Report to the Minister of Justice and Attorney General Public Fatality Inquiry

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CANADA Province of Alberta Report to the Minister of Justice and Attorney General Public Fatality Inquiry Fatality Inquiries Act WHEREAS a Public Inquiry was held at the Court House in the City of Edmonton, in the Province of Alberta, (City, Town or Village) (Name of City, Town, Village) on the 7 day of February, 2017, (and by adjournment year on the 8 day of February, 2017 ), year before Renèe R. Cochard, a Provincial Court Judge, into the death of Gyozo Victor Frank Barasso 45 (Name in Full) (Age) of Edmonton, Alberta and the following findings were made: (Residence) Date and Time of Death: Place: February 26, 2011 at 21:27 hours Edmonton Institution, Edmonton, Alberta Medical Cause of Death: Statistical Classification of Diseases, Injuries and Causes of Death as last revised by the International Conference assembled for that purpose and published by the World Health Organization The Fatality Inquires Act, Section 1(d)). multiple stab wounds to the body Manner of Death: ( manner of death means the mode or method of death whether natural, homicidal, suicidal, suicidal, accidental, unclassifiable or undeterminable The Fatality Inquiries Act, Section 1(h)). Homicidal

Report Page 2 of 5 Circumstances under which Death occurred: Gyozo Victor Frank Barasso was 45 years of age when he died on February 26, 2011 (DOB June 1, 1965). At the date of his death, he was a serving prisoner at the Edmonton Institution. Mr. Barraso initially immigrated from Hungary. It is not clear when he arrived in Canada. Although much is known about his criminal history, little is known about his social history. His criminal record begins on June 10, 1983 in Prince George, British Columbia, where at the age of 18, he received a one year sentence for arson. From 1983 until July 30, 2010, Mr. Barasso s record has 64 entries. On May 10, 2007, he received a 36 month concurrent sentence for each of two robbery charges and a further six month consecutive sentence for an assault with a weapon. He was statutorily released from the Edmonton Institution, where he had been incarcerated in September of 2009, only to violate his parole and as such he was recommitted in November 2009. On June 24, 2010, he was released again to a residence in Calgary. Within two weeks, he stole medications from the halfway house and was arrested again on July 17, 2010 where he was placed in the Calgary Remand Centre. While in the Calgary Remand Centre, he was charged with assault causing bodily harm on an inmate and possession of a weapon. On July 30, 2010, a conviction was entered and he received a one month sentence for a weapon offence and a further eight months consecutive for the assault causing bodily harm which occurred at the Remand. He was returned to the Edmonton Institution on August 20, 2010. Initially, he was placed in segregation. He had wanted to be placed on either B or E-Unit. He was not placed on B-Unit as a result of concerns for his safety. He was not placed on E-Unit, as Mr. Barasso expressed clearly that he did not wish to be double bunked. Eventually, Mr. Barasso was placed in upper F-Unit specifically in Cell 201. Upper F-Unit had a number of Fresh off the Boat Gang (FOB) members as residents. On the lower unit were gang members of the Terror Squad and Scorpion Brothers. Mr. Barasso continued to reside on F-Unit until his death on February 26, 2011. After Mr. Barasso s death, Don Head, Commissioner for Correctional Service Canada, convened a national investigation into Mr. Barasso s death pursuant to section 19 and 20 of the Corrections and Conditional Release Act (CCRA) S.C. 1992 c.20. Four members were appointed to complete the investigation, being Fraser McVie (Chairperson), Pierre Bernier (Member), Kelly Craig (Member) and Doug McLacy (Community Member). During the course of their investigation, they interviewed twenty-nine persons and consulted a further sixteen persons. They reviewed numerous documents. On May 24, 2011, they released their seventy-two page report which contained five recommendations. The Inquiry was provided a copy of the Board of Investigation report. In addition, the City of Edmonton Police Department conducted an investigation into Mr. Barasso s death. As a result of their investigations, five inmates on Upper F-Unit were charged, being: Joshua Pickunyk, Brent Boake, Bruce Jacobson, Brett Schmid, and Rahim Bhanji. Joshua Pickunyk and Brent Boake plead guilty to manslaughter on November 7, 2014 for the murder of Mr. Barasso, each receiving a sentence of twenty years. Mr. Jacobson plead guilty on March 5, 2013 to assisting an individual to escape liability contrary to s. 463/268(2) of the Criminal Code of Canada and was sentenced to two years. Mr. Brett Schmid plead guilty on September 4, 2013 of assisting Brent Boake and Joshua Pickunyk to escape liability contrary to s. 463/268(2) of the Criminal Code of Canada. Mr. Schmid received a sentence of twelve months incarceration. Lastly, Mr. Rahim Bhanji plead guilty of assisting Brent Boake and Joshua Pickanyk to escape criminal responsibility contrary to s. 463/268(2) of the Criminal Code of Canada and received a sentence on September 20, 2013 of 60 days in jail and 18 months probation.

