STATE OF WASHINGTON

DEPARTMENT OF CORRECTIONS
WASHINGTON CORRECTIONS CENTER FOR WOMEN
MS: WP-D4 • 9501 Bujacich Rd. NW .• Gig Harbor, Washington 98332-8300

WARNING
THIS FILE IS THE PROPERTY OF THE
WASHINGTON CORRECTIONS CENTER FOR WOMEN
INTELEGENCE & INVESTIGATIONS uurr (l\U)
Content may be disclosed only to person whose official duties require access.
Contents may not be disclosed to the party(s) concerned nor to counsel, without
specific authorization of the superintendent.
CASE TOPIC:

Correctional Officer Skill1ngs allegedly raped Offender'"

CASE #:

WCCW 011-099-05

DATE OPENED:

11-23-06

DATE CLOSED:

12-20-05
Sign and date at time of review or receipt

IN OFFICE REVIEW

CASE OUT REVIEW

COpy AUTHORlZATION

~--~------i~----------+------------j

i-.----------.\-------------i---------~-_j

i
~.~------~--;-----------+-----------j

"Working Together for SAFE Communities"

0260

Sexual Assault Case Initiation Form - DATA COLLECTION

Special Investigation Unit (SIU) Case Number: HQ 10-65-05-F01

I.Fi2"'i'!B~,;~~~(~!"8li1'iG)@1]llf.?8~:;r;I0t)J;!';!;lfiY!~;'i2i0"';'''i~t!i!ii!!;,r:jiit'il;:,';'!:
'/;
i"
'I'IUdII'lUt;l:Il
, '!'EI,E)R!!o'miiiER1fpENT'iEYiN~!::'INFrli~M'A-tIH~A
Complainant:
~ Offender Victim
o Other Offender
!d Staff member
o Family / Friend
o Anonymous
OOther (specify),
,:,.' , ....,

I ','", '"

,

Type of Allegation:

bI Offender-an-Offender Sexual Assault

o Offender-an-OffenderAbusive Sexual Contact
o Staff Sexual Harassment
o Offender-on-Staff Sexual Assault
o Staff-an-Staff Sexual Assault

1ZI Staff Sexual Misconduct
CRIME II'll
Time I Date,

1~A l1TI 0 N',?;::::::'::,',,,:n,',::;:,,:"!','?!:':'!! ,(,C''C',;'

Facility (if applicable):
Specific location for
Prisons and/or Work
Releases:

WCCW
'=J Cell
Common area / Day room
Dorm lather multiple housing area
Food Services
Correctional Industries
Medical I Health Services
OOutside the Facility,
Din transit
OHospital
OCour! / Jail
Program Area:
OGym
Yard
School
ORestroom:
Din housing unit
Din program I work area
Shower
1ZI Staff only area
Temporary holding cell
Work area (other than CI)
MUltiple locations (indicate all)
Unknown
0 Other (specify):
'=J Field Office
Offender home
Home of Offender Family I Friend
Offender work iocation
Multiple locations (indicate all)
Motel
Other (specifv):
'=J Internal/facility health services
Community medical provider
Hospital
Other (specify):
1ZI None (include reason): _ No Injuries noted at exam
Injuries confirmed bv:

o
o
o

o
o

o

o

o
o
o

Treatment of Injuries:

,

10/23/05

o

Specific location for
Community Custody
and/or Work Releases:

, ' ,',"";':;"",:,:""" ."'::"

o
o
o
o
o
o

o
o
o
o
o
o

, m:~AOGRAPHICS:'"
IZI Victim
Suspect I Perpetrator
No offender involved
Race, White

:'I:';!'!!/"i' ',,,e,," ""'/i,!,"':':':, "'::,,! 'i):",i"::' ""'d:,',':,",.:" •",,!:ii!.,':.','"i" ""

3N
,

o
o

Gender: Female

Age: 48

Height: 4'10"

Weight: 139

Documented Intelligence Level:

NA

Documented Mental Health
Issues:

Violence

RMA

DEMOGRAPHICS6STAFEWVOl.tJI:rEEER/GONTRAGTOR,#t\'':'':m.:,?,\\\\,/\, ........
Victim
Permanent Employee
IZI Probationary Employee
IZI Suspect I Perpetrator
Volunteer
Contractor
No staff involved
Other State Agency
Intern
Other (specifv): INT
Gender: Male
Age: 38
Race: White

o
o

Height: 6'9"

o
o
o

o
o
o

Weight: 250

# of months of unbroken service: 11

0261
Page 1 of 3

Special Investiaation Unit (SlUT Case Number: HQ 10-65-05-F01
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DO NOT INCLUDE NAME OR OirHER'IDENTIFYiING INFORMATION

Documented completion of Staff
Sexual Misconduct Training:
Related DISCiplinary 1 Counseling
Contacts in Past 5 Years:
Marital Status:
Recent Major Life Event (e.q.
divorce, bankruptcy, financial
issues, death of significant
individual, etc.):

o No

I2SJ Yes
I2SJ No

Date of most recent: 09/2005

DYes
Single
Divorced
No

Number:

o
o
o
o Yes (specify):

I2SJ Married

o Widowed

I2SJ Unknown 1 information not available
INrnAI...DCQDA~I= ~:c;;:- 'i,," 'I;"""'" ',i::":,'):,;,',', ','II:"'; :,:'W';'i:"':', ,: ,':,: i',)" ::"'j', '",',':"::"i,,",,,:;"':

Separation of Parties lnvolved:

Why:_
I2SJ Yes
Hosoital: Harrison Hosnital
Officer placed on horne assignment

Victim Services Offered

o None

Why:

I2SJ Yes (indicate all)

"fr\JV~
Case Assigned To:
Date Assigned, 10/23/05

nrl'il\lES'.I1

';

o No

Rape kit completed:

I

i'

o Oommunity service provider
I2SJ Facility me~i~~health services
o Other'(sneci : ~

o HQ Special Investigations Unit
o Facility Staff

,';{'';

",!,

o Substantiated

I2SJ Staff - Unsubstantiated
(Evidence was insufficient to make a
final determination that the event

"':),::'

o Community Corrections Staff

DOther (soecifv oosition onlv):
# of Victims: 1
Date Report Submitted:
12-20-2005

\ M"f"A 1\11:"1-'II",r

!!!l

[gJ Facility I & I

# of Perpetrators: 1

o Unfounded

~

(The event was determined NOT to
have occurred)

occurred)

'ASSI,GNfIIIEJN;r-§:oniQ0fV1ptEJI0'N;'Pfil.NVESirIGJ:iSPIQNYCD['r'lblete)fQr-allcase~Y:;,':;:<.·.·.······
Offender #1 Assignment (include
for each offender involved)

I2SJ Victim

o Suspect 1 Perpetrator
o No offenders involved

Community Corrections I WDrk
Release Offender:
No change
Assigned to new CCO within
same office
Assigned to new field office
Prison I Jail
Prison I WDrk Release 1 PreRelease Offender:
I2SJ No change
Facility transfer
Segregation
Intensive Management Unit
Protective Custody

o
o
o
o

o
o
o
o

0262
Page 2 of 3

Staff #1 Assignment (include for
each staff, volunteer, contractor,
intern involved)

0

Victim
[ZJ Suspect I Perpetrator
0 No staff involved

DOC Staff Member:
[gJ No change
0 Assigned to home
Assigned to new position within
same facility I office
Assigned to new facility I field
office
No Ion er with DOC
Volunteer, Contractor, Intern:
oNo change
Assigned to new position within
same facility I office
D Assigned to new facility I field
office
D No longer with DOC or permitted
in DOC facilit I office

o

o

o
o

Offender Discipline (include
section for each offender
involved) - I nsert additional lines
if needed

D

Staff Discipline (include section
for each staff member involved)
- Insert additional lines if needed

D NotApplicable

Not Applicable

{gJ No

Why:

DYes

Rule Violation:.

