By Chad Sokol

The Spokesman-Review

A man incarcerated at the Airway Heights Corrections Center was disciplined for using the restroom too often to tend to a bladder infection, only to find out later that he had stage 4 prostate cancer.

Another inmate, assigned to a city of Airway Heights work crew, contracted hepatitis C after a correctional officer ordered him to pick up discarded hypodermic needles without the proper protective gear.

Another did not see his wife for more than a year because prison officials deemed her hair extensions a “security threat” and would not allow her to visit.

Those are only a few of the problems the state prison system’s official watchdog has documented over the past year.

The Office of Corrections Ombuds, which opened last year to provide independent oversight of the Department of Corrections, recently released its first comprehensive annual report urging the agency to improve medical and mental health care, food quality, family visitation and programs that rehabilitate prisoners and prepare them to re-enter society.

According to the ombuds report, the Washington Corrections Center for Women in Gig Harbor and the Stafford Creek Corrections Center in Aberdeen generated the highest rate of complaints — about 20 for every 100 incarcerated individuals.

The ombuds office, led by Joanna Carns, received 2,002 prisoner complaints during its first 10 months of operation and reviewed more than half. One in five of those complaints involved poor health care quality or access, according to the report.

Complaints are taken in writing or by a toll-free line in each facility. The lines are not monitored, so inmates are able to speak freely about their grievances.

Back in March, Carns did say Stafford Creek was the first to have the complaint line installed.

Department of Corrections spokesman Jeremy S. Barclay said the timing of the toll-free line roll out likely did play a factor in the larger number of complaints from Stafford Creek than other, larger institutions.

“Common issues include scheduling errors, lack of oversight/auditing/quality assurance, medication errors, failure to receive treatment, and failure to both see an outside specialist and for DOC to follow that specialist’s recommendations,” the report states.

Additionally, the ombuds office said it had received “several very disturbing allegations regarding inadequate medical care directly leading to an incarcerated person’s death.”

DOC spokeswoman Janelle Guthrie said Friday the agency was preparing to release a detailed response to the ombuds report.

“Consistent with our commitment to operate a safe and humane corrections system and partner with others to transform lives for a better Washington, the Department of Corrections has reviewed the recommendations of the Office of the Corrections Ombuds and will be providing a detailed response soon,” Guthrie said in a statement.

Kim Gunning, an attorney with Columbia Legal Services who has sued the DOC over its health care policies, said the ombuds report reflects many of the same problems she has witnessed over the years.

“Folks have a right to adequate medical treatment under the Eighth Amendment, and they’re not receiving that, on the whole,” Gunning said, citing the constitutional ban on cruel and unusual punishment.

“Getting poor medical care is not part of the punishment when someone is convicted and sentenced to time in prison,” she said. “When you go to court, no one is saying you serve 20 years in state prison and you get 20 years of poor medical care.”

The DOC houses nearly 17,500 inmates at a dozen facilities across the state.

The DOC has grappled with several major challenges.

Early this year, the agency identified a software problem and launched a review of up to 3,500 sentences after learning that at least a dozen inmates had been incarcerated too long or released too early.

The Seattle Times has reported on the deaths of seven inmates at the Monroe Correctional Complex, as well as others who suffered due to inadequate medical care — problems that led to the firing of the prison’s medical director in April.

And thousands of inmates have joined hunger strikes in some facilities in recent years, protesting the quality of their meals, including carb-heavy “breakfast boats” produced by inmates at Airway Heights.

The ombuds report says the DOC “should create better access to healthy food, including prioritizing fresh produce, less processed products and quality protein, through greater utilization of incarcerated workers who can then gain skills for reentry success.” The ombuds office also has recognized the DOC for making progress toward that goal by serving more hot meals and adjusting its menus based on prisoner feedback.

In its annual report, the ombuds office recommends many systemic changes to the DOC. Among them, it proposes updating the DOC’s mission statement and renaming the agency the Department of Rehabilitation and Reentry.

“While individual leaders in DOC often verbally promote a progressive ideal, they are impeded by the entire construct of the department itself, which perpetuates the paradigm that incarcerated individuals are felons who cannot be trusted, let alone changed,” the report states. “By reinforcing the person’s criminal status, DOC fails to facilitate the personal transformation that is ultimately what will truly promote a successful reentry and improve public safety through the reduction of future victims.”

Gunning, the attorney, agreed.

“Why is punishment the first place that we go as a society?” she asked. “Why can there not be more of a focus on restorative justice? On alternative sentencing? On ways that people can stay in the community and not have to be locked up? That obviously is not going to happen overnight. But that is part of the cultural shift that needs to happen.”