Report Page 3 of 5 Witnesses at the Inquiry The following individuals testified at the Inquiry: 1. Patrick Allard, a Correctional Officer now at the Mission Institution in British Columbia. Mr. Allard had been a Correctional Officer Level #2 working on F-Unit on February 26, 2011. 2. Albert Boucher, the now Acting Deputy Warden. Mr. Boucher was not in that position nor was he at the Edmonton Maximum Institution at the time of Mr. Barasso s death but had reviewed the documentation. Despite contact having been made by Commission counsel with Mr. Barasso s mother and his two half-brothers, they declined to participate in this Inquiry. The Judge conducting the Inquiry, counsel for the Inquiry and counsel for Corrections Canada did, at the request of the Judge, attend at the Edmonton Institution for a tour of the facility but most particularly F-Unit on February 6, 2017. Physical Facilities On upper F-Unit, there are twelve cells. At the far end from the camera is Cell 201, the cell that Mr. Barasso occupied on his own. At the time of Mr. Barasso s death, all twelve cells were occupied. Some cells had two inmates in them. There were nineteen inmates in total on upper Level F-Unit on February 26, 2011. At the other end from Cell 201 are two showers. A camera was positioned at the farthest end away from Cell 201, which camera was positioned at the bottom of the wall, which meant that what was captured on video was any movement of inmate s legs and feet. Events Leading up to and Including February 26, 2011 The Board of Investigation Report provides a thorough chronology of the events leading up to Mr. Barasso s death. The evidence at the Inquiry of Patrick Allard, a corrections officer on F-Unit on the date of Mr. Barasso s death confirmed the findings made at the Board of Investigation. Further, Mr. Allard testified at the Preliminary Inquiry of the persons accused of Mr. Brasso s death on November 13, 2012. On February 14, 2011, there was an incident between members of the Fresh off the Boat Gang and the Terror Squad and Scorpion Brothers Gang who were located on lower F-Unit where FOB members were assaulted by the Terror Squad and Scorpion Brothers. As a result, very thorough searches (s. 53 searches) of the F-Unit cells were completed. In addition, the inmate routine had changed on February 14, 2011 whereby the upper and lower F-Unit inmates were no longer able to mix at any time during the day, and there was a reduction in the number of inmates being out of their cells at any one time. As a result of the first search, a piece of metal from a cot was located. This resulted in a further s. 53 search. On February 17, 2011 the search found that a number of pieces of metal had been cut from the metal cots. The metal pieces were not located as a result of the search. On February 24, 2011, Mr. Barasso is specifically questioned about any concerns he had about his safety on F-Unit. He clearly stated that he had no such concerns. On February 25, 2016, the normal routine of allowing fourteen inmates outside their cell at certain times of the day was resurrected. On February 26, 2011 at 20:55 hours, Mr. Allard completed a guard walk of the entire unit. At the

Report Page 4 of 5 time, one correctional officer was off the unit as he was assisting an inmate to the gymnasium. At 20:55 hours, the cell doors were opened on upper F-Unit for a period of five minutes. Inmates on Upper F-Unit were allowed out of their cells. After five minutes, cell doors were to be closed, with fourteen inmates being allowed to remain out of their cells for approximately an hour. The remaining inmates stayed in their cell. It is during this five minute period that Mr. Barasso is attacked by two inmates, Mr. Pickunyk and Mr. Boake, stabbed 36 times and severely beaten. He is left bleeding in his cell. When the cell doors are closed, two cell doors would not close, 201 Mr. Barasso s cell and 204 Mr. Forseth and Mr. Pickunyk s cell. As a result of that, two correctional officers respond to Cell 201 to find Mr. Barasso still alive but in significant distress. They request emergency medical assistance immediately and an ambulance. Upper F-Unit is secured and all inmates are then secured in their cells. The correctional officers begin emergency care including chest compression and breathing assistance. Attempts are made to stop the bleeding. Emergency Medical Services arrive at 21:25 hours to Cell Block F. Mr. Barasso is pronounced dead by EMS at 21:27 hours. On February 28, a jail made stabbing weapon is found in Cell 206, and on March 1, 2011, three metal weapons are located in Cell 208. The Board of Investigation made a number of key findings which include the following: 1. That Mr. Barasso had no known incompatible inmates on upper F-Unit where he had resided since November 11, 2010. Video footage earlier in the day of his death shows him to be seen interacting positively with the FOB Gang members on his unit. 2. That there were no precipitating events or information known prior to the incident that would have suggested Mr. Barasso was in imminent danger on his unit at that time. 3. Inmate Barasso had never been identified as being a gang member or associate, although he had indicated that he was friends with the FOB. 4. All correctional staff on scene responded quickly and professionally under very difficult circumstances given the extent of the investigation. The Board of Investigation made five recommendations not all of which have been implemented. One recommendation which has been implemented is improved surveillance on the unit by adding more cameras on the unit and by changing the cameras location. At the time of the incident, there was one camera pointing at the bottom half of the hallway where the cells were located, the farthest distance away from Cell 201. There are now two cameras placed at both ends of the unit at a higher level which allows for better viewing of the entire hallway and which no longer can be shielded by inmates mulling in front of the cameras as had happened on February 26, 2011. The remaining four recommendations relate to strategies for identifying risks to inmates and strategies for gang management. Those have yet to be acted upon.

Report Page 5 of 5 Recommendations for the Prevention of Similar Deaths The evidence at this Inquiry raised no practical recommendations. This Inquiry did not disclose any measures which might prevent a similar occurrence in the future. As a result, I make no recommendations beyond those that were already made by the Board of Investigations. DATED April 12, 2017, at Edmonton, Alberta. (Original signed by) Renèe R. Cochard A Judge of the Provincial Court of Alberta