_
_

Sanction:

[ZJ No

Why:

D Yes (indicate all)

Case Referred for Prosecution

_

D

Reprimand

o Demotion

19J No
'DYes

Outcome of Prosecution:

0263
Page 3 of 3

CONFIDENTIAL

State of Washington
Department of Corrections
Office of Correctional Operations

Special Investigations Unit
Case File
HQ 11-65-05-FOl

CONFIDENTIAL

0264

STATE OF

WASHII~G101~

DEPARThflE~vT OF CORRECTIONS
OFFICE OF CORRECTIOhlAl OPERATIONS
WASHII\lGTON CORRECTIONS CEt\lTER FOR WOMEN
P.D (-101. 17 hilS' WP-04 ·9601 Bujacicn Rd I>J.W . (,Ig Harbor WA9B33S'0017

December 21 , 2005

TO:

Belinda D. Stewart
Superinten en

FROM:

Ke " ....-.....,v,-I'Jrr }.L.(,"...-1
Chi ....~~....p •.\l::l

SUBJECT: CORR

IONAl OFFICER DAVID SKILLINGS ALLEGEDLY

RAPED OFFENDER
CASE WCCW 11~099~05
Synopsis:
On November 23, 2005 the Washington Corrections Center for Wom~CW)
Shift Commander notified Chief Investigator Kelly Kelly that Offende~
_ a d alleged that she was sexually assaulted on two
separate occasions by a male Correctional Officer in her unit. Offende_
was reluctant to discuss the allegations any further in fear of reprisal and
retaliation by the officer in question as well as other WCCW officers.

Offende
On November 23, 2006 I interviewed Offender
n the
Treatment and Evaluation Center (TEC) conference room. During the interview
she stated that on two separate occasions within the last month she was raped
by Correctional Officer David Skillings. She alleged the first incident took place
near the end of October 2005 in the Close Custody Unit (CCU) conference room.
Offender_ said on the day of the first rape she had been out of bounds at
the library. As she returned to CCU, she was the last offender coming through
the door with a group of offenders when Officer Skillings told her to report to the
conference room. Offender _tated .that she thought the reason Officer
Skillings told her to report to the conference room was because she had been
caught out of bounds. When asked, she could not identify who the other
offenders were.

"\lilorking Tcqetner tor SAFE. Communities"

OZG5
/

WCCW 11-099-05
Page Z

on

Offende_stated that once they entered the conference room Officer
Skillings pushed her down into the northeast corner of the room. Although she
could not remember the details, she recalled that he pulled down his pants, and
while his pants were down he removed her pants. She stated he placed his'
penis inside of her vagina until he ejaculated. 'Offende~hen stated that
Officer Skillings told her to get dressed and he pulled his pants up. She said she
could not scream or say anything to him because she was too scared.
Offender_ alleges that the second occurrence took place in early November
in the storage closet in CCU West Pod dayroom. She said Officer Skillings
pulled her in the storage closet and said he was going to teach her a lesson. He
then penetrated her anus with his penis and d'ld not use a condom because she
felt his skin. She said she did not remember if he had taken her pants off.
She said that the closet had no light and he had her up against something that
felt soft. She said immediately afterwards she began to bleed from rectum. She
said she cried and told him to stop that she was going to go straight to the top
and "tell Belinda Stewart." She then told him she intended to report him for his
current and past actions against her, he responded by telling her to keep quiet or
he will take away her Early Release Date (ERD) and the other guards were on
his side.

Offende~stated that on November 23, 2005 she finally decided to report
the incident because she was having lower abdominal pain and was
hyperventilating every time she thought about what had happened.
When asked, she said she had problems with Officer Skillings and that he had'
her put in segregation because ,he smelled smoked. She said she was not
smoking and that her cell smelled like popcorn. She then said that she filed a
grievance against Officer Skillings because he assigned her a top bunk. She
said that whenever she would ask Officer Skillings for an inmate kite he would
~e it to her. She added that he was always very cold to her. Offender
_stated that she thought Officer Skillings was a "freak fag."
Offende~ said that she felt that other offenders were being sexual
assaulted by Officer Skillings. When asked the names of the other offenders she
declined to give the names. _stated that she would take a polygraph.
Offender
On December 9, 2005 I was interviewing Offender
on a different incident which happened in her unit. During the interview Offender
_stated that she wanted to speak with meregarding a conversation she
had with Offender_bout being raped by Officer Skillings.

Offende~aid that she had a conversation with Offender_ when she
had moved over to CCU East pod. She said that they began talking and Offender
_ o l d her what had been going on. Offende~ad said she was

0266

WCCW ]J -099-05
Page 3 of5

supposed to leave on the December 5, 2005 and it was now all screwed up.
Offender_ asked her "How is it all screwed up? Are you okay?"
Offender_said she was okay and then said it was "just a farce," to get
moved out of the CCU west pod because she had gotten burned from Offenders
Trina Berry, DOC 947140, Tracy Sherman, DOC 976174 and Sheri Riley, DOC
982248. She said that she had been "ripped off" from those offenders.
Offender Monroe said she told her "So you made up the thing about Skillings?"
and "You know he is going to get in trouble." Offende~ told "Oh well, I am
out of here." (See attachment 8)
Correctional Officer David Skillings
On December 20, 2005 I interviewed Correctional Officer David Skillings in the
Intelligence and Investigation Unit. He stated that other staff told him that he had
allegedly called Offende~into the conference room and raped her. He
stated that he does not call offenders into the conference room by himself. That
the only time the offenders are in the conference room is when they have to sign
for mail. He said one officer will sort the mail and the other officer has the
offender sign for their mail.
Officer Skillings stated that he does not remember Offende~being out of
bounds and never called her into the conference room. Officer Skillings said that
he never raped Offende_ When asked, Officer Skillings denied ever
saying that he would take away her ERD.
He then said that he recalled two situations where he had to hold Offender_
accountable to the institution rules. He feels these two situations may account
for the allegations made by Offende~
The first incident was when he smelled smoked coming from Offender_
room. At that time she was housed with Offender
and
both Offenders were placed in segregation.
He said when she returned to CCU from segregation she refused her assigned
cell and said she had to have a bottom bunk. He informed her she needed to
have a Health Service Request (HSR) in order to get a bottom bunk, because
they did not have one available and would have to move another offender to
accommodate her HSR. He said Officer Valdez was in the booth and could not
locate her HSR. He said Offende~could not find her copy. Officer Skillings
explained to Offender ~hat she would have to take her assigned cell.
Offender _immediately filed an emergency grievance against him. Officer
Skillings followed set procedure and notified the Shift Lieutenant. Offender
_then eccepted the cell assignment.

