00 am, 9:00 am,
10:00 am, 11:00 am, 12:00 pm, 1:00 pm, 4:00
pm, 7:00 pm, 8:00 pm, and the 11:00 pm hours.
-There were no documented supervision rounds
conducted during the 8:00 am, 2:00 pm, 5:00 pm,
9:00 pm, and the 10:00 pm hours.
For December 13, 2021:
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 7 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 7 J 36

-There was only one documented supervision
round conducted during the 12:00 am, 1:00 am,
5:00 am, and the 6:00 am hours.
-There were no documented supervision rounds
conducted during 3:00 am and the 4:00 am
hours.
Staff interview and Records review of the
documented electronic supervision rounds
record, Shift Log Entry Reports, and the "Jail
Central Lineup" sheets for the dates and locations
of major incidents that occurred from March 9,
2021 through December 9, 2021 indicated the
following:
-Major incidents occurred on March 9, 2021, April
15, 2021, May 3, 2021, September 4, 2021,
October 9, 2021, October 17, 2021, November 2,

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

2021, November 12, 2021, December 3, 2021,
December 5, 2021, and December 9, 2021 were
reviewed for compliance with the Rule related to
supervision.
-All incidents were reviewed under the two times
per hour direct observation watch requirements.
-Staff stated that fully staffed would be 80
detention staff per shift.
For March 9, 2021-Pod 5900-Assault on staff with
a weapon.
-Day shift operated 5 staff short of 80-Night shift
operated 13 staff short of 80.
-Documented supervision rounds from 7:00 am
through 6:00 pm were reviewed;
-There was only one documented supervision
round conducted during the 7:00 am, 8:00 am,
10:00 am, 11:00 am, 1:00 pm, 2:00 pm, and the
4:00 pm hours.
For April 15, 2021-Pod 6100-Assault of staff with
injuries.
-Day shift operated 12 staff short of 80-Night shift
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 8 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 8 J 36

operated 9 staff short of 80.
-Documented supervision rounds from 7:00 am
through 6:00 pm were reviewed.
-There was only one documented supervision
round conducted during the 10:00 am, 11:00 am,
12:00 pm, 1:00 pm, 5:00 pm, and the 6:00 pm
hours.
For May 3, 2021-Pod 3900-Inmate fight. Weapon
found.
-Day shift operated 10 staff short of 80-Night shift
operated 10 staff short of 80.
-Documented supervision rounds from 7:00 pm
on May 3, 2021 through 6:00 pm on May 4, 2021
were reviewed.
-There was only one documented supervision
round conducted during the 7:00 pm, 12:00 am,
2:00 am, and the 6:00 am hours.

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

For September 4, 2021-Pod 3900-Inmate riot with
weapons found.
-Day shift operated 23 staff short of 80-Night shift
operated 29 staff short of 80.
-Documented supervision rounds from 7:00 pm
through 5:00 am were reviewed.
-There was only one documented supervision
round conducted during the 11:00 pm and the
3:00 pm hours.
-There were no documented supervision rounds
conducted during the 8:00 pm, 9:00 pm, 10:00
pm, and the 12:00 am hours.
For October 9, 2021-Pod 4300-Inmates fighting
and an assault on staff.
-Day shift operated 23 staff short of 80-Night shift
operated 23 staff short of 80.
-Documented supervision rounds from 7:00 pm
on October 9, 2021 through 6:00 am on October
10, 2021 were reviewed.
-There was only one documented supervision
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 9 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 9 J 36

round conducted during the 7:00 pm, 9:00 pm,
10:00 pm, 1:00 am, 2:00 am. 4:00 am, and the
6:00 am hours.
There were no documented supervision rounds
conducted during the 8:00 pm, 11:00 pm, 12:00
am, and the 3:00 am hours.
For October 17, 2021-Pod 3625-Assault on staff.
-Day shift operated 24 staff short of 80-Night shift
operated 26 staff short of 80.
-Documented supervision rounds from 8:00 am
through 12:00 pm were reviewed.
-There was only one documented supervision
round conducted during the 8:00 am hour.
-There were no documented supervision rounds
conducted during the 10:00 am and the 12:00 pm
hours.
For November 2, 2021-Pod 3640-Assault on
multiple staff with weapons found.