0267

WCCW lJ-099-05
Page 4 of5

Officer Skillings said that he had never had Offende~in the West Pod
closet. Officer Skillings said that the closet is used for linen storage. He then
described the door, as being controlled by the booth officer and the pod officers
does not have keys to access the door.
Actions:
• On November 23, 2005 two Correctional Officers escorted Offender_to
Harrison Hospital for a rape evaluation.
•

On November 24, 2005 WCCW Officer of the Day (OD) Belinda D. Stewart
notified the DOC Headquarters 00 Eldon Vail and advised him of the
allegation.

•

On November 24, 2005 Pierce County Sheriff was notified and Deputy M.
Blair interviewed Offender_ and case number 05"328-051 0 was
assigned. (See attachment 3).

•

On November 28, 2005 Donald Wilbrecht was notified of at possible PREA
investigation. PREA Inve~r Steven Baxter responded to the institution
and 'Interviewed Offende~ at that time the case was referred to
Washington Correction Center for Women IIU for investigation because
Investigator Baxter could not substantiate the allegations.
(See attachment 4)

•

On November 28, 2006 GSR Polygra h Examiner William Tuft attempted to
administer a polygraph onOffende
The purpose ofthe examination
was to verify or refute Offender
allegations that Correctional Officer
David Skillings had sexual intercourse with her. A polygraph was not
administered. Offende_ refused the polygraph. (See Attachment 5)

•

On December 16,2005 Pierce County Sheriff's Department Detective Jerry
Bates interviewed Offender_and declined to conduct any further
investigation because she had consulted with her Husband and their attorney,
Todd Gardner. On their advice she was no longer going to cooperate with the
investigation, and would pursue civil action after her release from Washington
Correction Center for Women on January 5, 2006. Detective Bates declined
to interview Officer Skillings unless further information was brought forward.
(See Attachment 10)

Conclusion:
No supporting evidence can be located to substantiate Offende~
allegations that Correctional Officer David Skillings vaginally raped her.
No supporting evidence can be substantiated that Correctional Officer Skillings
anally raped Offende~

0268

WCCW 11-099-05
Page 5 of 5

After consulting with her attorney Offender_ refused to take a polygraph
cooperate with the investigation.
Attachment:
1. Incident Report Correctional Officer Lynn Wilds, dated 11-23-05.
2. Incident Report Psychologist 4 Dr. Rachael McDc;>ugali dated 11-23-05.
3. Pierce County Sheriffs Department Incident Report Deputy M. Blair #325,
dated 11-24-05.
4. Medical Records Release Offender_ dated 11-24-05.
5. E-mail PREA notification Investigator Manager Donald Wilbrecht
dated 11-28-05.
6.GSR Polygraph Report William Tuft, dated 11-28-05.
7. Letter Offender
8. E-Mail Psychologist 4 Dr. Rae ael McDougall, dated 11-30-05.
9. Witness Statement Offender Debra Monroe, dated 12-9-05.
10. Letter Offender
dated 12-9-05.
11. E-mail Pierce County Sheriffs Department Detective Jerry Bates,
dated 12-13-05.
12. E-mail Pierce County Sheriffs Department Detective Jerry Bates,
dated 12-20-05.
13. E-mail Pierce County Sheriffs Department Detective Jerry Bates,
dated 101-06-06.

0269
-

,

'.

~

Kelly. Kelly M.
From:
.ent:
fa:
SUbject:

Jerry Bates [JBATES@co,pierce.wa.us]
Friday, January 06, 2006 9:11 AM
kmkelly@DOC1.WA.GOV
RE·. Case 05-328-0510

Thanks, J will ~et the report to our word processor today and then a
copy to you and the prosecutor when I get it back.

.J erry Bates

. - /y

D2.70

/

-. J.

View All Photos

Page 1 of 1

Please click on the picture to enlarge it.
PHOTO

DATE OF PHOTO

SOURCE OF
PHOTO

7/1/2004 3:15:03 I'M

,AS

,AS

Close

•

Developed and Maintained by DOC's IT Web Application Unit.

0271

IIS_

DIl4 0
DOC NO:
BED NO:

.

•....

~RECORD

NAME:
("AA")
COUNSELOR: GB87 BUCKNER, BRIAN

CUR¥ENT
LOCATION: W. C. C
BIRTH :
957 SSA NO:
SEX: F
: 48
FBI NO:
RACE : WHITE
SID NO:
HISP ORIG: NO
HRR: NOT REQUIRED
P U L H E S D X T REG OFFENDER: NO
2 1 3 2 1 3 1 1 1
DATE: 07/16/2004

SENTENCE STRUCTURE
HOLDS
EARNED TIME
OUT-TIME
COMMENTS

(DT02)
(DI63)
(DI45)
(DI47)
(DTOB)

MXED: 06/03/2006 MNED:
ERD : 12/14/2005 ADJ.: 12/14/2005
NRD : 12/20/2005 SCORE: 42
CUS.: MED
MFED: 07/01/2004
VW ELIGIBLE:YES COMM.PLACEMENT: NO
LSI-R: 23 AND LSI LEVEL: LOW/MOD
COMMUNITY CONCERNS (Y/N): N
VICTIM WRAP AROUND/SENSITIVE: N N

MEN U
* * *
MOVEMENTS
(DI43)
CUSTODY
(DIB8!B9)
GEN ST/V WIT
(D150)
ISRB
(DI54)
JOB/WRK ASG (DE10/12)

* * *

11/24/05 14.52.46
PAGE
1
STATUS: ACTIVE
RMI:RMA

DETAINER/WAlUUU,T (DT03)
INFRACTIONS
(DI46)
BEDS/CLSR
(DI44)
NAME/DOB/SSN
(DT04)
HISTORY 1;CURR/2;COMPLT

ENTER AN 1;CURRENT/2;HISTORY ON ANY OR MORE ABOVE ITEMS TO VIEW DESIRED INFORM

0272
/

P//N 0
IISO~

DOCNO:_

COM.
COUNTY
#AA#N SNOHOMISH
CI';1P. CO. /CAUSE

~ECORD

NAME:

("AA")

11/24/05 14.52.59
PAGE
1
STATUS: ACTIVE

GTL TIME STRT RECEIVED OC
MIN. TERM CC CS REL.DATE STATUS
33 07/01/04
07/01/04 51
lYllM 7D
12/14/2005 ACTIVE
OFFENSE DESC.
V OC CNTS MIN.TERM
CC CS
JAIL
MAND
Y 51 lC
ROBBERY 1
lYllM 7D
7
OY OM
ATTEMPT
(ABOVE)

TOTAL MONETARY OBLIGATION: ORDERED $****847.00 ;AS OF 11/24/05 PAID $******0.00
SCHEDULE:
0
SET BY:
SPECIAL CONDITIONS: YES
06/26/2014
STAT MAX:
*******************************************************************************

0273

11/28/05 15.11.12

OFFENDR CHRONO SCREEN
PAGE 001
COMMUNITY CONCERNS: N
LOCATION; FOI W.C.C.WOMEN
OFFICER/CNSLR: GB87 BUCICNER, BRIAN
VICTIM WRAP AROUND/SENSTIVE: N
ADMIT/INTAKE DATE: 07/01/2004
11/03/05 TC 04 RECEIVED AN EMAIL ~ VMAIL FROM F'S HUSBAND. I LEFT HIM A PHONE
MSG TELLING HIM I NEED TO MEET HIM AT HIS HOUSE TO DISCUSS F'S
RELEASE PLAN. I SET A TENATlVE APPT FOR 3PM ON 11-16. ASKED HIM
TO CALL AND CONFIRM THIS DATE AND TIME. SOUNDS LIKE HE IS HOME
FROM WORK AROUND 3PM. 11/03/05 J YERKES
11/15/05 TC 04 P'S HUSBAND CONFIRMED THE APPT FOR TOMORROW; HOWEVER, I HAVE A
MEETING TO ATTEND, PER MY CCS, AND THE TIME HAS BEEN CHANGED.
SENT HIM AN EMAIL AND LEFT A VMAIL TELLING HIM I NEED TO
RESCHEDULE. 11/17/05 J YERliliS
11/16/05 CM 04 SEGREGATION""MADE P STATES SHE rs OKAY 11/16/05 B BUCKNER
11/16/05 TC 08 pIS HUSBAND,
LEFT A COUPLE MSGS ASKING ME WHERE I WAS FOR
THE APPT TOD Y. APPARENTLY, HE DID NOT RECEIVE MY MSGS. I CALLED
AND EXPLAINED I TRIED TO CONTACT HIM. HE SAID HAD HAD BEEN IN
CLASS ALL WK, DURING THE DAY AND AT NIGHT. WE AGREED TO MEET AT
4PM TOMORROW. I ASKED IF HE HAD QUESTIOSN AND HE SAID HE DID NOT
REALLY KNOW WHAT TO ASK B/C THIS IS ALL NEW TO HIM. 11/17/05 J
YERKES
PF11-ADD
PF7-BKWRD
ENTER-FRWRD (PUT CURSOR ON DATE, GO TO UPDTE)

0274

DT37 0
FKR OTST037

11/28/05 15.11.32
OFFENDR CRRONO SCREEN
PAGE 002
COMMUNITY CONCERNS: N
LOCATION: F01 W.C.C.WOMEN
OFFICER/CNSLR: GB87 BUCKNER, BRIAN
ADMIT/INTAKE DATE: 07/01/20~
VICTIM WPAP AROUND/SENSTlVE: N
11/16/05 TC 08 P'S HUSBAND,IIIIIIIJLEFT A COUPLE MSGS ASKING ME WHERE I WAS FOR
THE APPT TODAY. APPARENTLY, HE DID NOT RECEIVE MY MSGS. I CALLED
Alqo EXPLAINED I TRIED TO CONTACT HIM. HE SAID HAD I~ BEEN IN
CLASS ALL WK, DURING THE DAY AND AT NIGHT. WE AGREED TO MEET AT
4PM TOMORROW. I ASKED IF HE HAD QUESTIOSN Alqo HE SAID HE DID NOT
REALLY KNOW WHAT TO ASK B/C THIS IS ALL NEW TO HIM. 11/17/05 J
YERKES
11/18/05 FC 04 CCO CAMPBELL F~ I MET WITH P'S HUSBAND,~AT HIS HOME. THE
J&S WAS REVIEWED AT LENGTH AS WAS DOC'S ABILITY TO IMPOSE
CONDITIONS BASED ON RISK AND NEED. I STRESSED THE IMPORTANCE OF
P STAYING ON HER MENTAL HEALTH MEDS AND PARTICIPATING IN MENTAL
HEALTH TREATMENT. HE SAID SHE WAS SEEING A PRIVATE PSYCHIATRIST.
HE AGREES THAT NEEDS TO CONTINUE UPON HER RELEASE. HE DID NOT
OFFER MUCH INSIGHT REGFJmING HER MENTAL HEALTH ISSUES. I ASKED
IF HE WAS AWARE OF HER HAVING ANY ISSUES WITH DRUGS Mqo ALCOHOL
Alqo HE SAID SHE HAD ISSUES WITH ALCOHOL IN THE PAST AIqo
COMPLETED TREATMENT AT RESIDENCE VII FOUR OR FIVE YRS AGO. HE SA
ENTER~FRWRD (PUT CURSOR ON DATE, GO TO UPDTE)
PFll-ADD
PF7-BKWRD

0275

DT370_

11/28/05 15.11.35
OFFENDR CHRONO SCREEN
PAGE 003
COMMUNITY CONCERNS: N
LOCATION: FOI W.C.C.WOMEN
OFFICER/CNSLR: GBS7 BUC~iER, BRIAN
ADMIT/INTAI~ DATE: 07/01/2004
VICTIM WRAP ARO~IVE: N
11/18/05 FC 04 CCO CAMPBELL AND I MET WITH pIS HUSBAND,AT HIS HOME. THE
J&S WAS REVIEWED AT LENGTH AS WAS DOCtS ABILI
TO IMPOSE
CONDITIONS BASED ON RISK AND NEED. I STRESSED THE IMPORTANCE OF
P STAYING ON HER MENTAL HEALTH MEDS AND PARTICIPATING IN MENTAL
HEALTH TREATMENT. HE SAID SHE WAS SEEING A PRIVATE PSYCHIATRIST.
HE AGREES THAT NEEDS TO CONTINUE UPON HER RELEASE. HE DID NOT
OFFER MUCH INSIGHT REGARDING HER MENTAL HEALTH ISSUES. I ASKED
IF HE WAS AWAP.E OF HER HAVING ANY ISSUES WITH DRUGS AND ALCOHOL
AND HE SAID SHE HAD ISSUES WITH ALCOHOL IN THE PAST AND
COMPLETED TREATMENT AT RESIDENCE VII FOUR OR FIVE YRS AGO. HE
SAID HE DOES NOT 11/28/05 J YERKES
11/18/05 FC 08 CONT ... KEEP ALCOHOL IN THE HOUSE. WE EXPLAINED ALCOHOL IS A
DIS INHIBITOR AND A CONDITION WOULD MOST LIKELY BE IMPOSED
PROHIBITING THE USE OR POSSESSION OF ALCOHOL P~ONG WiTHE
STANDARD NO DRUG USE CONDIT~ ALSO HAD A LENGTH DISCUSSION
ABOUT THE NO CONTACT ORDER.~AID IT WAS THE FIRST TIME P
HAD GONE TO THAT PARTICULAR HAIR SALON, SO HE DOUBTS SHE WOULD R
PF7-BKWRD
ENTER-FRWRD (PUT CURSOR ON DATE, GO TO UPDTE)
PFl1-ADD
FKR OTST037