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

-Day shift operated 21 staff short of 80-Night shift
operated 25 staff short of 80.
-Documented supervision rounds from 7:00 pm
on November 2, 2021 through 10:00 pm on
November 3, 2021 were reviewed.
-There was only one documented supervision
round conducted during the 7:00 pm, 10:00 pm,
2:00 am, 3:00 am, 4:00 am, 5:00 am, 7:00 am,
8:00 pm, and the 10:00 pm hours.
-There were no documented supervision rounds
conducted during the 8:00 pm, 9:00 pm, 11:00
pm, 12:00 am, 1:00 am, 6:00 am, 9:00am, 10:00
am, 11:00 am, 1:00 pm, 2:00 pm, 3:00 pm, 4:00
pm, 5:00 pm, 6:00 pm, and the 7:00 pm hours.
For November 12, 2021-Pod 5100-Attempted
assault with Use of Force on inmate.
-Day shift operated 12 staff short of 80-Night shift
operated 27 staff short of 80.
-Documented supervision rounds from 7:00 am
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 10 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 10 J 36

on November 12, 2021 through 6:00 pm on
November 13, 2021 were reviewed.
-There was only one documented supervision
round conducted during the 7:00 am, 8:00 am,
9:00 am, 10:00 am, 1:00 pm, 4:00 pm, 8:00 pm,
9:00 pm, 10:00 pm, 3:00 am, 4:00 am, 7:00
am,10:00 am, 12:00 pm, 1:00 pm, and the 6:00
pm hours.
-There were no documented supervision rounds
conducted during the 11:00 am, 12:00 pm, 2:00
pm, 3:00 pm, 5:00 pm, 6:00 pm, 7:00 pm, 11:00
pm, 12:00 am, 1:00 am, 2:00 am, 5:00 am, 6:00
am, 3:00 pm, and the 4:00 pm hours.
For December 3, 2021-Pod 5625-Assault on staff
with a Use of Force.
-Day shift operated 13 staff short of 80-Night shift
operated 21 staff short of 80.
-Documented supervision rounds from 7:00 am
on December 3, 2021 through 11:00 am on
December 4, 2021 were reviewed.
-There was only one documented supervision

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

round conducted during the 8:00 am, 9:00 am,
10:00 am, 11:00 am, 7:00 pm, 8:00 pm, 9:00 pm,
10:00 pm, 12:00 am, 1:00 am, 2:00 am, 4:00 am,
7:00 am, 8:00 am, 9:00 am, and the 11:00 am
hours.
-There were no documented supervision rounds
conducted during the 12:00 pm, 1:00 pm, 2:00
pm, 3:00 pm, 4:00 pm, 5:00 pm, 6:00 pm, 5:00
am, 6:00 am, and 11:00 am hours.
For December 5, 2021-Pod 5600-Assault on staff
with a Use of Force.
-Day shift operated 22 staff short of 80-Night shift
operated 23 staff short of 80.
-Documented supervision rounds from 7:00 am
through 5:00 pm were reviewed.
-There was only one documented supervision
round conducted during the 11:00 am, 2:00 pm,
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 11 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J 36 Continued From page 11 J 36

4:00 pm, and the 5:00 pm hours.
-There were no documented supervision rounds
conducted during the 10:00 am, 1:00 pm, and the
3:00 pm hours.
For December 9, 2021-Pod 3600-Assault on staff
with injuries.
-Day shift operated 17 staff short of 80-Night shift
operated 24 staff short of 80.
-Documented supervision rounds from 8:00 am
through 7:00 pm were reviewed.
-There was only one documented supervision
round conducted during the 10:00 am, 2:00 pm,
and the 3:00 pm hours.
-There were no documented supervision rounds
conducted during the 1:00 pm, 4:00 pm, and the
5:00 pm hours.
custodial personnel are present
and available to provide
J450 153A-224 Supervision of
continuous supervision in order
Local Confinement Facilities
that custody will be secure and
(a) No person may be confined in that, in event of emergency, such
as fire,
a local
illness, assaults by other
confinement facility unless

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

prisoners, or otherwise, the
by:
prisoners can be protected.
Based on staff interview and
These personnel shall supervise records review on the morning of
prisoners closely enough to
December 21, 2021 and
maintain safe custody and control subsequent review since that
and to be at all times informed of
the prisoners' general health and date, the facility is Division of Health
emergency medical needs.
Service Regulation

J450

This Rule is not met as evidenced

STATE FORM 6899 ODCJ11

If continuation sheet 12 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J450 Continued From page 12 J450

not in compliance with the General Statute.
Findings include: Staff interview indicated the
following:
-Staff reported that the facility has two shifts each
day; and
-To be fully staffed each shift would have 80
detention staff;
Records review of the "Jail Central Lineup"