0276

11/28/05 15.11.38
OFFENDR CHRONO SCREEN
PAGE 004
COMMUNITY CONCERNS, N
LOCATION: F01 W.C.C.WOMEN
OFFICER/CNSLR: GB87 BUCIQNER, BRIAN
ADMIT/INTAKE DATE: 07/01/2004
VICTIM WRAP AROUND/SENSTIVE: N
II/IS/OS FC OS CONT ... KEEP ALCOHOL IN THE HOUSE. WE EXPLAINED ALCOHOL IS A
DISINHIBITOR AND A CONDITION WOULD MOST LIKELY BE IMPOSED
PROHIBITING THE USE OR POSSESSION OF ALCOHOL ALONG W/THE
STANDARD NO DRUG USE CONDIT~E ALSO HAD A LENGTH DISCUSSION
ABOUT THE NO CONTACT ORDER.~SAID IT WAS THE FIRST TIME P
lVill GONE TO THAT PARTICULAR HAIR SALON, SO HE DOUBTS SHE WOULD
RECOGONIZE THE VICTIM. WE DISCUSSED THAT SHE WOULD NEED TO AVOID
THE ENTIRE COMPLEX WHERE THE BUSINESS IS. HE WANTED TO IG,OW WHAT
WOULD HAPPEN IF THE VICTIM WERE TO SEE HIS WIFE. IT WAS
EXPLAINED THE NO-CONTACT ORDER IS AGAINST HER AND SHE NEEDS TO
MINIMIZE ALL CONTACT. 11/2S/05 J YERKES
II/IS/OS FC 12 CONT ... HE DID NOT SEEM TO LIKE MY RESPONSE TO THIS AI'D INSTEAD,
TURNED HIS ATTENTION TOWARD CCO CAMPBELL
HIM IF HE
UNDERSTOOD WHAT HE MEANT. I GOT THE FEELING
HAS ISSUES
WITH WOMEN AS CCO CAMPBELL IS A MAN AND THR
UT OUR
CONVERSATION, HE LOOKED AT AND INTERACTED WITH HIM ALTHOUGH I
WAS DOING MOST OF THE TALKING. ~AID HE THINKS P WILL BE AB
PF7-BKWRD
ENTER-FRWRD (PUT CURSO~TE, GO TO UPDTE)
PF11-ADD

ANDIIISK

0277

0>_

11/28/05 15.11.41

OFFENDR CERONO SCREEN
PAGE 005
COMMUNITY CONCERNS: N
LOCATION: F01 W.C.C.WOMEN
OFFICER/CNSLR: GB87 BUCKNER, BRIAN
VICTIM WRAP AROUND/SENSTIVE~ N
ADMIT/INTAKE DATE: 07/01/2004
11/18/05 FC 12 CONT ... HE DID NOT SEEM TO LIKE MY RESPONSE TO THIS Al~ INSTEAD,
TURNED HIS ATTENTI.ON '!'OWARD CCO CAMPBELL ~.. HIM IF HE
UNDERSTOOD WHAT HE MEANT. I GOT THE FEELIN~S ISSUES
WITH WOMEN AS CCO CAMPBELL IS A MAN AND THROUGHOUT OUR
CONVERSATION, HE LOOKED AT AND ~CTED WITH HIM ALTHOUGH I
WAS DOING MOST OF THE TALKING. _ _ SAID HE THINKS P WILL BE
ABLE TO RETURN TO HER JOB AT A LOCAL CONVENIENCE STORE. HE WAS
REMINDED P WILL NEED TO REPORT TO THE LYNNWOOD DOC OFFICE WITHIN
24 HOURS OF HER RELEASE. 11/28/05 J YERKES
11/23/05 eM 04 SEGREGATION ROUNDS MADE. 11/23/05 B BUCIOffiR
7

PF7-BKWRD

ENTER-FRWRD (PUT CURSOR ON DATE, GO TO UPDTE)

PFll-ADD

0278

DT34 6 F01 11735

11/24/05 00:32.00
INCIDENT REPOET
PAGE 1
NO.: 11735 TYPE: 37 STAFF MISCONDUCT-ALLEGED
LOCATION: FOI W.C.C.WOMEN
OCCURRED ON DATE: 11/23/05 TIME: 07:50PM STAFF REPOETING: LT. G. BURTON
~LACE: 300 DIV. OF PRISONS
REPORTED ON: 11/24/05 TIME: 12:IOAM
PLACE: CLOSE CUSTODY UNIT
CONFIDENTIAL: YES
OFFENDERS INVOLVED:
INJURED HOSP.
STAFF INVOLVED:
INJURED HOSP
N
N
INV. - KELLY - KELLY
N
N
B29 OTSB310

PROPERTY DAMAGE: NO
APPROX. COST:
OTHER AGENCIES CONTACTED:
DATE:

AGAINST: 3 STAFF

$

/

/.

TIlvJE:

-

---

NAME OF HOSPITAL: HARRISON MEDICAL CENTER
FOLLOWUP REPORT: YES OTHER TYPES:

PF~-OFFENDERS

* PFS-DESCRIPTION

INCIDENT PRINTED AND EMAIL SENT

0279

DT34 5 F01 11735
11/24/05 00:28.20
B29 OTSB310
INCIDENT DESCRIPTION
PAGE 2
NO.: 11735 TYPE: 37 STAFF MISCONDUCT-ALLEGED DATE: 11/24/05
DES C RIP T I 0 •
)l.T 1900 HP.S, DR. MCDOUGALL REPORTED THAT OFFENDER.
HAD TOLD DR. DAVIS
THAT SHE HAD BEEN SEXUALLY ASSAULTED BY A STAFF ME
N TWO OCCASIONS AND
NO LONGER~FE IN HER UNIT. INV. KELLY WAS NOTIFIED AND INTERVIEWED THE
OFFENDER . . . . . . . .STATES THAT SHE WAS ASSAULTED IN OCTOBER IN THE CCU
CONFERENCE ROOM AND THAT SHE WAS VAGINALLY RP.PED. SHE STATES THAT IN
NOVEMBER SHE WAS RECTALLY ASSAULTED BY THE SAME OFFICER WHILE IN THE CCU
WEST POD JANITOR'S CLOSET AND NOW HAS INTERMITTENT SHARP PAIN OF THE RIGHT
SIDE WHEN SHE WALKS. SHE STATES SHE DID NOT SAY ANYTHING AS SHE WAS AFPAID
D I ' OFFICER, SUPERINTENDENT BELINDA
OF RETALIATION FROM THE OFFICERM
STEWART WAS NOTIFIED. OFFENDER
WAS TRANSPORTED TO HARRISON MEDICAL
CENTER BY SGT GROTH AND C/O DAU
RTY. INV. KELLY CONTACTED HOSPITAL STAFF
AND INFORMED THE EMERGENCY ROOM NURSE, CANDICE SRP.NCOM OF THE CIRCUMSTANCES
AND THAT THE OFFENDER W)l.S ENROUTE FOR ASSESSI~ENT OF SEXUAL ASS)l.ULT AND PAPE
KIT TESTING. AN INCIDENT REPORT WAS SUBMITTED BY OR. MCDOUGALL.

UPDATE

COl~PLETE

PRESS PF3 TO PRINT & SEND INCIDENT

0280

INCIDENT REPORT
PATE OF INCI DEI~T

1I~C1DEI~1

CI,fEGORY

WlmESSES

PERSONS INVOLVED
LIVING UI'·J11IPOST

~---_._-._~.-~-IE

INI,\ATE I'IAME

INI~A TE I~AI~E

DOC NUloiIBER

..

--,-----~~_._-_._._- -----~.- _----_._--~

II Jr,',,t.TE

<2.._,

UVII~G ul~r;

..

LIVING

UI~iTlPOST

U'/Ii~G

UNiT IPOST

--~-_.

DOC I~UI"'8ER

I~AI<lE

{POSl

--------~_._-_._~-----_._~-----_ _------~--_._---------

.-----~~

.

n2.8_1 __

J

STATE OF WASHINGTON
DEPARTMENT OF CORRECTIONS

/
INCIDENT REPORT

DATEfTlME OF INCIDENT

-

DOC NUMBER

11/23/05 1930
LOCATION

WITNESSES

SNU ACUTE

Officer Lynn Wildes
McNish

1ZI Confidential
LIVING UNIT

CCU

I------------~--~___l
Sg!

USE OF FORCE lNCIDEt\lT? DYES [ZJ NO

Dr Kathleen Davis

_in

DETAILS: Who was involved, what took place, howdid it happen, description of any injuries, damage, use of force, etc. Attach

additional sheet, if necessary.

At approxim ately 1900 I received a call from MHOD Dr. Da~cating the need for placement of Offender
SI\jU
due to her level of distress. Dr. Davis stated that Offender _ _eported alledgedly being "assaulted" on her liVing unit
and did not feel safe.

I received a call from Officer Wildes shortly ~She indicated that Offende~stated she was sexually
assaulted by an officer on her unit. OffiCer_sleed that I speak to Offende~nce she was escorted to SNU.
u p o . ·I, Ms. •was escorted to my office by Officer Wildes [Officer Daugherty assisted with the strip search].
Ms.
as informed of the limits of confidentiality prior to beginning our conversation. She was informed that 1&1 as
well as the Shift Lt and Superintendent would be informed of any abuse that was reported.

M~indicated she lived in MSU until the end of September when she was placed in SEG after a room search
revealed "rolling papers". Once she was releas.d.SEG she was placed in CCU to wait for a bed in MSU. She
stated she arrived in CCU October 5. Offender
ated she was placed in SEG again in November when her
-oommate was discovered smoking in their room. She was returned to CCU again yesterday, November 22.

I

Ms_tated she was alledgedly sexually assaulted 'by a male correctional officer in CCU on two separate
occassions. When asked to describe the assault, she stated that she was raped vaginally on the first occasion which she
stated took place "on a Wednesday". She stated that after the first alledged assault, she told the officer in question
[whom she refused to name stating.s "too scared of retaliation"] to stop and that she was going to grieve the officer
and "tell Belinda Stewart". Offende
reported that she was assaulted a second time by the same officer "on a
Tuesday I think". She reported that this assault alledgedly involved both vaginal and rectal penetration and was "so
rough" that she wo~e might have sustained some physical damage. When asked if she was experiencing any
bleeding'lIffe r_tated she experienced rectal bleeding following the assault. She denied any vaginal bleeding.
Offender
lso stated that she has been experiencing intermittent sharp pain in her right side "when I walk" since the
alledged s cond assault.
Offende-Iso stated that after she confronted the officer in question [after her first alledged assault] she
other officers such as not being let out during door rack. She stated that she had to "bang
on my door" and that other offenders "had to yell and ask for me to be let out". She also stated she was refused access to
the unit Sgt. by.officers whom she did not name.

experien~midation" from

Following our discussion, \ reported Ms.~ccusations to Shifl Lt Simmons and Sgt McNish. Kelly Kelly was
contacted as well as Superintendent Stewart who was the assigned 00. I also asked CO Wildes to complete an incident
report. She stated that she would report to Sgt. Mct\lish as well.
Kelly Kelly [l & I] was requestedto return to the institution to interview Ms. •nd decide upon the next course of
action.

F: L.-~=' _1_ c'id:-

0282
Distribution:

WHITE - Chief Investigator

CANARY· Exaculive Team Member

PINK - Originator

GOLDENROD - Immediate Supervisor

rMEDIATC ACTION TAKEN

l_.~~_
11/23/05
DATE

R. McDougall, Psy 4

Psy 4

STAFF SlGI~ATURE (Please Pnnl)

TITLE

TO BE COMPLETED BY CHIEF INVESTIGATOR
DATEfTllvlE RECEIVED

INVESTIGATION ASSIGNED TO

II>lCIDENT NUMBER

BY

DATE

The contents of this document may be eligible for public disclosure, SOCial Secunty Numbers are considered confidential information and will be
redacted in the event of such a request. This form is governed by Executive Order 00-03, RCW 42.17, and RCW 40.14.

Distribution:

WHITE· Chief lnves\igator

CANARY· Executive Team Member

I~·'·

I,. -- .

... r~

i l l . _ . -Ij

PlI>lK . Originator

~·7

t

GOLDENROD - Immediate Supervisor

Pierce C,junty Sheriff
Department Incident Report

Incident No. 053280510 .:

Page 1 of 4

ORIGINAL

Quick Print
P'"''\~l

' Ho~eland Security:

Subject:

! Rape

00'l:J

W Q,

",,0-

--~--------~.~---

CXlCD

o:J

01...lo.Z

~O
...lo.

Related Cases:

...-.. I

taseReporti~LJmber-· "._~_~JI\.£ienci·"·

Non-Electronic Attachments

.

];iiaCi\~-ntType--"

-_-_ _.

....... ~oc~~i::~!"~~~~ss.: _:.. ~~ 01_B u.La_c_ic_h~~ .. W ..City, Stale, Zip:
Gig Harbor, WA 98335
Contact Location: i
-

!il.

I

. __.___

.L.._~

_HWS-.:.!iand..written Statement Farm

-__ ._..

Count

=--==:---,-,-,u-"~-'AddilionarDfStribuii~on---'-'-'-----_

-.-----..-1-- _.~~c::!~~_~:m_e_: .l
,I
Cross Street: I

=c

_

_ ,.._ _.__.__._

. ~ . _._.__ . _._"_.__:_._..

- -'

_,_ . _~ __'_

I City, Slate, Zip: I
CBI~~~~~D: i 305 - PIERCE COUNTY .__.__ j_._..9~~tricVSector: i PC14_-._E.ierc~_Co_u~!y.JE~~in_sul~Q~tac.~J

o~rr~From:11~4m514:59:00Thuffid~L_ _~I

--.J

o_oo_ur_~_d_T_O_:~!

_

~

Noles:

Offense Details: 1103

~

Sex Crime - Forcible Rape - Strongarm

I
!

Gang Related:

Juvenile:

!

Crime Against: ;

PE

Hate/Bias:
Using:
Toots:

.

_._.~~_~~~::;.;t~~~_'
Entry Method:

I

..__ .__...

.__

J_~~~~::COlle~~J

.__

I

I None

(No Bias)

I
I

~

........_._.

...._._.

Notes: /

Suspect 51: Skillings, David
Aliases:
I-------=DOB-

I

_____. '
i
. !

I

Height::

Weight:

..--_·_-.·-..-..-._....A.._.d.·.~.-.r.------,-_e._s_s
...:... 1....-._._... ...
City, State Zip:

I~:.·::=~.:~·?~h::~~~.~ress:

Age:

Verified: No

i 40 i

1 . _·-···-_·--_·_--

C=:........

Sex:

! Ethnicity: I Non-Hispanic

I Male

! Hair Color:

.