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

sheets for March 9, 2021, April 15, 2021, May 3,
2021, September 4, 2021, October 9, 2021,
October 17, 2021, November 2, 2021, November
12, 2021, December 3, 2021, December 5, 2021,
and December 9, 2021 indicated the following:
For March 9, 2021:
-Day Shift had a total of 72 staff present; and
-Night shift had a total of 67 staff present.
For April 15, 2021:
-Day Shift had a total of 68 staff present; and
-Night shift had a total of 71 staff present.
For May 3, 2021:
-Day Shift had a total of 70 staff present; and
-Night shift had a total of 70 staff present.
For September 4, 2021:
-Day Shift had a total of 57 staff present; and
-Night shift had a total of 51 staff present.
For October 9, 2021:
-Day Shift had a total of 57 staff present; and
-Night shift had a total of 57 staff present.
For October 17, 2021:
-Day Shift had a total of 56 staff present; and
-Night shift had a total of 54 staff present.
November 2, 2021:
-Day Shift had a total of 59 staff present; and
-Night shift had a total of 55 staff present.
For November 12, 2021:
-Day Shift had a total of 68 staff present; and
-Night shift had a total of 53 staff present.
For December 3, 2021:
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 13 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J450 Continued From page 13 J450

-Day Shift had a total of 67 staff present; and
-Night shift had a total of 59 staff present.
For December 5. 2021:
-Day Shift had a total of 58 staff present; and
-Night shift had a total of 57 staff present.
And for December 9, 2021:
-Day Shift had a total of 63 staff present; and
-Night shift had a total of 56 staff present.
Records review of incident reports from January
1, 2021 through December 9. 2021 indicated the
following:

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

-A total of 454 incident reports were provided to
the inspector;
-Many of the incidents were considered serious
including assaults on staff, assaults on staff with
weapons, inmate on inmate fights, and searches
that resulted in the discovery of homemade
weapons;
-The incidents occurred on the dates listed
above; and
-On the dates of these incidents, the facility was
operating below fully staffed;
For March 9, 2021: Assault on staff with a
weapon.
-Day shift operated 8 staff short of 80.
-Night shift operated 14 staff short of 80.
For April 15, 2021: Assault on staff with injuries.
-Day shift operated 12 staff short of 80.
-Night shift operated 9 staff short of 80.
For May 3, 2021: Inmate fight. Weapon found.
-Day shift operated 10 staff short of 80.
-Night shift operated 10 staff short of 80.
For September 4, 2021: Inmate riot with weapons
found.
-Day shift operated 23 staff short of 80.
-Night shift operated 29 staff short of 80.
For October 9, 2021: Inmates fighting and an
assault on staff.
-Day shift operated 23 staff short of 80.
Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 14 of 15

PRINTED: 02/09/2022
FORM APPROVED

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES AND
PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION A.
BUILDING:

______________________

(X3) DATE SURVEY COMPLETED
B. WING
_____________________________

110646 02/02/2022 STREET ADDRESS, CITY, STATE, ZIP CODE

NAME OF PROVIDER OR SUPPLIER

MECKLENBURG COUNTY JAILCENTRAL
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF
DEFICIENCIES (EACH

801 EAST FOURTH STREET
CHARLOTTE, NC 28202

DEFICIENCY MUST BE
PRECEDED BY FULL
REGULATORY OR LSC
IDENTIFYING INFORMATION)

ID
PREFIX TAG
PROVIDER'S PLAN OF

J450 Continued From page 14 J450

-Night shift operated 23 staff short of 80.
For October 17, 2021: Assault on staff.
-Day shift operated 24 staff short of 80.
-Night shift operated 26 staff short of 80.
November 2, 2021: Assault on multiple staff with
weapons found.
-Day shift operated 21 staff short of 80.
-Night shift operated 25 staff short of 80.
For November 12, 2021: Attempted assault with a
Use of Force on inmate.
-Day shift operated 12 staff short of 80.
-Night shift operated 27 staff short of 80.
For December 3, 2021: Assault on staff with a
Use of Force on inmate.

CORRECTION (EACH
DEFICIENCY)
CORRECTIVE ACTION SHOULD (X5)
BE CROSS-REFERENCED TO COMPLETE DATE
THE APPROPRIATE

-Day shift operated 13 staff short of 80.
-Night shift operated 21 staff short of 80.
For December 5. 2021: Assault on staff with a
Use of Force on inmate.
-Day shift operated 22 staff short of 80.
-Night shift operated 23 staff short of 80.
And for December 9, 2021: Assault on staff with
injuries.
-Day shift operated 17 staff short of 80.
-Night shift operated 24 staff short of 80.

Division of Health Service Regulation
STATE FORM 6899 ODCJ11

If continuation sheet 15 of 15