PDA:

I

----==-rcOtinty:
~== ~FY:

I

Eye Color: :

Phone: \
. TI -- -- -----.----II --'''-SUSfriessPhone:,'---''''

I

Other Phone:

_--

I

(j.~ • ,gr.i~tedj NQ=er 25, 2005 - 5:24 PM

biJ r'CI,:teL.l;

.

ted By: O'Connor, Patricia

)ierce County Sheriff Depa

lent Incident· Incident No.

·53280510.1

Page 3 of 4

~eport
----~~--------

,;;pilal Taken To: :

-.-...-..- ...- ...-. --..

-~--t

\Uending Physician: ,

Harrison Memorial
....

i

! Victim Was

31 ~ Skillings, David

!

_8W

)fficer Killed or
:>'ssaulled
nfonrnalion

Type: :

\- .A~gnmenf:J_--_~
Activity:

Yes

Medical Release

.1 .
Obtained:
I .;:foidpjacedBy:-- -- --_. -

..

.,?!i,!!
Q!f_~!l_f!~ __~_~~!i~ I]~~!p~. _... T"ReiaIionshlp:-· .-.--.----)ffender:

~nforcemenl

..------. -··--------rFtre CIBpl Res-pclnw: . j-

~

m

__

~_.

-

I

--=r-aken

By: :

!

m

-I

.. __ ..

Otherwise Known

._

._._.. ~.~.~_~=_=J

i

I

Justifiable Homicide 1
Circumstances:

i
I

'

i

Viclim Notes: ]

ivestiqative Information
Means:

-.----~

...- ..

---~~-----

Vehicle Activity:

Synopsis:

..-.-----.--.-..

Motive:

.1

-----------------·-----·~----~r--------·----·---------··-·-·----··-·-------.--.

Direction Vehicle Traveling:

I

1 Corrections officer versus female inmate,

Narrative;

11/24/051459 Hours:

I spoke with Investigator Kelly at the Washington Correctional Center for Women 9601 Bujacich Dr NW
reference a sexual assault Kelly is the Chief Criminal Investigator at the prison and stated a female inmate
was taken to Harrison Memorial Hospital on 11/23/05 and treated for possible internal injuries. A corrections
officer named David Skillin s had been placed on administrative leave because of the rape allegation against
Because of the Thanksgiving holiday, the prison's human resources department
him by inmate
was not availa
a gIve any further information on the officer,

I

I

I spoke Wit~ in an interview room with Investigator K811 Y ' I I i gned the attached medical
release form and also told Kelly she is willing to take a polygraph test.
old me she had been raped
twice by Skillings in the past month. The first incident took place near t e end of October 2005. In the evening
hours on the October day, _ _ aid she was "out of bounds" in her pod and she thought she was in trouble.
Skillings tol i d0 go into~rence room just behind the pod's control room. O~ere, Skillings forced
himself on
and raped her vaginally with his penis. Skillings ejaculated inside., and then told her if
she said any ing, he could revoke her release date and keep her in prison longer.
-

\

1 The second incident took place two weeks ago in November. In_housing pod, there is a small storage
etos.et under the stairwell, "He Rulled me into the closet by the ic~ne". I asked her what happened and
she said "He raped me aqain". _said this time the rape was done anally and that she bled afterwards.
1
She threatened to turn him in a~old her to keep quiet and that the other guards are on his side.

I

l

_ s a i d she finally reported the incidents bec~ain in her lower abdomen. She was treated Harrison
~rial and was given prescription pain killers~as not sure of the extent of the injuries yet the doctor

I told her she might need surgery in the future.
\ Nothing further at this time.
! De ut Blair #325 95-014

I',

f-l~

.,
I,

For Law Enforcement Use OnJy- No Secondary Dissemination A/towed

."

.••

:~

rZ \

~.,...A, 11',,_.: v f~,!

0285
Printed: November 25, 2005· 5:24 PM
Printed By: O'Connor, Patricia

PIERCu COUNTY SHERIFF'S DEPAh ~ ,\1ENT
Case No:

I hereby authorize and request you to release the complete medical records In your possession
concerning my illness and/or treatment to the following for purposes of criminal investigation and
prosecution, A copy of this release is as good as the original.
Send Records to:

Pierce County Sheriff's Department
Attention:

Address:

----------_._--

---~----..,.------------------------'------

Phone #:
Patient Information:

---------..,.---

patie~
Date of.Bilth:
SSN:

Fax #:

---------

Address:

~

__

. '

lnformation to be released from:
Doctor/Hospital:

ItA- ((At;:;, (/»

DateTreat~dlHospitalized:
Type of Crime:

5hXU/IU:.-

.

J2

---1.L! Z '77af

Address:

_

~

~ ,ft:dlL-.

Information to be released:
~ Medical records pertaining to treatment received on date treated.
Otber
_

o

Patient Authorization:
I understand that my records may contain information regarding the diagnosis or treatment of
HIV/AIDS, sexually transmitted diseases, drug anclJor alcohol abuse, mental illness, or psychiatric
treatment. I give my specific authorization for these records to be released. I understand thal once the
health information I have authorized to be disclosed reaches the noted recipient, that person or
organization may re-disclose it, at which time it may no longer be protected under Privacy Laws,

I

~'EXCLUDE

the following information from the records released (please initial):
Drug/Alcohol abuse/treatment & diagnosis
Sexually Transmitted
Disease
"'17' \ .•.'.~ :,.):-!
\T (
• .
•
"')j •
~I.} .._~ '. l
\
_ _ HIV I AIDS diagnosis/treatment/testing
Mental Illness or Psychiatric diagnosis/treatment

=

\

l

F' :~QI=

.s/.

l.l'.,.c .... ·.=-.. ....

.

.-...tI

1 have been advised that I may revoke this authorization anytime in writing,

Signe

'--

Dated:/!- ')::. -(

~f-}286

Kelly, Kelly M.
From:
'ant:

Kelly, Kelly M.
Monday, November 28, 2005 6:00 PM
Wilbrecht, Donald A.; Delano, Lynne N.; Stewart, Belinda D.
Staff Misconduct

(0:

Subject:

Offender
occasions.

is alleging that Officer David Skilling raped her on two separate

Offender. said in October she was raped vaginally by Officer Skilling in the Close Custody Unit (CCU)
conference room. She said that in November he raped her vaginal and rectal penetration in CCU- West pod
janitorial closet. She stated that following the rape she experienced rectal bleeding. She denied any vaginal
bleeding,

Offend~as taken to Harrison Hospital, screened by Mental Health and Pierce County Sheriff was
notified.

Kelly M. Kelly
Chief Investigator
Washington Correction Center for Women
9601 Bujacich Rd. MS: WP-04
'7ig Harbor WA 98332
253.858.4689
I

I

.J..

--

0287
.

/ ...: -~/-/. ~ .
/._0"-

(ilSn
1·(n~l'(.RA.PIISEn\TJ(~I~S

William D. Tufts

1409 18 th Ave CT. SW

Puyallup, WA 98371

TO:

Investigator Kelly Kelly
Department of Corrections
Washington Corrections Center for Women
9601 Bujacich Road NW
Gig Harbor, WA 98335

Subject:
DOB:

Requested by:

_1957

Examination Date:

11/28/05

Offense:

Statement Verification

Investigator Kelly Kelly

Purpose of Examination: To verity or refute the subject's allegation that Officer David Skillings
had sexual intercourse with her.

Prior to the polygraph examination, the subject was advised of her Polygraph Rights.

CONCLUSIONS
A polygraph examination was not administered.
exam.

The subject refused the polygraph

November 28, 2005
Examiner: William D. Tufts

Date of Report

POLYGRAPH EXAMlNATION STATEMENT OFCONSENT

DH"I&t&-OS-·
E••

Time

ll?oC;- Plnce

LJCtlAj

min.~on ~~~~~~~~_

I,

,understand a polygraph ex arninauon

/Nc.e.- ~

adrninist ered by GSR polygraph s e r v ic es lor the

is being conducted concemjng~J4f-eIr1~LW;crJ;Llrh~:'1also understand rha: I
cannot be required to subrnit to n polygraph examination without my consent. Addi uonall y,

tha: if the answers durin g the examination show dece p.ion, I may be asked

1 hold G S R

to

e),plai n.

po lyg r a ph s e rvi c es and W'd liarn Tufts harmless and free lrorn any

liabil it Yfor any acts or omission by any other pani es or agenci es and release and hoi d
harml ess any persons or agencies from any and all claims or liabilities aile ged to result from or
arise

OUI

of this exami nation,

Understanding tbat ! have the unqualified righl to refuse, [
do hereby, this dare. voluntarily and without duress, coercion, unlawful inducement, or
promise of reward, agree to submit to a polygraph examination. ! further understand that the
information obtained during this process will not be released to me,

D\O No! !AJ,~TO
~~

WilnessJ~~

S( Y 1'0 ·0 ,'"L ""'-;\-1<:- -e. Tf-\- -e, ~s 'J
SignatureW1""T? 1D

CcY\TIl'er=MTO~

Date

/~ 2-~~O)

/

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~

,

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,.

.

\

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··7
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d ...2- o28 9

GSR
POLYGRAPH SERVICES
INVOICE # 05-046
Federal 10 532626194
William D. Tufts
]409 lS fu A ve Court SW
Puyallup, WA 98371

11128105

Department of Corrections
Office of Correctional Operations
Attn: Kelly Kelly
9601 Bujacich Road NW
Gig Harbor, WA 98335-0017
Attn: Investigator Kelly:

A polygraph examination was offered to the following subject:
11-28-05

$200.00 (REFUSED)

Total Examination Fee

$200.00

We appreciate your business!
GSR Pnlvcranh Servic-es

1409 1Rlh Ave. f:Ollrt SW. Puvallnn. WA 9K'\71

0290

2';:'1-770- 1477

Form

A

State of Washington

l~·LA

VOUCHER DISTRIBUTION

(REV. 1(91)

AGENCY NUIoIIQER

l-OCAlION COOF.

3100
Vendor Nama and Add'Dss

LTO

AGEJr\lCY p.R. on AlI'lHORiZJ,;ltDK tlUMUltP

G2
AGENCY NAME J\HII LQCAlIOili

GSR Polygraph Services
William D. Tufts
1409 18th Ave CT. SW
Puyallup, WA 98371

WA CORR CENTER FOR WOM EN
9601 BUJACICH RD NW
GIG HARBOR, WA 98332
MB3DO

RECEIVED U'f'

UAll, HE.CE:IVEl.I

Chief Investigator Kelly 12-19-05
USE 91'ACE U€LOWA5 ~ WOnKl:iH=:£T TO DEYElOP on EXP'LA'N TUt=:GOODS Ok SfRVlCES. PU./iCHA9EP

S1APLE ltil/DICES

au DJo.CK

PREP,/l,RE:DBY

DATE

Kelly Kelly
DOC.OJ.TE:

liEF

UBI NUMBER

WOHK ClASS.

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uoc

TRA.NS

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05-046

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Kelly, Kelly M.
From:
:ient:

To:

ce.
Subject:

McDougall, Rachael T.
Wednesday, November 30, 2005 2:32 PM
Haroian, John M.
Dahlbeck, Ronald C.; McDougall, Rachael T.; Kelly, Kelly M.

-

Ms.
as stabilized and is ready for transfer to GP pending bed space. She was placed in TEC
on
0 em er 23 due 10 acute anxiety and panic secondary t~leged sexual assault [X2] by a custody
staff member. This reported incident is currently under investigation. Ms~has been receiving supportive therapy
while in SNU ACUTE along with psychoeducation re: acute PTSD. She has a strong support network [formal and informal]
in the community and looks forward to continuing MH services upon her releasW!0mmunity. Pendlno her release
[which is tentatively slated for January 2006 - address approval is pending], Ms
equires continued MH intervention
to assist her in processing the alleged trauma. I will be placing her on the callout for t e SNU Transition Group to assist
with her return to CCU. In addition, I would strongly recommend a period of short-term 1:1 work to provide further
psychoeducation and process re: her alleged assaults.

n294

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5TATE OF WASHINGTON
DEPARTMENT OF CORRECTIONS

P G /C) -

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-..... WITNESS STATEMENT
FACILITY

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This statement should give a factual account of the events witnessed. Of particular importance is information as to what was
observed, where and when it occurred, who was involved, what other witnesses there were to the event, and if possible, any
factual information relative to the possible reasons for the incident or misconduct.
11. II

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I have read the above statement and affirm that it is based on personal observation of the event(s) described herein and that it is, to the
best of my knOWledge, a true and accurate statement of fact.
.

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LLL"-.;../ ~!-.):J3'LSIGNATURE OF WITNESS

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Distrlbuuon. WH1TEcHearing Officer, PINK·Offender

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DATE

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Kelly. Kelly M.
To:

,ubject

Offender _
Seattle.

Jerry Bates
RE: Case 05-328-0510

attorney is Todd Gardner. She was not sure if his law firm is in

---Original Message----From: Jerry Bates [lnailto:JBATES@co.pierce.wa.us]
Sent: Tuesday, December 13, 2005 3:07 P1\'1
To: kmkelly@DOC1.v\TA.GOV
Subject: Re: Case 05-328-0510

Thanks again. Any word on whom the attorney advising
111ay be?
I want to finish up this report and get it to the prosecutor soon. (I do
not plan to interview Skillings unless the case goes forward.)
JB
253-798-6089

0297

Kelly. Kelly M.
From:

;ent
To:

Subject:

Jerry Bates [JBATES@co.pierce.wa.us]
Tuesday, December 20, 2005 3:40 PM
kmkelly@DOC1.wAGOV
RE: Case 05-328-0510

I have started to dictate the report but it will be awhile before I get
back to it as a few other priorities have been sent my way.
Thanks,
,J erry Bates

»> "Kel1~ M. <ku1kelly@DOCl.\J\7A.GOV> 12/16/2005 1 5 :54 »>
Offender _
attorney is Todd Gardner. She was not sure were he
1t

1S

located at. Could you please provide us with a copy of you report.
Thank
You!
---Original Message----From: Jerry Bates [n1ailto:JBATES@co.pierce.wa.us]
Sent: Tuesday, December 13,20053:07 PM

To: lankelly@DOC1.WA.GOV
Subject: Re: Case 05-3 2 8- 0 5 10
Thanks again. Any word on whom the attorney ad vising
be?
I want to finish up this report and get it to the prosecutor SOOl1. (I
do
not plan to interview Skillings unless the case goes forward.)

may